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A metal-based denture with soft liner to accommodate the severely resorbed mandibular alveolar ridge
Authors:Joseph J Massad DDS
Institution:1. Utah Water Research Laboratory, 8200 Old Main Hill, Utah State University, Logan, UT 84322-8200, USA;2. Department of Civil and Environmental Engineering, 4110 Old Main Hill, Utah State University, Logan, UT 84322-4110, USA;3. Department of Plants, Soils and Climate, 4820 Old Main Hill, Utah State University, Logan, UT 84322-4820, USA;1. Department of Endodontics and Restorative Dentistry, University of Siena, Siena, Italy;4. Departments of Prosthodontics, University of Siena, Siena, Italy;2. Department of General Surgery and Surgical-Medical Specialties, University of Catania, Catania, Italy;3. Private Practice, Rome, Italy;1. Department of Preventive Dentistry, Periodontology and Cariology, University Medical Center Göttingen, Germany;2. Department of Operative and Preventive Dentistry, Charité – Universitätsmedizin Berlin, Germany;1. Department of Rheumatology and Imunology, Peking University ShenZhen Hospital, Shenzhen, China;2. Clinical College of Peking University Shenzhen Hospital of Anhui Medical University, Anhui, China;3. Department of Center Lab, Peking University ShenZhen Hospital, Shenzhen, China;1. Assistant Professor, Department of Prosthodontics, University Hospital Heidelberg, Heidelberg, Germany;2. Associate Professor, Department of Prosthodontics, University Hospital Heidelberg, Heidelberg, Germany;1. Resident, Department of Prosthodontics, School of Medicine, Ewha Woman’s University, Seoul, Republic of Korea;2. Clinical Associate Professor, Department of Prosthodontics and Dental Research Institute, Seoul National University Gwanak Dental Hospital, Republic of Korea;3. Professor, Department of Prosthodontics, School of Medicine, Ewha Woman’s University, Seoul, Republic of Korea;4. Professor, Department of Prosthodontics and Dental Research Institute, Seoul National University, Seoul, Republic of Korea;5. Professor, Department of Prosthodontics and Dental Research Institute, Seoul National University, Seoul, Republic of Korea;6. Professor, Department of Prosthodontics and Dental Research Institute, Seoul National University, Seoul, Republic of Korea
Abstract:A technique is described for designing and making a mandibular denture, for patients with severely resorbed and compromised residual alveolar ridges. The denture base is stabilized by a mucostatic impression technique, myostatic denture base design, weight of a cast metal denture base, and noninterceptive occlusion with monoplane or Centrimatic posterior teeth. The hard metal denture base is made tissue-compatible by means of a soft denture liner attached to a specially relieved cast metal denture base. Over a 2-year period, this technique has successfully provided, in my practice, an alternative to residual alveolar ridge implants and other surgical interventions for 22 edentulous patients with severely resorbed and compromised mandibular residual alveolar ridges.
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