[Complete dentures: influence of somatic and psychological factors in treatment success].
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Biomedical subjects
Publications and source records attributed to F Taege.
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187 students were examined an epidemiological study for their dental conditions and requirements with respect to preservation and prosthetics. The persons tested showed a DMF-T index of 11.6 and a DMF-S index of 24.2 in the lateral tooth area. In our opinion the clinical investigation revealed that the total number of caries cases will rise three-fold due to the above-average frequency of secondary caries cases as the filling size (or the number of filling surfaces) increases. The amount of single crown dentures found in the lateral tooth area with 0.1 crowns per person tested turned out to be fairly low. The actual need for a tooth-preserving therapy concept by crowning in preference to the concept of filling therapy amounts to the twelve-fold of the existing single crown dentures.
In the framework of a study involving both experimental and clinical tests, two preliminary tests were made to measure and compare the edge lengths of crowns and inlays and the substance losses after tangential and circular stage-type preparations. As revealed by the results, both the three-face and two-face cast fillings in the lateral tooth area have a longer restoration edge than corresponding cast crowns. The weight loss after crown preparations involving a circular stage is greater by one third than after a tangential preparation. In this context, ways of properly using restorative means of therapy in clinical dentistry are discussed.
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The requirements for a cast partial denture with a serviceability of many years (6-8 years) are: finding-oriented therapy, exact preparation of the remaining teeth, periodontal-prophylactic shaping of the base and appropriate after-care. The different criteria are presented.
The functioning of a complete lower denture is determined by a series of clinico-anatomical characters of the edentulous mandible. These are commented upon to establish the limits of indication of preprosthetical-surgical techniques. The reflections point to the necessity for paying more attention to really reconstructing alveoloplasties.
The author deals with the question what factors are suited for securing an optimal duration of serviceability of fixed partial prostheses. It is pointed in particular to the indication and the planning of bridges with regard to the form changes of the masticatory organ. Further factors are: attention to the reparability of plastic facings and, if necessary, renunciation of plastic facing materials and utilization of ceramic materials or bridge anchors without facing.
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