Oral Rehabilitation with Removable Partial Denture in a Patient with a Maxillary Defect Caused by a Firearm

Abstract

The use of Removable Partial Denture (RPD) for the oral rehabilitation of patients who have suffered facial trauma and consequent tooth loss of several elements, serves as an alternative for replacing hard and soft tissues, as well as providing aesthetic and functional support. Facial trauma related to firearm injuries is a challenge for the surgical team, both in planning and during surgery, due to the destruction of anatomical planes and the multifragmentation of soft tissues and bone. The aim of this study is to report on the oral rehabilitation using removable prostheses of a patient who had suffered firearm trauma. Patient F. B. C., 30 years old, male, normosystemic, attended the postgraduate dental prosthesis clinic at Unichristus with the aim of rehabilitation after a firearm trauma. During the clinical assessment, a bone defect was observed in the anterior region of the maxilla, with the loss of several teeth and part of the alveolar bone structure. The plan was designed to rehabilitate the extensive bone loss caused by the trauma, through the use of an RPD, to promote the return of masticatory function, the patient's facial aesthetics and soft tissue support. The prosthesis was designed to use the remaining posterior teeth as a support and means of retention, aided by full coverage of the palate in order to bring more stability and comfort to the patient. At the end of the treatment, the aesthetic and functional aspects were restored, showing that this type of prosthesis is an alternative for rehabilitation in this type of case.