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I

1

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PA,RTIA.L:lYEDE-NT'U L,QUS EPI:O'EMI.OLOG'YI' PHYSlQ.LCJGY" A~;DT'ERMI N'Q'LO'G"Y

Too.lI iWOSH'Ind Ag.e _

e'61rl~~~e",ce:s of loo,th I).o_ss

[ -. Rt$19ratio,n Wirth Pms;mlh~~e5'"

T ·.brJi:s l'e:l{tbO(lk~ocu,$;es:· olf"'What the 'climdall s.hG'~ld . h.l.~w about 'p,a,[;ij"i±lJlj1 ,~d~ntu]bl!J,S' _ patient;S, t6 ;;i'Pij,rqpr:i~.te,l¥p;tqY;i.d~ 0.~m~(frmb~(t", <~U]fl'.IJtS~ M.l tJC)'d,tl:l'i"e'PJ~~Q@"m~,®'"!s irt.tbe; form.. of I;e(ln,OV-

, _P'@Iti?J dJerib.i~s;" R~m(rV.<lbJe_ p.'a.r~i all c:!~ptm~:s .a~~ ,'P9peTl t 'Q{p.'fQ~:tJJddQi~ttcs_, whicl\, deI1.0~te-Sth'f ' . ilfof d!~hti~tiy p~r,t~ni.1l.1g·m.,:'th,~'· :r,e.stgration ;&HG

, terl:rulr;;I~ ,01' ,arm ttt[}t.'i:16:nS~ iClomft.rt. fllppellF'anCi!5"

.and! .heiri!th. of·tb,e :paHent by the l';~5Jtora,U(}n o(n8iteuta] reett,u~nclJo.r the mplacfffim~nj:~if mtss~:ng teethand C[.aHi(~Ea!~-iajf. tlssues ,,\ii:lli ,artH:jjcta:l substihll:~S"

mT~FIi.Lpl!actice in t'ne management of' parlia]. 19udr1o~s:' ~n.?CI.]V~S t:tJn;~]del'<itlon' of vario-lJ,s, typ'es; of(; , (W~gure .] ~.,U . Etwn: typ~ of~!Pf-o,8tbe~lS '. of 'lV{(iiiQlls~,e.ln~ihing 't~~U.l .a114I;p,!' ti:s.~

Qd,·~!Jn$e:que~tf.Y'-!Ier.r:laqd's,'<ippr,~p;l·ia;~;~1J_pli~ (~d'Jk1]J)wl~qgi~;and:.,cr]#GaLfp~.n:g to eos<u:rK

~ , ir~~e,"Q,ut9,cim~: ghr.en th,G·p;atb~J.'lt·m~~d;s.·

atiti. ijFlSIrecS. AlU]..Q,u'gh .mrir.~: rhaa one [ll..'tl sth~:sis

'" -, ~~" .' ~, -' ~ .'

~uJtJr· '!;i~i:ve the: needs' 'of'~ PJad~nt, any P m.!itM·~i_s

sho1i11:d ml~~t :the' bas]c,dbjectiV"EN'i:Ot _prosithQdol1dc . &¢atlnefJl'~,. which h:u::ludes,!tl) the eliminatlon er(i)J;l;I] ,a:is~a5e to' tb:egl'ea,test &tent ·p.los-sible; .(2)ID"e pr~e[rVll:nfan of the hBatth~ and. rehlEtiol];slli,ps' of th,~ teeth ~n_a tfu·erl'le,aitbbf ,tjraJ andp~r4~::lr:ahsl~runt:m.'es~c Wh~c.h wtlt~1?ha?1te.:.t.he 'm'1J'UJ~iitll&!: p-artia,'l 4e:u t[J:r:~ {tes.ig~ autlii 1(53; ~~he )le_?;~Q(a:1jbm. of \Q~aJ, ·fu~1~tk~~lS -drat a't~

CUlrr>e)nt R.e:JilI]Io/va~,le iP~.f"Ii:~~ Be<nture' Use N~~d fitw Rem ovaib~~ Partial DeWltll res Te~~nl~m1IQ.lfJ.gy . . - .

t)oim{b:nable;: es_(hett(:il:llY·P]~M~.n,g;, ·and ,ti~ netinterfu~, ~ith tbf{ paTl~nJf'S;·s:p:Y!.'lCh" 'it ls qri,th':aUfy 1mJ;lo[tairt tp ~[[l;Jll~a§fz~ Hl~J :theP)(':~seiV~1tid!i qfhe;;!lth re'q~J~~8,propfir' n#tfnte,daI1lQ~ '01 f.~·mfivable:.]HIIlia] ;de:uni!l::~~, J:e pm"Vid!e. a 'pe~'$:p'e¢tive~ for Wide]:'sb.lrf¢Ung~

· tht;l-ijJQ,paCt;(lf i{ftnov:a'ii~e,~adj3.i. ~entur,~~rprosillodon:< It;[CS.ia '-reviewq,f. moth loss'a.nd fits .saq u:elil,e4rn.nc:~ tiQilliah':e:\lt9i'atiQu W±Jb Pl1'O~U:!!E;ise5', ~n'ld Pll(),stl1;es:r~ use

.and'ontcomes .is.in·oro~[,. -

]i lOOTH LOSS'AND AGE

· [tshqM,i:d oO'm¢o8S li.i~ s:u~i.ise ,that, topthl()ss 'and: as,e.: aire lfuked. It Jn~a~'b,een dQc,umenlif;l(l that there is's,

· .s~'ecrflt't6 ~th hjs~' re~a Ji,~c~~S~lP- with inSi:c-_a$[]i~<lge,. b~,c.a~~e !$(Im,e~t~:eitf.1·;;Ite re'ran-~()tl ~(Itfgti:y~-a:J,;r erhers. It hiirs.o.e@n sugge$t~d t11~t'tht:;f~t? ']i5'!~:~;t'lm~l\it:R:hd&€(~.[-mJ~~ ~in 'tQ Goth lo.ss'~ wfrh. t;h~' }11Jl.XfUa,ll ·-M!~tI:il lost b'._e;r()·~~; mal1lc[lbula.r ,t:ee~~';i It l't3.s,'.ci)lio been ,$ugg€;Ste d tb_at (he,re< i$ ·a!.'llnh'a~'(ch· dl'f(~i'(:ln'c-e,~lII'ith postet~Qr teeth lost before fjJTIih~;tlor h~,e['h; Erequemly theJast remaining leerff" in the-mouth acre the mand]bular antedof 't~ed\, ,esp'L;lci~l:ny the. man:clibU:[o;IJ" ca;rirines, 'and 'it .Is a. common ~!)ding to :g,ee,·"fm· 'e~enl:lJ]ptls ;m~~.U:a O:P.})OS'iilg';1l1an4il)iwu:1l:p~ed6r!€~rh.

JJ·o:n~ :,:u;:(\ept.s that "l:otith 10"8s: tlnd. ,~ge' arB ]j1,}h;d~ hQ~ . win 'Hits i.mp,~ctc.un:~n tand futurE' d~nta:~

3

~igijre :.i ~ 'f), :r:f:. '~~~ILT~~Jnl b(J:

Chillptcr" Parrlally Bdentulcus Epiderniolf!gy, Physi o,l[:)gy. and Terminology .')

CONSEQUENCE'$- OF T091HI ILOSS'

With 1,he loss of te'eth 'the' residual ridge [11')1' longer, 'bencl1i~t:s: fctmt lhefuncrione] sttm u Ius if once, ex\p erl,eq-ced .. :Bed~L~!;;e> of this, a IQSS lOt rId ge VOblr.ne-:-ho~th 'height and widtll-can 'be expected, 'This findmgls ;t'lOit predictable flbr, a I.] ind:i'llildu.als. with tocrh loss, as ~the,change in: anatomy has been reported t~yb~ 'ratio ;lble acress-patient gJ'il)Ups'. ID g'etl~l~!,,~',bp,]:fe loss ]5 ,g:mater [n'th¢ llJ,ru:'ldlble ~Hi<!,-n t~ maxilla,m,o t~ ,Pl'O~Qmlc>ed p_os~e:r~QTly,than an(~r,iJiiidy; ~ild it pr,ol:h,lce,S 'a b{OaJder n.fa:ritl1l.ud~t"~r>C'J:r whlL~ cd;mluictlu15. the :l.l;laxill,atv :~lr,Cb. Th'ese, anat!cmticid chang;~s can prea~tGl~'aheniWs to prosth-rs1s fabdcatioil, .including ii11pl,qtJfr, supp'q.r ,ed"i,i:os~"fies'es and re:m~,va bra p'illtiaI «'~I)ture'S,,, As,sQi;lated wnh this loss of bone {') the aib:;'om'padYtng alteration.In the- eral mucosa. 'Th~ ,attach~.,gJngiva of..tbe .alveolru~,bune can be replaced wI(hl ess keratinized oral mUCOSal., which' is. more ireadHy tmumatiied.

rh~ .esthetic impact of 100111 Ioss can he hj;ghl}i 8ignific:alH and.l:ttay be more off ,a,',,~:~nte.rn ~Ol, a pci[]l':mt than ross of Junctlon, It is ,g'eller,,1L1y percei v~d d~~t In ~odny'); ,society, 10._s~,p;fvi.s;l:H,e teeth, ,r;csp.erually liT.lil;b'e',(,ult'e-ril;i[. :r~egi9n:o~ t~.e :nlp]Jth~ dl.r~if:l"'i7¥vith, Ita sj$rtific~ult ,$'qdalsUgma. ,With rhe'Ioss (If tee~hand m!n,i!ni§l1irtg [e's.idl!J3,~, rkige\ f;ada] f~atHres,cao, change SJecuno<i rv to, 'a] terM Up support and/or reduced f'~ial'heigbt as $.I, result of a reduction in occlusal \i'ert],dal _j(Un1~I'lsion~, He'stoFi ng 'fac,ialtmtlletlCl;!¥i, i.n a, mtiltu):Et that rnainrains .an approprlate.appeamnce Gilt'), be, a challenge, and. is, .a I:n<ljor tactor in the restoration and maintenance deqtsjoljJiS ,for va:riou~ prosthenctreatments,

FUINCIIONAl RESTORAnON WITH PROSTHESfS'

lildividuais with a- full complement of teeth .report 'some variation ,hl thefr leve],s otmastleatory fl.U~lC,~ f on.l'l!ll'l,loss 'of teeth can lead a pa tient te.seekcare 1m functlonal-reasuns as the V notte'eh;:'Ldiminis1;led fu'1'llCfi!Qtl to.a ]eve'j that,'is unacceplabJe W then'!; Tn!';! j;e·vlel 'at ~'I'dch '(;I patlem 'fi'nd~'Jt~n~tinl1 to; be l riacti~pta\;i]e vatirs~:a:m9n:g Indii.vidual~), Tht~ '{~l~iab'ilily ih' reas'B!'jwit'h' ft«c:eh;!)!'a;tin:g tooth loss, Thesevarl~!:)]es mtty'b'le ,co.rl.fusing to clin lctsns, ~ho perceived that lb·~}r have J:k()Vi.ijed pmstheses. of;equa]hq,u~li ty 'W ¢iHt~n~nt pahents with "the same. tooth. foss pat- , 'te1t11S 'and y~t 'Sicll1.eve difEerent patient reports of sil.i:::i;e55~

an [JIlderstandinwofti~es:e varlatinns among iJ:i'~:l+v:i.d!uals with a fgU compThe:m~l'n of'~efi!t.l-i and those 'Vi,rit:h preseheses can heJp .;:.linida:ns :fq,nn111.uereO)Jisti,rt "t!'eatmenl goals that ean b~' ,corn,rn:'u:i:J.cic~1'e;d to rh1:l paHel1t, A review of araHuncti(m, ~s:ped~Uy masticaVion; mayhe;~p,-:i:rl'l:el!:'e:St~dclinic~~Wi better understand

.i;S$p,G'.~' l::e~.iJi'!ed te.the im pact o·f remldjyaibh:)"lJI8irt~al'dje'h. 'tul~' fu~jctD,P~l;

~

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,,~_:'If JE·M{)\(A.B'lE PA;R~P~l lU:rE<l)SJ.;

i~ivenal]. unders'i:lIndIw t00£b;:1f:1iSS~;lI:nJ»a ~nJd:~.JU .. tib1jJ:t.Y~ :

RPD/RPD g'.IJi%, CUlGL·,3.,Il%. CUiRPD H.5%',.

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TABLE 1 =1. Technical Quan1ty Concerns for Removab1e Partial Dentures,

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iLacks Illt_.e~ritr

21-6%

7·.1%.

24.3'%, 13,.2%

Addi tlonal terminolegy eanb e I'c'vjellite'9 in The. GJ;os'~"'Qry o/ProsflwdoJ'.l.tic T~rlru! 'mid. a g10"S~illY ofaccepted tel:ms' in all dlsclpltnes of de~tlstty-MoS'bY~5 Danm;!; D.i-ct(cm:ary,2 Both are excellent resources for SpOkie,.l a:nd. written cotnmuntcatlen in pwsthQdontics.

A1thQUlgb th:e'fonowhlg,~s not meant to b€t a cOlnplete. gIo,s.5~ry of, removable . partial presthodo ntlc t~6'niqo~o~mr> .:th.e deflni'tionsgjiven are considered b_ii~ic and.areused throughout d'l.e text The format of presen tatlen is' not. alph;abe.tical, and it is, hoped th at this .c];)eate.~ Q,nIY' a min6rincony:eni~n·ce .

The.term appua;l.1ice'. i-i, correctly applieci:otlly to devices {SiIJ!eR as, spl.tq.:ts,~ QitbO;.~Dntfc; appli~m,ces, and space malnsamers) worn by the pati.'~nt Inthe course

c

tt)<ii'iji;;t¢dstk~ al;e,direJeUy I:e:l~led te functional sta-

·b~ti.:ty qf prostbeS1!;:s, . .

NIE'ItUFOR. REMOvABLE PARTIAL

DENTUR:~S" . ., -

'Wl'tat does all this, itiform<itiDn ~e~]'!I. to, usto day?n. means a .nnrnber.of things that are impertant W tionsider. 1be'l!Ju~,ed for p~u1:iany edentulous.care wm Jj etrJic\te asing» Pa tientus_e ofremovable p a.rUai-de;ntures bas be'~n:bigh~~u the past and Is expected. to . ~!lntii~~lejn-the future: Son)c(p.ad.ents:w.ho; are given

th)';'!~oke beti,;\leen aJ'll, i.1J1;plant~sq'PportS""d~p'llOstl1:fls.i.s a~d ,8 te;ltI'QN:~b-le:.pal;tr<'ll denture.are no'~ ~p]e to pur:~q(! .tmprant cars; 1b:l,:? :<iontI'ibuQ'l~ t~ hi,ghe~ use nf· Im:n.ovable.l)aJrtial·di.e:!,'.Itu:relL

Fioalliy, thtlSe fin.'~[n,g.s·:sugg~st-:tha:tl""'e should slri~~ to understan£ihow to·'maxinlJze .. th~ epporturtity f~t _p:mv:iding and main:t~ljnl.H;g st~ble.llW stlieses because' l1ti!i l§,ili.e mosHretl~lel\:dy d,ef1c[:eof:.<lISpect 6f.renlov~ able pani,ai den nne-service. ·Conseque.nitly:,. :tl:ko:ogh, out UdSlfi!xt the baslc prtnclpfes of dlagnnsis; moutb p~);l'<Ii:r:a.tip.q~ prosthesis $sign, fa brleenon, placeli1:ent, and maintenance ,vii[ be reinfowed to hnp.rove aQ'U~tler~tt~n4iri.g:uf mm~bl.e-partial denture PIOS,~ fheses e~e,. .

T~RMI NOlOCV

Ai'Ehaugh fa;mUi.ar.i,ty l;vi.th ,<!-c.Geptep p:ro.~thodontil; term:tuQlogy ilt'll'otlld help In fue\:n1ders:~~niling of the material .iu"!lds ru.1.d·o:ihe:t·d.entaJl~\ttb[lOks, inS untealisncct()l expect a worktng_.k;oowiegge ofleml]nO~ogy '[0 . di,w:e[op l;,rithQut cHrrfcaJ}f examples to reinforce. iearti!~ 'lqgl 'G9p~qIi!ently, ptostbo,~ondc terms a1'e:i1~tl!oducOO at :.thl:;p~m.t ml;iIne and. w.in be rClrn:ftn:Ged'lj\rith dinlcail e)Cllrtlples- ttu:oughont the text (Flg'lues 1-2 andl..:3).

DBA !F B'C· B b

f~g~l~ft·.1"2 h1.a:[Idi~~.I.at 'frame'o\,or!< desWfile:' for a parti,i'.l,I'ly e¢entu ~0!.l.s arch w!ill a Kehl1ecJy CIa.'5.sII'I:catwll I~, mod lflcntiorli 1 (S€f!··Chapler 3): V;;lrious' eornpcnent :parts- of Ihe fr~m·e" . work. are.~<!~le(Hor idenHfk;;ltioll'.· Subsequeht chapfers wi"!! describe'thei~ilJnctrorl; :~bripti'('.wl. snd use; A, MiiI'tOla'cortl·:lZIeci.Oir, .B. Rest&, C. Diffi€l r~t~'j ner, Dr ""'~i nor con !H,lCtoOF ..

1:; GI!J:i'de plal'lie ... f •. lbdiret;t l'etaJtflef.

Figure 1&3, M~~ln~l1·ftlMl~l;:~t~.· .~~{)r.'a,:~{i'l!~!~y,e{je·rii-

lu:I~JS ,m~h :w<ith :~<J<"@l"l'forl.'({tCl<lS·' (Jr! I ~?ee-C~.,~p':fer3};'A'ii·

i. t!i' F11\l' ... t =2 p com:p~MQt f{Mf,.. ... aD:~!. _~Jcit~IXor_,j,d1.1!J;ltiF~<ll 011,

A~ Major conJ1.~~SOf~ ~ .. Resls.C •. P.I rtcoet ,r-et:~~ ner.· D~ MliI1or._ 'G!lli"\edtQ~. IE,. OYkle,.pla he. F; ,Indirc'fct r(itai tier.

deVIce, one component orwblehis fixed to an abutmsnt or, abutments, while the other is integrated into a.:re.lil19wbIe,pl'Qsthe..s.ls-re s:t~~tltze aud/or retain ~,t. A se.mJp,red,siollit;e'st is a rigid m~'t~,I1.ic_'l;lxteinsrQI:1 of'a i~d' or' remcvable ,p~t~~ai denrurethat.fits into .an MDII:roi~ron.al pfl:epar~t~on In iJ: cast re';wtadti)u"

1:he 't~~nl iind.ii.rn,cf r'l?tai:t~(lr' denotes a p'ai'l: uf .a MnovHhh~' partial denture that asststs the direct 11l,~am;e:rs In pf~\I'e-n.t:i.rlg·di9:phicemep:t 'of d tstal .extelllr' urel~:a~es ;by- re;;is:ttng ]leveI{lodoIJA:rom the si'deQftheAuj,c:nun line,

A,1111~~Qr.C()RnectOir isthe.part of a removablepar~i'ar delJltute that cannects the components OH one sWfl;o:f the-eteh to the corn ponen ts on the f) ppcsite sidie'of"the·arch. ,1\ nngua~ bar eeneeeter-ts'a compo!lent. oftlle partial de:l'i:tum fra.m,ew01.\'k I ocated Ungual. '1",0' [~IHaeErl:<'Il' artch ·tl.lld a ~ ave the 1l1ov.hig tjss:ues of, :~I:reJl(fQLr of the' mouth bu r as: far .b.e~OJ.\r 'the glnglval I:i: hl'!e~.as possible. In the malJl.ditJ,le, "ih@]l thellngnal o~r"lliaj~:r t{l,iuj~~tor iSllit,tilFbe'd to a. thin,q:'li1UPui:~d. apiini ~1~fam'i:n:t'~QI rhe tl~gUal sl,Ufflee~:of the" i'lIlterior tel'1ith, '"Ris, de$ign~:u~d'alhigu.oiplate.

~y thin!, hroad p alatal til::H.(~rage that is ·used, as a - . n~Jj:tov is, called.a pa:lartalmnijo:r eonneetee, orr ~s of lesser -Width (Ies:!> than I!f mm), it is-called a ~a]a!tal.bat. A palatal major eonnector maybe further ttesm11).ed. accordingto jts an~el'~pnsterlo.r location en "ill'e. palataI surface, for example; ~~~S an- anterior palata] n1<1jor connector or a PQ5tedor p~al:a1 bar .. The, diffel'Mdta:t~Qn O-~we'.eti a p~atal b!'J,ll'.;and ~fp,alata1 t!itl',ap i_s §Q}Th\iwhat 5uHje~dvQ: AJmlirtal ,S't~ap' Js' prbpdl'tidila113r f lillner and broaqe'r than ,~p~~ata:1 bar, In this tex - b ... t:.~ pruat'aJi major ermnectar comporierU tI)at' ls

, ': l).' a la,1,'ll], in 'Widtl~. i~·,j"t4e:nl!!dtoa:s . a bar.

t.ell:ffi.;rest Is' used' to deslgnete any compnnent 6f1fiellarti;;l1 O!enture -t11<1U5 placed on an abutment l~"ih~ ide<li]ly in-a prepared rest.seat, 50 tha.Ht~imlts m.9~ernen,tdf.theden~ur'e in a. gmgival directlerraud t-ran&mit-s·IUl1ction.aJ forces to the tooth. \;\then a-rest i,s·plaiced 0 n the occlusal surface of a.. PJ.lSh,)-r]q[ .WO th, "it Es:Jdeslgnaleci 'an 'oetilu;saJ nt~t. II th;~ rest ,:QcCPFh;ls a JPtlsltion prr·the Ungualsurfaee,' ofan anterldr.toot"h, it . F~fe[][-ed, t(:r as a iingU:ai11'@s·r. :A.. rest placed on the

edge .ef an anferi01 .afbt:ilme,n~[Qod)· is. CBI ned. al:'Lfncisa1~I~

WhEt i:esid1;i'al bone, \;vith Us son tissue that'eovers [fie' ui"lderlyi.ng area of the denture base, is .nderred to ~.{ije,I\esi!dua~t1.dg.eor cd.c·ufl.doU!s ddge. The exact ¢p-iira,ctcI rihhe soft rlesue-ccveflng mayvary; but i:t ,im;;tude.s the' mucous membrane 'and' the' undedying ti,~r€lus connective tissue: 'The eral t issues and struc- 1Jures·ohlm residluH lidge supp.o'rl:ing' a denture base ""re--,refened toas the basal seat or.de'lil.tll!re·fO'pn,da~ ~turarea. Oenl\l!:te base i~.lI.1~ed to ,~~es]gna.t.e thfl part ilha \a}3n~u:(~ . (w.h:ethe~'" Jt is metal QriS ,mac;:Jie b;f a [~sinouS.qu!:te.rial) that r\ests rrn the 'residual bon.e £P¥£;,.di:g by ,s,q.ft ·Hs'sa.tE~ and. ~o' wh Ie h tb.e !teeth .'ar~

.. ,

a ttached, Re:sul'fa.dng. of:~ .deruure base v"ith 11!eW material to mal<!rlI it- fit t.he underlying ti8sti~.mom 'al(,:Cul'i;!,tei~tis$PQlren of as roliri~Jlg,. Jl~lja!!h~ltreferS, to a pr.()c~s:tJl'at .goe;S·beyoftcl.rehti.i.ng 'and'involves the :refining .9f a Qe:n:tll'r~ by ,th.e· replacement of the len tint dlen tare. base wi tIl'il e~~ ma,t~riaJ l.'\iiil:h<Hj:t· ch ruJgi'!lg die b CiG:lu~~hl~Jat~dn5. ,of" the teeth,

Theterms ftlm(:titu:ralimpressiiQn . and' runc'Uolnam rid;QjeJDQtm: are used .to" describe an impression and "the.-resulting-cast ofthe 5uPporthll fonn oh.he edentulous rldge. These terms have been accepted as meanlngfha fnrm otrhe edentulous ridgewhen it is ·:SiUp~:)O.rr:liilg i:li. denture base -, It is ardflei,a11y created by means ofa,sped~]!y molded (i:ndi1lidll!1aHzild) impresslon tr:ay PI an fmpresslori material, Or beth, that d]splaeesthose .tis~.u.€!s. that can' be r~ati':i]y,d.ispla¢ed and '"t~at~\lvouf~;r'ij:e illcap.able·aE :n:fl1.deFbJl.'g support to tbe ·dep"fu]:,e.ba,se~\lhfll1·it Is supporting functional lead, Firm areas. are' not (jlip,laced trec;;tu_se' Qifthe "flow chm'ac~eti,5ti:cs Qf the lmpresslen material, thus the tissues are recorded more nearlyin rhe form they will assume.when supportinga.·fbnctioual load. in eonbast, the staJtl:c foltnli of the-edentulous ridg~J as often reco rded ]:1'1. ,Sl soft j nlp ressi on material-csueh as hydrocollotd or metalhc oi.il;ll;!' nnpression paste is ie:£i::rred toas the' w~alomi~ ridge f~,m and results 'wbe'p Ail impre~sion hayJs 'll1.Qi.t'OrJ:1"!ly relieved. This is the: su:rface ~form 9:f the.ed·entu]ous I'I~e\"rhen'~t Ji"~st '1)1: ,.,jhel'illot supporting.a funetiQP.all()<\I-~"

. :r~~h;ii)i8rio jJ~her terms, in 'pl"Olsthodonli¢s have be~_ll .assoc·i;;lted *HHI mOIE~ t·o·litl'lQvets~rtb.an have c~n.trjjc:'j:"a""r,.l'elatlQn and f;eutrk occlusiQI1 .. th~ use of these terms in tJ;ii.s .. tcext 'li\ljUfoUow the deflnltions .~ 11. the seventh edmon of The Gi.o.ssmy ()f-'P'rostl~odon·, tiC 'Terms ..

For complete. dentures centric occlusicn isthe '0 eel USjCIII1' that should be made to. coincide' with 000' tric rela!Uo.l1- EortLtOlt particular patient, in ,~n.a(Hust" ment :oif .llat~1TaLocclusio·ll the oQj~ttiVe nus be to establlsh lil arm ooy between centric :lfe]atIon and. eenJ'tk.ocdusJ'on.Wit'h removable pa.n1:a1(1eriti,ufls, the ·o~~jecti.veI8 to make thc-artiflcial ,oedus[oi.l toh1.dde andbe.lrrhanncrrywith.the remaintng natural ecclu~l~;m. IG.e~rry f:lI'e ilal::i.n:a.[ occlusionwlll b,a.i,re; been .adjusted fo' harrnenious contact in cel1t:dt relation and b€l: tree ofec~el]tric Interference before ncciusal relationships ate established em thepartial denture ..

R~FElteNeE$

J. t;ljos"~;).(;;~ ~or r;lw;sthO'tteratiE::· terms.' J Hro,srherUentt, .:s';f; ~41·.i io~ . .lfi"ii9~-