Romanian Journal of Oral Rehabilitation (Sep 2020)
IMPLICATIONS OF BIOMATERIALS AND ARCHITECTURAL DESIGN IN THE SUCCESS OF REMOVABLE DENTURE THERAPY
Abstract
The study aimed at individualizing the factors that underlie the therapeutic decision of choosing removable therapeutic solutions as far as the biomaterials used ant the architectural design of the removable dentures are concerned, in view of obtaining optimum long-term results in a systemic context and in agreement with the socio-economic criterion. The design of the main connectors of partially removable prostheses should be characterized by biomechanical efficiency, should have minimum interferences with the oral functions, such as mastication, speech, and deglutition. On the evolutionary scale, with the improvement in the structure of biomaterials and the working techniques, the main connector models need to be in agreement with the patient’s acceptability and satisfaction, as well as with the fulfillment of the biomechanical parameters required to withhold masticatory forces. The studies suggest that patients express their concern regarding the entire palate area that is covered by the main connectors, as well as the localization of a main connector, most opting for medio-palatine models. The main connectors with a small design at the level of the palatine arch are more comfortable for the patient, in line with the previous observations which state that thinner removable dentures lead to minimum speech disorders.