Diagnosis and treatment plan for complete dentures-1 /certified fixed orthodontic courses by Indian dental academy

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The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.

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Diagnosis and treatment plan for complete dentures-1 /certified fixed orthodontic courses by Indian dental academy

  1. 1. DIAGNOSIS AND TREATMENT PLAN FOR COMPLETE DENTURES INDIAN DENTAL ACADEMY Leader in continuing dental education www.indiandentalacademy.com www.indiandentalacademy.com
  2. 2. CONTENTS         Objectives Evaluation of the patient Extra oral Examination Intra oral Examination Treatment plan Investigations Conclusion Bibliography www.indiandentalacademy.com
  3. 3. Introduction   Evaluation of pt for complete denture should be through and well documented. Check list provides better understanding of • Problems • Anatomy • Treatment goals • Improved care of patients. www.indiandentalacademy.com
  4. 4. OBJECTIVE S  List the requirements of a first patient visit.  Describe and discuss the effects of aging  Be familiar with various methods of rehabilitating prosthodontic patients www.indiandentalacademy.com
  5. 5. EVALUATION OF THE PATIENT       Name AGE SEX OCCUPATION GENERAL HEALTH DENTAL HISTORY www.indiandentalacademy.com
  6. 6. NAME  For the purpose of communication and identification.  Most patients liked to be called by their name, this has a psychological effect as well. www.indiandentalacademy.com
  7. 7. AGE Record chronological age whenever possible When the exact information is unobtainable, an estimate may be made and age listed as "under 40", "40 to 60 years", and "over 60 years". The significance of the age from the prosthodontist standpoint is in the ability of a patient to wear dentures successfully. Two main factors present themselves  Adaptability  Physiological Condition of Supporting Structures www.indiandentalacademy.com
  8. 8. SEX   Esthetics and of the influence of Sex hormones on the supporting structures. Unlike men, women may regard appearance even above the efficient functioning of the replacement teeth. In the second consideration, normal physiologic change decrees that women undergo menopause, a period productive of many problems which mitigate against easy denture construction. www.indiandentalacademy.com
  9. 9. OCCUPATION People generally making public appearances, such as artists, actors, salesmen, public speakers, singers, teachers, etc., are particularly concerned with the esthetics and phonetics of replacements. while tradesmen, mechanics, or laborers, etc., are concerned with functional efficiency. People like beauticians, who open bobby pins with their teeth, might place leverage on the front of the CD and cause problems of function; i.e. retention. www.indiandentalacademy.com
  10. 10. Address  It is recorded for communication with the patient. www.indiandentalacademy.com
  11. 11. EXAMINATION PROCEDURE The examination must be routine, preplanned,and orderly so as not to miss something. www.indiandentalacademy.com
  12. 12. MATERIALS The materials needed are a Good light, Dental mirror, 2 X 2 gauze, Dental explorer. www.indiandentalacademy.com
  13. 13. Extra oral Examination The clinical examination of the patient should begin with a general overall evaluation of the individual. Observe the patient as she/he walks to the dental chair. This is known as Gait. Attitude may be readily ascertained as in the patient who will not make eye to eye contact and who may look the other way. This is known as Mental Attitude. The medical and dental history should be reviewed before the examination begins www.indiandentalacademy.com
  14. 14. PERSONALITY According to House’s classification: Mental Attitude are of four types Philosophical Exacting Hysterical Indifferent www.indiandentalacademy.com
  15. 15. Philosophical www.indiandentalacademy.com
  16. 16. Exacting www.indiandentalacademy.com
  17. 17. Hysterical www.indiandentalacademy.com
  18. 18. Indifferent www.indiandentalacademy.com
  19. 19. Chief complaint    The chief complaint is recorded in patients own words. Pt should be questioned regarding his/her cc 1. The response allows the practitioner to assess whether the pt expectations are realistic 2. The response provides information regarding the patients psychological classification As a guide, remember that without a www.indiandentalacademy.com
  20. 20. DENTAL HISTORY     Year of edentulous Reasons for tooth loss Denture wearing experience Pre extraction records. www.indiandentalacademy.com
  21. 21. Extra oral Examination www.indiandentalacademy.com
  22. 22. Face form www.indiandentalacademy.com
  23. 23. Face profile by Angle www.indiandentalacademy.com
  24. 24. Muscle tone  According to House, is classified as a)Class-I b)Class-ll c) Class--lll www.indiandentalacademy.com
  25. 25. Lips 1  It is checked to assess for 1. Vermillion border 2. Support 3. Mobility 4. Length 5. Thickness. www.indiandentalacademy.com
  26. 26. Frenum According to House  In maxilla as a. High b. Medium c. Low. In mandible as a. Low b. Medium c. High.  www.indiandentalacademy.com
  27. 27. Intra oral Examination www.indiandentalacademy.com
  28. 28. Arch size   It determines the amount of basal seat for denture foundation It can be classified as 1. Large 2. Medium 3. small www.indiandentalacademy.com
  29. 29. Arch form by House www.indiandentalacademy.com
  30. 30. Torus    Location Problems Treatment . www.indiandentalacademy.com
  31. 31. INTERRIDGE DISTANCE www.indiandentalacademy.com
  32. 32. RIDGE PARALLELISM www.indiandentalacademy.com
  33. 33. RIDGE RELATIONSHIP www.indiandentalacademy.com
  34. 34. SOFT PALATE www.indiandentalacademy.com
  35. 35. Palatal sensitivity by House  It is classified as 1. Normal 2. Hyposensitive 3. Hypersensitive www.indiandentalacademy.com
  36. 36. LATERAL THROAT FORM www.indiandentalacademy.com
  37. 37. Saliva  Serous  Mucous. www.indiandentalacademy.com
  38. 38. Bibliography     Prosthodontic treatment for edentulous patientBoucher Syllabus of Complete DentureHartwell Essentials of complete dentureWinkler Complete Denture Prosthodonticswww.indiandentalacademy.com John J Sharry
  39. 39. www.indiandentalacademy.com Leader in continuing dental education www.indiandentalacademy.com

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