Introduction to COMPLETE DENTURE LESSON ONE
Two. Removable Prosthodontics
A. Partial Denture Prosthodontics
B. Complete Denture Prosthodontics
Three. Maxillofacial Prosthodontics
Four. Implant Prosthodontics
Functions of a Complete Denture
Three. Patient with remaining natural teeth that can serve as overdenture abutment
Two. Mentally handicap patient
Surfaces of Complete Dentures
Parts of a Complete Denture:
Summary of Actions of the Muscles of Mastication
Bones Involved in the TMJ
Five. Preservation of Remaining Oral Structures
Six. Maintenance of Oral Health and Comfort
Six Orders of Residual Ridge Reduction
Three Important Qualities for a Denture to Function Properly:
Physical Forces in Denture Retention
Three. Interfacial Surface tension
Factors affecting adhesion
Three. Interfacial Surface Tension
Four. Atmospheric pressure
Factors Affecting the Physical Forces in Denture Retention
Three. Intimacy of Contact
Mechanical Aids in Denture Retention
Two. Over-denture Attachments
Secondary Retentive Features and other Factors Affecting Denture Retention
Two. Shape of the denture borders and flanges
Four. Border moulding (muscle trimming)
Eight. Psychological Factor
Stability - Resistance to laterally oriented dislodgment forces
One. Size and form of the tissue-ridge morphology
Two. Quality of final impression
Four. Muscle control of the patient
Factors involved in the support of the denture
Zygomatic Process (Malar Process)
Buccal Frenum - Maybe single or double, broad or fan shape - Relief area
Posterior Palatal Seal Area
DIAGNOSING THE COMPLETELY EDENTULOUS PATIENT
Soft Tissue Reaction to Denture Wearing
Causes of Mucosal Irritation
Classifications of Denture Stomatitis: Newton's Classification
Management of Denture Stomatitis:
Soft tissue conditioner/liner
Long term denture wearers:
Management of Angular Cheilitis:
Four. Denture Irritation Hyperplasia (Epulis Fissuratum)
Preventive Measures and Management
Two. Nutritional deficiency
DATA COLLECTION AND RECORDING
Three. History of Present Illness
Medical Conditions Directly Affecting the Mouth
Medical Conditions Directly Affecting the Mouth
Medical Conditions Directly Affecting the Mouth
Mental Health and Attitude
Five. Past Dental History
LESSON Four History and Clinical Examination
Lip Length (long, medium, short)
Neuromuscular Coordination Classification
Hard Palate Classification
Arch Relationship Classification
Residual Ridge Classification
Thin serous (favorable for denture retention)
Types of Preprosthetic Procedures:
Four. Conditioning of Patient's Musculature
Conditions that Affect the Bony Foundation
Indications for Removal of Torus
Maxillary Tuberosity Reduction
Maxillary Tuberosity Reduction (osseous)
Pendulous fibrous maxillary tuberosities
Soft tissue plasty/recontouring
Three. Procedures to Improve Ridge Relationship
Anatomy of supporting structures
Classification based on arch form (House)
Classification of hard palate according to shape
Zygomatic process (malar process)
Pterygomaxillary (hamular) notch
Crest of residual alveolar ridge
Slopes of the residual ridge
Histology: mucosa is less keratinized and loosely attached
Band of fibrous connective tissue
Alveololingual sulcus (lingual vestibule)
Impression Theories and Techniques
Objectives of impression taking
Classification of impression techniques
Heavy bodied material (Impression compound)
One. Pressure theory (Mucocompressive or definite pressure)
Two. Minimal pressure theory (mucostatic or nonpressure or passive technique)
Two. Minimal pressure theory (mucostatic or nonpressure or passive technique)
Two. Minimal pressure theory (mucostatic or nonpressure or passive technique)
Three. Selective pressure theory
Three. Selective pressure theory
Selection of impression material
Based on its prosthodontic use:
Preliminary impression material
Final impression material
Selection of impression tray
Classification of impression trays
Preliminary impression (primary impression)
A Clinical Review of Spacer Design for Conventional Complete Denture
Spacer Materials Used Over the Years
Space requirement for impression materials:
Methods of border molding
Sequence of border molding
Border molding with stick compound
Anterior area (Area "C") is molded by the following:
Posterior palatal seal Area "D"
Sequence of border molding
Purpose of vent hole/ scape holes:
Selection of impression material
Trim and Disinfect the impression
Impression technique for Hypermobile Ridges
Window Tray Impression Technique
Window Tray Impression Technique
Window Tray Impression Technique
Window Tray Impression Technique
LESSON Seven RECORD BASES
POURING THE FINAL IMPRESSION
Suitable for alginate impressions
MASTER CAST (DEFINITIVE OR FINAL CAST)
RECORD BASE (Transfer base, trial denture base, temporary denture base)
REQUIREMENTS OF RECORD BASE
Occlusion rims (Record rims, bite rims, occlusal rims)
Occlusion rims (Record rims, bite rims, occlusal rims)
Arrangement of artificial teeth
Establishing maxillomandibular Relations
Buccal corridor: space between the buccal surface of the posterior teeth and the inner surface of the cheeks
Shade of Teeth and Buccal Corridor Space
Establishing level and inclination of the occlusal plane
Occlusal plane - the plane at which the upper and lower teeth meet during occlusion. One. Method one - using maxillary occlusion rim
Establishing occlusal plane using the maxillary occlusion rim
Establishing occlusal plane using the maxillary occlusion rim
Establishing occlusal plane using the mandibular occlusion rim
Vertical relations (dimension)
Vertical relations (dimension)
Physiologic method of determining vertical relation
Physiologic method of determining vertical relation
Physiologic method of determining vertical relation
Willis method (facial proportion)
Effects of increased vertical dimension
Scribing guide lines on the wax occlusion rims
Reevaluating previous procedures:
The SEAL area at the posterior border of a maxillary removable complete denture
BOUNDARIES OF POSTERIOR PALATAL SEAL
TECHNIQUES OF RECORDING THE POSTERIOR PALATAL SEAL
B. Physiologic techniques
EXTENDED PALATAL TECHNIQUE (SILVERMAN)
EXTENDED PALATAL TECHNIQUE (SILVERMAN)
TROUBLE SHOOTING THE RECORDING OF THE POSTERIOR PALATAL SEAL
TROUBLESHOOTING: OVER EXTENDED
TROUBLESHOOTING: UNDER EXTENDED
TROUBLESHOOTING: UNDER POST-DAMMED
TROUBLESHOOTING: OVER POST-DAMMED