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.