introduction of prosthodontics
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Introduction of prosthodontics
Defining prosthodontics: Dental specialty pertaining to:
Diagnosis Treatment planning Rehabilitation, and Maintenance of the:
o Oral Functiono Comforto Appearance, ando Health of patients
With clinical conditions associated with: Missing or Deficient teeth and/or Maxillofacial tissues
Using biocompatible substitutes
Defining prosthesis:1- An artificial replacement of an absent part of the human body2- A therapeutic device to improve or alter function
3- A device used to aid in accomplishing a desired surgical result
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Subdivisions o f prosthodontics: Removable Fixed Maxillofacial Implant
Removable Prosthodontics: Removable dental prosthesis = any dental prosthesis that can be readily inserted and
removed by the patient Complete removable dental prosthesis = a removable dental prosthesis that replaces the
entire dentition and associated structures of the maxillae or mandible
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Partial removable dental prosthesis = a removabledental prosthesis that restores one or more but not allof the natural teeth and/or associated parts andmaybe supported in part or whole by natural teeth,
dental implant supported crowns, dental implantabutment, or other fixed dental prostheses and/or theoral mucosa ** A partial denture can be described as a fixed dentalprosthesis or removable dental prosthesis based on the patient's capability to remove or notremove the prosthesis
Fixed prosthodontics: Fixed dental prosthesis = any dental prosthesis that is luted , screwed , or mechanically
attached or otherwise securely retained to natural teeth, tooth roots, and/or dental implantabutments that furnish the primary support for the dental prosthesis. This may includereplacement of one to sixteen teeth in each dental arch
Maxillofacial prosthodontics: Maxillofacial prosthesis = any prosthesis used to
replace part or all of any stomatognathicand/or craniofacial structures . They are neededafter trauma , in case of surgical defects , orbirth defects
Defining prosthodontist:
A specialist in prosthodontics A dentist who has successfully completed anadvanced education program in prosthodonticsthat is accredited by the appropriate accrediting
body
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Prosthodontics therapy of the edentulous a predicament: You are dealing with patients who had suffered a loss Patients are usually advanced in age Loss of teeth create challenges to restore esthetics, biomechanical support and function Prosthodontic therapy require:
Technical skills Clinical judgment Scientifically based rationale for each step of management Applied basic sciences Biomaterials Occlusion Esthetics Patient behavior management Dealing with age related physiology and possi ble pathology Follow on patient's perceptions and responses to treatment
Causes of edentulism: Caries Periodontal diseases Attitude Behavior Dental attendance Characteristics of the oral health care system Low occupational level Low educational level Culture Finance Treatments received in the past
Options for treating the edentulous: Nothing
Removable complete denture Removable over denture over implants Fixed over denture implant supported fixed prosthesis
Advantages of conventional complete denture: Simple Inexpensive Fits a wide range of patients Care is within range of most patients
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The need for dentures: It is expected to increase with the increase in the mean age of populations It is expected to decrease with the better oral care for dentition Difficulty of cases are expected to increase Un met needs for dentures are still high
Where does prosthodontics lie in the spectrum of dental treatments: