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Article: Volume 49 Number 4 Page 343 - April 2022

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  Dental Update 499: 343-347

Prosthodontics:  The Fixed/Removable Interface: A Case Report

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Abstract: An 86 year old lady presented with numerous missing teeth, failing restorations, unstable dentures and a fractured provisional crown on her upper left canine. After a thorough pre-operative assessment and diagnostic planning, provisional restorations were provided to help the definitive treatment planning. The prosthodontic treatment involved fixed prostheses in the maxillary arch, followed by maxillary and mandibular tooth and mucosa supported cobalt chromium removable prostheses. This was provided at an increased occluso-vertical dimension in centric relation.

Clinical relevance: This article illustrates techniques to optimize removable partial prostheses by using abutment teeth to their full potential.

Author notes: Siavash Mashoof, BSc(Hons), BDS(Hons), MJDF RCS(Eng), MClinDent(Pros), MPros RCS(Ed), Specialist in Prosthodontics working in Private Practices in Kent and Sussex; Clinical Lecturer for Health Education England London and Kent, Surrey and Sussex email: siavash.mashoof@googlemail.com

Objective: The reader should gain an appreciation of how to design crown and bridge units for denture support and retention.