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DEFINITION
Dentures which derive support from one
or
more abutment teeth by completely
enclosing them beneath the fitting
surface
i.e. dentures that covers the roots and
utilize them for support
ADVANTAGES
DISADVANTAGES
INDICATIONS
A complete denture opposed by natural
teeth b/c alignment of occlusal plane
can make occlusal balance difficult
Cleft lip palates
Hypodontia
Extreme attrition
Potentially difficult lower CD
Bruxists
PATIENT SELECTION
General health e.g. vavular diseases
adversely affects the prescription of
endodontic treatment
Cooperation of pt
Attitude of pt, especially regarding tooth
loss
Periodontal state of potential abutment
Sufficient inter-arch space, critical if
attachments are used
CLINICAL METHODS
The retained tooth is root treated
If carries is unlikely to occur, the root
face is prepared so that 2mm projects
from the ging. margin and the root face
is left bare, apart from the restoration
required to seal off the root canal filling
If carries is likely, a coping is necessary,
(made of cast gold)
Often in older pts the root will not need
to be devitalized b/c of sec dentine
MAINTAINENCE
Abutments are examined at 6 months
interval
Pt is instructed to brush over the
abutments twice a day. Topical fluoride
in the form of toothpaste should be
applied once a day using denture as
applicator
Denture must be kept clean. An interspace brush must be used to clean the
recesses on fitting surface
The denture should not be worn at night
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