3. Functional stability= denture usage
Stability during
fonation:
The denture does not
move disturbingly from
the mucosal-bony base
during fonation ,mouth
opening and closing,
swallowing, articulation
in connection with
fonation
Stability during
mastication:
The denture does not
move disturbingly from
the mucosal-bony base
during mastication and
articulation in
connection with
mastication
4. 1. Clinical anatomy features
I. The size of the mucosal bony base that
is suitable for bearing mastication forces
II. The height of the edentulous alveolar
ridge
III. Retential areas
IV. Neuromuscular forces
5. The useable place which can bear the
masticatory pressure
Alveolar process is the edentulous alveolar
ridge after losing natural teeth.
In case of severe resorption the body of the
mandibule is covered by the base of the
denture.
The height of the alveolar process will inhibit
the horizontal displacement of the denture.
6. The useable place which can bear the
masticatory pressure
Upper arch: 3937 mm2
Lower arch: 1770 mm2
It is approximately equal with the polished
surface of the baseplate
This area play an important role in keeping
denture in place
7. The size of the mucosal bony base, that is suitable
for the retention of the denture, influence:
Effectiveness of the physical forces
Mastication force that loads the mucosal bony
base (24-25 N)
8. 1. Clinical anatomy features
III. Retentional areas
on the upper jaw:
Maxillary tuber
High and curved
quadrangular shaped
ridge
Undercut area between
the buccal frenules in
the vestibule
9. 1. Clinical anatomy features
III. Retentional
areas on the lower
jaw:
Lingual fossa
10. 1. Clinical anatomy features
III. Retentional
areas on the lower
jaw:
Edentulous ridge:
totally preserved high
ridge
11. 1. Clinical anatomy features
IV. Neuromuscular forces:
The surrounding muscles and active and
passive muscle functions have the most
important stabilizing effect
The oral mucosa (bucca, lips, tongue) and
the underlying musculature touch and
load the polished surface of the denture
with various forces during mastication (20-
30 N)
13. I. Capillary pressure (upper/lower):
Surface tension of the saliva between the
denture baseplate and the mucosa
Adhesion: connecting force between unlike
molecules (mucosa-saliva)
Cohesion: connecting force between alike
molecules (saliva-saliva)
If the saliva film is thinner, the force of
retention will be better
Lack or overproduction of saliva affect
negatively for retention
14. II. Ventill effect (upper/lower):
Seal the border of the
denture
Vacuum is created under the
denture base
Inner ventill effect:
The border of the denture is
sinked into the mobile
mucosa
Outter ventill effect:
Connection between the
mucosal surface of the
denture and the
15. III. Gravity (lower)
Casted metal base
Casted metal arteficial teeth
Max.:32-35 g
The excessive loading cause atrophy
Masticatory pressure:
Natural dentition: 120-140 Kpa
Edentulous: 20-30 Kpa
16. IV. Masticatory pressure:
The denture stability by masticatory forces
depends on the occlusal pattern of the
arteficial posterior teeth:
Anatomical arteficial posterior teeth:
Different OV width
Angle between the slope of the cusp and
horizontal plane is different (20-45 degree)
Material can be ceramic or acrilic
It has always shifter effect
It cause horizontal displacement of the
denture
17. 2. Physical forces
Non-anatomical arteficial posterior teeth:
It has stabilizing effect
Mechanical occlusal-surfaced molar:
the occlusal surface is non-anatomical
the vestibular, oral and approximal surfaces are
anatomical
Mechanical molar:
it is not compare of the natural teeth
21. 2. Conclusion of physical forces
Prosthetic function is more important than
cosmetic ones in the posterior region:
Stabilization of the denture
Protection of the mucosal bony base
Better mastication
22. 3. Retention aid
Denture fixative:
Unfavourable situations
Nervus system disorders
Surgical or congenital defects
Shortening initial learning period
23. Retention aid
Microvalves, denture adhesives (Corega)
Suction disc (don’t use it)
Denture spring (don’t use it)
Grooves cut into the palate of the master cast