Abstract

Before fabrication of a fixed prosthesis, the clinician routinely ensures that (1) both the hard tissue and the soft tissue foundation for the prosthesis are solid; (2) the teeth are firm with minimal pockets or bone loss, and (3) the periodontal apparatus surrounding the abutments is capable of supporting a prosthesis. When the treatment plan for a patient involves a removable device, however, the health of the supporting apparatus is not always considered. This dichotomy between fixed and removable prosthetic care results from many factors, including the recognition that a fixed prosthesis will fail if the supporting structure is not in optimal shape, but a removable prosthesis will function (although poorly) even with insufficient or inadequate support. Laser procedures that resculpt both the hard and osseous supporting structures of a full or partial denture can significantly enhance the success rate of removable prostheses.

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