{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T13:48:54Z","timestamp":1782395334963,"version":"3.54.5"},"reference-count":12,"publisher":"Pensoft Publishers","issue":"3","license":[{"start":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T00:00:00Z","timestamp":1782345600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["FM"],"abstract":"<jats:p>The integration of digital technologies in removable prosthodontics has significantly enhanced the precision, efficiency, and predictability of cast partial denture (CPD) fabrication. Conventional methods, often involving multiple manual steps, are prone to inaccuracies and technical errors that may compromise the prosthesis fit, patient comfort, and long-term clinical success. The advent of computer-aided design and computer-aided manufacturing (CAD\/CAM), along with direct metal laser sintering (DMLS), has enabled the fabrication of high-precision frameworks and extracoronal precision attachments with improved biomechanical and esthetic outcomes. This case report presents the digital rehabilitation of a partially edentulous maxillary arch classified as Kennedy Class II Modification 2, utilizing a CAD\/CAM-designed and DMLS-fabricated cast partial denture. The digital workflow encompassed intraoral scanning, virtual framework design, and additive manufacturing of the prosthesis with integrated precision attachments. Clinical outcomes demonstrated enhanced accuracy of fit, improved retention, and increased patient satisfaction, with a reduction in chairside adjustments. This report highlights the transformative impact of digital technologies on enhancing clinical standards and fostering personalized, patient-centered care in removable prosthodontics.<\/jats:p>","DOI":"10.3897\/folmed.68.e162497","type":"journal-article","created":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T13:06:28Z","timestamp":1782392788000},"source":"Crossref","is-referenced-by-count":0,"title":["Digital approach to rehabilitating partially edentulous arch using advanced fabrication techniques for precision attachments in cast partial dentures: a case report"],"prefix":"10.3897","volume":"68","author":[{"given":"Manu","family":"Rathee","sequence":"first","affiliation":[{"name":"Pt. B.D. Sharma University of Health Sciences, Post Graduate Institute of Dental Sciences., Rohtak, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mathiyazhagan","family":"Stalin","sequence":"additional","affiliation":[{"name":"Pt. B.D. Sharma University of Health Sciences, Post Graduate Institute of Dental Sciences., Rohtak, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarthak Singh","family":"Tomar","sequence":"additional","affiliation":[{"name":"Pt. B.D. Sharma University of Health Sciences, Post Graduate Institute of Dental Sciences., Rohtak, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Divakar","family":"Santhanam","sequence":"additional","affiliation":[{"name":"Pt. B.D. Sharma University of Health Sciences, Post Graduate Institute of Dental Sciences., Rohtak, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Senthilvelpalani","family":"Balavignesh","sequence":"additional","affiliation":[{"name":"Pt. B.D. Sharma University of Health Sciences, Post Graduate Institute of Dental Sciences., Rohtak, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nang Nalika","family":"Moungkhom","sequence":"additional","affiliation":[{"name":"Pt. B.D. Sharma University of Health Sciences, Post Graduate Institute of Dental Sciences., Rohtak, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2258","published-online":{"date-parts":[[2026,6,25]]},"reference":[{"key":"162497_B1","doi-asserted-by":"crossref","unstructured":"Gupta N, Bhasin A, Gupta P, et al. Combined prosthesis with extracoronal castable precision attachments. Case Rep Dent 2013;(2013):282617.","DOI":"10.1155\/2013\/282617"},{"key":"162497_B2","doi-asserted-by":"crossref","unstructured":"Tamimi F, Almufleh B, Caron E, et al. Digital removable partial dentures. Clin Dent Rev 2020;4(9);1\u201312.","DOI":"10.1007\/s41894-020-00074-y"},{"key":"162497_B3","doi-asserted-by":"crossref","unstructured":"Tomar GK, Sethi T, Jayan B, et al. Cast partial denture retained using precision attachment - a case report. IOSR J Dent Med Sci 2016 15:94\u20139.","DOI":"10.9790\/0853-150759499"},{"key":"162497_B4","unstructured":"Burns DR, Ward JE. A review of attachments for removable partial denture design: Part 1. Classification and selection. Int J Prosthodont 1990;3:98\u2013102."},{"key":"162497_B5","doi-asserted-by":"crossref","unstructured":"Rathee M, Alam M, Divakar S, et al. Resin-bonded bridge as a simplified approach to restore missing teeth in an esthetic zone by conventional and digital techniques. Dent Res J 2022;19:92.","DOI":"10.4103\/1735-3327.361341"},{"key":"162497_B6","doi-asserted-by":"crossref","unstructured":"Chander GN. Palliative care with attachment, a hybrid removable prosthesis. J Clin Diagn Res 2017;11:45 6.","DOI":"10.7860\/JCDR\/2017\/22900.9279"},{"key":"162497_B7","doi-asserted-by":"crossref","unstructured":"Bansod AV, Pisulkar SG, Sathe S, et al. Prosthetic rehabilitation of a partially dentate patient with a maxillary cast partial denture and mandibular overdenture: a case report. Cureus 2022;31;14(8).","DOI":"10.7759\/cureus.28652"},{"key":"162497_B8","doi-asserted-by":"crossref","unstructured":"Jain A, Philip J, Ariga P. Attachment-retained unilateral distal extension (Kennedy\u2019s Class II modification I) cast partial denture. Int J Prosthodont Restor Dent 2012;2:101\u20137.","DOI":"10.5005\/jp-journals-10019-1057"},{"key":"162497_B9","doi-asserted-by":"crossref","unstructured":"Allah D, Nawar N, Abdelfattah A. Effect of two digitally produced materials used in fabrication of extracoronal attachments on the stresses induced in removable partial dentures. BMC Oral Health 2024;24:10.","DOI":"10.1186\/s12903-024-04477-2"},{"key":"162497_B10","doi-asserted-by":"crossref","unstructured":"Tomova Z, Zhekov Y, Vlahova A. Repair of fractured metal-ceramic restoration using CAD\/CAM technologies. Case report. Folia Med (Plovdiv) 2024;66(3):431\u20135.","DOI":"10.3897\/folmed.66.e116056"},{"key":"162497_B11","doi-asserted-by":"crossref","unstructured":"Snosi AM, Lotfy SM, Thabet YG, et al. Subtractive versus additive indirect manufacturing techniques of digitally designed partial dentures. J Adv Prosthodont 2021;13(5):327\u201332.","DOI":"10.4047\/jap.2021.13.5.327"},{"key":"162497_B12","doi-asserted-by":"crossref","unstructured":"Narayanan AK, Prakash P. Digital oral rehabilitation with cast partial denture: A clinical report. Asian J Oral Health Allied Sci 2021;11:6.","DOI":"10.25259\/AJOHAS_6_2021"}],"container-title":["Folia Medica"],"original-title":[],"link":[{"URL":"https:\/\/foliamedica.bg\/article\/162497\/download\/pdf\/","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/foliamedica.bg\/article\/162497\/download\/xml\/","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/foliamedica.bg\/article_preview.php?id=162497&skip_redirect=1","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T13:06:43Z","timestamp":1782392803000},"score":1,"resource":{"primary":{"URL":"https:\/\/foliamedica.bg\/article\/162497\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,25]]},"references-count":12,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2026,6,25]]}},"URL":"https:\/\/doi.org\/10.3897\/folmed.68.e162497","relation":{},"ISSN":["1314-2143","0204-8043"],"issn-type":[{"value":"1314-2143","type":"electronic"},{"value":"0204-8043","type":"print"}],"subject":[],"published":{"date-parts":[[2026,6,25]]},"article-number":"e162497"}}