A method to record the path of insertion of a removable partial denture.
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A 10-year longitudinal study was carried out on 27 patients treated with RPDs. Before the prosthetic treatment all patients were given oral hygiene motivation and instruction as well as periodontal therapy where indicated. The aim was a high level of cooperation. The RPDs, most of which were lower bilateral distal-extension dentures, were carefully planned and designed. During the follow-up period the patients were examined at yearly intervals, at which time remotivation and reinstruction regarding oral hygiene was given, and scaling, operative restorations, and prosthetic and other treatment procedures were preformed as required. Patient cooperation was excellent, and no significant deterioration of the periodontal status of the remaining teeth was found. In addition, there was a low increase in the frequency of decayed and filled tooth surfaces during the decade. The dentures showed damage and several changes during the follow-up period, conditions that necessitated various corrective prosthetic procedures.
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Even under the best circumstances, posterior tooth color discrimination is still a subjective decision. Most shade guides do not follow a logical pattern in number or graduation of Hue, Value, and Chroma. Moreover, the shade guides are only obtainable with anterior teeth, usually maxillary central incisors. The fabrication of a first premolar shade guide is a step in the direction of making the posterior esthetic requirements more easily attainable for the dentist and the final result more satisfying for the patient. One can also use the various "broken sets" of acrylic resin teeth to achieve the necessary combination of posterior shades if cost is a factor and uniformity in molds is not required.