Pdfixa Curs 3

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PROTETIC DENTAR FIX :PROTETIC DENTAR FIX :EDENTAIA PARIAL PUNI DENTAREEDENTAIA PARIAL PUNI DENTARE

ANULANUL IIVVSEMESTRUL ISEMESTRUL I2ore/spt!"2ore/spt!"# $% & 2' ore# $% & 2' ore

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rest-"+*rest-"+*

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%* R-port(. o4.(-.*%* R-port(. o4.(-.*


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$* Cr+ter++ ,e -"-.+ pr+0+", s(port(.$* Cr+ter++ ,e -"-.+ pr+0+", s(port(.,e"top-ro,o"t-.,e"top-ro,o"t-.

Suportul dento-parodontalSu

portul dento-parodontal -s+6(r-s+6(r::

pos+7+.+t-te- s-( "( - re-.+r++ tr-t-e"t(.(+pos+7+.+t-te- s-( "( - re-.+r++ tr-t-e"t(.(+pr+" p("te8pr+" p("te8 ,(r-t- 9" t+p - .(4rr++8,(r-t- 9" t+p - .(4rr++8 pre0e"+re- 97o."0+r++ ,+"+.or 3+pre0e"+re- 97o."0+r++ ,+"+.or 3+

p-ro,o"+(.(+8p-ro,o"+(.(+8 pre0e"+re- reor7+e+ oso-se8pre0e"+re- reor7+e+ oso-se8 pre0e"+re- ,+-ro"++.or o4.(-.e*pre0e"+re- ,+-ro"++.or o4.(-.e*


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Sprijinul dento-parodontalSprijinul dento-parodontal

p("4t+5orp("4t+5or;st!.p .- o s+"6(r e#tre+t-te1 4orp ,e;st!.p .- o s+"6(r e#tre+t-te1 4orp ,ep("te 9" e#te"s+e


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E.-7or-re- p.-"(.(+ ter-pe(t+4 -. ("(+E.-7or-re- p.-"(.(+ ter-pe(t+4 -. ("(+

e,e"t-t p-r+-.e,e"t-t p-r+-.

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a) Morfologia radiculara) Morfologia radicularcare,care, 4( 4!t este4( 4!t este-+ 4op.e#1 4( -t!t 4o"5er o-+ 4op.e#1 4( -t!t 4o"5er o

re+ste"- -+ -re ,+"te.(+8re+ste"- -+ -re ,+"te.(+8


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bb))Implantarea dinilor depinde de ariaImplantarea dinilor depinde de aria

radicular util"radicular util";s(pr-5-- ,es53(r-t;s(pr-5-- ,es53(r-t

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D+"teD+"te M-#+.-rM-#+.-r M-",+7(.M-",+7(.I"4+s+0 Ce"tr-.I"4+s+0 Ce"tr-. 22 $$

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ApreciereaAprecierea

reacti$itiireacti$itii

parodontale se faceparodontale se face

prin e(amen clinic iprin e(amen clinic i

radiologicradiologic**

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(amenul radiologic pune *n(amenul radiologic pune *ne$iden+e$iden+

r-port(. re-.r-port(. re-.

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,+"te.(+*,+"te.(+*


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pres+("+.or -st+4-tor++ ;spr++"(.


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,estaurrie protetice fi(e,estaurrie protetice fi(etr-"s+t pres+("+.etr-"s+t pres+("+.e-st+4-tor++ os(.(+ 5+e pr+" +"tere,+(.-st+4-tor++ os(.(+ 5+e pr+" +"tere,+(.

dinilor naturalidinilor naturali3+3+parodoniuluiparodoniuluilorlor;spr++" ,e"to=p-ro,o"t-.


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,estaurri protetice fi(e demontabile i,estaurri protetice fi(e demontabile i

mobilizabilemobilizabile

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o4.(+e st-7+.o4.(+e st-7+.St-7+.+t-te- o4.(+e+ esteSt-7+.+t-te- o4.(+e+ estere.-t+0re.-t+0

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Pert(r7-tePert(r7-te

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P.-"(. ,e tr-t-e"tP.-"(. ,e tr-t-e"t

" pr-4t+4 "e 4o"5r("t -,eseor+ 4( e#+ste"- .- -4e.-3+" pr-4t+4 "e 4o"5r("t -,eseor+ 4( e#+ste"- .- -4e.-3+p-4+e"t - ,o( s-( 4>+-r tre+ t+p(r+ ,e so.(p-4+e"t - ,o( s-( 4>+-r tre+ t+p(r+ ,e so.(++ ,e++ ,e prote-re*prote-re*Ast5e.1 9" o"- 5ro"t-. po-te s e#+ste o rest-(r-re 5+#1Ast5e.1 9" o"- 5ro"t-. po-te s e#+ste o rest-(r-re 5+#1+-r 9" o"e.e ,e spr++" o rest-(r-re o7+.+-7+.1 4-re se+-r 9" o"e.e ,e spr++" o rest-(r-re o7+.+-7+.1 4-re se

-"4ore- ,e pr+- pr+" ,+5er+te +.o-4e ,e e"+"ere 3+-"4ore- ,e pr+- pr+" ,+5er+te +.o-4e ,e e"+"ere 3+spr++"* A4este s+t(-++ er-( 4("os4(te 9" tre4(t ,reptspr++"* A4este s+t(-++ er-( 4("os4(te 9" tre4(t ,reptso.(++ 4opo+te1 -st+ 5++", ,e"(+te rest-(rr+so.(++ 4opo+te1 -st+ 5++", ,e"(+te rest-(rr+>+7r+,e*>+7r+,e*

L- -.te 4-(r+ o rest-(r-re 5+# -6re6-t pe ,+"+ "-t(r-.+L- -.te 4-(r+ o rest-(r-re 5+# -6re6-t pe ,+"+ "-t(r-.+po-te 4oe#+st- 4( o rest-(r-re +p.-"to=protet+41 ,(ppo-te 4oe#+st- 4( o rest-(r-re +p.-"to=protet+41 ,(p4( o rest-(r-re 5+# -6re6-t pe +p.-"te po-te 4oe#+st-4( o rest-(r-re 5+# -6re6-t pe +p.-"te po-te 4oe#+st-

4( o prote o7+.+-7+. 9" o"- ,e spr++"*4( o prote o7+.+-7+. 9" o"- ,e spr++"*


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#nd se elaboreaz un plan de tratament%#nd se elaboreaz un plan de tratament%

specialistul trebuie s in cont de cel puin treispecialistul trebuie s in cont de cel puin trei

deziderate+deziderate+$< tr-t-e"t(. s 5+e 4!t -+ s+p.( 3+ e5+4+e"t8$< tr-t-e"t(. s 5+e 4!t -+ s+p.( 3+ e5+4+e"t8

2< pe"tr( 5+e4-re pro4e,(r s-( 0-r+-"t2< pe"tr( 5+e4-re pro4e,(r s-( 0-r+-"t

ter-pe(t+4 tre7(+e s ,+sp("e ,e o 7-ter-pe(t+4 tre7(+e s ,+sp("e ,e o 7-te>"+4o = -ter+-. -,e40-t8te>"+4o = -ter+-. -,e40-t8

)< ter-p+- tre7(+e s 5+e -,-pt-t -t!t .-)< ter-p+- tre7(+e s 5+e -,-pt-t -t!t .-

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Rest-(rr+.e protet+4e 5+#e s("t 4o"s+,er-teRest-(rr+.e protet+4e 5+#e s("t 4o"s+,er-tes+stee ,e +o7+.+-re ,e ,(r-t*s+stee ,e +o7+.+-re ,e ,(r-t*

" protet+4- 5+# (" ro. +port-"t re0+"e" protet+4- 5+# (" ro. +port-"t re0+"e+o7+.+r+.or pro0+or++1 4( pre4,ere 9"+o7+.+r+.or pro0+or++1 4( pre4,ere 9"4(rs(. ter-p+e+ preprotet+4e1 4!", e.e ,e0+"4(rs(. ter-p+e+ preprotet+4e1 4!", e.e ,e0+"

"e4es-re pe"tr( pre0e"+re- +6rr+.or ,e"t-re1"e4es-re pe"tr( pre0e"+re- +6rr+.or ,e"t-re1pe"tr( 5-4+.+t-re- 4>+(ret-(.(+ p("6+.orpe"tr( 5-4+.+t-re- 4>+(ret-(.(+ p("6+.orp-ro,o"t-.e 3+ st-7+.+-re- ,+"+.or 9"-+"te s-(p-ro,o"t-.e 3+ st-7+.+-re- ,+"+.or 9"-+"te s-(,(p pr-4t+4-re- -"opere.or ,e 4>+r(r6+e,(p pr-4t+4-re- -"opere.or ,e 4>+r(r6+ep-ro,o"t-.*p-ro,o"t-.*

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'lanul terapeutic al unei edentaii pariale'lanul terapeutic al unei edentaii parialeeste 4o",++o"-t pe .!"6 ("e.e 4o",+++este 4o",++o"-t pe .!"6 ("e.e 4o",+++6e"er-.e ,e:6e"er-.e ,e:

numrul dinilor restaninumrul dinilor restani11 dispoziia lor topografic pe arcaddispoziia lor topografic pe arcad 11 stopurile ocluzale pe care dinii restani lestopurile ocluzale pe care dinii restani le

realizeaz cu antagonitiirealizeaz cu antagonitii3+3+ statusul parodontalstatusul parodontal-. -4estor--. -4estor-

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Pos+7+.+t+ ,e rest-(r-re protet+4 - 7re3e.orPos+7+.+t+ ,e rest-(r-re protet+4 - 7re3e.or("+,e"t-re ;re,(se


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o"- ,e spr++" ;,


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Resor7+- -44e"t(-t - 4reste.or e,e"t-teResor7+- -44e"t(-t - 4reste.or e,e"t-te4oresp("to-re 7re3e.or 3+ r-po-rte.e o4.(-.e4oresp("to-re 7re3e.or 3+ r-po-rte.e o4.(-.e

"e5-0or-7+.e 4o"tr-+",+4 re-.+-re- ,e protee"e5-0or-7+.e 4o"tr-+",+4 re-.+-re- ,e proteep-r+-.e 5+#e*p-r+-.e 5+#e*

Rest-(r-re- ,e e.e4+e 9" -4este 4-(r+ esteRest-(r-re- ,e e.e4+e 9" -4este 4-(r+ este

5+e o rest-(r-re 5+# ,e"t-r o7+.+-7+. ;,e5+e o rest-(r-re 5+# ,e"t-r o7+.+-7+. ;,ee#ep.( pr+" s+ste te.es4op-te.et(. protee+ p-r+-.e 5+#e po-te 5+ p.-s-t 9"-5-r- -r4(.(+ 4reste+ e,e"t-te 5ro"t-.e1 +-r 9"-5-r- -r4(.(+ 4reste+ e,e"t-te 5ro"t-.e1 +-r 9"o"- ,e spr++" po-te +"4.(,e ("eor+ 3+ o 3e-o"- ,e spr++" po-te +"4.(,e ("eor+ 3+ o 3e-protet+4


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'osibiliti de restaurare a unor'osibiliti de restaurare a unor

bree cu trei dini lipsbree cu trei dini lips

'roteze'roteze

parialepariale

fi(efi(e:: 9" o"-9" o"-

5ro"t-.5ro"t-.;- 3+ 7


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S+t(-++ .++t ,e rest-(r-re 5+#S+t(-++ .++t ,e rest-(r-re 5+#pr+" p("+pr+" p("+

Op+("e-Op+("e-pe"tr( ope"tr( orest-(r-rerest-(r-re

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22 I t +t t .+ , + t +t t .+ 5 . +I t +t t .+ , + t +t t .+ 5 . +


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= s repro,(4 4( pre4++e 5or- -r4-,e.or ,e"t-re 8= s repro,(4 4( pre4++e 5or- -r4-,e.or ,e"t-re 8

= s o5ere 4e.e -+ pre4+se ,et-.++ pr+0+", re.+e5(. o4.(-.8= s o5ere 4e.e -+ pre4+se ,et-.++ pr+0+", re.+e5(. o4.(-.8- s 5+e t(r"-te ,+" 6>+ps(r+ ,(re pe"tr( - e0+t- e0e"t(-.es 5+e t(r"-te ,+" 6>+ps(r+ ,(re pe"tr( - e0+t- e0e"t(-.eeror+ ,-tor-te ((r++ -ter+-.(.(+8eror+ ,-tor-te ((r++ -ter+-.(.(+8

Re.+e5(. o4.(-. -. rest-(rr++ 5+#e 0- respe4t- pe 4e. -.Re.+e5(. o4.(-. -. rest-(rr++ 5+#e 0- respe4t- pe 4e. -.,+"+.or "-t(r-.+ rest-"+*,+"+.or "-t(r-.+ rest-"+*

Se 0- e0+t- re-.+-re- ("(+ re.+e5 o4.(-. -44e"t(-t -.Se 0- e0+t- re-.+-re- ("(+ re.+e5 o4.(-. -44e"t(-t -.rest-(rr++ 4!", ,+"++ "-t(r-.+ pre+"t (" re.+e5 3ters 3+rest-(rr++ 4!", ,+"++ "-t(r-.+ pre+"t (" re.+e5 3ters 3+++

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