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(Metaux Precieux, Neuchatel, Switzerland) and 5. Krol AJ. RPI (rest, proximal plate, I bar) clasp retainer and its
modifications. Dent Clin North Am 1973;17:631-49.
a tungsten carbide fissure bur (HM460 FX; Mei- 6. Kratochvil FJ. Influence of occlusal rest position and clasp design on
singer, Düsseldorf, Germany) (Fig. 1). movement of abutment teeth. J Prosthet Dent 1963;13:114-24.
5. Place the previously made thermoformed matrix 7. Stern WJ. Guiding planes in clasp reciprocation and retention. J Prosthet
Dent 1975;34:408-14.
onto the prepared diagnostic cast. With a hot 8. The glossary of prosthodontics terms. 7th ed. J Prosthet Dent 1999;81:
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which overlay the prepared guiding planes. 9. Krikos AA. Preparing guiding planes for removable partial dentures.
J Prosthet Dent 1975;34:152-5.
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12. Owen P. Fundamentals of removable partial dentures. 2nd ed. Cape Town
through the matrix (Dr Thomson’s Sanitary Color (South Africa): University of Cape Town Press; 2000. p. 41-4.
Applicators; Great Plains Dental Products Co,
Kingman, Kan) (Fig. 2). Retain the matrix intra- Reprint request to:
DR DUSAN KUZMANOVIC
orally and prepare parallel guiding planes by DEPARTMENT OF ORAL DIAGNOSTIC AND SURGICAL SCIENCE
recontouring marked proximal surfaces of the SCHOOL OF DENTISTRY
abutment tooth using a diamond bur (837-014; 280 GT KING ST.
UNIVERSITY OF OTAGO DUNEDIN
SS White, Piscataway, NJ). NEW ZEALAND
FAX: +64 3 479 6530
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A survey of the use of mandibular implant overdentures in 10 countries
Noteworthy Abstracts Carlsson GE, Kronström M, de Baat C, Cune M, Davis D, Garefis P, Heo SJ,
of the Jokstad A, Matsuura M, Närhi T, Ow R, Pissiotis A, Sato H, Zarb GA. Int J
Current Literature Prosthodont 2004;17:211-7
Purpose. This preliminary international survey compared provision of implant-retained overdentures to fixed
implant-supported prostheses for edentulous mandibles.
Materials and Methods. Questionnaires based on a 2001 Swedish study were sent to prosthodontists and
specialist clinics in nine additional countries.
Results. Response rate varied from 53% to 100% in 10 national surveys and should allow careful comparison of
results. The relationship between implant overdentures and fixed implant-supported prostheses in treatment of
edentulous mandibles varied much; in Sweden, the proportion of overdentures was 12%, whereas it was 93% in
the Netherlands. In all countries, the most common reason for choice of the overdenture was reduced cost. In
all but two countries, the majority of respondents thought that patients with implant overdentures were equally
or more satisfied with overdentures as those with fixed implant-supported prostheses.
Conclusion. There were great differences among the 10 countries in choice of implant treatment of the
edentulous mandible. The relative proportion of mandibular overdentures to fixed prostheses was low in
Sweden and Greece and varied from one to two thirds in the other countries, except the
Netherlands.—Reprinted with permission of Quintessence Publishing.
AUGUST 2004 201
