Sažetak sa skupa
Implantoprosthetic Therapy in the Lower Edentulous Jaw - Case Presentation
Josip Pandurić
Robert Ćelić
Pavel Kobler
Sažetak
Complete loss of teeth means interruption of the physiological, mental and aesthetic harmony of the stomatognathic system. Attempts are made by prosthetic therapy to compensate for the functional inability by complete prostheses. Apart from the renewal of the ability to masticate, natural appearance and normal speech, the intention is to retain for as long as possible the tissue of the stomatognathic system. At the same time to create biological and mental preconditions for maximal acceptance of full prostheses. A full prosthesis is a restoration and does not enable optimal function of all components. Whether the patient will accept the prosthesis depends on the possibilities and desire to adapt to the new situation. Success of therapy with full prostheses depends on the shape, appearance and resorption of the alveolar ridge, muscular action and their influence on the mucus membrane, which is in direct connection with the full prosthesis.
In therapy with full prostheses, a lower full prosthesis represents a particular problem, which is a challenge for every prosthodontist. Fabrication of a lower full prosthesis greatly depends on morphological characteristics, which arise in the lower jaw with the loss of teeth. The basis of successful fabrication of a lower full prosthesis, apart from correct use of clinical-technological methods, is knowledge of the anatomy of the lower jaw and surrounding structures, their relationship to the base of the lower full prosthesis and the prosthesis itself.
In conclusion, each form of therapy has its advantages and disadvantages. The advantages of the implant borne restoration, are clearly increased retention and stability, contact with the mucous membrane is not primary, and the anticipated stimulation of the bone is periimplantary. The disadvantages are the feasibility with regard to the mental state of the patients, position ion the mucous membrane (control of base stability and essential underlaying) and the strength and efficacy of mastication (is comparatively reduced).
Clinical advice. Never work with “unknown” patients. Get to know the patient first through diagnostic protocol, assess his/her cooperation, acquaint yourself with indications and general medical, intraoral, time restricted and mentally conditioned contraindications, in order to successfully carry out implantoprosthetic therapy.
Ključne riječi
Hrčak ID:
624
URI
Datum izdavanja:
15.12.2005.
Posjeta: 1.726 *