Contemporary approaches for Preventive management of compromised residual dentition “Three clinical case reports”

Abstract

Prosthodontics is one of the substantial pillars of preventive dentistry. The most functional prosthetic prophylaxis is the prevention of causes leading to tooth extractions and the prevention of alveolar bone loss after some teeth are extracted. Sometimes, elderly patients prefer to keep their natural teeth but avoid removable partials; however, Ideally, patients should not be rendered edentulous late in life as they are unlikely to adapt to complete denture limitations. This case series presents preventive management approaches of three challenging cases restored successfully by modern forms of removable partials enrolling different attachment types, aiming to salvage the compromised residual dentition, and carefully manage the transition to the edentulous state in a gradual manner. The attachments were selected based on each patient’s related factors as determined after comprehensive clinical, radiographic, and mounted cast assessments. Patients expressed satisfaction with their prostheses regarding retention, stability, esthetics, function, hygiene, and ease of insertion and removal.