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If prosthetic rehabilitation is in the treatment plan, proper tissue healing should be achieved before construction of removable prosthesis. In cases whereby immediate denture is indicated, clinicians could consider the option of relining the immediate denture to allow appropriate soft tissue healing. [4] [16]
Mandibular bone loss was examined by Crum and Rooney 1978 in patients with immediate complete dentures and in those with immediate overdentures on two lower canines. They found over the five years after placement 0.6mm bone loss in the overdenture group and 5.2 mm in the immediate complete dentures in the anterior part of the mandible.
Dentures can help people via: Mastication: chewing ability is improved by the replacement of edentulous (lacking teeth) areas with denture teeth.; Aesthetics: the presence of teeth gives a natural appearance to the face, and wearing a denture to replace missing teeth provides support for the lips and cheeks and corrects the collapsed appearance that results from the loss of teeth.
When a removable denture is worn, retainers to hold the denture in place can be either custom made or "off-the-shelf" (stock) abutments. When custom retainers are used, four or more implant fixtures are placed and an impression of the implants is taken and a dental lab creates a custom metal bar with attachments to hold the denture in place.
There has been a decline in both the prevalence and incidence of tooth loss within the last decades; [1] [2] people retain their natural dentition for longer. Nonetheless there is still a great demand for complete dentures as more than 10% of adults aged 50–64 are completely edentulous, with age, smoking status and socioeconomic status being significant risk factors. [2]
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