Rehabilitation of a severely worn dentition & partially dentate patient with fixed and removable prosthethics: A Case Report

In patients with multiple edentulous areas, evidence of tooth wear and occlusal alterations; a combined crown and bridge and removable partial denture treatment plan may be recommended. This treatment plan involves the placement of both fixed and removable prostheses to restore function and aesthetics. Combined restorative cases typically involve placement of crowns and bridges together with a removable partial denture. Patients often present seeking treatment to restore aesthetics and function, temporomandibular joint (TMJ) discomfort and sensitivity due to tooth wear. During the treatment of such combined cases it will oftenbe necessary to reorganise the occlusion by increasing the occlusal vertical dimension (OVD) prior to the placement offixed and removable prostheses thus allowing for adequate space to accommodate additional restorative material. In addition, the dental practitioner should always provide accurate and step-wise clinical input and instructions to the dental technician in relation to the removeable partial denture (RPD) design in order to facilitate retention, stability and support.