Reconstruction of a maxillary arch involving crowns in combination with a metal-based removable partial denture

Abstract

The patient’s situation was classified as a Kennedy class VI situation.1 This indicates a single bilateral edentulous area located anterior to the remaining teeth. Root canal treatments were done on the 1.3 and the 2.2 with the edentulous area located between these two preparations. The aim was to restore the maxillary arch with a suitable appliance for this specific patient and her needs. Different treatment options were investigated to help with the selection of the ideal treatment option. The most suitable treatment option was the 12-unit porcelain bridge because of the great amount of bad and old restorations in the patient’s mouth. This would have been an opportunity to restore the patient’s entire maxillary arch. This option also has a considerable improvement on the patient’s aesthetics, better than any of the other options. The treatment option of choice was however two crowns on posts with a specially designed cobalt-chromium removable partial denture. This option was the decision of the dentist and the patient.