Introduction
Practitioners are often confronted with patients who report difficulties
related to their removable partial dentures (RPDs). The most frequent
complaints relate to the lack of retention and stability as well as the
visibility of the clasps which decreases the esthetic rendering of the
RPD.1,2,3
The failure of conventional RPDs in terms of prosthetic balance
manifests itself especially in distal extension edentulism due to the
difference of compressibility between the fibromucosa and the
periodontal ligament. In this context, the use of strategic implants
changes the prosthetic support type to a more favorable configuration
and constitutes a solution of choice to meet patient
expectations.4,5
The aim of this article was to provide, through a clinical case, the
keys of a didactic approach highlighting the difficulties of prosthetic
management of distal extension edentulism and to describe the different
sequences for developing an implant supported removable partial denture
(ISRPD) restoring this dental loss.