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This article discusses current concepts of occlusion and describes the methods of creating a physiologic occlusion for the partially edentulous patient. Specific recommendations are made for choices of materials, techniques, and occlusal schemes for various edentulous situations.
Removable partial dentures can meet the long-term goals of oral rehabilitation if the basic principles of treatment planning and design of the prosthesis are carried out. This article reviews the design of the components of the removable partial denture as well as several salient treatment procedures related to long-term maintenance of the supporting tissues.
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Resin-bonded restorations are a conservative alternative with excellent patient acceptance. Improvements in retainer design and electrolytic etching of cast metal allow these restorations to be utilized in a variety of clinical situations. The article reviews the development, indications and contraindications, design, and mouth preparation as well as variations of basic techniques, esthetics, and removal of retainers.
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Several excellent systems (porcelain to metal, high-strength core jacket, and laminated veneers) exist for the fabrication of realistic porcelain restorations. The usefulness of any of these systems is enhanced by being able to transfer shade information from the patient to the ceramist. Communication is thus facilitated and a leading cause of remakes decreased. Esthetics can be improved, as the dentist and technician can use both the wide color range of existing commercial porcelains to better advantage. Colors and effects that are seen can be duplicated not only at the surface with surface stains, but also within the restoration, as desired. Shade tabs that are more realistic and common to both the laboratory and the dental office make possible the broadening of the scope of the teeth that can be matched. Patients are demanding better esthetics in all forms of tooth color materials. This is one challenge of restorative prosthodontics.
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