When part of the natural dentition is lost, the integrity of the masticatory system is altered. Also altered is the persons ability to chew and digest foods. Importantly, this partial toothless person must have sufficient adaptive capacity to withstand chewing forces without causing further breakdown in the overall oral system. this reserve capacity is especially important when the dentist intervenes with a restoration (fixed or removable bridge) of the masticatory system. The long term success of the restoration can be predicted considering the total residual area of support for the prosthesis, the patients home care and habits, including parafuntional habits. It is unclear at what point a partially edentulous person, restored with either a fixed (tooth or dental implant supported) or removable partial denture, fails to adapt and the prosthesis fails.
Paul L. Caputo, DDS3490 E Lake Rd S Suite A