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Romanian Journal of Oral Rehabilitation 2009,Numarul 1 Aspects Of Oral Pathology Involved In The Pro-Prosthetic Preparation Of The Partially Edentulous Patient

Aspects Of Oral Pathology Involved In The Pro-Prosthetic Preparation Of The Partially Edentulous Patient

Yves Commissionat, Norina Consuela Forna
Therefore, the partially extended edentation, including its extreme, definitive form “subtotal edentation” inducts into series of specific changes for the prosthetic level. AIM: The present study proposes testing the correlation between the partially extended edentation, the presence/absence of the removable prosthetic treatments and the presence of the oral mucosa lesions. MATERIAL AND METHOD. The studied batch included 202 clinical complex cases of partial / total edentation, with oral mucosa lesions, whose investigation steps imposed comparing clinical and paraclinical of the oral mucosa pathology and the hierarchization of the therapeutic works, which implied interventions on the mucosa or on the prosthetic treatments, therefore meaning adapting or remaking them. RESULTS AND DISCUSSIONS. Clinical examination revealed a more important traumatic ulcer in group of age 60-69 years (26 cases- 35.60%). These ulcers are small, painful, irregularly shaped lesions usually covered by a delicate gray necrotic membrane and surrounded by an inflammatory halo. If treatment is not instituted, there sometimes may be beginning proliferation of tissue around the periphery of the lesion on an inflammatory basis. The treatment for the traumatic denture ulcer consists in correction of the underlying cause: relief of the flange, removal of a tiny sequestrum or relief of high spots. CONCLUSIONS. The pathological state of extended partial edentation is a very common clinical case, frequently met in the dentistry praxis that integrates complex systemic alterations.


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