[Burning tongue and jaw relation].
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Biomedical subjects
Publications and source records attributed to R Marxkors.
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If aged patients who have been wearing their full dentures without complications so far, need further prothetic treatment, the dentist must not replace the old denture by a completely new one. It is better to rebuild it step by step. This demand is based on the following theses: --Nobody but the patient himself is able to perform functional movements. --Unless bite and occlusion are correct, patients are not able to perform accurate functional movements. --When bite and occlusion have been checked and, if necessary, improved, bases and alveolar ridges must be congruent.
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A particular problem in the prosthodontic treatment of aged persons is their diminished ability to adapt to changes. Consequently, this requires an incremental treatment plan for changes in the mouth. In many cases it is preferable to modify an existing denture step by step instead of constructing a new one. Where extractions are necessary, immediate replacements should be provided, if this aids the patient stereognostically. The extraction of all remaining teeth should be done in a prolonged step-by-step procedure and with the use of an extendible denture. Continued care is imperative. Important factors to be considered are denture maintenance, esthetics and the multimorbidity of the geriatric patient.
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