Double Removable Prosthesis Planning for Maxilla and Mandible

Introduction

This clinical case involves the creation of a Double Removable Prosthesis, with simultaneous planning for both the maxilla and mandible. The primary goal was to provide the patient with optimal occlusal adaptation, restoring both chewing function and aesthetics. Exocad was used for the planning, with digital files allowing for fabrication through 3D printing in biocompatible resin or milling in acrylic resin blocks, depending on the available resources.

Materials and Methods

• Prosthesis Type: Double Removable Prosthesis (maxilla and mandible)
• Objective: Improved occlusal adaptation, restoring function and aesthetics
• Planning Software: Exocad
• Fabrication Techniques:
  • 3D printing in biocompatible resin
  • Milling in acrylic resin blocks

Processes

1. Initial Analysis and Planning: The patient’s functional and aesthetic condition was evaluated, and Exocad planning focused on achieving the optimal occlusal adaptation for comfort and stability across both arches.

2. Fabrication of the Double Removable Prosthesis: Simultaneous planning for the maxilla and mandible was done to ensure the prostheses fit well, restoring chewing, speech, and aesthetic functions.

3. 3D Printing or Milling: The digital files generated in Exocad were used to either 3D print the prostheses in biocompatible resin or mill them in acrylic resin blocks.

4. Functional and Aesthetic Evaluation: After fabrication, the prostheses underwent functional and aesthetic evaluations to check occlusal adaptation, functionality, and overall appearance. Adjustments were made to ensure maximum comfort and a natural look.