Mona Aboelnagga
The second cause of tooth loss in an adult is periodontal diseases that are demonstrated in severe clinical attachment loss, mobility and unfortunately tooth loss. The periodontitis patient with mobility Grade I or II could be stabilized with proper scaling, root planning, oral hygiene instructions. Unfortunately in severe cases that exhibit total loss of bone around the tooth or mobility that couldn’t be stabilized, extraction may be the only treatment that can be given. The replacement of teeth immediately following their extraction is most readily completed using a removable prosthesis. The removable partial denture (RPD) is preferred in a situation that aesthetics is the primary concern, that it can restore the essential support for the lips and cheeks, also it is considered in immediate replacement following extraction in a critical area as the anterior segment. When the edentulous area is stabilized, definitive treatment can be undertaken with fixed or removable partial denture. In this report, a 42 years old female, her medical history was not significant. The patient came to the screening of the dental hospital with chief complain of mobility in most of her remaining teeth. Intraoral examination was done demonstrating mobility Grade III in #23, 31, 32, 41, 42 and Grade IV in #11, 22. In addition, multiple hopeless remaining roots that were extracted before impression taking. The treatment plan proposed was to make upper and lower immediate partial dentures as an interim prosthesis to restore proper occlusion and teeth alignment besides restoring efficient masticatory function. Within this case report, it can be concluded that the success of immediate denture depends on a correct diagnosis, detailed treatment planning and precise execution of construction procedures. If the patient is well prepared, and appropriate type of prosthesis is selected the resulting prosthesis can be successful.
