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Overdenture oversights can occur in the following areas: patient selection, hard and soft tissue preparation, laboratory procedures, or post-placement maintenance. If the dentist takes steps to control these factors, overdenture therapy can be an enjoyable and satisfying part of his service to his patients. Certainly the measures outlined in this article require minimal effort, and should be included routinely in treatment.
The successful integration of fixed and removable units requires diagnostic skill, careful planning, and adherence to detail in execution. Failures can be either in function or esthetics, may occur in either the fixed or removable segment, and can be catastrophic or insidious. Success demands that all the customary requirements for each independent unit, fixed or removable, be met and then the additional requirements for integration be ascertained and fulfilled. In such situations there are an exponentially greater number of possibilities for failure. When the dentist is alert to the potential for failure he may intercept and prevent it. Meticulous care pays long-term dividends in the lasting satisfaction of a patient who enjoys imporved masticatory performance, preservation of the existing tissues, and self-confidence borne from a smile that does not reveal differences between the natural and the simulation of nature. The integration of fixed and removable units is another manifestation of the skillful blending of science and art.
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The concept for impressioning procedures for semiprecision removable partial dentures are reviewed. Techniques that are applicable to various situations are examined, and detailed coverage has been given to the advocated impression procedures for the distal-extension semiprecision removable partial denture.
Mouth rehabilitation calls for the greatest skills we possess as dentists. We have a moral and professional responsibility to our patients to do what is best for them. This can only be achieved by careful checking and cross-checking of our procedures during fabrication. Transitional prostheses, therefore, may serve as a valuable adjunct toward the achievement of success in mouth rehabilitation.