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Patient : A 58-year-old female patient presented with masticatory and dentogenic dysfunction. The treatment provided was occlusal reconstruction with a unilateral free end saddle removable maxillary partial denture with a single distal cantilever bridge and a natural tooth implant supported by a rigidly fixed prosthesis for the mandible. Discussion : After 13 years of use, the final restorations, an upper denture with attachments and the lower implant and tooth supported prosthesis, are in satisfactory condition. Although it is contra-indication to connect natural teeth and implants because of different responses to loading, in this case the rigid fixing of a number of teeth with implants led to occlusal contacts and forces to be spread, and thus to a reduction of the natural tooth mobility to a level compatible for the implants. Conclusion : As a result of the factors discussed, the patient's occlusion has been maintained using the occlusal reconstruction and has been stable for a long time.

13 years Passed Case with the Attachment Denture and Implant Prosthesis