Secrets of Successful Dent 1 - Removable Prosthodontics
Secrets of Successful Dent 1 - Removable Prosthodontics
Secrets of Successful Dent 1 - Removable Prosthodontics
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Pick Your Patient!<br />
Pick Your Patient!<br />
• Caution:<br />
No saliva<br />
Poor nutrition<br />
Many sets in several years<br />
•Spend time Talking<br />
• Caution:<br />
Severe wear, loss OVD<br />
Severe undercuts/tori &<br />
don’t t want surgery<br />
Pick Your Patient!<br />
• Caution:<br />
No dentures for many years<br />
Patient who doesn’t want dentures<br />
Patient who doesn’t need dentures<br />
When Not to Treat Partially<br />
<strong>Dent</strong>ate!<br />
Patient doesn’t t want treatment<br />
Comfortable<br />
Happy with appearance<br />
Function not a problem<br />
Inform <strong>of</strong> consequences, costs, options<br />
Don’t t talk patient into treatment<br />
Shortened <strong>Dent</strong>al Arch (SDA)<br />
Treatment Option: No Replacement<br />
Shortened <strong>Dent</strong>al Arch (SDA)<br />
No Replacement<br />
Shortened <strong>Dent</strong>al Arch (SDA)<br />
Patients can function with<br />
as few as 20 occluding<br />
teeth<br />
No significant difference in<br />
chewing<br />
discomfort<br />
JCDA Sept 07, 73:593-4<br />
Require Anterior teeth + 4-6<br />
occlusal units<br />
Opposing PM’s = 1 occlusal unit<br />
Opposing M’s = 2 occlusal units<br />
Symmetric loss need 4 units<br />
Assymetric loss need 6 units<br />
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