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    سمنار صناعة اسنان

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    drfatimahzahraa
    The document discusses the process for creating an immediate denture including diagnostic steps, impressions, record bases and occlusion rims, surgical procedures, insertion, and post-operative care instructions. Key steps include extractions with or without alveoloplasty, border molding, impressions using alginate or other materials, constructing master casts, recording jaw relations, extracting teeth during surgery, and advising soft foods and ice packs for the first 24 hours.

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    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd

    سمنار صناعة اسنان

    Uploaded by

    drfatimahzahraa
    13 views26 pages
    The document discusses the process for creating an immediate denture including diagnostic steps, impressions, record bases and occlusion rims, surgical procedures, insertion, and post-operative care instructions. Key steps include extractions with or without alveoloplasty, border molding, impressions using alginate or other materials, constructing master casts, recording jaw relations, extracting teeth during surgery, and advising soft foods and ice packs for the first 24 hours.

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    The document discusses the process for creating an immediate denture including diagnostic steps, impressions, record bases and occlusion rims, surgical procedures, insertion, and post-operative care instructions. Key steps include extractions with or without alveoloplasty, border molding, impressions using alginate or other materials, constructing master casts, recording jaw relations, extracting teeth during surgery, and advising soft foods and ice packs for the first 24 hours.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    13 views26 pages

    سمنار صناعة اسنان

    Uploaded by

    drfatimahzahraa
    The document discusses the process for creating an immediate denture including diagnostic steps, impressions, record bases and occlusion rims, surgical procedures, insertion, and post-operative care instructions. Key steps include extractions with or without alveoloplasty, border molding, impressions using alginate or other materials, constructing master casts, recording jaw relations, extracting teeth during surgery, and advising soft foods and ice packs for the first 24 hours.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 26

    IMMEDIATE DENTURE

    PRESENTED BY:
    FATIMAH ZAHRAA AHMED
    Diagnostic steps must include
    -Good oral hygiene
    - Patient's systemic condition
    - Full dental history
    - Periodontal condition
    - Radiographic examination
    - Diagnostic cast
    - - In the diagnosis step you have to decide type
    - of surgical procedure, ID can be constructed
    with one of the surgical procedure:-
    - 1. Extraction of teeth only
    - 2. Extraction of teeth with alveoloplasty
    Impression:
    Primary impression
    -Ideal impression material is accurate,minimal tissue
    displacement, not requiring many equipment, and not
    time consuming.
    -Select perforated stock tray, contour the
    tray by using wax or compound, mix
    alginate and load in the tray, pour an
    impression and construct diagnostic cast.
    Final impression
    1-single full arch custom tray:
    This technique can be used for
    conventional ID &the only tray used for
    interim ID
    -Special tray is fabricated and covering
    the denture bearing area and remaining
    teeth, by using the cold cure acrylic resin,
    &the handle is attached in the anterior
    region.
    -Check special tray in the patient mouth.
    -Border molding of the edentulous area.
    -Take impression by alginate for the
    edentulous area and remaining teeth.
    -Pour impression and construct the
    master cast.
    Final impression
    Two trays or sectional impression tray
    (Split impression technique
    Fabricate special tray for edentulous area
    only,
    &the handle can be placed on the palatal
    surface. Border molding, make
    impression for edentulous area by ZOE,
    silicon remove impression after setting
    and remove excess material, replace the
    impression in
    the patient mouth, select proper stock
    tray and make an overall impression.
    Remove the impression as one unit&
    pour the impression and fabricate master
    cast
    Record base and occlusion rim:
    Jaw relation
    If the ID complete; leave first
    premolars bilaterally to maintain
    vertical
    &horizontal relations &facilitate
    recording of the jaw relations.
     Doing that by using record bases and
    occlusion bite rims , and the vertical
    dimension recorded , centric relation is
    recoded also and transferring to
    articulator in the normal procedure
    used with complete or partial denture.
    Surgical procedure &insertion:

    1. Examine the patient intra-orally to check for any changes.


    2. extraction of the teeth .
    2.removal of the associated interseptal bone and reducing the
    undercut .
    3.collape ( squeezing ) of the labial cortical plate of the bone .
    4.insertion of the clear acrylic template to check if bone removal
    has been
    sufficient .
    5.further bone removal ,if necessary, until re-insertion of the
    template cease to
    cause blenching .
    6.suturing the socket and insertion of the denturemediate denture
    Postoperative Care and Patient
    Instructions
    First 24 hours :The patient should avoid rinsing, avoid drinking hot liquids or
    alcohol, and not remove the ID(s) during the first 24 hours. Because
    inflammation, swelling, and discoloration are likely to occur, their partial
    control
    can be helped with ice packs (20 minutes on, 20 minutes off) on the first day.
    Because of swelling, premature removal of the immediate denture could make
    its reinsertion impossible for 3 to 4 days or until reduction of swelling. In
    addition, If swelling occurs and the denture can be reinserted, the amount of
    sore spots created will be increased.
    Analgesic medications are prescribed as required. Patients should be alerted
    to
    expect minimal blood on their pillow during the first night
     The diet for the first 24 hours should be liquid or soft, if tolerated.

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