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All Journal Dentika Dental Journal Dental Journal (Majalah Kedokteran Gigi) Indonesian Journal of Dental Medicine Berkala Penelitian Hayati Indonesian Journal of Prosthodontics
Utari Kresnoadi
Department Of Prosthodontic, Faculty Of Dental Medicine, Universitas Airlangga
Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Dentistry Immunology & microbiology Materials Science & Nanotechnology Medicine & Pharmacology

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Digitally-Assisted conventional immediate denture in aggressive periodontitis with limited abutments Hendri B. Gunawan; Utari Kresnoadi
Indonesian Journal of Prosthodontic Vol 6 No 2 (2025): December 2025
Publisher : Indonesia Prosthodontic Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46934/ijp.v6i2.305

Abstract

Aggressive Periodontitis (AgP) frequently precipitates premature, multi-unit tooth loss in young adults, imposing substantial esthetic and psychological burdens. While the immediate provision of a prosthesis is critical to preclude the damaging edentulous phase and sustain patient confidence, conventional impression techniques inherently pose a significant risk of iatrogenic trauma to the remaining, often highly mobile, fragile abutments. This report details a hybrid digital-conventional protocol designed to maximize clinical safety and esthetic predictability during immediate removable partial denture (IRPD) delivery amidst fragile abutments. A 35-year-old female diagnosed with generalized AgP necessitated the extraction of eleven teeth, with only periodontally sound canines and premolars retained. Intraoral scanning technology was strategically utilized for anatomical data acquisition, successfully mitigating the risk of inadvertent dislodgment of the mobile abutments. The resulting digital data facilitated a precise pre-extraction simulation of the final ridge contour and esthetic try-in, guiding the subsequent conventional laboratory fabrication. An acrylic IRPD was delivered immediately post-extraction, successfully resolving the pre-existing diastema and restoring patient function. The strategic integration of intraoral scanning into a conventional IRPD workflow offers a cost-effective, clinically safe, and highly predictable solution for managing complex immediate prosthetic cases involving limited and compromised supporting structures, thereby enhancing treatment outcomes. Keywords Aggressive Periodontitis; Immediate Denture; Intraoral Scanning; Hybrid Workflow; Compromised Abutments.
Co-Authors - UBSI Karawang, Djulaeha Adi Subianto Amiyatun Naini Anita Yuliati Arif Rachman Azhar, Imam Safari Bambang Agustono Bima Subiakto Rahmani Birgitta Dwitya Swastyayana Subiakto Faurier Dzar Eljabbar Latief Hananah Oktalidial Putri Hanoem Eka Hidayati Harly Prabowo, Harly Hendri B. Gunawan Karina Mundiratri Louisa Christy Lunardhi Maretaningtias Dwi Ariani, Maretaningtias Dwi Meinar Nur Ashrin Michael Josef Kridanto Kamadjaja Mohammad Rubianto Much Nizar Muhammad Dimas Aditya Ari Mutiara Aryanita Najla Salsabila Nobuhiro Yoda Phara Aster Chandra Adventia Primanda Nur Rahmania Ratri Maya Sitalaksmi Retno Pudji Rahayu Roselini Halim Rostiny Rostiny, Rostiny S.Pd. M Kes I Ketut Sudiana . Soekobagiono , Teguh Setio Yuli Prabowo Utami, Farasty Waloejo Noegroho Yurike Hadisoesanto