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Stephen Abrams

Publications and source records attributed to Stephen Abrams.

3 recordsLinked to original sources

Fabrication of an overdenture covering a torus palatinus using a combination of denture base materials: a case report.

A maxillary torus provides a challenge when restoring an edentulous arch. Tori tend to have very thin mucosa and can be intolerant of normal pressures from a denture base. The tori tend to have large undercuts and at times extend to the junction with the soft palate, preventing the creation of a good palatal seal. Triple lamination involves combining 3 materials to fabricate a denture base that utilizes the retentive aspects of the torus. The thermoplastic flange provides a measure of flexibility, allowing the denture to seat over the torus. The resilient liner provides a cushion to diffuse the occlusal load, while the rigid acrylic base provides the support for the denture teeth. Using this approach, a very retentive denture was fabricated using the maxillary torus as a key element in anchoring the prosthesis.

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A technique for using maxillary anterior soft-tissue undercuts in denture placement: a case report.

Restoring a large edentulous space in the anterior maxilla presents many challenges, including how to utilize and manage a deep anterior soft tissue undercut. In the case reported here, a partial denture was constructed that incorporated a semi-rigid exterior flange and a soft liner to help the denture to engage the depth of the undercut. The denture was placed after extraction of the anterior teeth, and there was very little postoperative tissue trauma. With this combination of materials, known as "triple lamination", the prosthesis was able to engage the soft-tissue undercut, the undercut was actively involved in retaining the prosthesis, the denture could be placed immediately, and the prosthesis was very comfortable. Triple lamination should be considered when a deep soft-tissue undercut must be engaged to ensure retention of a prosthesis.

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