Dentures and periodontally involved teeth

Question 1

Acrylic vs cobalt chrome

Answer 1

CoCr less periodontally destructive but difficult to add to

acrylic more periodontically destructive but easy to add to

Question 2

partial denture design for periodontal health

Answer 2

connectors
crossing less gingival margins
reduce tissue coverage where possible

Question 3

partial dentures - key teeth to aim to keep

Answer 3

canines/premolars
lone standing molars

Question 4

transition to edentulism

Answer 4

partial denture wearing experience
bilateral free end saddle lower dentures

Question 5

consequences of providing no prosthesis for patients with advanced periodontal disease and tooth loss

Answer 5

often less damaging periodontically

BUT
lack of posterior support
increased tooth mobility of remaining teeth
lack of denture wearing experience

Question 6

consent - information to give patient

Answer 6

prognosis of remaining dentition
risks of dentures vs no dentures
benefits of dentures vs no dentures
remember to monitor and maintain remaining dentition
record discussion with patient in records