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In the planning of removable partial dentures (RPD), design is a crucial factor that must be tailored to each patient’s clinical condition, while one of the main challenges in RPD design is anatomical variation in the oral cavity such as torus palatinus, which may affect retention, stability, and patient comfort. This report aims to discuss the design considerations of acrylic resin RPD in patients with torus palatinus, particularly in determining optimal design modifications. A 42-year-old female patient presented with complaints of difficulty chewing due to the loss of several teeth in both the maxilla and mandible. Intraoral examination revealed missing teeth 15, 11, and 25, with healthy mucosal and periodontal conditions, and a nodular torus palatinus measuring approximately 2.5 × 2 cm was identified along the midline of the palate. RPD design planning in this case requires an individualized approach, particularly in the selection of the major connector and base adaptation to avoid pressure on the torus area, and design modifications were implemented to improve load distribution and patient comfort. The use of a U-shaped major connector with relief over the torus area effectively avoids direct contact, thereby enhancing comfort, preventing mucosal irritation, and supporting masticatory function.

Stroke patients often experience mobility limitations, which impacts access to dental health services, including denture care. This condition can lead to unmanaged dentures, thus impairing masticatory function, nutritional status, and quality of life. A home care approach is one solution to improve access to dental services for patients with special needs. To report the management of direct removable denture repair in a single visit in a stroke patient using a home care approach and to evaluate the clinical outcomes. This study is a case report of a 77-year-old male patient with a history of recurrent stroke and limited mobility. Examination and treatment were performed at the patient's home. The direct removable denture repair was performed using autopolymerizing acrylic resin in a single visit. Following repair, the denture demonstrated improved retention and stability and was reusable. The patient reported improved comfort while eating without any pain or post-procedure complications. One-visit denture repair through a home care approach is an effective and efficient method for stroke patients with limited mobility and has the potential to improve their quality of life through rapid restoration of oral function.