Andrew’s bridge system: A suitable option for rehabilitation of compromised anterior dentition using preci-horix attachment

Abstract

Rehabilitation of a compromised anterior dentition when particularly there is a loss of a variable amount of residual ridge and adjacent soft tissue is difficult and unpredictable. In such cases to achieve a predictable treatment outcome, a fixed-removable partial denture system can be used wherein a removable prosthesis is retained by a bar and sleeve attachment to fixed retainers on the either side of the edentulous space. This system can also be used when the alignment of the opposing arches and/or esthetic arch position of the replacement teeth create difficulties for placement of a conventional fixed partial denture. This case report shows the fabrication of a fixed-removable partial denture using the Andrews Bridge philosophy to meet the requirements for esthetics, comfort, phonetics, hygiene, and favorable stress distribution to the abutments and soft tissue.