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

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Diagnosis and
Treatment plan for
Complete Dentures
INDIAN DENTAL ACADEMY
Leader in continuing Dental Education

CONTENTS
 Objectives
 Evaluation of the patient
 Extra oral Examination
 Intra oral Examination
 Treatment plan
 Investigations
 Conclusion
 Bibliography

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.

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

EVALUATION OF THE PATIENT
 Name
 AGE
 SEX
 OCCUPATION
 GENERAL HEALTH
 DENTAL HISTORY

NAME
 For the purpose of communication and
identification.
 Most patients liked to be called by their
name, this has a psychological effect as well.

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

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.

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.

Address
 It is recorded for communication with the patient.

EXAMINATION PROCEDURE
The examination must be routine,
preplanned,and orderly so as not to
miss something.

MATERIALS
The materials needed are a
Good light,
Dental mirror,
2 X 2 gauze,
Dental explorer.

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

PERSONALITY
According to House’s classification: Mental
Attitude are of four types
Philosophical
Exacting
Hysterical
Indifferent

Philosophical

Exacting

Hysterical

Indifferent

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

DENTAL HISTORY
 Year of edentulous
 Reasons for tooth loss
 Denture wearing experience
 Pre extraction records.

Extra oral Examination

Face form

Face profile by Angle

Muscle tone
 According to House, is classified as
a)Class-I
b)Class-ll
c)Class--lll

Lips
1
 It is checked to assess for
1. Vermillion border
2.Support
3.Mobility
4.Length
5.Thickness.

Frenum
 According to House
 In maxilla as
a.High
b.Medium
c. Low.
In mandible as
a. Low
b. Medium
c. High.

Intra oral Examination

Arch size
 It determines the amount of basal
seat for denture foundation
 It can be classified as
1. Large
2. Medium
3. small

Arch form by House

Torus
 Location
 Problems
 Treatment .

INTERRIDGE DISTANCE

RIDGE PARALLELISM

RIDGE RELATIONSHIP

SOFT PALATE

Palatal sensitivity by House
 It is classified as
1. Normal
2. Hyposensitive
3. Hypersensitive

LATERAL THROAT FORM

Saliva
 Serous
 Mucous.

Bibliography
 Prosthodontic treatment for edentulousProsthodontic treatment for edentulous
patient-patient-
BoucherBoucher
 Syllabus of Complete Denture-Syllabus of Complete Denture-
HartwellHartwell
 Essentials of complete denture-Essentials of complete denture-
WinklerWinkler
 Complete Denture Prosthodontics-
John J SharryJohn J Sharry

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