17861551
Beschreibung
Mindmap von Alice Dolman, aktualisiert more than 1 year ago
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Erstellt von Alice Dolman
vor mehr als 5 Jahre
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Explain the four main principles of
the‘Every’ denture.
- 1. Wide embrasures & Free-occlusion
- An ‘Every’ denture should have wide embrasures (between contiguous standing and artificial teeth). This
reduces gingival contact and reduces plaque accumulation. This principle is reinforced in the requirement to
leave the gingivae uncovered wherever possible.
- ‘Free-occlusion’ refers to the prevention of any occlusal interference, which may
result in damaging lateral forces. A free occlusion has no tendency for the upper
and lower cusps to interlock or hinder movement.
- An ‘Every’ denture should have wide embrasures (between contiguous standing and artificial teeth). This
reduces gingival contact and reduces plaque accumulation. This principle is reinforced in the requirement to
leave the gingivae uncovered wherever possible.
- 2. Designed free of the immediate supporting tissues of the remaining teeth
- (If the denture base is kept clear of the supporting tissues of the remaining teeth the risk of caries and cut out
denture caused periodontal disease is reduced.) Palatally, the acrylic should be at least 3 mm from the gingival
margins.
- (If the denture base is kept clear of the supporting tissues of the remaining teeth the risk of caries and cut out
denture caused periodontal disease is reduced.) Palatally, the acrylic should be at least 3 mm from the gingival
margins.
- 3. Point contact between adjacent standing and artificial teeth & No clasps or occlusal rests
- (If we get rid of clasps the risk of caries and lateral thrust to the teeth is reduced and eliminates the effects of
torque.) Natural teeth have a buccally placed contact with each other and this point contact is copied between
adjacent standing and artificial teeth. To maintain this point contact throughout the arch, ‘distal stabilizers’ are
used to contact the distal surface of the last standing tooth. These are not clasps but are used to maintain the
point contact and prevent the last standing tooth from drifting distally, so maintaining contact along the arch.
- (If we get rid of clasps the risk of caries and lateral thrust to the teeth is reduced and eliminates the effects of
torque.) Natural teeth have a buccally placed contact with each other and this point contact is copied between
adjacent standing and artificial teeth. To maintain this point contact throughout the arch, ‘distal stabilizers’ are
used to contact the distal surface of the last standing tooth. These are not clasps but are used to maintain the
point contact and prevent the last standing tooth from drifting distally, so maintaining contact along the arch.
- 4. Maximum retention following the principles employed in complete denture construction.
- Retention is obtained primarily by atmospheric pressure with a modified peripheral seal. Also by the accuracy
in fit between the denture base and mucosa. Finally, maximum retention is obtained by following those
principles normally employed with complete denture construction. This includes extending the denture base to
cover as large an area as possible. The fit of the denture should be accurate and the polished surfaces should be
shaped to assist muscular forces. If we can get a large saddle area, lateral and vertical thrust to the alveolar ridge
will be spread over the widest possible area and this will reduce alveolar absorption to the minimum.
- Retention is obtained primarily by atmospheric pressure with a modified peripheral seal. Also by the accuracy
in fit between the denture base and mucosa. Finally, maximum retention is obtained by following those
principles normally employed with complete denture construction. This includes extending the denture base to
cover as large an area as possible. The fit of the denture should be accurate and the polished surfaces should be
shaped to assist muscular forces. If we can get a large saddle area, lateral and vertical thrust to the alveolar ridge
will be spread over the widest possible area and this will reduce alveolar absorption to the minimum.
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