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首页> 美国卫生研究院文献>The Journal of the Indian Prosthodontic Society >Strategic Use of Telescopic Retainers and Semi-rigid Precision Attachments in a Geriatric Patient: A Case Report
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Strategic Use of Telescopic Retainers and Semi-rigid Precision Attachments in a Geriatric Patient: A Case Report

机译：老年患者中可伸缩保持器和半刚性精密附件的战略使用：一例报告

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摘要

The rehabilitation of medically compromised elderly patients with long span partially edentulous arches has been a tremendous challenge for dentists. Proper dental management requires a commitment to provide the best treatment despite the compromised oral conditions. The aim of this paper is to describe the prosthetic rehabilitation of an elderly patient who presented with chief complaints of gagging sensation while using upper denture, loose upper and lower dentures and difficulty in eating food. Patient was rehabilitated using removable partial denture with semi-rigid attachments in the maxillary arch and telescopic prosthesis in the mandibular arch. Use of semi precision attachments helped in increasing the retentive ability of the maxillary prosthesis, even in the presence of only few abutments. Fabrication of a telescopic denture is a technique sensitive procedure but it offers advantages like bilateral splinting effect in long span partially edentulous arches, reduced effective crown–root ratio, maintenance of proprioception and transfer of forces along the long axis of the abutments. Although the management was complex but it improved patient’s esthetics, oral function and social confidence.
机译：患有大范围部分无牙弓的医学受损老年患者的康复对牙医来说是巨大的挑战。适当的牙齿管理要求即使口腔条件受损也要提供最佳治疗。本文的目的是描述一位老年患者的假肢康复，该患者在使用义齿，上下义齿松动和进食困难时主要表现为呕吐感。使用可移动的局部义齿修复其上颌弓，并在上颌弓中使用半刚性附件修复患者。使用半精密附件有助于提高上颌假体的固位能力，即使在仅有几个基台的情况下也是如此。伸缩式义齿的制造对技术敏感，但具有以下优点：在大跨度部分无牙弓中具有双侧夹板效果，有效牙冠根比降低，本体感觉的维持以及沿基台长轴的力传递。尽管管理很复杂，但可以改善患者的审美，口腔功能和社会信心。

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