Panno F V
Dent Clin North Am. 1985 Jan;29(1):117-32.
The utilization of intracoronal or extracoronal removable partial denture attachments in conjunction with a fixed retainer applies additional stresses to the structural durability of the fixed retainer and its integrity with the underlying abutment. Therefore, the utilization of this attachment with a fixed retainer requires understanding and diligent application of the basic principles of fixed prosthodontics.The primary objective of prosthodontics must be the preservation and health of the remaining existing tissues and structures: teeth, periodontal tissues, temporomandibular joint, and oral facial muscles. This must be of primary importance as we achieve our goals of (1) eliminating existing pathology, (2) restoring morphology and function, and (3) improving esthetics and thereby heightening self-esteem and the psychological well-being of the individual. These objectives make us sensitive to the considerations we have discussed in preparation design and the tissue management required in the fabrication of fixed retainers.
冠内或冠外可摘局部义齿附着体与固定保持器联合使用,会给固定保持器的结构耐久性及其与下方基牙的完整性带来额外应力。因此,这种附着体与固定保持器联合使用时,需要理解并认真应用固定修复学的基本原理。口腔修复学的首要目标必须是保留和维护剩余的现存组织和结构的健康:牙齿、牙周组织、颞下颌关节和口腔面部肌肉。当我们实现(1)消除现有病变、(2)恢复形态和功能、(3)改善美观从而提高个体的自尊和心理健康等目标时,这一点必须至关重要。这些目标使我们在预备设计以及固定保持器制作所需的组织管理方面要考虑周全。