Prosthodontics
The aesthetic prosthodontic management of periodontally involved teeth
Dominic P LavertyGingival recession has been defined as a clinical condition in which the marginal periodontal tissues are located apical to the cemento-enamel junction (CEJ), with concomitant exposure of the root...
Oral rehabilitation of a patient suffering mal-union of a fractured mandible
Graeme BryceA 62-year-old female patient presented with failing maxillary- and mandibular-fixed bridgework that prevented her from eating solid foods or smiling in public. The bridges had been placed over 20...
That first all important meeting with your patient!
Sivakumar JayachandranThe Adult Dental Health Survey 2009 reported an increase in the proportion of adults who had retained their teeth from 74% in 1978 to 86% in 2009.1 The increase has occurred mainly in the older age...
An implant-retained obturator – a case study
James PuryerThe presenting complaint of the male patient aged 76 years old (PG) was one of a loose upper obturator. He had this original obturator made 6 years previously. The patient was generally fit and well,...
Conservative prosthetic rehabilitation of medication-related osteonecrosis of the jaw (MRONJ)
Alexandra Johanna LevenAn 85-year-old female edentulous patient was referred by her GDP with exposed bone in the anterior region of the maxilla. She was treated jointly by the Oral Surgery and Restorative Dentistry...
Case study: management of a loose upper denture opposed by a shortened dental arch
Laurie PowellA 68-year-old female with an edentulous maxilla and a shortened mandibular dental arch presented complaining of a loose full upper denture. She had a 35-year history of wearing upper dentures, the...
The use of 3D metal printing (direct metal laser sintering) in removable prosthodontics
Dominic P Laverty3D printing is an additive process whereby successive layers of material are placed until the 3D object is created.1.
Managing the unstable mandibular complete denture – tooth placement and the polished surface
Peter ClarkeAccurate impression taking and jaw registration undoubtedly contribute to provision of any successful denture and even more so when the anatomy is unfavourable. In these difficult stages, if greater...
Denture stomatitis – a clinical update
James PuryerDenture stomatitis can affect both partial and complete denture wearers,2 although is commonly seen on the palatal mucosa beneath a maxillary complete denture.1,5,11 DS rarely affects the lower arch,...
The prosthodontic pathway for patients with anomalies affecting tooth structure
Dominic P Laverty
Table 1 lists a variety of conditions that can affect the quality and quantity of dental hard tissue and the morphology of teeth. The remainder of this article will focus on the features and...
Training plates: a solution for patients unable to tolerate a removable prosthesis
Dominic P LavertyTraining plates are prosthodontic appliances that are used to prepare the patient for prosthodontic treatment. This appliance has the effect of acclimatizing the patient to the feel of the denture in...
Complete denture impressions: a simplified impression technique vs conventional technique for edentulous patients
Ravishankar KrishnaThis study was conducted in the Department of Prosthodontics at MS Ramaiah Dental College and Hospital. Ethical clearance was obtained. After obtaining informed consent, the study subjects included...
The ‘anatomically difficult’ denture case
Tim FrielTallgren demonstrated the continual resorption of bone in patients who were followed for a period of up to 25 years following complete tooth loss.14 The majority of bone resorption occurs in the first...
Bilateral balanced articulation: science or dogma?
Arcelino Farias-NetoFor more than a hundred years, it has been supposed that oblique and lateral forces, like those present during canine guidance, should be avoided in conventional complete dentures, since this kind of...
Retention systems for implant-retained overdentures
Ronuk VasantThere are several ways to connect the prosthesis to implants. This can be done either directly on to the bar, as in a bar and clip system, or by using direct attachments.6 The latter include studs,...