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Published in French in Tropical Dental Journal Volume 42 - June 2019 pages 19-37
Choice of precision attachments. Integration of mixed denture in oral medicine
Article Open access
Authors : O.N. Bandiaky, A.A. Kouadio, E.L.E. Didia, K.B. Djeredou, E.B. Mbodj, P. Le Bars - Senegal
Les besoins prothétiques mondiaux augmentent avec la proportion des édentés partiels ou subtotaux en relation avec le vieillissement. Bien que les options de traitements incluent des prothèses conjointes ou amovibles (avec ou sans implants), la prothèse composite associant prothèse amovible et prothèse fixée constitue, encore aujourd’hui, une solution thérapeutique largement utilisée en pratique clinique. Sa mise en œuvre nécessite l’utilisation des attachements de précision comme moyens de rétention. Ceux-ci sont nombreux et leur choix dépend de l’analyse raisonnée de la situation clinique, de leurs caractéristiques ainsi que des habitudes du praticien. Nous proposons une approche médicale adaptée à différents cas de figures traités dans cet article.
The global needs for removable prosthesis increase with the proportion of partial or subtotal edentulous in relation to aging. Although the treatment options include fixed or removable denture (with or without implants), the composite denture combining removable and fixed denture is still today a therapeutic solution widely used in clinical practice. Its implementation requires the use of precision attachments as means of retention. These are numerous and their choice depends to the reasoned analysis of the clinical situation, on their characteristics as well as the habits of the practitioner. We propose a medical approach adapted to different clinical cases reported in this article.
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