Speciality Registrar in Restorative Dentistry, Department of Restorative Dentistry, Liverpool University Dental Hospital, Pembroke Place, Liverpool, L3 5PS, UK.
Consultant in Restorative Dentistry, Department of Restorative Dentistry, Liverpool University Dental Hospital, Pembroke Place, Liverpool, L3 5PS, UK.
Br Dent J. 2023 Mar;234(6):413-421. doi: 10.1038/s41415-023-5583-5. Epub 2023 Mar 24.
In the next part of this series on tooth wear management, we discuss the indications and clinical stages for the provision of removable prostheses for the treatment of severely worn and depleted dentitions. The general design features of a complex prosthesis are described for reorganised occlusal schemes and maintenance guidelines are explained. In addition, the clinical stages for three different situations are described: removable-only approaches, and combined fixed and removable in the same arch and separate arches. The value of providing removable prostheses in worn dentitions allows the immediate rehabilitation of severely worn teeth taking a non-invasive and retrievable approach when the remaining dentition is of poor quality or structure and/or there are missing teeth.
在本系列关于牙齿磨损管理的下一部分中，我们讨论了为治疗严重磨损和耗竭的牙列提供可摘义齿的适应证和临床阶段。为重新组织的咬合方案描述了复杂义齿的一般设计特点，并解释了维护指南。此外，还描述了三种不同情况的临床阶段：仅可摘义齿的方法，同一弓和分开的弓中固定和可摘义齿的组合。在磨损的牙列中提供可摘义齿的价值在于，当剩余的牙列质量或结构较差和/或有缺失牙时，采用非侵入性和可取出的方法，可立即对严重磨损的牙齿进行修复。
