The document discusses diagnosis and treatment planning for complete dentures. It covers:
1. Successful complete denture therapy requires a thorough assessment of the patient's physical and psychological condition to deliver a functional denture that meets their expectations.
2. Treatment planning involves developing a course of action based on the diagnosis to serve the patient's needs, and includes examination of medical and dental history, clinical examination, and radiographs.
3. The first appointment is critical for developing trust and understanding the patient's chief complaint and expectations.
The document discusses balanced occlusion in prosthodontics. It defines balanced occlusion as simultaneous contact of opposing teeth in centric relation position, with smooth bilateral gliding to eccentric positions. It describes Hanau's quint, which are the five factors that determine balanced occlusion: condylar guidance, incisal guidance, occlusal plane, compensating curves, and cusp inclination. It also discusses selection of posterior teeth based on ridge morphology, and arrangements for different molar and arch relationships. Examples are provided for managing resorbed ridges and flabby tissues. The goal is to understand principles of occlusion to provide patients with balanced occlusion.
this presentation has all the techniques in impression making in the fabrication of an RPD.
The presentation is available on request. Mail me at apurvathampi@gmail.com
As we know that the muscles play an important role in stability and support of a prosthesis,hence we should be well learned about their peripheries and actions.
Theories, Principles & Objectives of impression Making Of Completely Edentul...Self employed
This document discusses the theories, principles and objectives of impression making for completely edentulous patients. It covers the history of complete dentures and various impression techniques including definitive pressure, minimal pressure and selective pressure impressions. The principles of impression making emphasize including all of the basal seat area, performing border molding, and applying selective pressure. The objectives are preservation of tissues, support, stability, esthetics and retention.
BASIC PRINCIPLES AND FUNDAMENTALS OF CAST PARTIAL DENTURE DESIGNINGAamir Godil
Principles of cast partial denture design
Philosophy of design
Basic guidelines for designing
Kennedy's Class I-IV designs
Indications of specific components in designing cast partial denture
Distal extension CPD
Clinical cases
Exam oriented questions
This document discusses occlusion and its development from birth through adulthood. It begins by defining static and dynamic occlusion. It then discusses ideal, normal, and physiologic occlusion. It describes the periods of occlusal development from pre-dental through deciduous, mixed, and permanent dentition. It provides details on eruption sequences, spacing, and transitional periods. It also discusses occlusal curvatures like the Curve of Spee and Wilson. In summary, it provides a comprehensive overview of occlusion, its classifications, development through life stages, and related anatomical concepts.
This document discusses saliva and its implications in prosthodontics. It defines saliva as a clear fluid secreted by the parotid, submandibular, and sublingual salivary glands. Saliva has important functions such as lubrication, protection of teeth and digestion. Factors such as volume, pH, and composition of saliva impact denture retention through mechanisms like adhesion, cohesion, and surface tension. Disorders of saliva production like xerostomia can influence impression making and prosthodontic treatment.
This document discusses the process of a complete denture try-in. It begins by defining complete denture prosthetics and try-in. It then outlines the steps to check the mandibular denture alone, including the peripheral outline, stability, tongue space, and occlusal plane height. It describes similarly checking the maxillary denture alone and then both dentures together, evaluating the occlusion, vertical height, even occlusal pressure, and appearance. The goal of the try-in is to evaluate and adjust the dentures before processing to ensure proper fit and function.
The document discusses balanced occlusion in prosthodontics. It defines balanced occlusion as simultaneous contact of opposing teeth in centric relation position, with smooth bilateral gliding to eccentric positions. It describes Hanau's quint, which are the five factors that determine balanced occlusion: condylar guidance, incisal guidance, occlusal plane, compensating curves, and cusp inclination. It also discusses selection of posterior teeth based on ridge morphology, and arrangements for different molar and arch relationships. Examples are provided for managing resorbed ridges and flabby tissues. The goal is to understand principles of occlusion to provide patients with balanced occlusion.
this presentation has all the techniques in impression making in the fabrication of an RPD.
The presentation is available on request. Mail me at apurvathampi@gmail.com
As we know that the muscles play an important role in stability and support of a prosthesis,hence we should be well learned about their peripheries and actions.
Theories, Principles & Objectives of impression Making Of Completely Edentul...Self employed
This document discusses the theories, principles and objectives of impression making for completely edentulous patients. It covers the history of complete dentures and various impression techniques including definitive pressure, minimal pressure and selective pressure impressions. The principles of impression making emphasize including all of the basal seat area, performing border molding, and applying selective pressure. The objectives are preservation of tissues, support, stability, esthetics and retention.
BASIC PRINCIPLES AND FUNDAMENTALS OF CAST PARTIAL DENTURE DESIGNINGAamir Godil
Principles of cast partial denture design
Philosophy of design
Basic guidelines for designing
Kennedy's Class I-IV designs
Indications of specific components in designing cast partial denture
Distal extension CPD
Clinical cases
Exam oriented questions
This document discusses occlusion and its development from birth through adulthood. It begins by defining static and dynamic occlusion. It then discusses ideal, normal, and physiologic occlusion. It describes the periods of occlusal development from pre-dental through deciduous, mixed, and permanent dentition. It provides details on eruption sequences, spacing, and transitional periods. It also discusses occlusal curvatures like the Curve of Spee and Wilson. In summary, it provides a comprehensive overview of occlusion, its classifications, development through life stages, and related anatomical concepts.
This document discusses saliva and its implications in prosthodontics. It defines saliva as a clear fluid secreted by the parotid, submandibular, and sublingual salivary glands. Saliva has important functions such as lubrication, protection of teeth and digestion. Factors such as volume, pH, and composition of saliva impact denture retention through mechanisms like adhesion, cohesion, and surface tension. Disorders of saliva production like xerostomia can influence impression making and prosthodontic treatment.
This document discusses the process of a complete denture try-in. It begins by defining complete denture prosthetics and try-in. It then outlines the steps to check the mandibular denture alone, including the peripheral outline, stability, tongue space, and occlusal plane height. It describes similarly checking the maxillary denture alone and then both dentures together, evaluating the occlusion, vertical height, even occlusal pressure, and appearance. The goal of the try-in is to evaluate and adjust the dentures before processing to ensure proper fit and function.
Kennedy’s Classification in Cast Partial DentureAamir Godil
This document discusses Kennedy's classification system for partially edentulous arches and Applegate's rules for applying the Kennedy classification. It provides details on Kennedy's four basic classes for partial edentulism and Applegate's eight rules to govern the application of Kennedy's classification. Examples are given to demonstrate how to use Kennedy's classification and Applegate's rules to classify different clinical scenarios of partial edentulism.
The document discusses the history and development of porcelain jacket crowns (PJCs). The first all-ceramic crown was developed by Land in 1886 and was called a PJC. Originally made of feldspathic porcelain, PJCs are now made of advanced ceramics like aluminum oxide and zirconium. PJCs offer esthetic benefits but require more tooth reduction than metal crowns. They are best for anterior teeth but have limitations for posterior teeth or situations without adequate tooth structure.
The document discusses various theories of craniofacial growth:
1. Remodelling theory states growth occurs through bone remodeling.
2. Genetic theory views growth as genetically programmed but influenced by environmental factors.
3. Sutural theory sees sutures as primary growth centers controlled by heredity and environment.
4. Cartilaginous theory views cartilage, not sutures, as primary growth centers, with cartilage transplants demonstrating growth potential.
5. Functional matrix theory proposes bone growth is primarily influenced by soft tissue function through adaptation.
That's a high-level three sentence summary of the key points made in the document about different theories of craniofac
BIOMECHANICAL PRINCIPLES OF TOOTH PREPARATIONAamir Godil
The document discusses the principles of tooth preparation for dental restorations. It is divided into three categories: biologic considerations which focus on tissue health, mechanical considerations related to restoration integrity and durability, and esthetic considerations affecting patient appearance. Key points include the importance of conserving tooth structure, placing margins for easy finishing and hygiene, designing taper and contours for adequate retention and resistance, and selecting materials and techniques to meet esthetic needs. Proper tooth preparation is essential for successful long-term restoration outcomes.
all the techniques used in completedenture fabrication in condition like flabby tissue and resorbed rigdes plus patients having problem of gag. it includes various pictures and procedure of impression techniques.
This document provides information on impression making for complete dentures. It begins with an introduction on impression making being an art that requires skill and knowledge of oral anatomy. It then covers the history, definitions, theories, objectives, related anatomy, materials and techniques for preliminary and final impressions. The key steps discussed are preliminary examination, selection of tray and material, making the preliminary impression, border molding, and making the final impression. The goals of impression making are to preserve ridges, provide support, retention, stability, and aesthetics.
This document provides definitions and guidelines for evaluating patients for complete denture therapy. It discusses examining various aspects of the patient's personal data, medical and dental history, clinical examination including extraoral and intraoral assessment, and classification systems for residual ridges and mucosa. The evaluations are meant to thoroughly understand the patient's existing conditions and needs to determine the appropriate treatment plan and prognosis.
This document provides an overview of minimally invasive dentistry (MID), including:
1. MID aims to conserve healthy tooth structure using prevention, remineralization, and minimal intervention. It focuses on performing only necessary dentistry using long-lasting materials.
2. Key principles of MID include disease control, remineralization of early lesions, avoiding removal of excess tooth structure, and using strong, long-lasting materials.
3. Techniques discussed include caries diagnosis/risk assessment, various caries removal methods like air abrasion and lasers, fissure sealants, preventive resin restorations, ART, and chemo-mechanical caries removal.
This document discusses resin bonded fixed partial dentures (RBFPDs). It defines RBFPDs as prostheses that are luted to tooth structure using composite resin. Various types are described, including cantilever, fixed-fixed, and hybrid bridges. Advantages include reduced cost and minimal tooth preparation. Indications are for replacing single missing teeth with caries-free abutments. A case example describes using an RBFPD to replace a missing mandibular incisor and splint mobile abutment teeth.
Complete denture prosthodontics step by stepMajeed Okshah
This document outlines the steps a denturist takes to restore a patient's dentures. The denturist aims to restore form, function, and esthetics. The process involves taking a primary impression, pouring it, arranging artificial teeth, waxing them up, doing a try in with the patient, flasking the mold, packing it with acrylic, finishing, polishing, and following up with the patient.
This document discusses articulators, which are mechanical devices that simulate jaw movement. It covers the purposes, uses, requirements, advantages, limitations, and classifications of articulators. Articulators are used to mount dental casts and simulate jaw motions like opening and closing in order to diagnose occlusion, plan treatments, fabricate dental restorations, and arrange artificial teeth. They must accurately maintain the spatial relationship of dental casts and allow for various jaw motions and records. The document classifies articulators based on their function, the theories of occlusion they are based on, the records they can accept, and their degree of adjustability.
8 - setting of teeth for class I, II and II arch relation ship (Edited)Amal Kaddah
Prosthetic Problems and possible solutions in Setting –up
of teeth for skeletal Class II and Class III arch relationship
of completely edentulous patients
Prof. Amal F. Kaddah
This document discusses the importance of recording jaw relations when fabricating removable partial dentures (RPDs). There are several methods for recording jaw relations, including direct apposition of casts, interocclusal records with posterior teeth remaining, and using occlusion rims. Centric relation should be recorded for distal extension RPDs or when the opposing arch is edentulous, while centric occlusion is preferred when natural teeth can guide the mandible. Proper jaw relation and occlusion are necessary to distribute forces optimally and prevent damage to teeth or bone.
This document outlines the clinical and laboratory steps involved in fabricating complete dentures. It begins with an introduction and then describes each step in detail, including: primary and secondary impressions, making a special tray, the master cast, bite rim, jaw relations, mounting on an articulator, try in, denture processing through compression molding, and finishing and polishing. The overall process involves close collaboration between the clinician and dental technician to create functional and aesthetic complete dentures for edentulous patients.
The human mandible can be related to the maxilla in several positions in the horizontal plane. Among these centric relation is a significant position, because of its usefulness in relating the dentulous and edentulous mandible to maxilla, where the teeth , muscles and temporomandibular joint function in harmony. It is a position of occluso-articular harmony.
Synthetic rubbers were introduced in dentistry after WWII due to scarce natural rubber sources. They are elastic impression materials used to make dental casts. The main types are polysulfide, condensation silicone, addition silicone, and polyether. They are supplied and mixed either manually or automatically in different consistencies for various impression techniques. During polymerization, they undergo chain lengthening, crosslinking, and shrinkage. Properties include flexibility, elastic recovery, adhesion, and dimensional stability. Accuracy is maintained through proper technique such as adhesive use or multiple pours. Compatibility with gypsum allows for model pouring.
This document provides information on diagnosis and treatment planning for completely edentulous patients. It defines diagnosis as determining the nature of a disease and treatment planning as the sequence of procedures planned after diagnosis. The document outlines the process of evaluating a patient, including obtaining their medical and dental history, performing extraoral and intraoral examinations, and taking radiographs and impressions. It emphasizes the importance of understanding a patient's physical and mental health, needs, and expectations in order to develop an appropriate treatment plan.
This document discusses the diagnosis process for complete dentures, which involves evaluating the patient's mental attitude, systemic medical status, past dental history, and local oral conditions. A thorough diagnosis is important for developing an appropriate treatment plan. The success of dentures depends on factors like patient preparedness and relationship with the dentist. Patients can be classified into four categories - philosophical, exacting, indifferent, and hysterical - based on their mental attitude. Systemic diseases, past experiences, oral health, and the condition of the mouth and jaws must all be considered.
Kennedy’s Classification in Cast Partial DentureAamir Godil
This document discusses Kennedy's classification system for partially edentulous arches and Applegate's rules for applying the Kennedy classification. It provides details on Kennedy's four basic classes for partial edentulism and Applegate's eight rules to govern the application of Kennedy's classification. Examples are given to demonstrate how to use Kennedy's classification and Applegate's rules to classify different clinical scenarios of partial edentulism.
The document discusses the history and development of porcelain jacket crowns (PJCs). The first all-ceramic crown was developed by Land in 1886 and was called a PJC. Originally made of feldspathic porcelain, PJCs are now made of advanced ceramics like aluminum oxide and zirconium. PJCs offer esthetic benefits but require more tooth reduction than metal crowns. They are best for anterior teeth but have limitations for posterior teeth or situations without adequate tooth structure.
The document discusses various theories of craniofacial growth:
1. Remodelling theory states growth occurs through bone remodeling.
2. Genetic theory views growth as genetically programmed but influenced by environmental factors.
3. Sutural theory sees sutures as primary growth centers controlled by heredity and environment.
4. Cartilaginous theory views cartilage, not sutures, as primary growth centers, with cartilage transplants demonstrating growth potential.
5. Functional matrix theory proposes bone growth is primarily influenced by soft tissue function through adaptation.
That's a high-level three sentence summary of the key points made in the document about different theories of craniofac
BIOMECHANICAL PRINCIPLES OF TOOTH PREPARATIONAamir Godil
The document discusses the principles of tooth preparation for dental restorations. It is divided into three categories: biologic considerations which focus on tissue health, mechanical considerations related to restoration integrity and durability, and esthetic considerations affecting patient appearance. Key points include the importance of conserving tooth structure, placing margins for easy finishing and hygiene, designing taper and contours for adequate retention and resistance, and selecting materials and techniques to meet esthetic needs. Proper tooth preparation is essential for successful long-term restoration outcomes.
all the techniques used in completedenture fabrication in condition like flabby tissue and resorbed rigdes plus patients having problem of gag. it includes various pictures and procedure of impression techniques.
This document provides information on impression making for complete dentures. It begins with an introduction on impression making being an art that requires skill and knowledge of oral anatomy. It then covers the history, definitions, theories, objectives, related anatomy, materials and techniques for preliminary and final impressions. The key steps discussed are preliminary examination, selection of tray and material, making the preliminary impression, border molding, and making the final impression. The goals of impression making are to preserve ridges, provide support, retention, stability, and aesthetics.
This document provides definitions and guidelines for evaluating patients for complete denture therapy. It discusses examining various aspects of the patient's personal data, medical and dental history, clinical examination including extraoral and intraoral assessment, and classification systems for residual ridges and mucosa. The evaluations are meant to thoroughly understand the patient's existing conditions and needs to determine the appropriate treatment plan and prognosis.
This document provides an overview of minimally invasive dentistry (MID), including:
1. MID aims to conserve healthy tooth structure using prevention, remineralization, and minimal intervention. It focuses on performing only necessary dentistry using long-lasting materials.
2. Key principles of MID include disease control, remineralization of early lesions, avoiding removal of excess tooth structure, and using strong, long-lasting materials.
3. Techniques discussed include caries diagnosis/risk assessment, various caries removal methods like air abrasion and lasers, fissure sealants, preventive resin restorations, ART, and chemo-mechanical caries removal.
This document discusses resin bonded fixed partial dentures (RBFPDs). It defines RBFPDs as prostheses that are luted to tooth structure using composite resin. Various types are described, including cantilever, fixed-fixed, and hybrid bridges. Advantages include reduced cost and minimal tooth preparation. Indications are for replacing single missing teeth with caries-free abutments. A case example describes using an RBFPD to replace a missing mandibular incisor and splint mobile abutment teeth.
Complete denture prosthodontics step by stepMajeed Okshah
This document outlines the steps a denturist takes to restore a patient's dentures. The denturist aims to restore form, function, and esthetics. The process involves taking a primary impression, pouring it, arranging artificial teeth, waxing them up, doing a try in with the patient, flasking the mold, packing it with acrylic, finishing, polishing, and following up with the patient.
This document discusses articulators, which are mechanical devices that simulate jaw movement. It covers the purposes, uses, requirements, advantages, limitations, and classifications of articulators. Articulators are used to mount dental casts and simulate jaw motions like opening and closing in order to diagnose occlusion, plan treatments, fabricate dental restorations, and arrange artificial teeth. They must accurately maintain the spatial relationship of dental casts and allow for various jaw motions and records. The document classifies articulators based on their function, the theories of occlusion they are based on, the records they can accept, and their degree of adjustability.
8 - setting of teeth for class I, II and II arch relation ship (Edited)Amal Kaddah
Prosthetic Problems and possible solutions in Setting –up
of teeth for skeletal Class II and Class III arch relationship
of completely edentulous patients
Prof. Amal F. Kaddah
This document discusses the importance of recording jaw relations when fabricating removable partial dentures (RPDs). There are several methods for recording jaw relations, including direct apposition of casts, interocclusal records with posterior teeth remaining, and using occlusion rims. Centric relation should be recorded for distal extension RPDs or when the opposing arch is edentulous, while centric occlusion is preferred when natural teeth can guide the mandible. Proper jaw relation and occlusion are necessary to distribute forces optimally and prevent damage to teeth or bone.
This document outlines the clinical and laboratory steps involved in fabricating complete dentures. It begins with an introduction and then describes each step in detail, including: primary and secondary impressions, making a special tray, the master cast, bite rim, jaw relations, mounting on an articulator, try in, denture processing through compression molding, and finishing and polishing. The overall process involves close collaboration between the clinician and dental technician to create functional and aesthetic complete dentures for edentulous patients.
The human mandible can be related to the maxilla in several positions in the horizontal plane. Among these centric relation is a significant position, because of its usefulness in relating the dentulous and edentulous mandible to maxilla, where the teeth , muscles and temporomandibular joint function in harmony. It is a position of occluso-articular harmony.
Synthetic rubbers were introduced in dentistry after WWII due to scarce natural rubber sources. They are elastic impression materials used to make dental casts. The main types are polysulfide, condensation silicone, addition silicone, and polyether. They are supplied and mixed either manually or automatically in different consistencies for various impression techniques. During polymerization, they undergo chain lengthening, crosslinking, and shrinkage. Properties include flexibility, elastic recovery, adhesion, and dimensional stability. Accuracy is maintained through proper technique such as adhesive use or multiple pours. Compatibility with gypsum allows for model pouring.
This document provides information on diagnosis and treatment planning for completely edentulous patients. It defines diagnosis as determining the nature of a disease and treatment planning as the sequence of procedures planned after diagnosis. The document outlines the process of evaluating a patient, including obtaining their medical and dental history, performing extraoral and intraoral examinations, and taking radiographs and impressions. It emphasizes the importance of understanding a patient's physical and mental health, needs, and expectations in order to develop an appropriate treatment plan.
This document discusses the diagnosis process for complete dentures, which involves evaluating the patient's mental attitude, systemic medical status, past dental history, and local oral conditions. A thorough diagnosis is important for developing an appropriate treatment plan. The success of dentures depends on factors like patient preparedness and relationship with the dentist. Patients can be classified into four categories - philosophical, exacting, indifferent, and hysterical - based on their mental attitude. Systemic diseases, past experiences, oral health, and the condition of the mouth and jaws must all be considered.
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.
This document discusses the examination and diagnosis of complete denture patients. It emphasizes the importance of a thorough case history and physical examination. The case history should explore the patient's dental history, medical history, habits, expectations and mental attitude. The physical examination involves both extraoral and intraoral assessment including facial form, profile, symmetry, complexion and lip support. A systematic examination allows for an accurate diagnosis, prognosis, and treatment plan.
Diagnosis and treatment plane for full denture patientvmuf
This document discusses the process of planning for full dentures, including diagnosis, treatment planning, and clinical examination of the patient. It emphasizes the importance of a thorough patient assessment, including medical history, physical examination, and understanding the patient's needs and expectations. The clinical examination involves inspecting the head, neck, facial features, oral cavity, denture bearing areas, and temporomandibular joints. Factors like ridge form, contour, relation between upper and lower jaws are also examined to determine the appropriate treatment plan for the patient.
The document discusses orthodontic diagnosis and treatment planning. It defines diagnosis as identifying and describing a patient's orthodontic problems. Treatment planning involves outlining a strategy to address the problems while maximizing benefits and minimizing risks. It discusses indications for treatment including psychosocial, developmental, functional, and trauma/disease factors. It also addresses distinguishing moderate problems treated in general practice from more complex cases requiring referral to an orthodontic specialist.
The orthodontic assessment involves gathering information about the patient's orthodontic problems through taking a history, clinical examination, and records. This information is collected to accurately diagnose the patient's malocclusion. The assessment identifies the patient's orthodontic problems to form the basis of the diagnosis. It also identifies potential risks and benefits of treatment so the patient can provide informed consent. The assessment examines the patient's dentition and facial proportions in all three planes to evaluate their underlying skeletal pattern and soft tissues.
Diagnosis and treatment planning is the foremost protocol in the fabrication of complete denture.
The steps involved in the diag and treat planning are mentioned in the same
Early treatment: Is the treatment during the most active growth period
Indications:
1- Elimination of bad habits which interfere with normal dento-facial growth
2- Gross mal-relationship of the dental arches (severe class II, III, malocclusion) to utilize growth in treatment of the case, if these deformities remain untreated it is very difficult to be corrected by orthodontic means alone in adults
3- Gross malformation in the dental arches as, cross bite, open bite, and excessive overbite
4- Labioversion or torso-version of permanent incisors especially when crowding is expected because correction of these malposition is followed by great relapse tendency when treated in later age
= tooth movement in deciduous dentition and early mixed dentition if necessary should be carried out after complete root formation and before beginning of root resorption
Contraindications to early treatment:
1- Minor malocclusion in the deciduous teeth which may be self-corrected by growth and development
For example:
= Abnormal diastema and spacing of maxillary incisors are corrected with complete eruption of the permanent canines
= some rotations of the teeth are self-corrected by complete formation of their roots, protrusion of maxillary incisors without compression of cheeks may be self-corrected by upper lip, also unilateral cross bite, edge to edge bite in deciduous dentition are self-corrected by the action of the tongue
2- Presence of rampant caries and oral sepsis which should be treated before orthodontic treatment is under-taken
3- Nasal obstruction, enlarged tonsils and adenoid which should be surgically removed first
4- Psychologically ill, highly emotional and uncooperative children
5- Disturbances in general health which would interfere with continuity of orthodontic treatment
6- Slight irregularities of individual teeth which would not interferes with normal function, should not be treated in either deciduous or mixed dentition periods
Age factor in diagnosis and treatment:
= age of the patient is not a primary factor in deciding when corrective treatment should be started, this decision depend on the presence of conditions which if remain would interferes with normal growth and development of dento-facial complex, in such cases treated should be under-taken regardless the age of patient
The child has many ages including, chronological age, dental age and developmental or bone age. The various ages may or may not coincide with chronological age of the same patient
Therefore, it is important to correlate these ages with standard normal individuals to achieve proper diagnosis
= Angle, the 1st who advised treatment as early as possible after appearance of dentofacial deviations
= if treatment is started at an early age, the patient should be kept under periodic observations under permanent dentition is completed and growth ceases
= early treatment of gross malocclusion gives raise better esthetic, functional and more stable results
Eby divided o
Indian Dental Academy: will be one of the most relevant and exciting training center with best faculty and flexible training programs for dental professionals who wish to advance in their dental practice,Offers certified courses in Dental implants,Orthodontics,Endodontics,Cosmetic Dentistry, Prosthetic Dentistry, Periodontics and General Dentistry.
This document provides guidance on conducting a thorough diagnostic examination for a partially dentate patient, including: gathering patient medical and dental history; performing a clinical examination with radiographs and diagnostic casts; evaluating the patient's oral health, occlusion, and expectations; and developing a comprehensive treatment plan. Key steps involve establishing rapport, understanding the patient's psychological profile and any medical conditions, examining dental and periodontal health, assessing occlusion, and creating temporary and definitive treatment phases. Factors such as tooth support, oral hygiene, and patient motivation are considered for case selection and prognosis.
diagnosis and treatment planning in complete denntureVivienVaz2
This document provides guidelines for conducting a thorough diagnosis and treatment planning for complete dentures. It outlines the importance of evaluating a patient's medical history, dental history, facial form, oral tissues, existing dentures if any, and classifying key features. A classification system is presented to characterize factors like ridge form, palate shape, muscle tone, border heights, and more. The goal is to understand the patient's needs and deliver a functional and satisfying set of complete dentures.
Fixed prosthodontic treatment can offer exceptional satisfaction for both patient and the dentist. Fixed Prosthodontics can transform an unhealthy, unattractive dentition with poor function into a comfortable, healthy occlusion capable of giving years of further service while greatly enhancing esthetics.
Nothing is more important in the construction of fixed partial dentures than an adequate diagnosis and a well-devised treatment plan. Although these two subjects are usually considered together. Astute dentists must recognize their subtle differences. Diagnosis is an evaluation of the condition of the patient when he presents for treatment. Treatment planning concerns the treatment procedures by which the dentist will restore the patient to an optimum state of dental health.
The document provides information on orthodontic diagnosis and clinical examination. It discusses examining the patient's age, medical history, dental history, chief complaint, and habits which help in diagnosis and treatment planning. The clinical examination evaluates the skeletal, facial, and occlusal characteristics to determine the cause of malocclusion which can be skeletal, dental, soft tissue, or a combination. This includes assessing the anteroposterior, vertical, and transverse jaw relationships to classify the skeletal pattern and guide orthodontic treatment.
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.for more details please visit
www.indiandentalacademy.com
Diagnosis & treatment plan of completely Edentulous PatientsMaiMohamedMohamedAbd
The document outlines procedures for examining, diagnosing, and treatment planning for edentulous or partially edentulous patients requiring dentures. It discusses gathering medical and dental histories, performing extraoral and intraoral examinations, ordering radiographs, making diagnoses, developing treatment plans, discussing prognosis and fees with the patient, and obtaining consent. The examinations evaluate factors like ridge resorption, saliva, tongue size, palate shape that influence denture treatment. Alternative plans may be needed based on the patient's health, finances, and expectations. The goal is developing the best treatment considering all relevant factors for a given patient.
This document discusses the process of diagnosis and treatment planning for prosthodontic patients. It covers evaluating the patient's general health and medical history, dental history, extraoral and intraoral examination. Key parts of the examination include assessing facial features, lip and muscle function, and the temporomandibular joint. Gathering this information through diagnosis is important for determining the appropriate treatment plan and expectations.
principles of tooth preparation - ann george final.pptxHimanshu Tiwari
This document discusses principles of tooth preparation for dental restorations. It covers 3 main topics:
1. Biological principles including conservation of tooth structure, preventing damage to adjacent teeth and soft tissues, and the pulp.
2. Mechanical principles such as retention form, resistance form, and structural durability.
3. Aesthetic principles regarding metal-ceramic and partial coverage restorations.
It also describes different margin designs including chamfer, shoulder, knife edge, and their indications. Maintaining margin integrity through proper placement, geometry and adaptation is emphasized.
This document provides information on dental wax materials. It discusses the definitions, types, compositions, properties and applications of various waxes used in dentistry. The main types of waxes covered are pattern waxes, casting waxes, base plate wax, processing wax, impression wax and utility waxes. The key properties discussed include melting ranges, flow, dimensional stability, thermal expansion and surface tension. Common uses of these waxes include making patterns for inlays, crowns and dentures as well as for impressions, bite registrations and modifying stone casts.
This document discusses articulators, which are mechanical devices that simulate the temporomandibular joints and jaws to allow dental casts to be attached and simulate jaw movements. The history of articulators is reviewed from early plaster models in the 1700s to modern adjustable articulators. Various classifications of articulators are presented based on the theories of occlusion they are designed for, the type of records used, their functionality, and adjustability. The requirements, uses, and advantages of articulators in dental work are outlined.
This document provides information on different types of dental waxes:
- Pattern waxes like inlay wax are used to create patterns for dental castings. They have low thermal expansion and a higher melting point than mouth temperature.
- Casting waxes like base plate wax are used to form frameworks for dentures. They have low thermal expansion and leave minimal residue when burned off.
- Impression waxes like bite registration wax are used to register occlusal relationships between the upper and lower teeth.
- Other waxes include boxing wax for borders of impressions, utility wax for temporary repairs, and sticky wax for adhering materials. The document discusses the composition, properties, and applications of various dental waxes.
The document discusses dental impression materials. It defines a dental impression as a negative record of the tissues in the mouth. Impressions are used to reproduce the teeth and surrounding areas to create positive models or casts. There are two main types of impression materials - rigid materials that cannot engage undercuts, and elastic materials that can engage undercuts. Common elastic materials discussed include alginate, polysulfide rubber, silicone, and polyether. The document outlines the characteristics and properties required of good impression materials.
Alveolar bone is a specialized, mineralized connective tissue that supports the roots of the teeth
Alveolar bone is the least stable of the periodontal tissues because the structure is in constant state of flux.
A Strategic Approach: GenAI in EducationPeter Windle
Artificial Intelligence (AI) technologies such as Generative AI, Image Generators and Large Language Models have had a dramatic impact on teaching, learning and assessment over the past 18 months. The most immediate threat AI posed was to Academic Integrity with Higher Education Institutes (HEIs) focusing their efforts on combating the use of GenAI in assessment. Guidelines were developed for staff and students, policies put in place too. Innovative educators have forged paths in the use of Generative AI for teaching, learning and assessments leading to pockets of transformation springing up across HEIs, often with little or no top-down guidance, support or direction.
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DIAGNOSIS AND TREATMENT PLANNING FOR COMPLETE DENTURES .pdf
1. DIAGNOSIS AND TREATMENT
PLANNING FOR COMPLETE
DENTURES
Dr.Himanshu Tiwari
Assistant Professor
Dept.Of Prosthodontics
and Crown & Bridge
2. A fixed or removable dental prosthesis that replaces
the entire dentition and associated structures of the
maxilla or mandible.
Successful complete denture therapy begins with a
thorough assessment of the patient’s physical and
psychological condition and determining a treatment
that will deliver a functional complete denture that
will satisfy the expectations of the patient.
COMPLETE DENTURE
3. • Diagnosis is the examination of the
physical state ,evaluation of the mental or
phychological make up,and understanding
the needs of each patient to ensure a
predictable result .
• According to GPT-9:
• The determination of the nature of the
disease.
4. TREATMENT PLANNING means developing a
course of action that encompasses the
ramifications and sequelae of treatment to
serve the patient’s needs.
Acc. to GPT-9: It refers to the sequence of
procedures planned for the treatment of a
patient after diagnosis.
7. The first appointment is perhaps the most
important time the dentist will spend with a
complete denture patient and should be used
to develop mutual understanding and trust.
The most important fact that the dentist
needs to know is the chief complaint of the
patient.
GENERAL INTRODUCTION TO THE
PATIENT
8. This includes
PERSONAL DATA
MEDICAL HISTORY
DENTAL HISTORY
HISTORY TAKING
9. Personal Data:
❖ Name
❖ Age
❖ Gender
❖ Race
❖ Occupation
❖ Location
❖ Religion and Community
10. Debilitating disease:
Diabetes,blood dyscrasias and
tuberculosis.
Diseases of joints: such as
Osteoarthritis
Cardiovascular diseases
Diseases of skin such as PEMPHIGUS
etc that have oral manifestations too.
Neurological disorders like Bell’s palsy
and Parkinsonism.
Medical History
11. Chief COMPLAINT
Expectations
Period of edentulousness
Pretreatment records
❖ Previous Denture
❖ Current denture
Pre extraction records
❖ Diagnostic cast
Dental HISTORY
12. Completely unaware of difficulties.
Assume to continue same eating habits as with their
natural teeth.
Green Ridge”
Socket edges not rounded off as desired
Bony spicules remain from extraction site
Bony undercuts with a thin mucosal covering.
PATIENT MADE RECENTLY
EDENTULOUS:
13. Alveolar ridges recently made edentulous subject
to large, rapid changes during the first year.
The dentist must inform the patient of these
potential changes before beginning to avoid
problems later on.
14. The problems they present are more difficult to
treat especially if they have been previous denture
wearers.
These problems must be recognized before
adequate treatment procedures are planned.
Most important among these are the difficult
denture wearers. Personality characteristics should
be assessed.
PATIENT EDENTULOUS FOR A
LONG TIME:
15. Begins when the patient enters the dental
clinic.
Aspects to be observed
Motor skills
Facial features
Attitude and adaptive response.
OBSERVATION OF THE PATIENT:
16. (I) MOTOR SKILLS:
CVA, Bell’s Palsy, nerve blocks for
trigeminal neuralgia hemiplagia and
dyskinesia.
Facial tremors/spasms indicate Parkinson’s
disease, nervous habits or possibly drug
induced tardive dyskinesia.
Psychotropic drug therapy may show
Uncontrollable chewing movements
Licking and smacking of lips
Uncoordinated tongue movements
17. Twitching of the nose
Puffing of cheek
These complications often result in prosthetic
failure.
Check fluency and quality of patient’s speech
Best judged during casual conversation.
18. (II) FACIAL FEATURES:
Dentist must note
Length of face
Labial fullness
Apparent support of lips
19. Observe for hollowness/puffiness in
❖ Philtrum
❖ Nasolabial fold
❖ Labiomental groove
20. Size of oral cavity, activity of lips and width of
vermilion border is directly related to degree of
tooth display.
Profile view indicates position of maxilla to
mandible is first indication of patient’s occlusal
classification.
21. De Van stated that- meet the mind of the patient before meeting
the mouth of the patient.
Factors producing adaptive response to complete
dentures:
Favorable physical conditions
Realistic expectationof the patient
Acceptance of & confidence in dentist.Previous favorable experience &
capacity to cope favorably with change.
Good learning capacity
Desire to please the doctor
(III) ATTITUDE & LEVEL OF
EXPECTATION
22. Factors that produce a maladaptive
response to complete dentures
. Lack of trust in the dentist
Poor dentist-patient communication
Negative previous experience
Unrealistic expectations on the part of patient
Resistance to change
Inadequate tissue tolerance
23. Proposed by Dr.MM House
General classification of patient’s mental attitude
They can be classified as:
Philosophic
Exacting
Indifferent
Hysterical
THE HOUSE CLASSIFICATION
24. Willing to accept the dentist’s judgement
without question.
Best mental attitude for denture
acceptance.
easy going and mentally well adjusted.
Ideal attitude for successful treatment,
provided the biomechanical factors are
favourable.
PHILOSOPHIC:
25. Require extreme care, effort and patience on the part of the
dentist.
Immaculate appearance and dress.
Methodical, precise and accurate and at times make
severe demands.
Want written guarantees or remakes at no additional cost.
Like each step of the procedure to be explained.
If intelligent and understanding , they are the best or else
extra hours must be spent prior to treatment in patient
education until an understanding is reached.
Once satisfied , become the dentist’s great
supporters.
EXACTING:
26. Submit to treatment as a last resort, have negative
attitude, often poor health, unfounded complaints.
Have attempted to wear dentures but failed , thoroughly
discouraged.
Emotionally unstable, excitable, apprehensive and
hypertensive.
Unrealistic expectations.(demand equals to natural
teeth)
Prognosis is often unfavorable.
Additional professional help (psychiatric) is required
prior to and during treatment.
HYSTERICAL:
27. Questionable or unfavorable prognosis.
Little concern for their teeth or oral health.
Without dentures or worn out dentures for years.
Seek treatment because of the insistence of family.
Pay no attention to instructions, are uncooperative
& give up easily if problems are encountered with
their new teeth.
Do not value the efforts or skills of the dentist.
Require more time for instruction on value and use
of their dentures.
INDIFFERENT:
28. It speaks about the aesthetic expectations of the
patient.
CLASS I : High cosmetic Index
CLASS II : Moderate cosmetic Index
CLASS III : Low cosmetic Index
COSMETIC INDEX
29. Extra oral examination
Intra oral examination
CLINICAL
EXAMINATION
30. The patient’s head and neck region should be
examined in general for the presence of any
pathologic conditions.
It includes:
❑ Facial Examination
❑ Lip Examination
❑ TMJ Examination
EXTRA ORAL EXAMINATION
32. Facial form according to House &
Loop
Class I Normal Class II Retrognathic Class III Prognathic
33. ❑ Muscle tone acc. to House
➢ Class I :Normal muscle tone(immediate denture pt.)
Class II: Slightly impaired muscle tone(following loss of all
natural teeth)
Class III: Greatly impaired muscle tone & function
❑ Muscle Development according to
House
Class I: Heavy
Class II: Medium
Class III: Light
35. Health of the lips -Cracking, fissuring at corner &
ulceration: indicative of vitamin B-complex deficiency,
candida infection.
Lip support – adequately supported or
unsupported(collapsed or wrinkled appearance)
Lip thickness- thick lips require lesser support from
artificial teeth and labial flange.
Lip length- long , medium and short.
Lip mobility – normal (class I)
- reduced mobility (class II)
- paralysis (class III)
LIP EXAMINATION:
36. Lip thickness – thick or thin
Thick – gives more freedom in teeth setting.
Thin – any change in labiolingual position can alter
fullness, support or drape of thin lip.
Lip length long or short.
Measured from - base of the nose to vermillion border of lip
(ideal = 25 mm). or with index finger tip ,from incisive papilla
to upper lip. VERMILION BORDER
Long – will hide denture base & most of the tooth (maximum
facial expression is required for display of tooth).
Short – any expression will expose most of the tooth or even
denture base.
37. 1. Competent lips – lips are in slight contact
when the musculature is relaxed
2. Incompetent lips – morphologically short
lips which do not form a lip seal in a relaxed
state
3. Potentially incompetent lips – normal lips ,
fail to form lip seal
4. Everted lips – hypertrophied lips with weak
muscular tonocity.
LIPS CAN BE CLASSIFIED INTO 4
TYPES
38. Clicking(disc displacement),crepitations(osteoarthrosis)
Pain & tenderness on palpation
Temporomandibular arthralgia
Impaired mandibular mobility
Irregularity or deviation on opening & closing of
mandible
Deflection.
Locking of mandible.
TEMPOROMANDIBULAR JOINT
EXAMINATION
39. It includes the following:
• Colour of mucosa
• Saliva
• Arch size
• Arch form
• Ridge contour
• Ridge relation
• Redundant and hyperplastic tissue
• Hard palate and Soft palate
• Palatal throat form
• Bony undercuts and Tori
• Muscle and frenum attachments
• Tongue
• Floor of mouth
• Gag reflex
INTRA ORAL EXAMINATION
40. Ranges healthy pink to angry red.
Redness indicative of inflammation:
related to ill fitting denture,
underlying infection, systemic disease
or chronic smoking.
Pigmented spots or lesions.
White patches keratotic areas
caused by denture irritation.
COLOUR OF MUCOSA:
41. Flow – regular or irregular.
Quality – thin serous, mucinous, mixed.
Quantity – normal, excessive, scanty.
Deficient saliva: retention of denture will be affected.
Excess of saliva: complicates impression making.
Thick mucous saliva makes dentures more difficult to
wear. It will push out denture by accumulating beneath the
denture.
Mixture of both Thin serous & Thick mucous saliva is the
best to work with.
SALIVA :
42. ➢ Class I: Large (best for retention & stability)
Class II: Medium (good retention & stability )
Class III: Small (difficult to achieve good
retention and stability)
Determines the amount of basal seat available for
denture foundation
Greater the size, more the support
Greater the contact surface, greater the retention.
Discrepancy in size of the maxilla and mandible
can present a problem of stability in the smaller
arch.
Arch Size
43. ARCH FORM ( House’s Classification)
Class I Square Class II Tapering
Class III Ovoid
45. The positional relation of the mandibular
ridge & maxillary ridge.
Angle classified ridge relationship as:
❖ CLASS I: Normal
❖ CLASS II: Retrognathic
❖ CLASS III: Prognathic
RIDGE RELATIONSHIP
46. Both the maxilla and mandible should be
examined for redundant tissue.
An excessive amount of flabby tissue will
cause the denture base to shift and move
as force is applied .
In such cases , surgical excision of the
movable tissue will improve the condition.
REDUNDANT TISSUE
47. Often hyperplastic tissue is present under
an ill-fitting denture which may be an
epulis fissuratum related to a denture
border, papillary hyperplasia under the
denture base.
Rest to the tissue, proper oral hygiene,
tissue massage will improve the condition.
If not, surgical correction is needed for the
foundation of new denture.
Hyperplastic tissue
48. U-shaped palatal vault: most favourable for
retention & lateral stability.
V-shaped vault: less favourable for retention.
Flat palatal vault: also unfavourable.
HARD PALATE:
49. Classified according to configurations based on the
degree of flexure the soft palate makes with the hard
palate and the width of the seal area.
Class I: Horizontal & demonstrating little muscular
movement. Most favourable condition as it allows for more
tissue coverage for posterior palatal seal. Forms a 10
degree angle.
Class II: Turns downward forming a 45degree angle to
hard palate. Potential tissue coverage is less than for
classI.
Class III: Turns downward sharply at 70 degree angle just
posterior to hard palate. Least favourable soft tissue form.
SOFT PALATE:
50. V- shaped vault: associated with Class III soft
palate
Flat palatal vault: usually associated with
Class I or Class II soft palate.
51. Bony undercuts are frequently found on
maxillary and mandibular ridges.
The rule should be always selective
relief of the denture rather than surgical
excision.
If the undercuts are severe and previous
denture attempts have failed , surgery
should be considered.
On mandibular ridge, the only undercut
that can pose a real problem is a
prominent sharp mylohyoid ridge.
BONY UNDERCUTS
53. Torus palatinus & lingual tori frequently
present.
Torus palatinus: range from a small
prominence in the midline to one that
covers the entire hard palate.
Adequate relief must be planned.
Lingual tori: interfere with denture
construction & unless very small should
be surgically removed
TORI
54. Class I - Tori absent or minimal in size. Do not
interfere with denture construction.
Class II – Moderate size. Mild difficulties in denture
construction and use. Surgery not required.
Class III – Large in size. Compromise fabrication &
function of dentures. Requires surgical recontouring
and removal.
Classification : -
55. BORDER ATTACHMENTS (HOUSE) :
Class I – Attachments are away from the crest of ridge (0.5
inches or more between level of attachment and crest of
ridge)
Class II – Attachments height is 0.25 to 0.50 inches.
Class III - < 0.25 inches from ridge crest.
FRENUM ATTACHMENTS (HOUSE):-same as border
attachments
Class I – frenum located away from crest of ridge.
Class II – nearer to the crest of ridge.
Class III – freni encroach on the crest of the ridge and may
interfere with denture seal. Surgical correction may be
required (frenotomy or frenectomy)
56. If patient has been without teeth for a long
time: tongue becomes enlarged & powerful.
This will create a problem in impression
making & may contribute to denture
instability.
A small tongue: may jeopardize lingual seal.
Tongue position is very important to the
prognosis of the mandibular denture.
TONGUE
57. Class I – normal in size, development, &
function.
Class II – teeth have been absent for long
time permits change in form & function.
Class III – excessively large tongue,all
teeth have been absent for a long time,
allowing for abnormal development of the
size of the tongue.
According to House : -
58. Class I: Tongue lies in the floor of the mouth with the tip
forward & slightly below the incisal edges of mandibular
anterior teeth. Most favourable prognosis.
Class II: Tongue is flattened and broadened but the tip is in
the normal position.
Class III: Tongue is tensed, retracted & depressed into the
floor of the mouth with the tip curled upward, downward or
assimilated into the body of the tongue. Least favourable
prognosis.
WRIGHT CLASSIFIED TONGUE
POSITIONS AS FOLLOWS:
59. The relationship of the floor of the
mouth to the crest of the ridge is
crucial in determining the prognosis of
the lower complete denture.
If the floor of the mouth is near the
crest of the ridge especially in the
sublingual and mylohyoid regions
,stability and retention of denture is
decreased.
The patient should touch his upper lip
with the tongue to activate the muscles
of the floor of the mouth.
Floor of mouth
60. Normal defense mechanism developed by
the body to prevent foreign bodies from
entering the trachea.
Can be caused by:
Systemic disorders,
Psychological factors,
Extraoral & intraoral physiological factors
Iatrogenic factors.
Controlled by glossopharyngeal nerve
GAG REFLEX:
61. Clinical techniques, pharmacological
measures, psychological
intervention.
Identify the existence of gag reflex
with a thorough conversation with
the patient.
Careful handling of impression
procedure and constant reassurance
of the patient will suffice.
In severe cases, a specialist maybe
needed to treat the problem at a
psychological level.
MANAGEMENT OF GAG REFLEX:
:
63. The interpretation of the panoramic radiograph
should follow a five step analysis:
1. Screen jaws for defect in structure and bony
enlargement,
2. displacement of jaw parts,
3. unerupted teeth or retained root fragments,
4. foreign bodies,
5. radiolucencies as well as radio opacities.
TMJ can be screened and findings correlated
with history and clinical examination.
RADIOGRAPHIC EXAMINATION
64. Describe the appearance of the lesion as well as any bony
changes adjoining the lesion
Correlate the radiographic findings with the clinical, historical
and laboratory findings.
Perform a differential diagnosis which includes all the
diseases that could explain the findings.
Estimate the growth of the lesion by the appearance of the
jaw structures adjoining the lesion
65. Panoramic radiographs also aid in determining the
amount of ridge resorption.
Wical & Swoope:They found that the lower edge of the
mental foramen divides the mandible into thirds in
normal dentulous panoramic radiographs.
Measuring the distance from the inferior border of the
mandible to the inferior margin of the mental foramen
and then multiplying it by 3, the resultant product is a
reliable estimate of the original alveolar ridge crest
height.
66. The amount of resorption can be classified as follows:
Class I: Mild resorption, is a loss of upto one third of
the orignal vertical height.
Class II: Moderate resorption, is a loss from one third
to two thirds of vertical height.
Class III: Severe resorption, is a loss of two thirds or
more of vertical height.
67. Diagnostic Casts
Pre extraction Records
This includes
❖ Diagnostic casts
❖ Old radiographs
❖ Old photographs
PRE TREATMENT RECORDS
68. Helps dentists avoid a potential problem
Time consuming
Aid in determining the inter ridge space,
ridge relationships, ridge shape and form that
cannot be adequately determined by clinical
examination alone.
Diagnostic casts:
69. Old diagnostic casts: determining both size,
position & arrangement of teeth.
Old radiographs: determining tooth size &
bony change.
Photographs: relay information regarding
tooth size,position & display during facial
expressions. Forms an effective tool in
achieving proper esthetics & patient
satisfaction.
Pre extraction records:
70. Process of matching possible
treatment options with patient
needs and systematically arranging
the treatment in order of priority
but in keeping with a logical or
technically necessary sequence.
Must have a parallel process of
developing a prognosis.
Driven by the diagnosis but must
take other factors such as
prognosis, patient health and
attitudes into account.
TREATMENT PLANNING:
71. WHY TREATMENT PLAN?
Treatment Plans
Addresses patient
needs
Lists specific
treatment
Specific logical
sequence
Informed consent
Treatment
Time
Fees
Enables dentist to
Estimate
•Operating time
•Laboratory time
•Calender time
•Fees
Delivered care
•Patient specific
Enables
patient to
Dentist
delivers
Enables
Dentist
to
Patient
receive
72. Treatment planning determines the patients
problems by way of a thorough case history as
previously described thus making selection of the
treatment option that is most ideally indicated for
the particular case at hand.
By placing a primer on determining patient
problems, it also places a primer on the various
treatment options that are best suited for those
particular conditions.
73. Definition- A forecast as to the probable result of
a disease or a course of therapy.
After considering all the factors of the case, an
experienced dentist should be able to predict the
degree of success that can be expected.
It includes realization by the patient of what can
& cannot be achieved.
Ultimately leads to more realistic expectations &
less frustration & disappointment.
Prognosis