Documente Academic
Documente Profesional
Documente Cultură
Elderly
Introduction
recent decades - decline in edentulism among elderly people
patients demand
professional consideration
socio-economic situation
Assesment of
and root
non-invasive treatment
low cost solution
might be impaired aesthetic and oral control
increased risk of caries and periodontal disease (high salivary levels of mutans streptococci and yeast)
Compulsory - to design RPD according to simple and logical principles - to secure the stability and the best possible comfort
Complications
- mechanical failures (fracture of major or minor connectors,
oclusal restsdeformation or fracture of retentive clasps)
- coverage of the gingival tissue by minor connectors detrimental effect on periodontal health
Overdentures
- in patients with few remaining teeth inadequate to serve as abutments
Advantages: - better preservation of neuromuscular function
- perceptive ability and proprioception
- improved masticatory performance
- stability of the denture
- stable occlusion,
- psychological benefits
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QuickTime and a
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Simple
Overdentures
Attachment-Retained
Overdentures
(f.e. telescopic crowns..)
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3 groups of patients:
- well adapted to existing dentures
- poorly adapted denture wearers
- no experience in wearing dentures
- general examination
- local examination
Treatment plan, treatment sequence, informed
consent
Maintenance
Patient evaluation
General examination
Patient evaluation
Local examination
Extraoral examination
Intraoral examination and radiographs
Implant specific diagnostics
References:
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