CLINICAL AND FUNCTIONAL RATIONALE FOR AN INDIVIDUALIZED APPROACH TO RE-PROSTHODONTIC TREATMENT OF PATIENTS WITH COMPLETE EDENTULISM OF THE MANDIBLE
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Objective: The aim of the study was to improve the clinical effectiveness of repeat prosthetic treatment through the implementation of a personalized technique for functional shaping of the denture-bearing area, taking into account the morphofunctional characteristics of the tissues. Method: The study included 72 patients with complete edentulism of the mandible, 50 of whom sought repeat prosthetic treatment. Two groups were formed: one used conventional dentures with standard custom trays, and the other applied a modified technique with selective functional modeling, involving differentiated pressure and adjustment of denture borders. Results: The individualized approach significantly improved denture retention and stability, shortened the adaptation period, and reduced complaints about soreness and prosthesis instability. Functional impression formation with selective modeling led to enhanced clinical outcomes. Novelty: The novelty of the study lies in the personalized approach to functional impression formation, which incorporates varied pressure depending on tissue resilience and muscle dynamics, leading to better denture retention and patient satisfaction.
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