Use of the Rotational Path Removable Partial Denture Concept in a Kennedy Class II Patient: A Case Report

This case report describes the treatment of a patient with Sjogren's syndrome who was missing all of the posterior teeth in the maxillary left arch. Implants were contraindicated for this patient because of a chronic sinus infection. Various removable prosthodontic options were considered, and the patient was ultimately treated very conservatively with a rotational path removable partial denture (RPD). This approach required no tooth preparation other than bonding a resin composite cingulum rest on the maxillary left canine. The use of the rotational path RPD eliminated any unsightly clasp assembly display and provided a satisfactory esthetic result. CLINICAL SIGNIFICANCE The rotational path removable partial denture is all underutilized option for the esthetic replacement of missing teeth. It should be considered as an option in both tooth-borne and Kennedy Class II situations. (J Esthet Restor Dent 20:294-299, 2008).