Advanced Removable Partial Dentures by James S. Brudvik

By James S. Brudvik

Univ. of Washington, Seattle. textual content, for graduate scholars, at the detachable partial denture. Covers sufferer review, prognosis, and remedy making plans; denture layout; mouth instruction; ultimate impressions and casts; laboratory development of the framework; upkeep, additions, and relines; protheses; attachments; and implants. Illustrated. DNLM: Denture, Partial, detachable.

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The gradual undercut is best suited for a distal exte nsion sttuatfon (Class I) in the mandibular arch. This will allow a certain amount of stress re lief in the clasp-tooth relationsh ip. Th e steeper undercut area is more apt to be used in a tooth-home situation in the: maxilIa where the patient \vi ll app reciate maximum retent ion against the force of gravity. Th (~s c decisions on contour are made at this time so tha t a diagnostic record of the ideal contour of the abutment teet h will he available throughout the treatment phase and not have to he rede signed at each subseq uent step in treatment.

T his would include ret I'Or . tolar pad s, 1'1"(-111 11 11 extensions . vestibules when bar clasp s are be ing con sidered, am i the like . Finding the Path of Insertion TIll:" first stc p wi ll always 1)(' to determine the path insertion ami removal. Here the emphasis is 011 the path of rt'IlIO\1lL since the goal will be to limit the possible dt rcc tlons that the parti al can exit from tlu mou th thro ugh p repa ra tion of ha rd tissues. The pat h of insertio n is, of course, tlrc T(' ciproca l the more imp ortant pa th of re~ moval and is most often presente d ,LS bei ll/-; of so me Importance.

If only the six ann-riors arc left. hould some he lost, us wel l as p rovi{lillg the potential for uddi ttoual frictional rr-tcntion on ,my guiding pram's tha t can Ill' established . Finding tooth st1'1 I Cturc o n the llugual o f maxillary anterior teeth that ca n he p repare d to pa rallel guidin)4 su rfaces is, un fortunat ely; U1K'OI IIIl IOII . when the remaining six an teri o r teeth are health y and not mobile. it is certainly Icasible to open the anterior area by p rojec ting a ci ngulum fest on to a prepared acute rest p wpamti on from the distal.

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Advanced Removable Partial Dentures by James S. Brudvik
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