Prothetische vervanging van afwezige gebitselementen. Indicaties voor vaste en uitneembare prothetische constructies

Abstract

Prosthetic replacement of missing teeth aims to improve health. This can be achieved by improving the patient's well-being and quality of life and by restoring the biological balance in terms ofocclusal and mandibular stability in the occlusal and the orofacial system. In occlusal systems with a complete anterior region and 'satisfactory' premolar and molar regions, prosthetic replacement of missing teeth is not indicated generally. In case ofa restricted number of missing teeth in the anterior region and/or a not 'satisfactory' premolar region, fixed dental prostheses may be indicated. In case of an incomplete anterior region and no 'satisfactory'premolar as well as molar regions, removable dental prostheses are usually indicated. These guidelines are presented in the absence of sufficient scientific evidence. Therefore, in clinical decision making, the question whether prosthetic replacement of missing teeth is sensible, and if so, by which type of dental prosthesis, can only be answered after a dialogue with mutual respect between care provider and patient.