23.trial denture appointment

23. Trial Denture Appointment John Beumer III, DDS, MS and Robert Duell DDS Division of Advanced Prosthodontics, Biomaterials and Hospital Dentistry UCLA School of Dentistry This program of instruction is protected by copyright ©. No portion of this program of instruction may be reproduced, recorded or transferred by any means electronic, digital, photographic, mechanical etc., or by any information storage or retrieval system, without prior permission.

Now you are ready for the wax try in! ,[object Object],Trial Denture Appointment

Trial Denture Appointment* ,[object Object],[object Object],[object Object],[object Object],[object Object],* These procedures must be performed in the sequence listed above .

Methods of Assessing the VDO ,[object Object],[object Object],[object Object],[object Object]

Closest Speaking Space ,[object Object],[object Object],[object Object],[object Object]

Prove the CR Record ,[object Object],[object Object],[object Object],This patients centric relation is incorrect

[object Object],[object Object],[object Object],Proof of Mounting-CR Record

Tips for making records a) Recline the chair back, this will help retrude the mandible b) Stabilize mandibular base with your index fingers with the thumbs under the mandible (bimanual technique) c) Rehearse closing with the patient d) Have patient gently close into the compound just short of tooth contact . Verifying the CR Record

[object Object],Centric Relation Record

Proving the Record ,[object Object],[object Object],[object Object],The articulator must close in the hinge position without condylar displacement

Protrusive Record ,[object Object],[object Object],[object Object]

Setting the Condylar Inclination ,[object Object],[object Object]

Setting the Condylar Inclination ,[object Object],[object Object],Orange insert 20 ° condylar inclination Note space remaining

Setting the Condylar Inclination Black Insert 30 ° condylar inclination Fits perfectly into position & completely fills the space

Facial support affected by: ,[object Object],[object Object],[object Object]

Facial support affected by: Note the contour of the vermillion border region. Without teeth With teeth

Phonetic Evaluation ,[object Object],Fricative sounds Patient should be able to make a clear “f” and “v” sound with the maxillary incisal edges against the lower lip.

Phonetics - Sibilants During the production of the “s” or “z” sound: a) The anterior and posterior teeth should not touch b) There should be no hissing or air loss

Anterior Tooth Arrangement Normal arrangement Mesiolingual rotation Diastema

[object Object],Anterior Characterization

What do you see in this setup? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],Denture Esthetics

Arrangement of mandibular anterior teeth ,[object Object]

Posterior Palatal Seal Posterior Nasal Spine Velum Glandular tissue

Posterior Palatal Seal ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

23.trial denture appointment

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23.trial denture appointment