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KMID : 1004520120280030309
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Journal of Dental Rehabilitation and Applied Science
2012 Volume.28 No. 3 p.309 ~ p.318
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A Case Report and Review on Cross-Arch Fixed Partial Denture with Severely Reduced Periodontal Tissue Support
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Oh Sang-Chun
Kim Yu-Jin
Kim Min-Jeong
Kim Yun-Sang
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Abstract
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In advanced stages of periodontal disease, a lot of the periodontal tissue support are usually lost. The tissue destruction
around some teeth is progressed to a level which requires either spontaneous exfoliation or extraction of several teeth due
to their excessive mobility. In such cases, a comprehensive treatment plan encompassing the adequate periodontal and
maintenance therapy, as well as perio-prosthetic treatment involving occlusal equilibration, is needed in order to restore
health, function, and esthetics. Cross-arch fixed partial dentures(CAFPDs), one of the perio-prosthetic treatments, are used to stabilize the teeth with severely reduced periodontal tissue support. Unfortunately, however, a little is known about the occlusal scheme and biomechanical concept of CAFPDs. This paper will demonstrate summaries of the trauma from
occlusion(TFO), Ante’s law revisited, the treatment principles, the role of occlusion, and the long-term consequences for
CAFPDs, and the possibility of CAFPDs through a case presentation.
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KEYWORD
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reduced periodontal tissue support, perio-prosthetic treatment, Cross-arch fixed partial dentures
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