Akademik Veri Yönetim Sistemi
29th Congress of the BALKAN STOMATOLOGICAL SOCIETY, Belgrade, Sırbistan, 24 - 26 Nisan 2025, ss.257, (Özet Bildiri)
Objectives:
In patients with partial edentulism, metal components can negatively affect aesthetics, particularly during smiling, which is a significant concern for those with high aesthetic expectations. This case report discusses the rehabilitation of a patient with partial edentulism in the upper arch and worn teeth using a precision attachment prosthesis, following crown lengthening procedures.
Case Report:
A 61-year-old male patient presented with functional and aesthetic concerns. Clinical examination revealed worn teeth (#13-#22) and a reduced vertical dimension by 3 mm. The patient was referred to the periodontology department for evaluation. Pocket depths were measured, and the bone correction required to maintain biological width was determined. After performing gingivectomy for crown lengthening, bone reduction was carried out in the necessary areas, followed by gingivoplasty.
Once the sutures were removed, crown preparations were revised, and a temporary restoration impression was taken to adapt to the new vertical dimension. Temporary crowns were cemented. After 8 weeks, the patient showed no TMJ issues and had adapted to the new vertical dimension. Fixed metal-supported porcelain restorations (#15-#22) were completed, followed by the removable prosthesis stages. After bite registration at the metal skeleton stage, dental proofing and finishing were done.
Conclusions:
Precision attachments improved both the stability and aesthetics of the prosthesis. The metal clasps' visual disturbance was eliminated, leading to a more stable, aesthetically pleasing removable prosthesis with enhanced function. No complaints were reported during the one-year follow-up.