Tratamiento Protésico para Pacientes Edéntulos

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Inside front cover
Prosthodontic Treatment for Edentulous Patients
Copyright page
Dedication
Contributors
Preface
Acknowledgments
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Table of Contents
I The Patient
1 The Edentulous State
Historical Context and Current Considerations
Biomechanical Support for the Natural Dentition
Biomechanical Support Mechanisms for Complete Dentures
Mucosal Support and Masticatory Loads
The Residual Ridges
Natural and Prosthetic Dental Occlusion: Functional and Parafunctional Considerations
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II Treatment Options
5 History Taking, Treatment Planning, and Improving Denture-Bearing Areas for Edentulous Patients
On History Taking and Treatment Planning for Edentulous Patients
The First Visit
Patient Attitude
General Health and Dental History
Treatment Planning
Social and Behavioral Information
Psychological Considerations
Systemic Health Status
Extraoral Examination
Temporomandibular Joint
Cheeks and Lips (Fig. 5-1)
Intraoral Examination
Mucosa (Figs. 5-2 and 5-3)
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III The Materials Used
7 Materials Used in the Management of Edentulous Patients
Impression Materials
Nonelastic Impression Materials
Impression Plaster
Zinc Oxide Eugenol (ZOE) Impression Paste
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Dental Impression Compound (Types I and II)
Important Considerations for Proper Use of Impression Compound
Elastic Impression Materials
Hydrocolloids
Agar (Reversible Hydrocolloid).
Composition and Manipulation of Agar (Box 7-5).
Alginate (Irreversible) Hydrocolloid Material (Box 7-6).
Technical Considerations in the Manipulation of Alginates
Elastomeric Impression Materials
Recommended Technique for Final Elastomeric Impressions
Points of Importance When Handling Elastomers
Polysulfide Rubber
Condensation Silicone (Box 7-8)
Addition Silicones (Box 7-9)
Polyether Impression Materials
Disinfection of Elastomeric Impression Materials
Summary of Impression Material
Polymeric Denture Base Materials
Technical Considerations and Properties of Denture Base Resins
Heat-Activated PMMA
The Polymerization Cycle.
Denture Base Porosity.
Rapid-Cure Type Resins
The Bond Between Heat-Cured Denture Bases and Resin Denture Teeth
Biocompatibility of Methacrylate-Based Resins
Residual Monomer Content
Radiopacity of Denture Bases
Injection Molding Technique
Chemically Activated Resins (Box 7-13)
Pour or Fluid Resin Technique
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IV Clinical Protocols for Diverse Treatment Scenarios
8 Maxillary and Mandibular Substitutes for the Denture-Bearing Area
Anatomy Of Supporting Structures
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V Clinical Protocols Specific to Implant-Retained and Implant-Supported Prosthodontic Management
16 The Science of Osseointegration
Osseointegrated Interface
Factors That Determine Success and Failure of Osseointegration
Implant Biocompatibility
Implant Design
Implant Surface
Host Bed
Surgical Technique
Loading Conditions
Summary
Bibliography
17 Implant Overdentures
General Overdenture Treatment Considerations
Inclusion and Exclusion Criteria
Presurgical Evaluation and Treatment Planning
Surgical Protocol and the Osseointegration Phase
Prosthodontic Protocol
Guidelines for Selecting Attachment Systems
Indications for Ball or Magnetic Attachments
Indications for Bar Attachments
Implant Overdenture Design
Clinical and Laboratory Procedures
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VI Additional Considerations in the Management of Edentulous Patients
23 The Impact of Socioeconomic, Cultural, and Technological Changes and the Notion of Standards of Care and Alternative Protocols
Standards Of Care
Minimum Acceptable Protocols
An “Appropriatech” Method For Complete Dentures In Four Clinical Sessions
First Clinical Session
Impressions
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Index
A
B
C
D
E
F
G
H
I
J
K
L
M
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