Silverman S I
Dent Clin North Am. 1987 Jul;31(3):347-62.
These clinical cases demonstrate that the choice for fixed or removable prostheses is a complex decision. The factors to be evaluated include the patient's past dental history of treatment and self-care, the patient's state of health, the patient's psychologic motivation and personality profile, her or his economic status, and, finally, the dentist's skill and available consultative services. Ultimately, the patient must become a cotherapist and be given the opportunity to participate in the diagnosis, treatment planning, and after care. The cases presented here also demonstrate the use of short-term, immediate, interim provisional, and long-term definitive prostheses that may be used for fixed or removable prostheses. These choices require the dentist to make exquisite judgments about the users of fixed or removable prosthesis, especially if a patient is phobic about wearing removable prostheses. Fortunately, the state of the art in implant prostheses has advanced so favorably that the choices are now between fixed, removable, or implant prostheses.
这些临床病例表明，选择固定修复体还是可摘修复体是一个复杂的决定。需要评估的因素包括患者过去的牙科治疗史和自我护理情况、患者的健康状况、患者的心理动机和性格特征、其经济状况，以及最后牙医的技术和可获得的咨询服务。最终，患者必须成为共同治疗师，并获得参与诊断、治疗计划和后续护理的机会。这里展示的病例还说明了短期、即刻、临时过渡性和长期确定性修复体在固定或可摘修复体中的应用。这些选择要求牙医对固定或可摘修复体的使用者做出精准判断，尤其是当患者对佩戴可摘修复体有恐惧心理时。幸运的是，种植修复体的技术水平已经有了如此有利的进步，以至于现在的选择是在固定、可摘或种植修复体之间。
