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Medical Forum / General / Dentistry / January 2005

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Metal or resin partials?

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James E. - 23 Jan 2005 23:06 GMT
In your experience in placing thousands of partial dentures, which kind
results in the highest degree of patient satisfaction: Cast metal, or resin
(Valplast or Flexite)

Why?

Thank you

Signature

James
-

Krzysztof Polanowski - 24 Jan 2005 00:00 GMT
Its depends on treatment situation, teeth position, gum situation, alergy,
anatomical situation, your expectation, money situation

Its almost impossible to answer :))
regards K.Polanowski
> In your experience in placing thousands of partial dentures, which kind
> results in the highest degree of patient satisfaction: Cast metal, or
[quoted text clipped - 3 lines]
>
> Thank you
James E. - 24 Jan 2005 00:43 GMT
So, just because the cast metal partials are more expensive, does not
necessarily mean that they are generically superior and preferred by most
people?

James
-
> Its depends on treatment situation, teeth position, gum situation, alergy,
> anatomical situation, your expectation, money situation
[quoted text clipped - 8 lines]
>>
>> Thank you
Steven Bornfeld - 24 Jan 2005 02:55 GMT
> So, just because the cast metal partials are more expensive, does not
> necessarily mean that they are generically superior and preferred by most
> people?
>
> James

    Lab fees for Valplast, Flexi-plast and the like are at least as high as
for cast frame partials.  The biggest advantages of the flexible -base
partials is that there are no metal clasps.  Acrylic-base partials are
generally somewhat less expensive than cast frame partials, but they
still generally have wire clasps.  A difference between the flexible and
acrylic base partials on the one hand and the cast frame partials on the
other is that while the first two get a proportionally greater amount of
support from the soft tissues, and correspondingly less support from the
teeth.  This sometimes means less stress on the teeth (usually a good
thing) but more movement of the bases.  Cast frames are generally more
stable, and also less bulky, but obtain much of their increased
stability from the teeth.
    Pick your poison.

Steve

> -
>
[quoted text clipped - 11 lines]
>>>
>>>Thank you
Joel M. Eichen - 24 Jan 2005 13:38 GMT
>> So, just because the cast metal partials are more expensive, does not
>> necessarily mean that they are generically superior and preferred by most
[quoted text clipped - 5 lines]
>for cast frame partials.  The biggest advantages of the flexible -base
>partials is that there are no metal clasps.

Disadvantage of Valplast is the crud factor.

They look bad in a few years.

>  Acrylic-base partials are
>generally somewhat less expensive than cast frame partials, but they
[quoted text clipped - 25 lines]
>>>>
>>>>Thank you
James E. - 24 Jan 2005 16:30 GMT
Hello Joel

Can you elaborate: What is the "crud factor".

Thanks

Signature

James
-

>
>>> So, just because the cast metal partials are more expensive, does not
[quoted text clipped - 42 lines]
>>>>>
>>>>>Thank you
Joel M. Eichen - 24 Jan 2005 17:35 GMT
>Hello Joel
>
>Can you elaborate: What is the "crud factor".
>
>Thanks

Valplast suffers from cruditis.

They accumulate bacterial growth and even provide a special cleaning
solution to reduce the cruditis.

Valplast International distributes a concentrated denture cleaner
which can be used for daily and periodic deep cleaning.

MORE ABOUT Valplast:

http://www.greenvilledentallab.com/techniques.html

******************************************

Recommendations for Patient Care:
Like any removable prosthesis, the patient should be instructed to
utilize good hygienic practices to maintain the appearance and
cleanliness of the Valplast® restoration.  The prosthesis should be
soaked overnight at least three nights a week in a good denture
cleaner.  Or, the patient may immerse the case in a strong denture
cleaner daily for about 10-15 minutes.  The case should be rinsed and
brushed before reinserting it in the mouth.

Valplast International distributes a concentrated denture cleaner
which can be used for daily and periodic deep cleaning.  The cleaner
is available from Valplast International and many processing
laboratories.

For further information, contact us at Greenville Dental Lab!  Our
contact information is located at
http://www.greenvilledentallab.com/contactus.html.
Joel M. Eichen - 24 Jan 2005 17:41 GMT
>Hello Joel
>
>Can you elaborate: What is the "crud factor".
>
>Thanks

Its similar to this:

Cruditis ........ errrrr Crudites.

Raw vegetables cut into bite-sized strips and served with a dip

Crudites
Mark & Steven Bornfeld DDS - 24 Jan 2005 20:11 GMT
> Disadvantage of Valplast is the crud factor.
>
> They look bad in a few years.

    Some of them turn this nice orangey color.  Oh, and they are very
expensive to alter or repair.

Steve

>> Acrylic-base partials are
>>generally somewhat less expensive than cast frame partials, but they
[quoted text clipped - 25 lines]
>>>>>
>>>>>Thank you

Signature

Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001

Joel M. Eichen - 24 Jan 2005 13:37 GMT
>So, just because the cast metal partials are more expensive, does not
>necessarily mean that they are generically superior and preferred by most
>people?

This is relative.

The laboratory bill for Valplast is as high as or higher than a nice
vitallium/acrylic partial dentuire.

>James
>-
[quoted text clipped - 10 lines]
>>>
>>> Thank you
Joel M. Eichen - 24 Jan 2005 13:36 GMT
>In your experience in placing thousands of partial dentures, which kind
>results in the highest degree of patient satisfaction: Cast metal, or resin
[quoted text clipped - 3 lines]
>
>Thank you

Vitallium plus acrylic attachments for normal cases.
Krzysztof Polanowski - 24 Jan 2005 22:55 GMT
of course if the cast partial was done properly
In reality the cast partial is invasive method .I mean about teeth
preparation to point strength of bite apt into the bone.

If dentist is making frame work without it  the idea of frame work is lost.I
call it metal drop denture :)))

Discussion what kind of dentures is better without any clinical informations
is useless

>>In your experience in placing thousands of partial dentures, which kind
>>results in the highest degree of patient satisfaction: Cast metal, or
[quoted text clipped - 6 lines]
>
> Vitallium plus acrylic attachments for normal cases.
 
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