Prosthodontics III: Prosthodontics III Complete Denture

Introduction A. Definition of Terms B. Aims of Complete Denture Restoration C. Indication and Contraindications of Complete Denture D. Procedures in complete Denture Construction: An Over View E. Intraoral Landmarks of Completely Edentulous arches

A. Definition of Terms::
Prosthetics- The art and science of supplying artificial replacements. Replacements for missing parts of the human body Prosthesis An artificial replacement of an absent part of human body A therapeutic device to improve or alter function A device used to aid I accomplishing a desired surgical result. Prosthodontics- Branch of dentistry pertaining to the restoration and maintenance of oral function comfort, appearance and health of the patients by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial replacement

Branches of Prosthodontics :
Fixed Prostodontics Removable Prosthodontics Partial Prosthodontics Complete Denture Prosthodontics Implant Prosthodontics Maxillofacial Prosthetics Fixed Prosthodontics- The branch of prosthodontics concerned with the replacement and/ or restoration of teeth by artificial substitutes that are not readily removed from the mouth Removable Prosthodontics The branch of prosthodontics concerned with the replacement of teeth and contiguous structures for edentulous or partially edentulous patients by artificial substitutes that are readily removable from the mouth. Implant Prosthodontics -The phase of prosthodontics concerning the replacement of missing teeth and/ or associated structures by restorations that are attached to dental implants. Maxillofacial Prosthetics The branch of prosthodontics pertaining to the restoration and/ or replacement of the stomatognathic and associated structures with prostheses that may or may not be removed on a regular or elective basis.

Types of Prostheses :
A prosthesis which replaces the one or more teeth and related structures in the mouth. May be partial or complete, fixed or removable. Partial Denture. A dental prosthesis which restores part but not all of the dentition. May be fixed or removable. Fixed Partial denture. A partial denture that is luted or otherwise securely retained to natural teeth, tooth roots and/or dental implant abutments that furnish the primary support for the prosthesis. Removable partial denture Any prosthesis that replaces the teeth in partially dentate arch. It can be removed from the mouth and replaced it will. Complete Denture. A removable denture prosthesis that replaces the entire dentition and associated structures of the maxillae or mandible Prosthesis- Artificial replacement of an absent part of a human body. A device used to aid in accomplishing a desired surgical result for functional and cosmetic purposes. Dental Prosthesis- Artificial replacement of missing dental and oral structure used for function, cosmetics, and phonetics. Prosthetist- Person skilled in prosthetics and practicing its application. Prosthodontist- Dentist that specializes in Prosthodontics.

B. Aims of Complete Denture Restoration:

Elimination of oral disease Replacement of local or missing teeth to restore function, esthetics and phonetics. Maintenance of the health of teeth and oral tissues and their proper relationship.

C. Indication and Contraindications of Complete Denture:

C. Indication and Contraindications of Complete Denture

PowerPoint Presentation:
Indication: Complete Edentulous Maxillary and Mandibular Ridges Complete Edentulous Maxillary or Mandibular ridges Patients whose prognosis of remaining teeth is poor

PowerPoint Presentation:
Contraindication: Medically Compromised patient Medically Handicap patient Infected socket after tooth extraction Necrosis of bone (diabetes) Abscesses, ulcers, and cyst Embedded and Impacted Roots and teeth Tumors Any Inflammatory condition that would incorporate by the irritation of the complete denture.

D. Procedures in Complete Denture Construction: An Overview:

D. Procedures in Complete Denture Construction: An Overview

PowerPoint Presentation:
Oral Diagnosis Case History/Diagnosis and Treatment planning 2. Preliminary impression 3. Study cast 4. Individual tray construction 5. Border molding 6. Final impression 7. Boxing 8. Master cast construction 9. Make Trial Record Base

PowerPoint Presentation:
9. Make Occlusion Contour Rims on TRB 10. Registration of Vertical Jaw Relation 11. Registration of Horizontal Jaw Relation 12. Shade Selection 13. Pontic Size/Mold/Artificial teeth selection 14. Mounting 15. Setting of artificial teeth 16. Waxing and Feestooning 17. Trial fitting of Wax Denture 18. Final Denture Delivery

PowerPoint Presentation:
Flasking, filing, packing and curing Removing of processing errors Finishing of dentures Denture delivery in the mouth Perfecting occlusion of teeth Instruction to the patient in use and care of denture First and subsequent adjustment of denture Recalling patient for periodic check up and adjustment service

1. Oral Diagnosis:
1. Oral Diagnosis

PowerPoint Presentation:
1. Oral Diagnosis

PowerPoint Presentation:
Clinical Complete

2. Preliminary Impression:
2. Preliminary Impression

3. Fabrication of Study cast:

3. Fabrication of Study cast

4. Individual tray:
4. Individual tray

5. Border Molding:
5. Border Molding

6. Final Impression:
6. Final Impression

9. Trial Record Base:

9. Trial Record Base

10. Occlusion Contour Rim:

10. Occlusion Contour Rim

11. Vertical Jaw Relation:

11. Vertical Jaw Relation

12. Horizontal Jaw Relation:

12. Horizontal Jaw Relation

13. Shade selection/ Pontic size:

13. Shade selection/ Pontic size

15. Mounting:
15. Mounting

Setting:
Setting

Waxing and Festooning:

Waxing and Festooning

17. Trial Fitting:

17. Trial Fitting

Delivery of Denture:
Delivery of Denture

PowerPoint Presentation:
E. Intraoral Landmarks of Completely Edentulous arches

PowerPoint Presentation:
UPPER LANDMARKS

SUPPORTING SRUCTURES OF MAXILLARY:

SUPPORTING SRUCTURES OF MAXILLARY Residual Ridge Primary stress bearing area Covered with a layer of fibrous C.T that is firmly attached. Rugae Secondary stress bearing area If tissue distorts while making impression, it can rebound & unseat the denture.

PowerPoint Presentation:
Residual Ridge

PowerPoint Presentation:
Hard palate It forms the secondary retentive area. Maxillary tuberosity Hypermobile tuberosity may interfere with the stability of the denture. Zygomatic process Must be relieved when prominent to prevent soreness.

LIMITING STRUCTURES OF MAXILLARY:

LIMITING STRUCTURES OF MAXILLARY Labial vestibule Provides valve seal It affects the appearance of the px. Buccal vestibule Contributes to the peripheral seal Accommodate the buccal flange of the denture.

PowerPoint Presentation:
Labial vestibule Buccal Vestibule

PowerPoint Presentation:
Hamular notch Marks the posterior limit of the denture. Additional pressure can be placed in the mouth. Fovea Palatine Serves as an ideal guide for the location of posterior border of the denture.

PowerPoint Presentation:
Hamular Notch

RELIEF STRUCTURES OF MAXILLARY:

RELIEF STRUCTURES OF MAXILLARY Incisive papilla To prevent pressure on the emerging nasopalatine nerves Median palatine raphe pressure can lead to soreness & severe pain. If not adequately relieved it can act as a fulcrum print w/c leads to rocking of dentures.

PowerPoint Presentation:
Incisive Papilla Median palatine raphe

PowerPoint Presentation:
Labial Frenum failure to relieve frenum can lead to irritation. Recorded as a narrow notch in the impression called labial notch.

PowerPoint Presentation:
Buccal frenum Recorded in the impression as buccal notch.

PowerPoint Presentation:
LOWER LANDMARKS

SUPPORTING STRUCTURE OF MANDIBULAR:

SUPPORTING STRUCTURE OF MANDIBULAR Residual ridge Secondary stress bearing & relief area. Buccal shelf Primary stress bearing area. Mylohyoid ridge Determines the height of lingual flange Often hidden by soft tissues & can be found by palpation.

LIMITING STRUCTURES OF MANDIBULAR:

LIMITING STRUCTURES OF MANDIBULAR Labial vestibule Forms part of valve seal area & accommodates labial flange of the denture. Buccal vestibule Forms valve seal & accommodates buccal flange of md. Denture. Retromolar Pad Forms part of a valve seal.

PowerPoint Presentation:
Retro Molar Pad Labial Vestibule

PowerPoint Presentation:
Retromylohyoid curtain Accommodates distolingual part of a denture. It forms part of peripheral valve seal. Alveololingual Sulcus Allows room for action of mylohyoid muscle & allows the tongue to rest on flange aiding retention.