Weber H
Dtsch Zahnarztl Z. 1989 Aug;44(8):572-8.
This publication describes and scrutinizes new technologies in the field of prosthodontics including functional analysis and therapy, fixed and combined fixed/removable prosthetics, and implant supported/relained dentures. In spite of all new developments with regard to digitized imaging (CT;NMR) of the TMJ as well as in spite of all electronic devices for recording the mandibular movement, new therapies have not been established. The clinical examination is still of primary importance. In fixed prosthetics the different ceramic and glass/ceramic systems represent aesthetic and hygienic alternatives to single, porcelain-fused-to-metal restorations. Titanium exhibiting good biocompatibility, sufficient strength, and a low price gradually becomes of greater importance. In combined fixed/removable prosthetics the various metal-resinbonding-systems as well as the spark erosion technique--the latter being used for precision attachment work utilizing base metal alloys--can be described as major achievements in our profession. In dental implantology, a great variety of different implant systems have been introduced to the market. Based on the clinical experience of the last decade, the following can be stated: The implantological prosthetic treatment of the lower jaw using two implants and a clip-to-bar retained denture shows the best cost-risque-benefit ratio among all possible indications. In the future, more research should be directed to the prosthetic suprastructures and their influence on the long lasting success of implant supported retained constructions.
本出版物描述并审视了口腔修复学领域的新技术,包括功能分析与治疗、固定及固定/可摘联合修复以及种植体支持/固位义齿。尽管颞下颌关节数字化成像(CT;核磁共振)有了诸多新进展,尽管有各种记录下颌运动的电子设备,但尚未确立新的治疗方法。临床检查仍然至关重要。在固定修复中,不同的陶瓷和玻璃陶瓷系统是单颗烤瓷熔附金属修复体美观且卫生的替代选择。钛具有良好的生物相容性、足够的强度且价格低廉,其重要性日益凸显。在固定/可摘联合修复中,各种金属树脂粘结系统以及电火花加工技术——后者用于利用贱金属合金进行精密附着工作——可被视为我们专业领域的重大成就。在牙种植学方面,市场上已推出了各种各样不同的种植系统。基于过去十年的临床经验,可以得出以下结论:在下颌使用两颗种植体和卡环连接杆固位义齿的种植修复治疗在所有可能的适应症中显示出最佳的性价比。未来,应更多地开展针对修复上部结构及其对种植体支持固位结构长期成功影响的研究。