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In the planning for crown and bridge prosthetics the harmonizing of function in the remaining dentition seems to be paramount. Occlusal interferences and their neuromuscular consequences may be eliminated by proper occlusal adjustments. Posterior retruded prematurities may function as traumatizing areas and may loosen anterior bridges. Such a case is presented.
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In view of caries susceptibility and periodontal condition, oral examination (fig. 1) is of prime importance in treatment planning (fig. 2). Crownings as well as possibilities of direct and indirect stiffenings are explained from the viewpoints of construction and differential indication in connection with the design of the prosthesis.
Prosthetic provision with removable part-replacement was divided into 7 groups according to the type of support and the prognosis was established on the basis of caries activity and several criteria of the periodontal condition, separated according to anchoring or supporting teeth as well as the remaining teeth. Generally regressive changes must be expected which become more marked with reduction in the number of teeth and support possibilities.
The reaction of intra-osseous fixed front teeth against defined forces was electronically registered as a distance-force function. The record was submitted to computer-assisted analysis. Comparison of the functions was made via the paramaters of algebraic definition. Analysis led to the submission that the resistance of tooth and tissues is primarily limited by the quality of the surrounding osseous tissue, which itself reacts in a rubber-elastic fashion.
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