An amalgam and composite resin splint for posterior teeth.
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Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Patients who had received overdenture treatment provided with uniform standards were recalled and studied. Two examiners simultaneously and independently evaluated the tissue response using a variety of indices. Data comparisons were made between overlaid teeth and control teeth and between overlaid teeth as a function of time to assess any effects of the treatment. Patients who did not apply fluoride to retained tooth roots had a high incidence of caries. No other significant differences were noted between the health of overlaid teeth compared to control teeth. Patients demonstrated large variations in their ability to maintain low plaque levels and healthy tissues. Despite this, on a longitudinal basis over 2 years, patients were able to maintain plaque levels and gingival response at clinically acceptable standards.
The periodontal disease variables manifested in the individuals with partial dentures were more severe, which suggests that the contribution of denture status is significant. Age, while related to increased bone loss, did not appear to be of significance. Common sense suggests that poor oral hygiene in persons wearing removable partial dentures also is a contributing factor.
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The where and when of swinglock removable partial denture treatment planning have been presented, including indications, contraindications, and advantages. While the principles asserted in this article do not represent a panacea to partial denture design, the swinglock design concept does provide another treatment alternative for select difficult biomechanic situations.
Splinting does not replace occlusal and periodontal therapy, but it is frequently a useful adjunct to such treatment. A parallel tube splint technique that is effective for provisional splinting and simple to place has been presented. It does not require extensive tooth reduction or restorative dentistry, nor does it result in overcontouring or problems for the periodontal tissues (Figs. 16 to 19). The splint is easy to clean and maintain; it is also inexpensive when compared to other types of splints. Clinical evaluation of this technique is continuing and will be reported at a later date.
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(1) Altering clasp design can affect the way forces act on abutment teeth. (2) An RPI clasp design causes less distal displacement of the primary abutment tooth than circumferential clasp arms with a distal rest under the same conditions. (3) Forces applied on a mandibular distal-extension base will have a greater affect on the abutments on the same side of the arch than on crossarch abutments. (4) The influence of changes in clasp design is minimized when the bases are well adapted to the basal seat and fully extended.
The effect of splinting on abutment tooth movement was investigated in an in vitro study. An acrylic resin mandibular model with missing molars and a removable partial denture framework were constructed. The roots of the premolars and edentulous ridges were coated with silicone rubber. A modified Ney surveyor was used for load application, and abutment tooth movement measurements were made with a macroperiodontometer. Four conditions were tested by applying unilateral loadings: 1. Single abutments of both sides 2. Load side double abutment 3. Nonload side double abutment 4. Double abutments of both sides The results showed that a significant decrease in the magnitude of movement resulted when the abutment teeth were splinted.
There were minimal differences in longitudinal periodontal effects when fixed and removable partial dentures were compared. Both treatment alternatives provide long-term periodontal health and should be considered for the restoration of a partially edentulous arch. Regardless of treatment, conscientious home care and professional prophylaxis are recommended.
This investigation indicates that the design of the clasp assembly affects the magnitude of movement of the abutment tooth adjacent to an extension base but generally does not affect the direction of movement. Some clasp assemblies (distal rest) moved more than other clasp assemblies (wrought wire or I-bar), and hence, the abutment tooth moved more. The design of the clasp assembly did not seem to affect the magnitude of movement in the apical direction.