12 Missing, requires replacement

Many of the patients report to me for an implant, for them a dental implant is the best prosthesis out there, with ease of maintenance, and natural aesthetics along with functionality. But there are a few cases, where extraction has been done, and immediate implant placement is not an option. Some of these implant sites are so critically placed that they require immediate attention, and very less number of patients can face the loss of such a critical area.

A similar case reported at my private practice recently, and I made a plan for the patient which involved removable prosthesis (temporary partial denture). I can still remember, the surprise on the patient's face, as i explained to the patient what a removable prosthesis was, and how to maintain the prosthesis till his site for implant placement was not ready. He was reluctant, but on my insistence, the patient agreed for a removable prosthesis.

I wanted a partial denture for the patient, because there was a missing 12, and it was recently extracted at some other practice, where the socket was not prepared for implant placement. I wanted that the area would heal on its own, while we put up some kind of a temporary prosthesis which can be removed afterwards. The plan rules out Bridges and Cast partial dentures, leaving behind a cheaper option, in the form of Temporary Partial Dentures (TPDs).

These TPDs are made-up of acrylic (Heat Cure Acrylic), and smaller ones occasionally sport a metal clasp, made up of stainless steel wire (0.7mm diameter).

Following are the pictures of the case:

The anterior missing tooth, looked very much out of place, and made the patient socially conscious.

Impressions of the patient were made in Alginate material, and send to the laboratory for fabrication. The shade of the visible teeth was matched very carefully and the lab was especially instructed to make the metal clasps and the baseplate as much invisible as possible.

Maximum retention features were incorporated so as to make the prosthesis as much retentive in the oral cavity as possible. The final results were striking.

Despite a very slight difference in the tooth shade, the patient reported back with an excellent experience, and was so happy, that now he had reservations regarding the implant treatment, if the Implant prosthesis would ever be able to produce the same aesthetic results as the TPD.

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