Metal Mesh Matters: A Reinforced Approach to Single Maxillary Complete Denture - Case Series.

Authors: Dr. K. S.L Chandrika, Dr. Saurabh Shrivastava, Dr. Tripty Rahangdale, Dr. Syed Mohammed Noorani, Dr. Shubham U Gawande, Dr. Debeshwari Ningombam

DOI: 10.18231/j.aprd.12063.1758605219

Keywords: Acrylic Resin, Denture Fracture, Flexural Fatigue, Metal Grid Strengthener, Prefabricated Metal Mesh, Reinforced Denture, Sandwiched Technique.

Abstract: Fracture of complete dentures (CD) can significantly disrupt a patient’s daily life, often leading to dissatisfaction and frustration for both the patient and the clinician. Common etiological factors include a single denture opposing natural dentition or fixed prostheses, deep palatal vaults, sharp mid-palatal anatomical ridges, high frenal attachments, and inadequately thick denture bases. Managing patients with a history of repeated denture fractures presents a considerable prosthodontic challenge and often necessitates non-conventional strategies. Conventional heat-cured acrylic resins are limited by poor resistance to occlusal forces, frequently resulting in denture failure. A practical and cost-effective solution is the incorporation of metal reinforcements—such as wires, bars, plates, or meshes—into the PMMA matrix to improve structural integrity. Evidence supports the enhancement of fracture resistance through such reinforcement techniques. This case report highlights the successful prosthetic rehabilitation of a completely edentulous patient using prefabricated metal mesh-reinforced complete dentures. The technique offers a simple, efficient, and economical alternative for managing challenging edentulous scenarios with a history of prosthesis failure.