[A consideration of determining the removal or retention of teeth in the patient with a few remained teeth].
The alveolar bone of edentulous ridge is resorbed after the teeth extraction and the subsequent denture insertion. For the periodontal structure, the stress transmitted along the longitudinal axis is favorable, but the horizontal stress is destructive. Under the overdenture application which the retained teeth have the reduced clinical crown, it is possible to prevent the alveolar bone resorption and to improve the involved teeth. However it is difficult for the inclined teeth to get the successful results. In a case, having a few remained teeth contained the embedded root stump and the overdenture being applicated, we obtained the suggestion as follows. 1. Also the embedded root stump is useful to prevent the alveolar bone resorption. 2. The top and direction of longitudinal axes of the inclined abutment teeth can be determined by means of surveying the least teeth movement when the stress was applied to the teeth by the fingers with dental pincette. 3. Also to the inclined abutment teeth, it is possible to transmit the stress along the longitudinal axes, when the overdenture has the contact with the short dome coping at the top and in the inferior area to the longitudinal axes inclined, and is relieved in the superior area to its axes.
Nagaoka
E
E
The 2nd Department of Prosthetic Dentistry, Kagoshima University Dental School.
Kono
H
H
Kawahata
N
N
Saito
F
F
Ayabe
N
N
Kamashita
Y
Y
D016301:Alveolar Bone Loss / Q000517:prevention & control*; D000044:Dental Abutments; D003799:Dental Stress Analysis; D003828:Denture, Overlay; D006801:Humans; D007576:Jaw, Edentulous, Partially / Q000534:rehabilitation*; D010347:Patient Care Planning; D014081:Tooth Extraction; D014086:Tooth Mobility; D014092:Tooth Root