Enhancing the esthetic of metallic removable partial denture using axial attachment: A case report

Background/Aim: Association of a supra-radicular attachment with a removable partial denture on a metal framework is a therapeutic solution that may overcome the biomechanical and aesthetic challenges associated with extensive edentulism. The objective of this article is to describe, through a clinical case report rehabilitation of a partially edentulous patient with a partial removable denture using a supra-radicular attachment and to illustrate the advantages and disadvantages of this prosthetic device. Case Report: A 43-year-old, female patient in good general health, was addressed to the removable partial denture department at the Monastir Dental Medicine Clinic. The prosthetic decision was to fabricate, in the maxillary arch a metal framework with a radicular post equipped with an axial attachment at tooth 15, and a metal framework RPD replacing the missing teeth. In the mandibular arch, a metal framework RPD was planned with an evolving design considering the poor prognosis of tooth 46. Conclusions: The integration of the supra-radicular axial attachment into the metal framework of a removable partial denture represents a good therapeutic solution to overcome the biomechanical and aesthetic challenges posed by extensive edentulism. However, treatment success requires thorough preliminary study, a correct indication, and patient cooperation.