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Treatment option for esthetic and function rehabiltion of missing anterior

teeth

Introduction
Anterior teeth are important for functional as well as psychological well being of
the person. Replacement of missing teeth in anterior region is important for
recovering tooth anatomic form, esthetic, mastication, pronunciation, and other
oral function. Different types of treatment options can be considered for the
esthetic and function replacement of missing anterior teeth .The conventional
approach for replacing anterior teeth was the utilization of fixed partial denture and
removal partial denture. At present given the fact that the growth in the dental
implants and implant based dental restoration product
In some cases the replacement of missing teeth becomes difficult when
the teeth cant be replaced by implant supported prosthesis or conventional fixed
dental prosthesis due to local bony defect ,inadequate volume of bone in
edentulous area . In such conditions, the Andrews bridge is a good prosthodontic
option.
This article describes a series of 5 cases reports highlighting the treatment
option for esthetic and function rehabiltion of missing anterior teeth

Case report 1
A 57 yr old female patient reported to the department of prosthodontics with chief
complaint of missing maxillary anterior teeth . Case history was taken and IOPA
of the tooth was taken.
In this case missing teeth is not replaced by implant supported prosthesis due to
systemic disorder. Then it was planed for removable partial denture.
Removable partiale denture is considered among the most conservative and
reasonable obtions with least amout of risk to the patient.

Case report 2

A 33 yr old male patient reported to the department of prosthodontics


with chief complaint of missing anterior mandibular
tooth i.r.t 31,32,41,42 . Case history was taken and IOPA of the adjacent
abutment tooth i.e 33 and 43 were taken. patient reject the treatment
obtion of implant supported prosthesis due to scocioeconomical status.
So fixed prosthesis was planned. Tooth preparation of 33 and 43 was
done .PFM prosthesis was fabricated and delivered.

case report 3
A 24 yr old male patient reported to the department of prosthodontics
with chief complaint of missing anterior maxillary teeth i.r.t 11, 21,22,23
24. Case history was taken.pt give the history of trauma before 6
month .OPG & IOPA of the adjacent abutment tooth i.e 12 13and 25,26
were taken.
In this case implant supported prosthesis as well as fixed prosthesis is
not possible due to the horizontal and vertical bone loss.
In this case two basic steps to treat the patient, surgical and
prosthodontics. In many cases combination of the two is required.
surgical steps reconstruct the deficient bone and soft tissue by
regenerstion, bone grafting and soft tissue grafting.but >6 mm horizontal
and vertical bone loss i.e calss 3 (Seibert's Nomenclature) defect . large
three sided defect making placement of graft material and
implants questionable. It was thus decided to fabricate an Andrews fixed
removable prosthesis for the restoration of the missing teeth and for the
closure of the bone defect.

Case report 4

A 39 yr old male patient reported to the department of prosthodontics


with chief complaint of missing anterior maxillary tooth i.r.t 11 . Case
history was taken and IOPA of the adjacent abutment tooth i.e 12 and
22were taken. The following
prosthetic treatment options were considered: (1) an implant-supported
single crown, (2) a conventional FPD, and (3) an RBFPD. Implant
replacement was excluded as an option because the patient declined the
several surgical procedures required. The conventional FPD was also
excluded because the abutment teeth were vital and intact. Thus, to
minimize unnecessary tooth preparation, the use of the RBFPD was
decided.

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