| Summary: | 碩士 === 高雄醫學大學 === 牙醫學系碩士在職專班 === 103 === Abstract
Periodontal prostheses,a treatment for periodontal compromised patients who suffer from advanced periodontitis and are treated using full mouth splinting method,was developed by Dr. Amsterdam M. in 1955.The method can help prevent residual teeth and little-bone-supporting teeth from extraction and retain functions of chewing,phonetics and esthetics. Cross-arch fixed prostheses is a splinting concept that can decrease lever action effect on the dental arch.This design has a strong supportive feature and makes stable occlusion.This cross-arch splinting concept established the determining principle of periodontal prostheses treatment.
Today, the developement of regenerative medicine and biotechnology contributes to more treatment planning and more selections.The combination of periodontal treatment,operative dentistry,endodontic therapy,orthodontics ,oral surgery and prosthodontics is necessary.In addition to implant dentistry, the telescopic removable dentures are preferable for the patients who have few teeth on the arch. It is important to use major connector and denture base to get cross-arch effect and to provide stable occlusion and distribution of occlusal force to all abutments and non-tooth supporting area .In addition , the root-retained or implant-retained overdentures which may have many methods of design can be combined with magnetic appliances or other type of attachments in order to have more supporting and retention.Dental implant may assist in getting function of all kinds of removable denture and long span zone of missing teeth. Parafunction is another problem.Oral rehabilitation needs interdisciplinary treatment planning including periodontal,occlusal,and prosthodontic treatments.The key to success is long-term follow-up and maintenance.
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