Introduction to removable prosthodontics(new)

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Introduction to removable prosthodontics(new)

  1. 1. Introduction to Removable Prosthodontics Dr. Feras Aalam
  2. 2. Prosthodontics: Removable Prosthodontics Part A: Removable Partial Denture Part B: Removable Complete Denture
  3. 3. Key Terms <ul><li>Abutment </li></ul><ul><li>Anatomical </li></ul><ul><li>Baseplate </li></ul><ul><li>Bite rim </li></ul><ul><li>Border molding </li></ul><ul><li>Centric occlusion </li></ul><ul><li>Connectors </li></ul><ul><li>Denture base </li></ul><ul><li>Framework </li></ul><ul><li>Muscle trimming </li></ul><ul><li>Non-anatomical </li></ul><ul><li>Overdenture </li></ul><ul><li>Partial dentures </li></ul><ul><li>Prostheses </li></ul><ul><li>Relined </li></ul><ul><li>Rests </li></ul><ul><li>Retainer </li></ul><ul><li>Vertical dimension </li></ul>
  4. 4. Part A: Removable Partial Dentures <ul><li>Replaces one or more teeth in one arch </li></ul><ul><li>Retained and supported by underlying tissues and remaining teeth </li></ul>Study models Photographs Visual aids Radiographs Treatment plan Consultation appointment
  5. 5. Advantages of a Removable Partial Less expensive than fixed prostheses Proper occlusal plane is maintained Fewer intraoral procedures than fixed pros. May support periodontally involved teeth Stabilizes the arches Restores function when no distal teeth present Restores long span of lost dentition Easier for good oral hygiene of abutments Easily repaired and adjusted
  6. 6. Contraindications for a Partial Lack of sufficient number of natural teeth properly located in the arch Lack of teeth with adequate root support to retain the appliance Rampant caries or gross periodontal conditions of remaining teeth Poor oral hygiene with no motivation to improve oral conditions
  7. 7. Components of a Partial Denture
  8. 8. Metal Frameworks
  9. 9. Appointments for a Partial Denture Exam Consultation Final impressions Try-in and adjustment Delivery Adjustments Partial Denture
  10. 10. Part B: Removable Complete Denture <ul><li>Edentulous patient </li></ul><ul><li>Denture supported by alveolar bone and oral mucosa </li></ul>
  11. 11. Indications for a Complete Denture Lack of financial resources for alternative treatments Patient refused partial dentures Edentulous patient Gross decay or abscesses Lack of motivation or ability to maintain teeth Extensive bone loss and periodontal disease
  12. 12. Components of a Complete Denture Complete denture Non-anatomical teeth Anatomical teeth Flange Saddle Denture base
  13. 13. Appointments for a Complete Denture Examination Consultation Oral surgery Final impressions Jaw relationship Denture delivery First follow-up Adjustments
  14. 14. Final Impressions <ul><li>Impression compound </li></ul><ul><li>Border molding </li></ul><ul><li>Muscle trimming </li></ul>
  15. 15. Construction of Complete Dentures <ul><li>Baseplate </li></ul><ul><ul><li>Represents denture base </li></ul></ul><ul><li>Bite rim </li></ul><ul><ul><li>Simulates space provided by height of teeth </li></ul></ul><ul><li>Vertical dimension </li></ul><ul><ul><li>Occlusal relationship </li></ul></ul>
  16. 16. Jaw Relationship Set-up <ul><li>Baseplates and bite rims </li></ul><ul><li>Centric occlusion </li></ul><ul><ul><li>Retrusion </li></ul></ul><ul><ul><li>Protrusion </li></ul></ul><ul><ul><li>Lateral movement </li></ul></ul><ul><li>Vertical dimension </li></ul><ul><li>Shade </li></ul><ul><li>Mold </li></ul>
  17. 17. Try-in Appointment <ul><li>Denture teeth mounted in wax </li></ul><ul><li>Evaluate </li></ul><ul><ul><li>Esthetics </li></ul></ul><ul><ul><li>Retention </li></ul></ul><ul><ul><li>Comfort </li></ul></ul><ul><ul><li>Speech articulation </li></ul></ul>
  18. 18. Delivery Appointment <ul><li>Immediate dentures </li></ul><ul><ul><li>Extractions and alveoplasty </li></ul></ul><ul><li>Evaluation </li></ul><ul><li>Adjustments </li></ul><ul><li>Instructions </li></ul><ul><ul><li>Insertion and removal </li></ul></ul><ul><ul><li>Daily maintenance </li></ul></ul>
  19. 19. Denture Relines, Adjustments, and Repairs
  20. 20. Assessment Questions <ul><li>What does the bite rim simulate? </li></ul><ul><li>Vertical dimension, or the height of the teeth. </li></ul><ul><li>What is the term for not having any teeth? </li></ul><ul><li>Edentulous. </li></ul><ul><li>What happens to the bone following tooth extractions? </li></ul><ul><li>The bone will shrink and resorb. </li></ul>
  21. 21. Thank you
  22. 22. Summary of the lecture <ul><li>Key Terms </li></ul><ul><li>Types of fixed prosthetics and materials </li></ul><ul><li>Procedures performed during fixed and removable prosthodontics </li></ul><ul><li>Considerations for fixed crowns and bridges, partial dentures, and complete dentures </li></ul><ul><li>Construction of prostheses </li></ul><ul><li>Partial and complete denture components relines, and adjustments </li></ul>
  23. 23. Removable Prosthodontics <ul><li>Learning Objectives </li></ul><ul><li>1. Define the Key Terms. </li></ul><ul><li>2. Explain the reasons for removable </li></ul><ul><li>prostheses. </li></ul><ul><li>3. List the components of a partial denture. </li></ul><ul><li>4. Describe the consultation appointment for a removable prosthesis. </li></ul><ul><li>5. Explain the difference between a removable partial and a complete denture. </li></ul>
  24. 24. <ul><li>Learning Objectives </li></ul><ul><li>6. Describe the appointment steps for a partial denture and a complete denture. </li></ul><ul><li>7. Explain denture reline, repair, and adjustment procedures. </li></ul><ul><li>8. Demonstrate partial denture final impressions and delivery. </li></ul><ul><li>9. Demonstrate a jaw relationship and a denture relining procedure. </li></ul>Removable Prosthodontics
  25. 25. Implants and Overdentures Advantages Disadvantages

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