Shivam Katyal

Planning and executing the restorative rehabilitation of a decimated occlusion is probably the most intellectual and demanding tasks faced by a restorative dentist. Numerous writings and recommendations have been made over the subject of occlusion and it is still very unclear to majority of practicing dentists. During all the phases of the treatment, decisions must be made by the dentist, concerning whole of the complex area of occlusion including the TMJs and the muscles surrounding the oro-facial complex. The dentists must be aware of the requirements of an ideal occlusion, so that, the restoration that is aimed for is not only better in esthetics, it is better even in its functional form and is also in harmony with entire somatognathic system. We must remember that all patients can not be successfully treated with a single preconceived treatment philosophy. Satisfactorily restoring a patient to a state of physiologic health is a challenge that requires a clinician to have the skill to accurately diagnose, plan and ultimately execute an affective treatment.

Loss of teeth causes difficulty in mastication and speaking which requires replacement to provide lost function and esthetics as well as psychological benefit.A prosthodontist must combine his skills in the field of Prosthodontics, Periodontics and Restorative dentistry to restore a dentition effectively. He must be capable of making an accurate diagnosis, which includes condition of remaining teeth, their supporting structures, occlusal relationship of teeth and articulation of jaws. All these factors play a very important role in replacement of missing teeth by prosthesis that include precision attachments. Unfortunately, most often precision attachments are chosen from descriptions in commercial catalogues. A dentist must base his techniques on both sound biological principles and mechanical considerations. Then precision attachment becomes what it should be, a beautiful example of bio-engineering that will be compatible with the continuing health of masticatory apparatus. I hope that this book will help the reader anticipate problems, overcome obstacles and master the basic technique of attachment retained denture construction - the rest will follow.