title: Resilient Attachments as an Alternative to Conventional Cast Clasp Removable Partial Denture: 3-Year Follow-up.
abstract: The present clinical report describes the prosthodontic management for a patient with uncontrolled bleeding and diabetes mellitus treated with a maxillary complete denture and a mandibular partial fixed dental prosthesis designed to interface with a removable cast framework partial denture retained by 2 ERA attachments. This approach was undertaken to improve both retention and stability of the distal extension Kennedy Class I removable partial denture. The rehabilitation provided better anterior esthetics than if treated with a conventional clasp retained removable partial denture, by employing a simple, practical design and offering a significant biomechanical advantages, restoring both oral health and function. Thus, this treatment modality, involving an ERA system and transfixation in fixed crowns, is an effective treatment and can be indicated as a clinical alternative for edentulous and partially edentulous patients with systemic disorders or for patients in economic situations that might preclude implant-based rehabilitation.
authors.affiliation: Department of Prosthodontics, CEOM, Passo Fundo, RS Brazil.
authors.forename: Cristian
authors.initials: C
authors.lastname: Schuh
authors.affiliation: Graduate Program in Dentistry, Federal University of Pelotas, Rua Gonçalves Chaves, 457, 2nd Floor, Pelotas, RS 96015-560 Brazil.
authors.forename: Jovito
authors.initials: J
authors.lastname: Adiel Skupien
authors.affiliation: Graduate Program in Dentistry, Federal University of Pelotas, Rua Gonçalves Chaves, 457, 2nd Floor, Pelotas, RS 96015-560 Brazil.
authors.forename: Mauro Elias
authors.initials: ME
authors.lastname: Mesko
authors.affiliation: Graduate Program in Dentistry, Federal University of Pelotas, Rua Gonçalves Chaves, 457, 2nd Floor, Pelotas, RS 96015-560 Brazil.
authors.forename: Fernanda
authors.initials: F
authors.lastname: Valentini
authors.affiliation: Graduate Program in Dentistry, Federal University of Pelotas, Rua Gonçalves Chaves, 457, 2nd Floor, Pelotas, RS 96015-560 Brazil.
authors.forename: Tatiana
authors.initials: T
authors.lastname: Pereira-Cenci
authors.affiliation: Graduate Program in Dentistry, Federal University of Pelotas, Rua Gonçalves Chaves, 457, 2nd Floor, Pelotas, RS 96015-560 Brazil.
authors.forename: Noéli
authors.initials: N
authors.lastname: Boscato
keywords: Dental abutments; Dental benefits; Dental clasps; Health status; Removable prosthetics