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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