Rehabilitator treatment with maxillary immediate complete denture and mandibular removable partial denture

Vol. 9 – Number 35 – 2020 Case report Page 32-39 Rehabilitator treatment with maxillary immediate complete denture and mandibular removable partial denture Ianca Zany Nunes Corrêa¹ Erika Akiko Moura Shiota¹ Ely Moacyr De Souza Portela¹ Gabriel Garcia Bardales¹ Francisco Pantoja Braga² Cristiane Maria Brasil Leal³ Abstract Immediate complete denture (ICD) is a mucosa-supported prosthesis manufactured before the removal of natural teeth and installed soon after their extraction. This paper aims to describe a clinical case of oral rehabilitation with upper ICD and lower removable partial denture (RPD). A 57-year-old female patient sought treatment with dissatisfaction with her aesthetics and mobility of the upper teeth. After anamnesis, intra and extra-oral examinations, radiographic examination and analysis of study models mounted on a semi-adjustable articulator, periodontal pockets were found in the upper teeth and extensive bone loss. So, upper tooth extraction, superior ICD and lower RPD were indicated as treatment. For ICD preparation, anatomical and functional moldings were made, made up of orientation and intermaxillary relationship plans for the assembly of the semi-adjustable articulator models. The remaining upper teeth were removed from the model for assembly of the artificial teeth and the ICD was polymerized and polished. The lower RPD was made following the standard steps. After dentures manufacturing, the surgery for upper tooth extraction was performed and prostheses installed immediately after surgery. The results demonstrated that the performed treatment provided aesthetic, phonetic, and functional restoration to the patient avoiding her to undergo a period of edentulism. It was concluded that ICD is a good indication for prosthetic rehabilitation of patients with advanced periodontitis, whose planning is the exodontia of all the teeth of an arch. Descriptors: Mouth rehabilitation, complete denture, immediate complete denture, removable partial denture ¹ Graduating in Dentistry – UEA. ² Me. In Dental Clinic – FOP / UNICAMP, Prof. Total Prosthesis Assistant – UEA. ³ Dr.ª in Dental Clinic – Dental Prosthesis Concentration Area – FOP / UNICAMP, Adjunct Professor of Total Prosthesis – UEA.