Cast partial denture using precision attachment: a case report

Aim: The aim of this case report is to demonstrate the clinical and prosthodontic management of a partially edentulous patient using a cast partial denture with precision attachments, emphasizing its advantages in improving retention, esthetics, and patient comfort compared to conventional clasp-retained removable partial dentures. Methods: This clinical report shows how to use the extra coronal attachment, precisagix, to restore a partially edentulous mandibular arch with detachable partial dentures. A matching fitting or housing was integrated into the removable prosthesis along with the crown, which allowed for some movement between the two parts of the prosthesis. This served as a non-rigid stress breaker and assisted in distributing the occlusal load. Conclusion: Semi-precision attachment retained cast partial dentures would be a great choice in situations when aesthetics are a top priority and the financial situation precludes the use of dental implants. The success of a distal extension cast partial denture depends on the abutment's ability to regulate stress, which is accomplished by using precise impression technique, wide coverage, a sturdy denture base, abutment splinting, and appropriate attachment selection. Semi-precision attachments are a feasible option that can enhance function, retention, and appearance with appropriate case selection and treatment planning.