Journal of the California Dental Association

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Prosthodontic Treatment Planning: Current

Practice, Principles, and Techniques

To cite this article: (2003) Prosthodontic Treatment Planning: Current Practice, Principles,
and Techniques, Journal of the California Dental Association, 31:4, 311-313, DOI:
10.1080/19424396.2003.12224166

To link to this article: https://doi.org/10.1080/19424396.2003.12224166

Published online: 15 Mar 2023.

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introduction
c da j o u r n a l , vo l 3 1 , n º 4

Prosthodontic Treatment
Planning: Current Practice,
Principles, and Techniques
Roy T. Yanase, DDS

T
Contributing reating the prosthodontic treatment planning for patients who need
Editor patient has its challenges and prosthetic therapy?” While some references
Roy T. Yanase, DDS, is a
rewards. Prosthodontic treat- may seem redundant, they only reflect the
clinical professor of ment planning has progressed effect of the current literature on applications
continuing education from an emphasis on planning of the principles reported. Dentistry’s experi-
and advanced for immediate dentures to immediate ence with long-term success of endodon-
prosthodontic loading of implants. Even with today’s tics, periodontics, and implant dentistry is
education at the
University of Southern
extended average lifespans, patients expressed in the presentations discussing
California School of expect to keep their teeth for a lifetime. when an implant may be better suited for a
Dentistry. He has been Dentistry has followed new technology prosthetic abutment than a restored tooth.
co-director of the USC into the future to provide excellence in
Odontic Seminar for 15 prosthodontics and restorative dentistry. 50 Years of Prosthetic Dentistry
years and has a private
prosthodontic practice
Concepts and materials have been The first guest editorial in the Journal of
in Newport Beach, Calif. developed to help simplify the treatment for Prosthetic Dentistry more than 50 years ago
esthetic procedures, implants, and removable cautioned future contributors and editors to
and fixed prostheses. Selection of appropri- be aware of the hazards of magic, work jug-
ate restorative materials requires knowledge gling, authority, and emotion.1 The Journal
of the latest techniques and options. It is of Prosthetic Dentistry has used the power
the challenge of all dental journal editors to of progress to develop better problem-solving
present the most current information to their techniques for the prosthetic patient.
readers. In that first issue, Hughes and Asel-
The faculty of the University of Southern tine outlined mouth preparations for the
California New Odontic Seminar has selected transition from natural teeth to dentures.2,3
the 25 years of documented dental treatment Swenson identified two factors important
of patient “AK” (see following article) as a in complete denture service -- a favorable
foundation on which to base discussion of the attitude and favorable oral and residual ridge
concepts and technology that have developed conditions.4 Bliss identified psychological fac-
in prosthodontic treatment planning. Each tors to consider for patients about to lose their
of the contributing authors was asked, “What natural teeth.5 Hardy outlined the develop-
are your thoughts retrospectively if you ment of various tooth forms,6 and Schultz
were to treat the patient AK’ in your practice offered cast gold as a method of increasing
today?” And, since all dentists are challenged chewing efficiency with complete dentures.7
with evidence-based treatment planning, Pound emphasized that esthetics and the
each author was also asked “On what occlusal vertical dimension can be established
evidence in the literature do you base your by phonetics.8 Most importantly, Kyes called

a p r i l 2 0 0 3   31 1
 introduction
c da j o u r n a l , vo l 3 1 , n º 4

for more communication between the dental both the objectives and possible limitations dentists, studying together, to participate
technician and dentist to produce excellent of the treatment the other will provide to and provide a predictable and safe treatment
dentures.9 ensure optimal care for the totally edentulous modality for a greater number of patients.33
The U.S. Surgeon General’s Report on patient.”16 A multitude of preprosthetic pro- Advanced education is possible to allow single
Oral Health identified the opportunities cedures that developed aimed at solving the practitioners to train in both surgical and re-
for dentistry on behalf of the nation’s oral problems of the edentulous mandible.17,18 storative disciplines and practice solo implant
health.10 With the acceleration of science The emphasis changed from one dentist dentistry. During this process of education,
into clinical practice, the report highlights being responsible for the ultimate success of the standard of care in restorative dentistry
the assessment of risks and benefits and the implant surgery and implant restoration to relies on the blend of fixed, removable, im-
education of patients about oral health. The that of a shared responsibility for surgical and plant, and maxillofacial prosthetic dentistry
report makes it imperative for health profes- restorative phases. principles and appliances. The standard care
sionals to ensure appropriate referrals to Having completed the first replication in surgical protocols requires a thorough
practitioners in various areas of health care. of Brånemark’s work and convinced of its understanding of prosthodontic treatment
For the totally and partially edentulous pa- scientific merits, in 1982, Zarb organized the planning principles, placement, and the man-
tient, the introduction of the art and science first conference on osseointegration in North agement of complications following implant
of osseointegration has changed diagnosis America.19 The conference underscored the placement. The new paradigms in treatment
and treatment planning with documented intimate ties that linked research, educa- require a fresh look at the probability of short-
effective and successful treatment options. tion, and clinical practice; and the public was and long-term complications of grafting and
to receive the benefits of implant dentistry pre-implant procedures as well. A complete
From Implantology to Implant safely, predictably, and effectively. Since that review of the available options and the
Dentistry time, a series of symposia has been organized benefits and risks of treatment is essential for
The use of implants in dentistry can be to bring together the research, development, informed consent or informed refusal of the
traced to Central and South America, Egypt, and applications that document continued proposed treatment.34-37
and even prehistoric times.11 Early implantol- benefits and success of implants in clinical References
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To request a printed copy of this article, please contact/
Roy T. Yanase, DDS, 1441 Avocado Ave., Suite 508, Newport
Beach, CA 92660.

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