The use of biomechanical orthodontic treatment concepts for removable appliances in maxillofacial prosthodontics. Part I: review of prosthesis design principles.
Maxillary cuspids are commonly included in ablative block resections in maxillectomy patients. Although the remaining incisors are poor abutments for interim or definitive obturators, they must be used if adequate retention and support is to be achieved. Orthodontic biomechanical concepts for removable appliances offer solutions for the treatment of these patients. The proper application of these concepts can improve retention, support, and force distribution to the anterior teeth and is particularly useful in younger patients when long-term maintenance of teeth is critical. The purpose of this article is to describe the rationale for this approach and its application to interim and definitive Aramany Class I and II obturators.
van Putten
Meade C
MC
The Ohio State University College of Dentistry and The A. G. James Cancer Hospital and Solove Research Institute, Columbus, OH 43210-1241, USA. vanputten.1@osu.edu
D001696:Biomechanical Phenomena; D001732:Bite Force; D000044:Dental Abutments; D016734:Dental Clasps; D006801:Humans; D007180:Incisor / Q000502:physiology; D008437:Maxilla / Q000601:surgery; D009971:Orthodontics, Corrective; D010158:Palatal Obturators; D018583:Pliability; D011474:Prosthesis Design; D012399:Rotation; D013314:Stress, Mechanical; D013499:Surface Properties