Beruflich Dokumente
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Correspondence
41
CLINICAL DENTISTRY AND RESEARCH
42
Temporary Flexible Removable Denture
DISCUSSION
Thermoplastic resins have been used in dentistry for over
50 years. During that time the applications have continued
to grow, and the interest in these materials of both the
profession and the public has increased. Patient success is
high since these appliances can be extremely aesthetic.1
Flexible resins are mainly indicated for the construction
of RPD in anterior region for esthetic requirements like
translucency and natural appearance.10 One must remember
Figure 2. Panaromic radiography before the implant treatment. that careful attention must be paid to the basic concepts
of diagnosis and design, and a different approach to clasp
design is essential.
Acetal as a homo-polymer has good short thermo-
mechanical properties, but as a co-polymer has better
Fabrication of long term temporary thermoplastic resin
long-term stability. Acetal resin is very strong, resists wear
RPD:
and fracturing, and is quite flexible. It is rigid enough for
The first impression of the maxilla and mandible were made a long time clinical service.11 An important characteristic
with a rreversible hydrocolloid (Kromopan, Sesto Fiorentino, of this material is its flexibility, enabling the denture to
Firenze, Italy) to acquire the anatomic molds in common have an excellent and more comfortable insertion.12 These
plaster. The maxillary mold was outlined, and there movable characteristics make it an ideal material for pre-formed
temporary partial denture was planned on this maxillary clasps for partial dentures, single pressed unilateral partial
cast. Rests were made on the maxillary teeth to support the dentures, partial denture frameworks, provisional bridges,
denture. Radiographic examination of abutments revealed occlusal splints, and even implant abutments. Acetal resin
that these teeth had good root formation and enough root resists occlusal wear and is well suited for maintaining
lengths to set clasps. After obtaining the working models, vertical dimension during provisional restorative therapy.6
the retentive regions were relieved. The bases were made However thermoplastic acetal resin is very expensive as a
with a wax roll, and a mold of the facial arch was taken. provisional restorative material.
The maxillary model was mounted in an articulator then Ritterbeck13 relates that the absence of porosity as a result
the mandibular model was mounted in the articulator the of monomer release is reflected in improved hygiene, since
maxillary-mandibular relationship was checked. biofilm adherence and bacterial calculus formation are
The prosthetic teeth shade was selected, and then the hindered. The denture made with flexible resin is lighter
teeth were mounted in the laboratory. After mounting than the denture made of conventional acrylic resin, which
teeth, the denture was checked intraorally. The temporary means more comfortable for the patient.12,13
flexible maxillary prosthesis was included in a differential Resin bonded fixed partial denture can be used for
metal muffle to be adapted to the injection machine. The temporary treatment before replacement the definitive
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CLINICAL DENTISTRY AND RESEARCH
REFERENCES
denture is not new, but there is still some concern about the 9. Heath JR, Boru TK, Grant AA. The stability of temporary
longevity of this type of prosthesis and totally untested. A prosthetic base materials. J Oral Rehabil 1993; 20: 363-372.
review of about 60 on the clinical survival of resin bonded
fixed partial dentures put the 4-year survival rate at 74%. 10. Goiato MC, dos Santos DM, Haddad MF, Pesqueira AA. Effect
of accelerated aging on the microhardness and color stability of
The patient in this case report had a long edentulous space
flexible resins for dentures. J Brazilian Oral Research 2010; 24:
in anterior region to make temporary fixed resin bonded 114-119.
partial denture. Because of the risk of cementation failure,
we did not use the adhesive bridge. Also a conventional RPD 11. Naisargi S, Rajendra D, Rao JR, Harsh M. Management of a
was not preferred as a temporary prosthesis because of Partially Edentulous Patient with Bilateral Mandibular Tori -A Case
Report. Int J Dental Clinics 2010; 2: 53-56.
the metal clasps which cause esthetics problem in anterior
region. 12. Goiato MC, Panzarini SR, Tomiko C, Luvizuto ER. Temporary
flexible immediately removable partial denture: a case report. Dent
CONCLUSION
Today 2008; 27: 114, 116
In the present case, flexible framework RPD has served
13. Ritterbeck R, Riterbeck R. SistemaFlexline: prtesesflexveis.
as a successful until the permanent fixed prosthesis have
[cited 2005]. http://www.flexline.odo.br. Accessed January 22,
restorated in anterior esthetic region and increased patients 2008.
the quality of life in this interim. With the development of
new properties, elastomers and copolymer alloys, there are
certain to be additional new applications for thermoplastic
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