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Special Partials Feature 

By Mike Vakallis

Following is an assessment of systemic factors which influence a patient's ability to wear removable partial dentures

 

SYSTEMIC FACTORS:

Diabetes - Water retention (denture does not fit well); delayed healing; prolonged bleeding.

Osteoporosis - Poor ridge support; quicker resorption of the bone; may have to be tooth supported

Cancer - Dry mouth; ulcers from radiation; radiation caries; Glossitis; Stomatitis

Leukemia - Decreased blood cell counts; delayed healing; more prone to infections; inflammation

Aids - Oral candidlasis; ANUG; HIV gingivitis; Petechiae on attached gingiva; inflammation

Aging - Dry mouth (xerostomia); trouble with patient mobility to clean partial denture; damage of the clasps from poor handling

Epilepsy - Overgrowth of gingiva in anterior especially the buccal surface; correlated with poor oral hygiene; malpositioning of the teeth; poor patient mobility (problems cleaning partial dentures)

Xerostomia - Dry mouth ( levodopa); retention reduction; soreness; ulceration

NEUROLOGICAL DISORDERS:

Cerebral Palsy - spasticity, muscles contract involuntarily; not smooth movement; rigid movements; plaque accumulation; calculus; decay

 

NEUROLOGICAL DISORDERS: Continue

Parkinsons - inability to control facial muscles; dry mouth (levodopa); grinding of teeth; tremors

Bells Palsy - bruxism; caries; Malocclusion; periodontal problems; oral motor dysfunction; joint disturbances

Multiple Sclerosis - spastic movements; hand movements uncoordinated; par aesthesia; poor oral hygiene; ulceration; xerostomia; gingival overgrowth

SKELETAL DISORDERS

Pagets Disease - enlarged maxilla; spread of dentition; increased resorption; radiographic; (cotton wool appearance; root resorption, hypercementosis; lamina dura may be completely absent; teeth may be mobile

Rheumatoid Arthritis - increased susceptibility to infections; bruxism; occusal imbalance; limited TMJ movement.

 

 

 

 

 

 

 

Alternate frame work designs for partials
Chromium cobalt versus titanium
Block posteriors

Thanks goes out to Mike Vakallis  for this article on partial patients

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