Prothèse amovible complète (ou totale)
*Professeur - Praticien hospitalier
10, rue de Liège
Nombreux sont les sujets totalement édentés présentant des rapports de crêtes très défavorables résultant de fortes résorptions et d'états de pro ou de rétromandibulie. La complexité des problèmes posés et leur solution sont évoquées en développant des artifices de montage des dents prothétiques qui permettent, de nos jours, de satisfaire les demandes esthétiques de patients exigeants tout en respectant la fonction.
The concern which is shown by our contemporaries to maintain an apparent youth makes particularly tricky the mounting of the prosthetic teeth in complete removable denture. As a matter of fact, the patients who were in a connection of normocclusion when they had their natural teeth and who have kept good crestal connections often express their desire for a better support of the upper lip, which leads to the setting of the incisor-canine group in a far back position more important than that which the natural teeth occupied, transforming thus those cases of natural normocclusion into cases of retrognathism. On the opposite, with the increase of life expectancy and the wearing of iatrogenic prostheses, other patients who presented some connections of normocclusion in natural denture end in crestal connections in prognathism after a state of strong reabsorption following a centripetal phenomenon at the maxillary level and centrifugal at the gnathic level. That's why it seems particularly interesting today to master some mounting devices which can satisfy the aesthetic and function in complete removable denture in the cases of retrognathism and prognathism whether it was the situation of the patient or not when he/she had his/her natural teeth. The specifics of these mountings are set out from criteria of classical mounting in normocclusion.