Patient education and complete denture maintenance.
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Several impression techniques for the removable component have been presented to help the dentist select impression procedures and materials appropriate to individual intraoral conditions confronted when constructing intracororonally retained removable partial dentures in combination fixed--removable reconstructions.
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The authors examined 746 cast denture constructions with an average wearing time of 6 years to study the influence of cast denture constructions on caries increment. The mode of wear of the cast denture constructions had no influence on caries incidence, whereas effects exerted by the duration of wear and the presence of soft deposits could be detected. The evaluation of the functional performance of cast denture constructions showed that the clinical serviceability amounts to more than 8 years.
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The advent of tissue conditioning materials has made possible a new method for recording functional impressions for denture reconstruction using the patient's existing dentures as impression trays. The criteria by which the suitability of existing dentures for use in the technique are set out in detail. A particular feature of the method is the physiological recording of the post palatal seal area using Iowa wax and its incorporation into the entire maxillary impression. The advantages of the technique include the possibility of recording the tissues under physiological displacement resulting from normal function over a prolonged period rather than at the moment of final setting of conventional impression materials.
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