Rehabilitación oral integral en paciente adulto mediante el uso de ataches en prótesis parcial removible: Reporte de caso.

Abstract

Objective: To document the clinical process of integral oral rehabilitation using of extracoronal zirconia attachments in removable partial dentures, constituting a valid therapeutic alternative to more complex and invasive rehabilitation procedures such as implant-supported restorations. Materials and Methods: This case report describes a 60-year-old male patient with partial maxillary and mandibular edentulism, previously treated with a large upper fixed prosthesis without a lower prosthesis, accompanied by anterior mandibular crowding. The patient was rehabilitated using extracoronal zirconia attachments that allowed connecting the fixed prosthesis to the removable one. The process included clinical evaluation, endodontic treatment, build-up of the abutment teeth, fabrication of crowns and veneers, and finally, removable partial dentures. Results: Extracoronal zirconia attachments are a valid treatment option for patients who cannot opt for implants and are seeking a more comfortable and aesthetic alternative than a conventional removable partial denture. Conclusions: Extracoronal attachments provide a solution for the rehabilitation of partially edentulous patients, combining aesthetics, functionality, and comfort. Their design distributes occlusal loads evenly, enhancing patient comfort. The use of zirconium offers aesthetic advantages over ceramic-metal; however, further comparative studies are recommended to evaluate their long-term effectiveness. Keywords: extracoronal attachments, zirconia, removable partial denture.