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Simple solutions to difficult problems.

Difficult prosthetic problems can frequently be solved by applying simple solutions. Basic prosthetic techniques augmented with the dentist's ingenuity can help overcome many problems presented by patients facing difficult dental and personal financial situations. All cases presented have been in function for more than two years. All are functioning to the patients' satisfaction and none have presented significant maintenance problems. Compromises in health, function, comfort and esthetics can be minimized if the dentist is aware of all the available options.

Adult↗

The functionally fixed restoration: a third modality of treatment.

Most dental practitioners as well as their patients prefer to have fixed rather than removable restorations. However, there are many clinical situations that prohibit the use of the fixed modality. These clinical cases can vary from simply not having the proper number of healthy teeth and/or implants to the esthetically challenging cases of high smile lines and severe loss of alveolar support. The approach of using a traditional removable prosthesis in these situations has always been met with severe compromises. The functionally fixed restoration is a third modality of treatment that can solve many of the problems of the removable restoration and at the same time provide the same comfort and success of the fixed prosthesis.

Adolescent↗

Metal-free inlay-retained fixed partial dentures.

OBJECTIVE: The treatment procedures used in conjunction with two different metal-free restorative systems are illustrated on the basis of clinical examples. In addition, a report on the initial clinical findings is provided. METHOD AND MATERIALS: Metal-free restorative materials are opening doors to new preparation methods because of their close link to the adhesive cementation technique. As a result of the developments over the past few years, various metal-free systems that can be used to fabricate short-span fixed partial dentures (FPD) are now available. Certain guidelines, however, must be observed in the process. Because of their minimal invasiveness, inlay-retained FPDs offer an interesting solution in cases where the residual dentition exhibits low caries activity. Since the beginning of 1997, a total of 23 metal-free inlay-retained FPDs made of two different types of framework material (11 of high-strength pressed ceramic and 12 of fiber-reinforced composite) have been examined in a clinical study. RESULTS: One inlay-retained FPD made of pressed ceramic had to be replaced because of a fracture. Because the materials have only been on the market for a short time, long-term results are not yet available. CONCLUSION: This type of restoration provides excellent esthetics and reduced invasiveness compared with complete crown-retained FPDs, although indications are limited by the special mechanical properties of the material.

Acid Etching, Dental↗

Esthetic considerations with removable partial dentures.

The reduction in partial edentulism that has occurred due to successful preventive procedures and the predictable use of osseointegrated implants has reduced the need for removable partial dentures. However, for a variety of reasons, many patients can continue to benefit from partial denture therapy; and these patients deserve the best esthetic result possible. The primary esthetic objection to removable partial denture therapy is the unsightly display of the clasp assemblies. This article describes three strategies that can be used by the discriminating clinician to eliminate the display of the clasp assembly and provide an esthetic and functional removable prosthesis.

Dental Clasps↗

[Prosthetic rehabilitation in ectodermal dysplasia. Case report].

The oral and dental rehabilitation of patients with ectodermal dysplasia is a demanding and complex process. Close cooperation of medical and dental specialists is is mandatory. The individual age related situation and aspects of social integration have to be considered, when doing treatment planning for these patients. A major problem is the highly reduced number of teeth, the impaired development of the jaws and the dysplastic alteration of the teeth. The prosthodontic rehabilitation of a young girl with the congenital disease of ectodermal dysplasia is presented and discussed.

Adult↗

[The well-established Dalbo-Rotex-retainer and the newly developed Ticap-system. Low-cost anchorage possibilities in the removable prosthesis].

Conventional retainers for removable prostheses are frequently used in the daily practice. Financial limits, physical and mental restrictions especially among elderly or disabled patients, and/or limited prognosis of abutment teeth may require simple and less expensive alternatives. For these indications the well-established Dalbo-Rotex-retainer and the newly developed Ticap-system are available. Both systems are options for the anchorage of removable prostheses. Their clinical use is presented; furthermore their advantages and restrictions are discussed.

Aged↗

The Integral Implant System: prosthetic considerations.

Patients who are totally edentulous and who have been doomed to discomfort, pain, and dysfunction because of the inability to use complete dentures have been rehabilitated using various implant systems. Implants should only be considered after exhaustive medical history taking and diagnostic wax-ups. A variety of prosthetic techniques can be employed to restore various forms of edentulism. The Integral Implant System has proven to be a highly successful foundation to restore the patient to optimum function.

Dental Implantation, Endosseous↗

[A device for fixation of partial removable dentures in cases of single-standing teeth].

An outfit for fixing removable dentures in single standing teeth contains internal and external telescopic crowns. The latter is fitted out with a clasp and a cut-out on the oral surface. In order to enhance the design rigidity and denture fixation safety, the two-layer internal crown is placed on the vestibular and approximate surfaces, whereas the clasp on the external layer thereof.

Dental Clasps↗