1. The document discusses the process of diagnosis and treatment planning for complete dentures, including patient evaluation, history taking, examination, and developing a treatment plan.
2. It emphasizes the importance of a thorough patient assessment, including medical history, chief complaints, and lifestyle factors, to understand the patient's physical and psychological condition and ensure functional complete dentures.
3. Key parts of the examination are assessing factors like nutrition, habits, systemic diseases, jaw range of motion, and mental attitude to determine their implications for denture design and prognosis.
This document provides an outline for examining a patient for dental treatment. It includes sections on gathering the patient's medical history, chief complaint, dental history, and performing an extra-oral and intra-oral examination. The examinations provide information on the patient's facial profile, lip and mouth tissues, jaw joints, and residual alveolar ridges to inform a diagnosis and treatment plan. A thorough examination of the patient's health and dental status is essential for developing a prognosis and appropriate course of treatment.
Diagnosis and treatment planning of Removable Partial Denture dwijk
This document discusses the process of examining a patient and developing a treatment plan for a removable partial denture. It covers organizing the initial examination, evaluating medical and dental history, performing diagnostic tests and impressions, and analyzing the data to formulate a treatment plan. The goal is to thoroughly understand the patient's condition and needs to develop a successful treatment.
Diagnosis and treatment planning in complete denture patientsPriyam Javed
This document provides information on diagnosing and treating patients for complete dentures. It discusses the importance of patient evaluation, which includes taking a thorough medical and dental history and performing a clinical examination. The history focuses on understanding the patient's chief complaint, past dental experiences, existing dentures, general medical conditions, and psychosocial factors. A treatment plan is developed based on the diagnosis. Success requires consideration of the patient's attitude and ability to use dentures, as well as the clinician's skills.
This document provides information on diagnosing and treating patients for complete dentures. It discusses the importance of patient evaluation, which includes taking a thorough medical and dental history and performing a clinical examination. The history focuses on understanding the patient's chief complaint, past dental experiences, existing dentures, general health conditions and medications. A treatment plan is developed based on the diagnosis. Success requires consideration of the patient's attitude and ability to use dentures, as well as the clinician's skills.
This document provides information on diagnosis and treatment planning for complete dentures. It discusses examining the patient's medical history, dental history, psychological evaluation, and conducting an extraoral and intraoral clinical examination. The extraoral exam evaluates features like facial form, symmetry, and muscle tone. The intraoral exam assesses the arch size and form, ridge anatomy, interarch space, and other anatomical landmarks. Taking a thorough patient history and clinical exam is important for diagnosis and developing a proper treatment plan for complete dentures.
different classification of complete denture patients, includes house classification
for more
https://youtu.be/aaJ6gpQohcs
https://youtu.be/REMKSUty0cE
https://youtu.be/fv3_tWZPJIU
https://youtu.be/GeZIbCwqKYU
if you want me to make ppt on some topic do let me know on the comment section of my youtube channel
Diagnosis and treatment planning in completely edentulous patientsDr ARYA SUDARSANAN
If you like to view in my youtube channel Dr Aaryas Vlogs please click on these links for parts 1 to 4
https://youtu.be/jBT4UloMqoM
https://youtu.be/cBwQpjW0yD0
https://youtu.be/EO_MSE2wle4
https://youtu.be/1UXMNQ0gPho
Thanks for watching..........
Please do like, share and subscribe my channel for more videos..........
This document provides an outline for examining a patient for dental treatment. It includes sections on gathering the patient's medical history, chief complaint, dental history, and performing an extra-oral and intra-oral examination. The examinations provide information on the patient's facial profile, lip and mouth tissues, jaw joints, and residual alveolar ridges to inform a diagnosis and treatment plan. A thorough examination of the patient's health and dental status is essential for developing a prognosis and appropriate course of treatment.
Diagnosis and treatment planning of Removable Partial Denture dwijk
This document discusses the process of examining a patient and developing a treatment plan for a removable partial denture. It covers organizing the initial examination, evaluating medical and dental history, performing diagnostic tests and impressions, and analyzing the data to formulate a treatment plan. The goal is to thoroughly understand the patient's condition and needs to develop a successful treatment.
Diagnosis and treatment planning in complete denture patientsPriyam Javed
This document provides information on diagnosing and treating patients for complete dentures. It discusses the importance of patient evaluation, which includes taking a thorough medical and dental history and performing a clinical examination. The history focuses on understanding the patient's chief complaint, past dental experiences, existing dentures, general medical conditions, and psychosocial factors. A treatment plan is developed based on the diagnosis. Success requires consideration of the patient's attitude and ability to use dentures, as well as the clinician's skills.
This document provides information on diagnosing and treating patients for complete dentures. It discusses the importance of patient evaluation, which includes taking a thorough medical and dental history and performing a clinical examination. The history focuses on understanding the patient's chief complaint, past dental experiences, existing dentures, general health conditions and medications. A treatment plan is developed based on the diagnosis. Success requires consideration of the patient's attitude and ability to use dentures, as well as the clinician's skills.
This document provides information on diagnosis and treatment planning for complete dentures. It discusses examining the patient's medical history, dental history, psychological evaluation, and conducting an extraoral and intraoral clinical examination. The extraoral exam evaluates features like facial form, symmetry, and muscle tone. The intraoral exam assesses the arch size and form, ridge anatomy, interarch space, and other anatomical landmarks. Taking a thorough patient history and clinical exam is important for diagnosis and developing a proper treatment plan for complete dentures.
different classification of complete denture patients, includes house classification
for more
https://youtu.be/aaJ6gpQohcs
https://youtu.be/REMKSUty0cE
https://youtu.be/fv3_tWZPJIU
https://youtu.be/GeZIbCwqKYU
if you want me to make ppt on some topic do let me know on the comment section of my youtube channel
Diagnosis and treatment planning in completely edentulous patientsDr ARYA SUDARSANAN
If you like to view in my youtube channel Dr Aaryas Vlogs please click on these links for parts 1 to 4
https://youtu.be/jBT4UloMqoM
https://youtu.be/cBwQpjW0yD0
https://youtu.be/EO_MSE2wle4
https://youtu.be/1UXMNQ0gPho
Thanks for watching..........
Please do like, share and subscribe my channel for more videos..........
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.
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
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
1- Diagnosis and treatment planning for removable prosthodonticsAmal Kaddah
1. The document provides details on examining a patient for removable prosthodontic treatment, including taking a thorough medical and dental history, performing an extraoral and intraoral examination, and assessing the temporomandibular joints.
2. Key parts of the examination involve evaluating the patient's expectations, attitudes, facial form, lip length, oral tissues, jaw range of motion, and palpating the temporomandibular joints.
3. A thorough medical history is also required to understand any conditions that could impact treatment planning and outcomes.
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.
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
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 factors to consider in diagnosing and treatment planning for complete dentures. It outlines how to evaluate a patient's medical history, dental history, clinical examination including facial features, lip mobility, muscle tone and mucosal health. A thorough diagnosis is important for developing a proper treatment plan and avoiding failure of the dentures. The House classification system is described for categorizing various patient attributes like attitude, muscle tone and mucosal thickness to aid treatment. A complete evaluation of the patient is necessary for successful complete denture therapy.
This document discusses the importance of diagnosis and treatment planning for prosthodontic treatment. It outlines the key steps in conducting an examination of a patient, including taking a health history, conducting an oral examination, and evaluating how medical conditions and medications may impact treatment. The goals of prosthodontic treatment are to restore function, eliminate disease, and preserve remaining oral health. A thorough diagnosis is essential to developing an appropriate treatment plan.
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.
This document provides an overview of how to take a case history for a dental patient. It discusses the importance of gathering demographic data, chief complaints, medical history, dental history and conducting examinations. The key components of a case history are outlined, including the steps of taking a history, examining the patient, making a provisional diagnosis, conducting investigations, reaching a final diagnosis and developing a treatment plan. Taking a thorough case history is important for understanding the patient's condition, making an accurate diagnosis and determining an effective treatment approach.
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.
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.
Daignosis and treatement planniing in cdsatyasai64
1. The document discusses the components of diagnosis and treatment planning for complete dentures, including the dentist-patient relationship, history taking, clinical examination, and supplemental diagnostic aids.
2. Key aspects of history taking involve assessing the patient's social history, medical history, drug history, dental history, and classifying the patient's attitude and adaptive behavior.
3. An ideal dentist-patient relationship is built on trust, empathy, respect, and support to help patients adapt positively to complete dentures.
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
This document discusses nutrition and communication considerations for edentulous geriatric patients. It covers definitions related to geriatric dentistry and nutrition, the role of dentists in assessing nutritional status and providing dietary counseling. Factors contributing to nutritional problems in elderly patients and signs of nutritional deficiency are examined. The importance of effective communication with geriatric patients is emphasized, including classifying patient mental attitudes and using techniques like simple language, pictures and involving family members.
Seminar about diagnostic methods that used in endodontic which include:
i. Case History.
ii. Clinical Examination.
iii. Radiographs.
iv. Pulp Vitality Tests.
MAXILLOFACIAL MATERIALS.ppt on dental materialsmanjulikatyagi
This document provides an overview of maxillofacial prosthetic materials. It begins with definitions of key terms and discusses the history of maxillofacial prosthetics from ancient times to recent developments. Common materials used for extraoral maxillofacial prostheses are then reviewed, including their ideal properties, types, advantages, and limitations. Key materials discussed are acrylic resin, vinyl polymers, polyurethane elastomers, and silicone elastomers. Considerations for material selection and limitations of current materials are also presented.
full mouth rehabilitation ppt including allmanjulikatyagi
The document discusses concepts and philosophies related to full mouth rehabilitation. It defines full mouth rehabilitation as restoring the form and function of the masticatory apparatus as close to normal as possible. Occlusion plays a key role in establishing synchronous harmony between teeth, TMJ, and muscles of mastication. The selection of the proper occlusal scheme is important for prosthetic rehabilitation. Various philosophies and concepts are discussed, including gnathological concept, mutually protected occlusion, group function, balanced occlusion, Pankey-Mann-Schuyler philosophy, and Hobo's twin table technique. Cusp shape factors, amount of disocclusion, and influences on disocclusion are also covered.
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.
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
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
1- Diagnosis and treatment planning for removable prosthodonticsAmal Kaddah
1. The document provides details on examining a patient for removable prosthodontic treatment, including taking a thorough medical and dental history, performing an extraoral and intraoral examination, and assessing the temporomandibular joints.
2. Key parts of the examination involve evaluating the patient's expectations, attitudes, facial form, lip length, oral tissues, jaw range of motion, and palpating the temporomandibular joints.
3. A thorough medical history is also required to understand any conditions that could impact treatment planning and outcomes.
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.
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
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 factors to consider in diagnosing and treatment planning for complete dentures. It outlines how to evaluate a patient's medical history, dental history, clinical examination including facial features, lip mobility, muscle tone and mucosal health. A thorough diagnosis is important for developing a proper treatment plan and avoiding failure of the dentures. The House classification system is described for categorizing various patient attributes like attitude, muscle tone and mucosal thickness to aid treatment. A complete evaluation of the patient is necessary for successful complete denture therapy.
This document discusses the importance of diagnosis and treatment planning for prosthodontic treatment. It outlines the key steps in conducting an examination of a patient, including taking a health history, conducting an oral examination, and evaluating how medical conditions and medications may impact treatment. The goals of prosthodontic treatment are to restore function, eliminate disease, and preserve remaining oral health. A thorough diagnosis is essential to developing an appropriate treatment plan.
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.
This document provides an overview of how to take a case history for a dental patient. It discusses the importance of gathering demographic data, chief complaints, medical history, dental history and conducting examinations. The key components of a case history are outlined, including the steps of taking a history, examining the patient, making a provisional diagnosis, conducting investigations, reaching a final diagnosis and developing a treatment plan. Taking a thorough case history is important for understanding the patient's condition, making an accurate diagnosis and determining an effective treatment approach.
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.
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.
Daignosis and treatement planniing in cdsatyasai64
1. The document discusses the components of diagnosis and treatment planning for complete dentures, including the dentist-patient relationship, history taking, clinical examination, and supplemental diagnostic aids.
2. Key aspects of history taking involve assessing the patient's social history, medical history, drug history, dental history, and classifying the patient's attitude and adaptive behavior.
3. An ideal dentist-patient relationship is built on trust, empathy, respect, and support to help patients adapt positively to complete dentures.
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
This document discusses nutrition and communication considerations for edentulous geriatric patients. It covers definitions related to geriatric dentistry and nutrition, the role of dentists in assessing nutritional status and providing dietary counseling. Factors contributing to nutritional problems in elderly patients and signs of nutritional deficiency are examined. The importance of effective communication with geriatric patients is emphasized, including classifying patient mental attitudes and using techniques like simple language, pictures and involving family members.
Seminar about diagnostic methods that used in endodontic which include:
i. Case History.
ii. Clinical Examination.
iii. Radiographs.
iv. Pulp Vitality Tests.
Similar to DIAGNOSIS TREATMENT PLANNING cd.pptx (20)
MAXILLOFACIAL MATERIALS.ppt on dental materialsmanjulikatyagi
This document provides an overview of maxillofacial prosthetic materials. It begins with definitions of key terms and discusses the history of maxillofacial prosthetics from ancient times to recent developments. Common materials used for extraoral maxillofacial prostheses are then reviewed, including their ideal properties, types, advantages, and limitations. Key materials discussed are acrylic resin, vinyl polymers, polyurethane elastomers, and silicone elastomers. Considerations for material selection and limitations of current materials are also presented.
full mouth rehabilitation ppt including allmanjulikatyagi
The document discusses concepts and philosophies related to full mouth rehabilitation. It defines full mouth rehabilitation as restoring the form and function of the masticatory apparatus as close to normal as possible. Occlusion plays a key role in establishing synchronous harmony between teeth, TMJ, and muscles of mastication. The selection of the proper occlusal scheme is important for prosthetic rehabilitation. Various philosophies and concepts are discussed, including gnathological concept, mutually protected occlusion, group function, balanced occlusion, Pankey-Mann-Schuyler philosophy, and Hobo's twin table technique. Cusp shape factors, amount of disocclusion, and influences on disocclusion are also covered.
zirconia in dentistry adv and disadvantagesmanjulikatyagi
This document provides an overview of zirconia and its use in dentistry. It begins with the history of ceramics and introduces zirconia as a modern ceramic material. Key points about zirconia include its high strength, fracture toughness and biocompatibility. The document discusses the various crystal phases of zirconia and why it is preferred over other materials. Applications of zirconia in dentistry are summarized, including crowns, bridges, implants, orthodontic brackets and more. The integration of zirconia with digital technologies like CAD/CAM is also mentioned.
lect dental-polymers.ppt including heat and coldmanjulikatyagi
This document summarizes key information about dental polymers, including the types of resins used in dentistry, how they are classified, and the polymerization process. It discusses the main categories of polymers as thermoplastic and thermoset, and how polymerization occurs through addition and condensation reactions. The stages of polymerization - initiation, propagation and termination - are outlined. Factors that can inhibit polymerization and the physical properties of polymers related to deformation, rheology, solvation and thermal behavior are also summarized.
TEMPOROMANDIBULAR JOINT DISORDERS AND ITS PROSTHETIC MANAGEMENT (2) [Repaired...manjulikatyagi
Temporomandibular disorders (TMD) are the most common non tooth-related chronic orofacial pain conditions. Diagnosis requires a multidisciplinary approach due to the complex nature of each case. TMDs can be classified into masticatory muscle disorders, temporomandibular joint disorders, chronic mandibular hypomobility, and growth disorders. Common causes include trauma, inflammation, systemic diseases, and prolonged immobilization. Management involves both conservative and definitive treatment depending on the specific disorder.
This document discusses various mechanical properties that are important for evaluating dental materials, including their ability to withstand forces in the oral cavity. It defines key terms like stress, strain, elastic limit, yield strength, toughness, ductility and describes how these properties are measured. Properties like elastic modulus, resilience and strength values are important for determining a material's stiffness, ability to absorb forces without permanent deformation, and maximum stress before failure. Understanding these mechanical behaviors can help select appropriate materials for different dental applications and restorations.
The document discusses principles of tooth preparation for fixed partial dentures. It covers objectives like reducing tooth structure for retention while preserving healthy tooth structure. Principles include conservative preparation with minimal taper and preservation of tooth structure. Margin placement should be supragingival when possible. Margin designs like chamfer and shoulder are described. Tooth preparation creates retention and resistance for fixed restorations.
DIAGNOSIS AND TREATMENT PLANNING OF EDENTULOUS PATIENTS (2).pptmanjulikatyagi
This document discusses the diagnosis and treatment planning process for edentulous patients requiring complete dentures. It emphasizes the importance of a thorough patient assessment involving medical history, clinical examinations, diagnostic procedures and observations. The goal is to understand the patient's physical and psychological condition to determine a treatment plan that meets their expectations. A proper diagnosis recognizes any issues, formulates an appropriate plan, carries out necessary examinations and interprets the results. This process requires developing trust with the patient and familiarizing oneself with their overall oral condition to achieve successful complete denture therapy.
This document discusses the biomechanics of edentulism and complete denture support. Key points include:
- Loss of teeth results in loss of periodontal ligament support and alterations to the mechanisms of force transmission during functions like chewing.
- Complete dentures rely on mucosal support over a much smaller area compared to periodontal ligaments. They are also subject to residual ridge resorption over time.
- Chewing forces are significantly lower with complete dentures versus natural dentition. Movement patterns during functions like chewing are similar but dentures cannot substitute fully for natural teeth.
This document discusses biomaterials used in dental implants. It begins by introducing various biomaterial options for implants, including metals, ceramics, polymers, and natural materials. It then discusses the history of biomaterial development, starting with ancient attempts to replace teeth and progressing to modern materials like titanium. The document also covers important properties to consider when selecting and evaluating biomaterials, such as mechanical strength, biocompatibility, corrosion resistance, and how materials can be modified.
This document discusses dental ceramics. It defines ceramics as inorganic, non-metallic materials that are crystalline in nature and formed from compounds of metallic and nonmetallic elements. Dental ceramics are characterized by properties like biocompatibility, esthetic potential, hardness, and chemical inertness. They can be crystalline or amorphous and are classified based on factors like firing temperature, processing method, and microstructure. Common types used in dentistry include feldspathic porcelain, aluminous porcelain, and glass ceramics. Dental ceramics have various applications and are indicated for uses like crowns, veneers, and fixed dental prostheses depending on their composition and properties.
Ceramics are inorganic, non-metallic materials formed from chemical and biochemical stable substances. Dental ceramics contain a glassy matrix reinforced by crystalline structures such as leucite, alumina, and silica. Dental porcelains are composed of feldspar, silica, and kaolin, which are blended and fired to form the ceramic. Metal-ceramic restorations consist of a metal coping covered with opaque, dentin, and enamel porcelain layers that are bonded to the metal through mechanical interlocking and chemical bonding between metal oxide layers and the ceramic.
Soldering and welding are processes to join metal components. Soldering involves melting a filler metal below the melting points of the components being joined. Welding directly melts the components together without a filler. Common types of soldering include soft, hard, and brazing based on the filler metal temperature. Welding techniques include spot welding, laser welding, and tungsten inert gas welding. Key factors for a strong joint include clean surfaces, proper temperature, timing, and gap width between components. Defects like porosity or distortion can weaken the joint if processes are not followed correctly.
1. The document discusses different types of elastic impression materials used in dentistry including their history, properties, and recent advances.
2. The main elastic impression materials discussed are elastomers/rubber base materials like polysulfides, condensation silicones, addition silicones, and polyethers.
3. Recent advances include visible light cured impression materials which offer controlled working times and excellent properties but require special trays and can be difficult to cure in all areas.
This document discusses diet and nutrition as they relate to oral health and prosthodontic treatment. It defines key terms like diet, nutrition, and balanced diet. It describes the major nutrients - carbohydrates, lipids, proteins, vitamins, minerals, and water. It discusses dietary requirements and recommendations for different age groups, especially the elderly. It emphasizes the importance of adequate protein, vitamin, mineral and calcium intake for dental patients, especially those undergoing prosthodontic treatment. It provides dietary guidelines for new denture wearers.
Temporary removable partial dentures are interim prostheses used until a definitive prosthesis can be provided. They aim to reestablish esthetics, maintain space, improve tolerance to wearing a prosthesis, and condition tissues. Different types include interim, transitional, treatment, and immediate RPDs. Acrylic RPDs are made with a resin base and acrylic teeth connected with wire clasps. They are indicated when cost is a concern or temporary use is needed. Care must be taken to minimize tissue damage and maintain oral hygiene with acrylic RPDs.
physical and mechcanical properties of dental materials..pptmanjulikatyagi
The document discusses various mechanical properties of materials including stress, strain, tensile strength, compressive strength, shear strength, modulus of elasticity, ductility, resilience, toughness, and hardness. It defines these terms and describes methods for measuring properties such as stress, strain, hardness, and strength. For example, stress is defined as force per unit area and can be measured using a three-point bending test. Hardness is the resistance of a material to indentation and can be measured using Knoop or Vickers indentation tests.
This document discusses prosthetic resin polymers used in dentistry. It provides an overview of their various uses including denture bases, denture teeth, relining materials, and more. It describes the functions of denture base materials in distributing pressure and retaining teeth. The document outlines different types of resin polymers like heat cured acrylic, chemically cured acrylic, and light cured acrylic. It discusses considerations for manipulating resin polymers, such as controlling processing strains from shrinkage.
This document discusses indirect retainers in removable partial dentures. It defines an indirect retainer as a component that assists the direct retainer in preventing displacement of the distal extension denture base through lever action on the opposite side of the fulcrum line. The functions of indirect retainers are to reduce twisting forces and help stabilize the denture. Factors like fulcrum lines, connector rigidity, and rest effectiveness determine the indirect retainer's effectiveness. Common types include auxiliary occlusal rests and canine extensions. Properly designing indirect retainers based on a patient's dentition can improve the support and stability of a removable partial denture.
This document discusses provisional restorations, including definitions, requirements, types, and techniques for fabrication. A provisional restoration is a temporary restoration used during dental treatment to enhance esthetics, stabilization, and function until being replaced by a definitive prosthesis. Requirements for provisional restorations include adequate fit, occlusion, contacts, esthetics, contours, and strength. Types of provisionals include custom temporaries made directly or indirectly, as well as prefabricated shells. Fabrication techniques covered are direct, indirect, templates, and shell methods.
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This particular slides consist of- what is hypotension,what are it's causes and it's effect on body, risk factors, symptoms,complications, diagnosis and role of physiotherapy in it.
This slide is very helpful for physiotherapy students and also for other medical and healthcare students.
Here is the summary of hypotension:
Hypotension, or low blood pressure, is when the pressure of blood circulating in the body is lower than normal or expected. It's only a problem if it negatively impacts the body and causes symptoms. Normal blood pressure is usually between 90/60 mmHg and 120/80 mmHg, but pressures below 90/60 are generally considered hypotensive.
TEST BANK For Accounting Information Systems, 3rd Edition by Vernon Richardso...rightmanforbloodline
TEST BANK For Accounting Information Systems, 3rd Edition by Vernon Richardson, Verified Chapters 1 - 18, Complete Newest Version
TEST BANK For Accounting Information Systems, 3rd Edition by Vernon Richardson, Verified Chapters 1 - 18, Complete Newest Version
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Exploring the Benefits of Binaural Hearing: Why Two Hearing Aids Are Better T...Ear Solutions (ESPL)
Binaural hearing using two hearing aids instead of one offers numerous advantages, including improved sound localization, enhanced sound quality, better speech understanding in noise, reduced listening effort, and greater overall satisfaction. By leveraging the brain’s natural ability to process sound from both ears, binaural hearing aids provide a more balanced, clear, and comfortable hearing experience. If you or a loved one is considering hearing aids, consult with a hearing care professional at Ear Solutions hearing aid clinic in Mumbai to explore the benefits of binaural hearing and determine the best solution for your hearing needs. Embracing binaural hearing can lead to a richer, more engaging auditory experience and significantly improve your quality of life.
This particular slides consist of- what is Pneumothorax,what are it's causes and it's effect on body, risk factors, symptoms,complications, diagnosis and role of physiotherapy in it.
This slide is very helpful for physiotherapy students and also for other medical and healthcare students.
Here is a summary of Pneumothorax:
Pneumothorax, also known as a collapsed lung, is a condition that occurs when air leaks into the space between the lung and chest wall. This air buildup puts pressure on the lung, preventing it from expanding fully when you breathe. A pneumothorax can cause a complete or partial collapse of the lung.
LGBTQ+ Adults: Unique Opportunities and Inclusive Approaches to CareVITASAuthor
This webinar helps clinicians understand the unique healthcare needs of the LGBTQ+ community, primarily in relation to end-of-life care. Topics include social and cultural background and challenges, healthcare disparities, advanced care planning, and strategies for reaching the community and improving quality of care.
Can Allopathy and Homeopathy Be Used Together in India.pdfDharma Homoeopathy
This article explores the potential for combining allopathy and homeopathy in India, examining the benefits, challenges, and the emerging field of integrative medicine.
International Cancer Survivors Day is celebrated during June, placing the spotlight not only on cancer survivors, but also their caregivers.
CANSA has compiled a list of tips and guidelines of support:
https://cansa.org.za/who-cares-for-cancer-patients-caregivers/
Michigan HealthTech Market Map 2024. Includes 7 categories: Policy Makers, Academic Innovation Centers, Digital Health Providers, Healthcare Providers, Payers / Insurance, Device Companies, Life Science Companies, Innovation Accelerators. Developed by the Michigan-Israel Business Accelerator
2024 HIPAA Compliance Training Guide to the Compliance OfficersConference Panel
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3. INTRODUCTION
• Successful denture therapy begins with a thorough
assessment of the patients physical and
psychological condition and determining a
treatment that will deliver functional complete
denture that will satisfy the patient.
Sheldon winkler; Essentials of complete denture prosthodontics:3rd edition
4. Sheldon winkler; Essentials of complete denture prosthodontics:3rd edition
DIAGNOSIS:
Diagnosis is the examination of the physical state,
evaluation of the mental or psychological make up, and
understanding the needs of each patient to ensure a
predictable result.
TREATMENT PLANNING
Developing a course of action that encompases the
ramifications and sequelae of treatment to serve
the patient needs.
6. • GAIT
Observations regarding the patient’s walk, steadiness and
the level of coordination can help in gaining an insight
into the patients’ motor skills and any systemic disease
V.Rangrajan et al:Textbook of Prosthodontics;2nd edition
Patient evaluation
7. This provides information about the mental attitude
and presence of any disorders.
Absence of any expression indicates loss of muscle
tone, trigeminal neuralgia, plastic surgery or disorders
of central nervous system
V.Rangrajan et al:Textbook of Prosthodontics;2nd edition
FACIAL
EXPRESSION
8. SPEECH
The fluency and quality of the speech should be
noted, as it will help in arranging artificial teeth. If
speech is altered due to poor denture fabrication,
it should be rectified
•Hypernasality—paralysis of palatal musculature.
• Hoarseness—paralysis of both vocal cords, excessive
smoking
V.Rangrajan et al:Textbook of Prosthodontics;2nd edition
•Whistling sound
•Lisping sound
9. BREATHING PATTERN
V.Rangrajan et al:Textbook of Prosthodontics;2nd edition
Every effort must be made to allow easy and comfortable
breathing during treatment.
Attention must thus be directed to providing a patent airway by
good chair posture, by bringing the head forward so that gravity
carries salivary fl uids and impression materials forward out of
the mouth .
Patients should be directed to breathe slowly and deeply and
with a regular rhythm
11. Ideal patient: reasonably engaged (+++) and reasonably
willing to submit(+++)
Submitter: (++++) on engagement and (++++) in willingness to
submit or trust.
Reluctant: rates (++) on engagement and (++) on willingness to
submit or trust.
Indifferent: rates (+) on engagement and (+) on willingness to
submit or trust.
Resistant : skeptical of the dentist and there is no trust.
Simon gamer et al:MM House classification revisited;J Prosthet Dent 2003;89:297-302.)
12. Ideal pt: The dentist may be offended by the pts reasonable
attitude that falls short of dentists need to be idealized.
Submitter: The dentist may be flattered and potentially seduced
into providing treatment aimed at perpetuating the idealization
Reluctant: The dentist may either feel offended by the patient’s
attitude or the dentist may feel challenged by the patient’s
pessimistic expectations.
Indifferent: The dentist may feel offended by the patient’s
disengaged attitude, taking it as a personal failure.
Resistant :The dentist may become angry or disappointed with
patient who persistently distrusts. The dentist may compromise
the treatment in an effort to please the patient.
Simon gamer et al:MM House classification revisited;J Prosthet Dent 2003;89:297-302.)
14. GENERAL INTRODUCTION TO THE
PATIENT
First appointment most
important time dentist spend
with CD patient.
Develop mutual understanding
and trust
Dentist should engage patient in some
general conversation to further place the
pt. at ease and begin to understand pt. as
an individual.
Sheldon winkler; Essentials of complete denture prosthodontics:3rd edition
15. GENERAL INTRODUCTION TO THE
PATIENT
Name:
Address:
Telephone number:
Sheldon winkler; Essentials of complete denture prosthodontics:3rd edition
•To maintain the pts record
.Tavelling distance estimation
•Endemic ds.
•To communicate with the patient
Patients identity, documentation
Patients confidence
Psychological security
16. Age : Age is an indicator of patients ability to
wear dentures.
Through the 4th decade of life ,tissues
heal rapidly and are more resilient.
Pt adapt to new conditions readiliy and
esthetics is of paramount importance.
Women facing physiological and psychological
problems of menopause.such patients often
present exacting or hysterical behaviour who are
concerned with esthetics.
Robert L et al;patient evaluation and treatment planning for complete denture
therapy:DCNA1996;40(1):1-18
17. Sex : Ds.COMMON IN
FEMALES
Osteoporosis
Thyroid disorders
Osteoarthritis
PCOD
COMMON IN MALES
CVS
TB
TUMOURS
RESPIRATORY DS
HAEMOPHILIA
Sandeep C et al;exam,diag,treatment plan for acd;j orofacial sci
18. OCCUPATION
Tooth position is very important for a musician
who plays a wind instrument
Some occupational habits like nail biting of tailors and
cobblers may cause attrition of anterior teeth.
Occupations like public speakers, teachers and
singers are more particular about the phonetics
with their new dentures.
Sandeep C et al;exam,diag,treatment plan for acd;j orofacial sci
19. HABITS
Pan chewing ,smoking,chr.alcoholism may evoke
concerns regarding hygiene,maintenance and wear
of denture
Parafunctional habits like bruxism ,clenching
affect the teeth selection and prognosis
20. NUTRITIONAL
HISTORY
•Record food intake of pt. over 3-5 days period. This
helps to evaluate nutritional status of pt.
•Ability of oral ts to withstand stresses of dentures is
greater in well nourished pts .
•Dietary councelling is necessary for malnourished pts.
Sandeep C et al;exam,diag,treatment plan for acd;j orofacial sci
21. Gerodontic nutrition and dietary counseling for prosthodontic
patients. Dent Clin N Am 2003;47:355-71
As the patients become older , amount of protein required
increases.
Protein depletion of body stores in the elderly, is seen
primarily as a decrease of the skeletal muscle mass.
Proteins is a must for denture wearers.
22. The chief complaint should be written in patient’s
own words, patient should bequestioned regarding
his chief complaint
According to DeVan, “ the dentist should
meet the mind of the patient before he
meets the mouth of the patient
Sandeep C et al;exam,diag,treatment plan for acd;j orofacial sci
CHIEFCOMPLAINT
23. No prosthodontic procedure should be commenced
without evaluating systemic status of an individual.
MEDICAL HISTORY
25. Iron deficiency causes anaemia, atrophic mucosa, purpura
and burning sensation of mucosa
Pernicious anaemia and Iron deficiency anaemia patients
have fragile mucosa so the dentures should be as smooth as
possible.
Sandeep C et al;exam,diag,treatment plan for acd;I.Jour orofacial sci
ANAEMIAS
27. When terminal joints of fingers are arthritic it is difficult for
the patient to insert and clean the dentures.
When it affects TMJ, the mouth opening will be restricted
and painful movements of the jaw necessitates the use of
special impression trays.
Shorter appointments, comfortable chair position
Sandeep C et al;exam,diag,treatment plan for acd;I.Jour orofacial sci
OSTEOARTHRITIS
28. OSTEOPOROSIS
Hirai T et al, indicated that osteoporosis strongly affects
reduction of the residual ridge in edentulous patients.
Oral signs of osteoporosis might be manifested by
excessive alveolar ridge resorption, tooth loss, chronic
destructive periodontal disease, referred maxillary sinus
pain, or fracture
• Focus should be on reduction of the forces on residual ridge.
•Mucostatic , selective pressure impression technique
•Semi anatomic or non anatomic teeth with narrow BL width
should be selected.
• Extended tissue rest intervals by keeping the dentures out of
mouth for 10 hours a day can be advised.
Vinod B et al.osteoporosis,its prosthodontic considerations;Journal of Clinical and
Diagnostic Research. 2015 Dec, Vol-9(12
29. Lips become rigid and the aperture
narrows, and presents mask like
facial expression.
Restricted mandibular movements
are seen
SCLERODERMA
Sandeep C et al;exam,diag,treatment plan for acd;I.Jour orofacial sci
30. CARDIOVASCULAR DISEASES
•Hypertension
•Angina pectoris
•Myocardial infarction
•Congestive heart failure
•Infective endocarditis
HYPERTENSION
Afternoon dental appointments maybe
Preferred as recent studies indicate
that BP levels generally increase around
awakening and peaks at morning
Patients with stable cardiac problems under the regular
care of cardiologist are not contraindicated for procedure.
Short appointments may help patients to manage stress
better.
Consultation with physician is required if any invasive
pre-prosthetic surgery is indicated.
Sandeep C et al;exam,diag,treatment plan for acd;I.Jour orofacial sci
Dr ganaraj shetty et al;Int Jour Sci: Basic and Applied Research (IJSBAR)(2015) Volume 20, No
1, pp 260-265
31. NEUROLOGICAL
DISORDERS
•Epilepsy
•Bells palsy
•Parkinsons disease
EPILEPSY
•Patient may aspirate or break the denture during the seizure.
• It will influence the selection of denture base material and
teeth.
•Patient and close relatives may also need to be educated on
quick removal of the dentures prior to or during seizures.
Diseases like epilepsy, Bell’s palsy, Parkinson’s
disease can influence the denture retention, jaw
relation records and impression making
procedures. Use of anxiety reduction protocol and
stress levels should be minimized.
Sandeep C et al;exam,diag,treatment plan for acd;I.Jour orofacial sci
32. MEDICATIONS
Xerostomia is a common side effect of antihypertensive and
Antidepressantsdenture retention and cause increased soreness.
Diuretics cause changes in tissue fluids which affect retention and
stability of dentures.
V.Rangrajan et al:Textbook of Prosthodontics;2nd edition
34. A) REASON FOR TOOTH
LOSS
The amount of bone loss would be more for the patient
with a long history of progressive periodontal disease
than for the patient with a history of caries.
Questioning should also include the general order
of teeth loss. If all the posterior teeth were extracted
prior to the anterior teeth a habit of eating with front
teeth may lead to unstabilized effect on full dentures
Sandeep C et al;exam,diag,treatment plan for acd;I.Jour orofacial sci
35. B) PERIOD AND SEQUENCE OF
EDENTULOUSNESS
Longer the period, more will be the bone
loss. By understanding the sequence,
bone resorption pattern can be identified.
Sandeep C et al;exam,diag,treatment plan for acd;I.Jour orofacial sci
36. C) PREVIOUS DENTURE
EXPERIENCE
Traumatic experiences will affect the attitude of the patient
towards dental treatment and they will require more
counselling and education.
Patient’s experience with previous dentures will give an
insight into their attitude, desire and expectations.
Sandeep C et al;exam,diag,treatment plan for acd;I.Jour orofacial sci
37. PRE EXTRACTION
RECORDS
Includes pre extraction radiographs, photographs,
diagnostic casts. They can be helpful to reproduce
anterior esthetics in complete denture fabrication.
Sandeep C et al;exam,diag,treatment plan for acd;I.Jour orofacial sci
38. INDICATIONS OF
RELINING,REBASING AND
REMAKING
RELINING:
Resurfacing or correction of denture adaptation to
underlying tissues by the addition of a new resin material to
its fitting surface without changing its occlusal relation.
Addition of material to the tissue side of a denture to
improve its adaptation to the supporting mucosa.
http://www.dentalnews.com/2015/06/16/repairing-complete-denture/
39. REBASING:
It’s a process of readaptation of a denture to the
underlining tissues by replacing the denture base
material with a new one without changing its
occlusal relation.
http://www.dentalnews.com/2015/06/16/repairing-complete-denture/
40. BRUXISM AND EDENTULOUS
PATIENTS
Teeth clenching is common and frequent cause of
complaint of soreness of the denture bearing mucosa.
In denture wearers ,parafunctional habits can cause
additional loading on denture bearing ts. In both horizonal
and vertical direction for prolonged possibly excessive
duration of time both diurnal and nocturnal.
The neurophysiological basis underlying bruxism
is an increase in tonic activity of jaw muscles
Zarb and Bolender Prosthodontic Treatment for Edentulous Patients, 12th edn
43. Should observe for the symmetry of the face,
whether it’s bilaterally symmetrical or not
FACIAL SYMMETRY
Sandeep C et al;exam,diag,treatment plan for acd;I.Jour orofacial sci
44. FACIAL PROFILE
Robert L et al;patient evaluation and treatment planning for complete denture
therapy:DCNA1996;40(1):1-18
45. FACIAL FORM
Robert L et al;patient evaluation and treatment planning for complete
denture therapy:DCNA1996;40(1):1-18
Significance in fabrication of CD
•Helps in selecting artificial teeth as william
formulated a method called law of harmony.
•He believed that relationship exists between the
inverted face form and form of maxillary CI in most
people.
47. LIP HEALTH
Fissures, cracking or ulcers at the
corner of the mouth indicate vitamin B
deficiency, candidiasis and loss of
vertical dimension or neoplasm.
Sheldon winkler.essentials of complete denture prosthodontics:3rd edition
48. LIP SUPPORT
•Adequately supported
•Inadequate support
Zarb and blander.prosthodontic treatment of edentulous
patients;12th edition
Insufficient support of the lips results from anterior
teeth that are placed too far posteriorly (palatally)
characterized by:
• Drooping of corners of mouth
•Reduction in visibility of vermilion border,
•Drooping and deepening of nasolabial grooves,
•Wrinkling, reduction in prominence of philtrum.
49. LIP THICKNESS
Can be THICK /MEDIUM/ THIN
In patients with thin lips any slight change in the labio
lingual position of teeth makes an immediate change in
the lip Contour
Thick lips give little more room for alteration in the
teeth position before obvious changes occur in lip
contour.
Zarb and blander.prosthodontic treatment of edentulous
patients;12th edition
50. LIP LENGTH
•Long
•Medium/normal
•short
•A long lip reveals very little of the anterior teeth,
where as a very short upper lip leads to display of the
denture base.
•Mold selection and denture characterization can be
critical factors in these cases.
Zarb and blander.prosthodontic treatment of edentulous
patients;12th edition
51. MUSCULAR
EXAMINATION
Class 1: Normal muscle function and tone
Classs2: Normal muscle function and mildly decreased tone
Class 3: Decreased muscle tone and function, seen as
drooping commissures, exaggerated nasolabial fold or loss
of vertical dimension.
Tissue tone that’s is too strong or too weak is
unfavourablemore time to complete the clinical
procedure.
If muscles are too tense, cheek and lip manipulation
will be difficult,
If too slack, lips and cheeks may be displaced easily by
impression materials.
Zarb and blander.prosthodontic treatment of edentulous
patients;12th edition
Older people tend to have poor motor
coordination and weak muscles.muscle tone
can decrease by as much as 20-25 %which
results in shorter chewing strokes and
prolonged chewing time.(Boucher)
52. TMJ
Clicking ,crepitus:-disc displacemnt ,rheumatoid
arth,osteoarthrits
Robert L et al;patient evaluation and treatment planning for complete denture
therapy:DCNA1996;40(1):1-18
Pain and tenderness on palpation: mpds,
Locking of mandible:-inflam of soft ts,disc displacmnt
Irregularity or deviation on opening and closing of
mandible:-disc displacement,muscle spasm
Managemennt of tmj disorders
•Reassurance and self care regimen
•Pharmacotherapy
•Physical modalities
•Biobehavioural modalities
54. MUCOSA
Normal colourcoral pink
Class 1:Healthy
Class 2: irritated
Class 3: pathologic
Common prosthetic cause of variation in colour
•Overextension
•Ill fitting dentures
•Continuous wearing of denture
•Faulty articulation of teeth
•Rubber suction discs
White patches and brown/blue pigmented spots
should be noted biopsy may be required
COLOUR
Redness sign of inflammation ill-fitting dentures,
infections, smoking and systemic diseases such as
diabetes.
Robert L et al;patient evaluation and treatment planning for complete denture
therapy:DCNA1996;40(1):1-18
55. MUCOSAL
THICKNESS
Class 1: Normal (firm but not tense)
Class 2: Thin mucosa
Class 3: Thick mucosa
Variations in the thickness of the mucosa leads
difficulty in equalizing pressure under denture
Robert L et al;patient evaluation and treatment planning for complete denture
therapy:DCNA1996;40(1):1-18
57. ARCH SIZE
Class 1; large
Class 2; Medium
Class 3; Small
•Large arch size,more surface contact more retention
•Discrepency in arch size poor stability due to poor
teeth relationship
Sheldon winkler.essentials of complete denture prosthodontics:3rd edition
58. ARCH FORM
•Influences support and tooth selection.
• If opposing arches do not have the same form,
difficulty in tooth arrangement can be anticipated
Sheldon winkler.essentials of complete denture prosthodontics:3rd edition
59. RIDGE CONTOUR
Ideal ridge is high ridge with parallel sides. offers
max.support and stability.
• Flat ridge lack vertical height little resistance to
horizontal movement reduced stability.
• Knife-edged ridge poorest prognosis cannot
withstand much occlusal force and can easily become
sore.
•Relief is necessary while making impressions.
60. RIDGE PARELLISM
When teeth are gradually lost the residual ridges
will diverge from each other.
If the ridges are not parallel to the occlusal plane,
dentures will slide over the basilar tissues when
occlusal forces are applied to them.reduce
denture stability.
Robert L et al;patient evaluation and treatment planning for complete denture
therapy:DCNA1996;40(1):1-18
61. FLABBY TISSUE
Both the arches should be examined for loose
flabby tissue poor stability and support.
Need surgical correction before impressions or
special impression procedures are adopted to
record the same
Sandeep C et al;exam,diag,treatment plan for acd;I.Jour orofacial sci
62. HYPERPLASTIC TISSUE
Hyperplastic tissues such as epulis
fissuratum and papillary hyperplasia
ill-fitting denture need to be treated.
Rest the tissues ,maintain proper oral
hygiene and tissue massage, tissue
conditioning , if necessary, by surgical
correction
Sheldon winkler.essentials of complete denture prosthodontics:3rd edition
63. Tori
Torus palatinus: ranges from small
prominence in midline to one that covers
entire palate.
Lingual tori: interfere with denture
construction unless small one should be
surgically removed
Sandeep C et al;exam,diag,treatment plan for acd;I.Jour orofacial sci
64. FRENAL ATTACHMENT
Class 1: high in the maxilla as low in the mandible with
respect to the crest of the ridge
Class 2 : medium
Class 3 : freni encroach on the crest of the ridge and may
interfere with the denture seal , surgical correction may
be required.
Inadequate clearance may result in pain and
ulceration of mucosa or displacement of the
denture.
Over clearance may result in a loss of seal and a
loose denture.
Sandeep C et al;exam,diag,treatment plan for acd;I.Jour orofacial sci
65. HARD PALATE
U-shaped: Provides good retention and lateral
stability
• V-shaped: Provides least retention
• Flat: Provides less retention and poor lateral
stability.
Sheldon winkler.essentials of complete denture prosthodontics:3rd edition
66. SOFT PALATE RELATIONSHIP TO HARD
PALTE
Class 1 : It is horizontal, makes 10 angle to the hard
palate and demonstrates little muscular movement.
Class 2 : Soft palate makes 45 angle to the hard palate
Class 3 : Soft palate makes 70 angle to the hard palate
Sheldon winkler.essentials of complete denture prosthodontics:3rd edition
67. TONGUE
Class 1 : normal in size, development and function.
Class 2 : teeth have been absent long enough to permit a
change in the form and function of the tongue.
Class 3 : excessively large tongue.
A small narrow tongue contributes to the ease of
impression making , but jeopardizes the lingual seal for
the mandibular denture.
A broad thick tongue always is in the way during
impression making, provides an excellent seal for the
denture.
An extremely large tongue poses additional problems
during impression making and impairs denture stability.
68. TONGUE POSITION
Normal or Class1: the tongue fills the floor of the
mouth and is confined by the mandibular teeth.
Retracted or Class2 : the tongue is retraced. The floor
of the mouth is pulled downward is exposed back to the
molar area.
Class 3 : the tongue is very tense and pulled back ward
and curled upward.
Robert L et al;patient evaluation and treatment planning for complete denture
therapy:DCNA1996;40(1):1-18
69. SALIVA
Class1 : normal quality and quantity of saliva, cohesive
and adhesive properties of saliva are ideal.
Class 2 : excessive saliva, contains much mucous
Class 3 : xerostomia, remaining saliva is mucinous
•Copious Thick ropy saliva interferes with impression
procedures.
• Scanty thin saliva interferes with the seal of the
dentures and provides poor protection against
scuffing and chafing.
Robert L et al;patient evaluation and treatment planning for complete denture
therapy:DCNA1996;40(1):1-18
70. LATERAL THROAT FORM
Class1(deep) : Indicates that the
anatomical structures will accommodate a
fairly long and wide flange ..
Class 2(moderate) : It is about half as
long and narrow as the class1 and
twice as long as class3. It can be
classified as moderate.
Class 3(shallow) : This form has minimum
length and thickness.
Sandeep C et al;exam,diag,treatment plan for acd;I.Jour orofacial sci
72. A complete radiographic study furnishes information
as to the presence of retained roots, foreign bodies,
pathologic areas and generalized osteoporosis in the
bony support.
Sandeep C et al;exam,diag,treatment plan for acd;I.Jour orofacial sci
73. Class 1: mild resorption with loss of ridge upto one third of
the vertical height.
Class 2: which is moderate resorption with loss of ridge
from 1/3 to 2/3 of original vertical height
Class 3: severe resorption with loss of ridge more than 2/3
of the original vertical height
74. Blood investigations – Blood glucose levels for
diabetics,
Hb % of blood for anaemic patients is important for
any preprosthetic surgery desired.
Sandeep C et al;exam,diag,treatment plan for acd;I.Jour orofacial sci
75. TREATMENT PLAN
Treatment planning is the 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
Zarb and Bolender Prosthodontic Treatment for Edentulous Patients, 12th edn
76. Zarb and Bolender Prosthodontic Treatment for Edentulous Patients, 12th edn
77. PHASES OF TREATMENT PLAN
1. Systemic phase
2. Acute phase
3. Disease control phase
4. Definitive treatment
phase
5. Maintainance phase
Treatment planning in dentistry bt stefenac N.2nd edition
78. Prognosis in denture service is an opinion of the prospects for
success of a restoration.
• gross appraisal of the patient,
•patient’s needs and expectations,
•medical, psychological and behavioral considerations,
•anatomic factors,
•physiological factors etc.
Sandeep C et al;exam,diag,treatment plan for acd;I.Jour orofacial sci
PROGNOSIS
79. A successful restoration does not just happen-. It is
Planned
• Thorough diagnosis enables us to make a realistic
prognosis.
• These data aid in outlining the treatment that is best
suited for the individual patient, i.e. we plan success.
• A step-by-step outline is used to obtain this vital
information.
CONCLUSION
80. REFERANCES
Boucher’s:Prosthodontictreatment for edentulouspatients,11the
Winkler:Essentialsof completedenture prosthdontics, 2n
dedn.
Rahn& Heartwell: Textbookof completedenture, 5thedn.
Thedental clinicsof NorthAmerica, Jan 1996;40(1)
WicalK.E.& SwoopeC.C.,Studiespf residualridgeresorption.Part I Use of
panoramicradiographsfor evaluation andclassification of mandibular
resorption,JPD1974;32:7-12
Sandeep C et al;exam,diag,treatment plan for acd;I.Jour orofacial sci
Treatment planning in dentistry bt stefenac N.2nd edition
Robert L et al;patient evaluation and treatment planning for complete
denture therapy:DCNA1996;40(1):1-18
Editor's Notes
Personal details alrady asked by staff
Prevalence of diseases
Protein content important for mintaing,repairing and building body ts
Advised of less denture wear.
Iron def anaemia due to loss of blood,malabsorption
indication of a systemic problem o dental treatment maybe modified and influenced by the effect of the drug
Lip form st,mod,high
22.7mm
Self care hot and cold fomentation,soft diet,avoid any kind of triggring factor
Nsaids,cox 2 inhibitors,even antidepressants
Heat and cold therapies,ultrasound,masage,passive streching
Stress managemnt,relaxtion,hypnosis,education
It is important to eliminate the cause and allow the tissues
to return to normal before impression making
Quality of mucoperi vary withn arch ,it can be thin in some areas or thick ..span of xtractn
Retention compromised
The alveolar ridge of adequate height gives support and to resist lateral
movement of the denture.
House square tapering ovoid
Pre ex,post xtrn,hi wel rounded knife edge low wll roundd depresd
High well rounded max support and stability(horizontal resistance to mvmnt)
Palate less dentures
Small ones can be relieved
house
more tissue coverage is possible for posterior
palatal seal
House
Gagging is a normal defence mechanism to prevent foreign objects from entering the trachea
All teeth have been
absent for an extended period of time allowing for
abnormal development of the size of the tongue.
Other investigations
Visioning and key teeth
1:thorough histry and genral health and psychological health
2:resolve any symtomatic pblms like pain,broken tooth,infectn
3:manage any risk factr that cause oral pblms like carious tooth,endo thrpy or xtrn
4:that improve appearance and function of pt,may require multispeclty approach
5:follow ups for maintainance
It can be rated as - most favourable prognosis/ integral
/ least favourable prognosis
Factors wich affect prog