1.complete denture (power point)

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1.complete denture (power point)

  1. 1. Complete Denture Presented by: Dr. Shady A. M. NegmBachelors Degree School of Dentistry, Pharos University. 1
  2. 2. Indications for a Complete Denture• Extensive bone loss and periodontal disease• Gross decay or abscesses• Edentulous patient• Lack of financial resources for alternative treatments• Patient refused partial dentures• Gross decay or abscesses 2
  3. 3. Appointments for a Complete DentureHistory Taking & Examination Try – in Primary impression Denture delivery Final impression First follow-up Jaw relationship Adjustments 3
  4. 4. History Taking, Examination & recording theInformation 4
  5. 5. History Taking, Examination & recordingthe Information • 1. Main Complaint(s) • 2. History of the main complaint • 3. Social History • 4. Dental History • 5. Medical History • 6. Habits • 7. Radiographic examination • 8. Extra-oral & Intra-oral examination • 9. Treatment Plan 5
  6. 6. Primary impression 6
  7. 7. Primary impression• Step 1: Selection of trays• Step 2: Modification the trays• Step 3: Impression taking• Step 4: Evaluation of the impressions• Step 5: Disinfection 7
  8. 8. Final Impressions 8
  9. 9. Final Impressions• Step 1: Evaluation of special tray• Step 2: Adjusting the tray• Step 3: Impression taking• Step 4: Evaluation of the impressions• Step 5: Disinfection 9
  10. 10. Jaw Relationship 10
  11. 11. Jaw Relationship• Step 1: Seating the patient• Step 2: Evaluating the laboratory work• Step 3: Posterior palatal seal (post dam)• Step 4: Tissue support• Step 5: Vertical dimensions• Step 6: Assess the recording• Step 7: Disinfection 11
  12. 12. Try-in Appointment 12
  13. 13. Try-in Appointment• Step 1: Trial denture evaluation• Step 2: Assessment on the articulator• Step 3: Assessment in the mouth• Step 4: Jaw relationship• Step 5: Phonetics• Step 6: Appearance• Step 7: Disinfection 13
  14. 14. Delivery Appointment 14
  15. 15. Delivery Appointment• Step 1: Evaluating the laboratory work• Step 2: Evaluation of the fitting surfaces• Step 3: Evaluation of the occlusion• Step 4: Correction of the occlusion• Step 5: Re-evaluation of aesthetics• Step 6: Final polishing• Step 7: Patient instructions 15
  16. 16. First follow-up• Step 1: Assessment of the patient• Step 2: Extra-oral assessment• Step 3: Intra-oral assessment• Step 4: Adjustment 16
  17. 17. Denture Complaints• 1. Pain• 2. Appearance• 3. Inefficient chewing• 4. Poor retention (maxillary denture)• 5. Instability (mandibular denture)• 6. Clicking teeth• 7. Nausea, gagging or retching• 8. Discomfort• 9. Altered speech• 10. Biting cheek & tongue• 11. Food under the denture• 12. Lower denture cannot be worn 17
  18. 18. Adjustments 18
  19. 19. Denture Relines, Adjustments, and Repairs 19
  20. 20. 20

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