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[Quantitative studies on the retention mechanism of complete dentures. I. Studies on a phantom model].

In four full maxillary dentures, the physical mechanisms of retention were examined and quantitatively determined by inductive pressure and motion recorders, in tests performed on a model and on the patients. In addition to capillary or viscous forces, the pressure difference existing in the space between denture and palate on the one hand and the oral environment on the other and resulting during pull-off, provides the greatest retaining effect.

Denture Retention↗

Complete dentures for the obturator patient.

Treatment of the edentulous obturator patient requires the same basic fundamentals as used in the treatment of the complete-denture patient. Problems and considerations unique to the development, delivery, and follow-up of the complete maxillary obturator prosthesis and mandibular denture in the patient with an acquired maxillary defect are discussed. Combining laboratory and clinical research in maxillofacial prosthodontics and plastic and reconstructive surgery continues to improve the rehabilitation of these patients.

Denture Design↗

In vivo measurements of precision of fit involving implant-supported prostheses in the edentulous jaw.

The objective of this study was to measure and compare the precision of fit of implant-supported prostheses in the edentulous jaw by using both the master cast replicas and the intraoral implants as references. Seven maxillary and 10 mandibular prostheses were randomly selected and measured by means of a three-dimensional (3-D) photogrammetric technique. The results indicated that prostheses routinely connected to osseointegrated implants could demonstrate distortion between the framework and individual implants of up to several hundred microns. When master casts were used as a reference, the mean 3-D distortion of the center point of gold cylinders was 37 microns (SD 18) and 75 microns (SD 40) for mandibular and maxillary prostheses, respectively. The corresponding mean displacement was 90 microns (SD 51) and 111 microns (SD 59), respectively, when the intraoral implants were used as references. The mean 3-D distortion was significantly higher for the intraoral measurements in both arches (P < .001 and P < .05). Furthermore, the overall distortion was significantly higher for the maxillary prostheses when the master casts were used as the reference (P < .05). However, for the intraoral measurements, no statistically significant difference of fit between the arches was possible to observe (P < .05). This could possibly be explained by the finding that intraoral measurements of the mandibular prostheses indicated a deformation and rotation of the mandible that was not observed in the maxillary prostheses. A further factor in the lack of statistical significance could be the relatively small sample size.

Dental Abutments↗

The extent of maintenance required by implant-retained mandibular overdentures: a 3-year report.

Astra Tech implants were used to support implant-retained mandibular overdentures for 25 edentulous patients (12 with magnet retention and 13 with stud retention). The patients were followed for 3 years, and a detailed record was kept of the extent of maintenance required after placement of the dentures. There were 64 episodes of maintenance related to the overdentures in the magnet retention group and 63 episodes of maintenance in the stud retention group. Episodic maintenance was greatest during the first year, with the magnet group having 30 episodes and the stud group 34. The number of visits required for maintenance related to both the maxillary and mandibular dentures was 117 for the magnet retention group and 86 for the stud retention group. There was no statistically significant difference in the amount of postplacement care between the two groups.

Adult↗

[Difficulties in the prosthetic treatment of the transition stage from partial edentulousness to total edentulousness].

The transition from the partial to the total loss of teeth is characterized by the presence of a reduced number of remaining teeth, on a single maxilla or on both of them, which don't provide optimum conditions for the conjunct or composite prosthetics. Its extraction contravene to the biological principle. Its preservation and utilisation involves a series of difficulties, which the dental surgeon must known and surpass within the frame of the prosthetic therapy. The secondary dental malposition, the absence or the reduction of the intercadic dental contacts, accompanying the mandibular cranial malrelations, all with implications in the oro-facial esthetic modification, require specific, complex interventions, before the definitive prosthetics. Upon the basis of a 15 years practical experience, the work presents a series of such clinical cases, the applied therapy and the outcomes also.

Aged↗