The maxillary complete denture opposing natural teeth: problems and some solutions.
ABSTRACT The problems involved in providing comfort, function, proper esthetics, and retention for the maxillary complete denture patient with natural opposing dentition can be challenging. Careful preparation of the patient is important. It provides the new complete denture patient the opportunity to adapt to a complete denture and allows the dentist to evaluate his patient physically and emotionally before fabrication of the final complete denture. Methods for planning and fabrication of a denture that provide comfort, function, and stability have been described.
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ABSTRACT: In 1972 Kelly collectively called the sequential destructive changes in the hard and soft tissues of the oral cavity seen in patients requiring singular restoration of a completely edentulous arch opposing a natural dentition as Combination syndrome. Prosthodontist try overcoming this Combination syndrome by careful treatment planning, using preventive, therapeutic and functional treatment modalities which may require a multi disciplinary approach involving surgical intervention such as planned extractions followed by immediate dentures, vestibuloplasty, excision of flabby tissue followed by metallic denture base prosthesis, implant supported fixed prosthesis, implant supported over dentures etc. Even conventional prosthodontic techniques with special consideration for flabby tissues, over denture prosthesis and removable cast partial denture may be used. Choice of treatment modality is made by keeping in mind that the requirement of stability and retention of the prosthesis must be balanced along with the preservation of the health of the oral tissues for every patient.
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ABSTRACT: Overdentures designed to prevent direct occlusal trauma to the residual ridge may either forestall or reduce residual ridge resorption. Overdentures may also be used to improve abnormal maxillomandibular relations, thereby enhancing both function and esthetics.Journal of Prosthetic Dentistry 02/1992; 67(1):77-81. DOI:10.1016/0022-3913(92)90054-E · 1.42 Impact Factor
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ABSTRACT: A series of destructive changes occurring in the jaws of patients wearing a complete maxillary denture opposed by a mandibular distal extension removable partial denture have been described as the combination syndrome. However, the syndrome does not occur in all patients. Those patients who have not developed signs of the combination syndrome and whose mandibular anterior teeth are well preserved and not overerupted may be treated conservatively with a mandibular removable partial denture. A properly designed removable partial denture that distributes occlusal stresses over hard and soft tissues minimizes the risk of developing the combination syndrome. Nevertheless, the overdenture seems to provide a more predictable prognosis, especially for patients who already have the combination syndrome or whose mandibular anterior teeth are structurally or periodontally compromised or overerupted. The treatment modality is determined by the apparent potential of the patient to develop the combination syndrome and by the condition of the remaining mandibular anterior teeth.Journal of Prosthodontics 05/1995; 4(2):76 - 81. DOI:10.1111/j.1532-849X.1995.tb00320.x · 0.91 Impact Factor