Case Report
Volume 19 Issue 10 - 2020
Esthetic Rehabilitation of a Partially Edentulous Gastroesophageal Reflux Disease Patient with Combined Fixed and Removable Treatment Using Surveyed Crowns and Altered Cast Impression Technique
Harisha Dewan1*, Mona Al Hamoud2 and Hitesh Chohan3
1Assistant Professor, Department of Prosthetic Dental Sciences, College of Dentistry, Jazan University, Jazan, Saudi Arabia
2General Dentist, Jazan, Saudi Arabia
3Department of Restorative Dentistry, College of Dentistry, Jazan University, Jazan, Saudi Arabia
*Corresponding Author: Harisha Dewan, Assistant Professor, Department of Prosthetic Dental Sciences, College of Dentistry, Jazan University, Jazan, Saudi Arabia.
Received: September 08, 2020; Published: September 24, 2020


One of the most challenging prosthodontic situations to treat is the distal extension cases combined with any sort of fixed treatment, like Kennedy’s Class I or II cast partial denture case having anterior crowns. The problem in these ranges from clinical difficulties like reduced inter-arch space and lab problems like the accuracy of the surveyed crowns and the fit of two opposing partial dentures to the ability to satisfy the patient, especially if the patient is young and is unable to opt for implants due to financial issues. Abutment teeth for removable partial dentures might need crowns and construction of these surveyed crowns is a very demanding procedure technically. As it is the abutment for a partial denture, it must include provision for the different components of removable partial denture along with following the standard tooth preparation procedures. The removable partial denture design should be ready before commencing any procedure as it decides the choice of restorative materials as well as the alteration in wax patterns and veneering details in the lab. Also, the pressure from the occlusal forces tends to move the free-end saddles due to the displaceability of the mucosa. The altered cast technique prevents this movement as the impression of the mucosa is made under controlled pressure. This article provides an overview of a technique for the fabrication of full coverage crowns to be used in conjunction with removable partial dentures using altered cast technique.

Clinical Implications: Proper communication between the dentist and the lab leading to nicely fitted surveyed crowns and a well extended removable partial denture having a good ridge-to-denture relationship will be able to provide improved function as well increased comfort to a partially dentate patient.

Keywords: Surveyed Crowns; Free End Saddle; Altered Cast Technique; Stable Denture


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Citation: Harisha Dewan., et al. “Esthetic Rehabilitation of a Partially Edentulous Gastroesophageal Reflux Disease Patient with Combined Fixed and Removable Treatment Using Surveyed Crowns and Altered Cast Impression Technique”. EC Dental Science 19.10 (2020): 173-184.

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