PMC7532890_01
Smile profile.
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A 56-year-old male patient requested replacement of his missing maxillary left lateral incisor (Figure 1).
Frontal view.
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He was unhappy about his appearance (Figure 2).
Buccal right view (flipped mirror image).
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On examination, no occluding pair was present on the right posterior region (Figure 3) and three occluding pairs (maxillary canine to mandibular canine, maxillary first premolar to mandibular first premolar and maxillary second molar to mandibular first molar) were present on the left side (Figure 4).
Buccal left view (flipped mirror image).
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On examination, no occluding pair was present on the right posterior region (Figure 3) and three occluding pairs (maxillary canine to mandibular canine, maxillary first premolar to mandibular first premolar and maxillary second molar to mandibular first molar) were present on the left side (Figure 4).
Upper occlusal view (flipped mirror image).
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Multiple teeth were missing in the maxillary (Figure 5) and mandibular arches (Figure 6).
Lower occlusal view (flipped mirror image).
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Multiple teeth were missing in the maxillary (Figure 5) and mandibular arches (Figure 6).
Denture framework and the fulcrum line AB.
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Instead of the conventional reciprocal arm design that extended to the mesio-buccal aspect of the abutment tooth, a small buccal plate that extended mesially was employed to provide just more than 180  encirclement of the tooth (Figure 7).
Upper occlusal view with denture in situ (flipped mirror image).
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Figure 8 shows the removable partial denture fitted in the mouth.
Open profile with denture.
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The patient was satisfied with the esthetics (Figure 9).
Frontal view with denture.
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Figure 10 shows the removable partial denture replacing the lateral incisor and associated soft tissue.