For some patients the best way to accommodate their lack of hygienic practice is to remove things that promote biofilm, plaque, and eventual calculus. The contour, color, and emergence profile of teeth are attended to, just not the selective stippling and micro gingival anatomy.
As much as I would like to place all the bells and whistles into each appliance I fabricate, a wise Swiss master dental technician reminded a class I took, “the prosthetic is for the patient, not the soul of the technician”.
