Professional Documents
Culture Documents
ADVANTAGES OF REHABILITATION
Mouth rehabilitation came into being shortly after the acrylic resins became
available for dental uses. Its popularity was accelerated by the invention of the
high-speed dental engine, the rubber-base type of impression materials, and the
development of new laboratory techniques. The high-speed drills make the prep-
aration of multiple abutment units in one session possible and practicable. The
new impression materials enahle the dentist to make impressions of many pre-
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J. Pras. Den.
88 CHASE
Jan:Feb., 1964
pared teeth and edentulous spaces at one time. Laboratory techniques permit the
completion of the entire restoration upon the master cast made from that impression.
This technique is simple to execute and is less time-consuming than other
procedures. However, other advantages are nonexistent. They are rationalizations
to justify the delegation of the major portion of work and responsibility to dental
laboratory technicians.
The preparation of the abutment teeth for the reception of acrylic resin
veneer crowns is frequently excessive and inconsistent with the continued health
and vitality of the pulp. This is perhaps the principal reason for the temporary
cementation of these restorations as advocated by some dentists who recognize
that a threat to the vitality of the pulp is inherent in these preparations. The
natural crowns are reduced to mere pegs to permit the alignment of multi-unit
fixed partial dentures over teeth with divergent long axes, and in a futile attempt
to avoid bulk in the finished restoration. If the preparation is conservative and
respectful of the pulp, the resulting crown is likely to be bulky. If the acrylic
resin veneer is thinly applied to avoid bulk, poor esthetics and structural weak-
ness will result.
The inadequate physical properties of the acrylic resins make these materials
undesirable for fixed restorations. No dental plastic is hard enough to withstand
masticatory forces; it is not resistant to the abrasive action of the toothbrush
and dentifrice, and does not possess lasting esthetic qualities. Within a few years
the dentist is faced with the need either to remake the restoration entirely or to
resort to repairs which are not satisfactory at best. Experience dictates caution
in the widespread use of plastics except as temporary or short-term expedients.
(;old is the foundation material upon which the acrylic resin is superim-
Volume 14
Number 1
MOUTH REHABILITATIOK 89
posed. When properly alloyed, gold has the needed structural strength if the
casting is not too light in design. However, the casting is frequently too light
when the conflicting demands of esthetics and strength are encountered. On the
other hand, when both demands are satisfied, the health of the surrounding tissues
is endangered by the extension of one or both of these materials to a point
which will make maintenance of hygiene impossible or irritation of the gingivae
inevitable.
ESTHETICS IN REHABILITATION
Good esthetics depends upon color, form, size, arrangement, etc. Dental enamel.
even when slightly marred by minor defects, presents a naturalness which no
artificial substitute can fully match, especially under artificial light. The obvious
artificiality of oversized crowns is further emphasized by the monotonous and
gleaming immaculateness of these restorations while they are still relatively new.
After some use, the effects of wear, as well as the often occurring discoloration
at the margins, give rise to defects which are inconsistent with good esthetics.
4 further detraction from a good appearance is the frequently encountered in-
flammation and congestion of the gingiva due to irritation by pressure induced by
the gold and acrylic resin fitted under the free gingival margins.
SCMMARY
REFERENCES