DOI:

10.37988/1811-153X_2023_3_100

Immediate denture with printed polymethylmethacrylate dentition and polyethylene terephthalate denture base: a clinical case

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Authors

  • E.A. Chizhmakov 1, assistant at the Propaedeutics and prosthodontics technology Department
    ORCID ID: 0000-0003-1313-3307
  • E.G. Zherebtsov 2, dentist
    ORCID ID: 0009-0004-0345-9244
  • M.A. Galankina 1, 5th year student at the Dental Faculty
    ORCID ID: 0000-0001-9713-7422
  • A.S. Arutyunov 1, PhD in Medical Sciences, full professor of the Propaedeutics and prosthodontics technology Department
    ORCID ID: 0000-0002-2655-6707
  • 1 Moscow State University of Medicine and Dentistry, 127473, Moscow, Russia
  • 2 Dental Clinic MARS-53, 127474, Moscow, Russia

Abstract

Despite its widespread use, the traditional method of treatment with removable dentures has a number of disadvantages. These are considerable labor intensity of production, necessity of moving the base of the construction during the period of wound healing and formation of the prosthetic bed, unsatisfactory biocompatibility due to the presence of residual monomer after polymerization of polymethylmethacrylate (PMMA) material, etc. At the same time, computer technologies are actively integrated, which allow optimization of clinical and laboratory steps, thus shortening the treatment period, expanding the range of construction materials, as well as manufacturing technologies of dental prostheses. The article describes a clinical case of a patient who required planned extraction of all teeth. The main stages of treatment included simultaneous extraction of the teeth, direct application of a prefabricated immediate prosthesis, and subsequent fabrication of a final fully removable plate prosthesis. All clinical and laboratory steps were based on the use of CAD/CAM systems, which allowed the creation of a hybrid design of the immediate prosthesis as a prototype for the final prosthesis with a polyethylene terephthalate (PET) base and a printed PMMA denture. Follow-up examinations on days 1, 7, and 30 (after placement of the final prosthesis) revealed no complaints from the patient and no functional and/or structural abnormalities.
Conclusion.
The analog-digital approach to prosthetic treatment of patients requiring simultaneous extraction of all teeth, using the developed constructions with PET base and printed dentures, makes it possible to eliminate the need for traditional base corrections by relining, shorten the period of wound healing and denture bed tissue remodeling, and improve the conditions for the patient‘s rapid adaptation to the final fully removable dentures.

Key words:

denture base, artificial teeth, polymethyl methacrylate, polyethylene terephthalate, immediat denture, complete removable dentures

For Citation

[1]
Chizhmakov E.A., Zherebtsov E.G., Galankina M.A., Arutyunov A.S. Immediate denture with printed polymethylmethacrylate dentition and polyethylene terephthalate denture base: a clinical case. Clinical Dentistry (Russia).  2023; 26 (3): 100—109. DOI: 10.37988/1811-153X_2023_3_100

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Received

August 23, 2023

Accepted

September 3, 2023

Published on

September 24, 2023