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
Wax patterns in FPD /certified fixed orthodontic courses by Indian dental ac...Indian dental academy
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.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
00919248678078
This document discusses post-insertion complaints with complete dentures. It begins by classifying common and uncommon complaints, such as sore spots, loose fit, speech issues, and more. It then discusses the management of these complaints, including examining denture faults, occlusal discrepancies, retention issues, and other potential causes. The document provides an overview of evaluating and addressing patients' post-insertion complaints to improve the function and comfort of their complete dentures.
The biomechanics of stresses induced by removable partial dentureIndian dental academy
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
01 occlusion in prosthodontics introduction - stomatognathic system- definiti...Amal Kaddah
The document discusses dental occlusion, including:
- The stomatognathic system which includes the teeth, jaws, muscles and joints that enable chewing.
- What occlusion is, the importance of ideal occlusion, and the differences between natural and artificial occlusion.
- Mandibular movements including centric relation, centric occlusion, and excursive movements.
- Factors that affect balanced occlusion such as simultaneous anterior and posterior tooth contacts.
- The use of articulators and facebows to record occlusion for removable prosthodontics.
Failures in Removable Partial Denture ProsthodonticsNaveed AnJum
The document discusses various types of failures that can occur in removable partial dentures, including failures due to improper patient selection and evaluation, inadequate treatment planning and patient preparation, poor design of the removable dental prosthesis, inadequate clinical skills, prescription errors to the dental laboratory, and errors during the laboratory work. It provides examples of specific errors at each stage and their potential problems and solutions to avoid failures in removable partial dentures.
A presentation on the instructions to be given to complete denture patients at the insertion appointment. Dealing with patients can be hard at times but with a proper approach, a strong rapport can be formed with the patient.
Malocclusion /certified fixed orthodontic courses by Indian dental academy Indian dental academy
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.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
00919248678078
‘A paralleling instrument used in construction of a prosthesis to locate and delineate the contours and relative position and abutment teeth and associated structures’
Wax patterns in FPD /certified fixed orthodontic courses by Indian dental ac...Indian dental academy
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.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
00919248678078
This document discusses post-insertion complaints with complete dentures. It begins by classifying common and uncommon complaints, such as sore spots, loose fit, speech issues, and more. It then discusses the management of these complaints, including examining denture faults, occlusal discrepancies, retention issues, and other potential causes. The document provides an overview of evaluating and addressing patients' post-insertion complaints to improve the function and comfort of their complete dentures.
The biomechanics of stresses induced by removable partial dentureIndian dental academy
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
01 occlusion in prosthodontics introduction - stomatognathic system- definiti...Amal Kaddah
The document discusses dental occlusion, including:
- The stomatognathic system which includes the teeth, jaws, muscles and joints that enable chewing.
- What occlusion is, the importance of ideal occlusion, and the differences between natural and artificial occlusion.
- Mandibular movements including centric relation, centric occlusion, and excursive movements.
- Factors that affect balanced occlusion such as simultaneous anterior and posterior tooth contacts.
- The use of articulators and facebows to record occlusion for removable prosthodontics.
Failures in Removable Partial Denture ProsthodonticsNaveed AnJum
The document discusses various types of failures that can occur in removable partial dentures, including failures due to improper patient selection and evaluation, inadequate treatment planning and patient preparation, poor design of the removable dental prosthesis, inadequate clinical skills, prescription errors to the dental laboratory, and errors during the laboratory work. It provides examples of specific errors at each stage and their potential problems and solutions to avoid failures in removable partial dentures.
A presentation on the instructions to be given to complete denture patients at the insertion appointment. Dealing with patients can be hard at times but with a proper approach, a strong rapport can be formed with the patient.
Malocclusion /certified fixed orthodontic courses by Indian dental academy Indian dental academy
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.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
00919248678078
‘A paralleling instrument used in construction of a prosthesis to locate and delineate the contours and relative position and abutment teeth and associated structures’
INDIRECT RETAINERS IN CAST PARTIAL DENTURESAamir Godil
The document discusses indirect retainers in cast partial dentures. Indirect retainers are components located away from the primary abutment tooth that help control movement of the denture base. They work by resisting rotational movement around the fulcrum line when forces are applied. The most effective location for an indirect retainer is as far from the fulcrum line as possible, typically on a canine or first premolar tooth. In addition to preventing movement away from tissues, indirect retainers can help reduce torque on abutments, stabilize the denture against horizontal movement, and provide auxiliary support to the major connector. Common forms include auxiliary occlusal rests, canine rests, cingulum bars and lingual plates.
This document discusses mandibular movements including their importance, methods of study, factors regulating movement, classifications, and literature review. It describes several types of movements such as hinge, protrusive, lateral, and border movements. Key points covered include condylar and incisal guidance, neuromuscular factors, basic jaw positions like centric relation and occlusion, and classification systems based on axis of movement, direction, extent, and habitual functions. Diagrams illustrate concepts like condylar paths, Bennett movement, and border tracings.
This document provides an overview of achieving esthetics in complete dentures. It discusses the definition and history of denture esthetics. The fundamentals of esthetics including visual perception, composition, proportion, dominance and illusion are covered. Methods for achieving complete denture esthetics are described, including accurate impressions, jaw relation, selection of anterior teeth, arrangement of teeth, and characterization of the denture base. Dynesthetic interpretation of dentogenic concepts and laboratory steps are also summarized.
09- Occlusion in prosthodontics- occlusal correction.pptAmal Kaddah
The document discusses causes of denture errors including clinical errors, technical errors, and material deficiencies. It then covers specific clinical errors like inaccurate impressions or jaw relation records. Technical errors from processing like distortion or tooth movement are also reviewed. The document outlines types of occlusal errors and challenges detecting them clinically. Steps for occlusal correction include trial insertion, fabrication of an occlusal index, remounting, and selective grinding. Clinical remounting with new records is described as the preferred method for correcting errors in the patient's mouth.
This document provides guidelines for selecting teeth for complete dentures. It discusses selecting anterior teeth based on size, form, and shade to match the patient's facial features and complexion. Posterior tooth selection considers shade, size, number, and form, prioritizing function over aesthetics. Tooth forms can be anatomic, semi-anatomic, or non-anatomic based on the patient's jaw ridge relationship and health conditions. Proper tooth selection is important for denture stability and masticatory function.
1. The document discusses the rehabilitation of maxillary defects through obturator prostheses. It covers the classification of maxillary defects, design principles for different defect classes, and considerations for impression making and prosthetic rehabilitation.
2. Key objectives of obturator design include adequate support, retention, and stability to restore functions like feeding, speech, and aesthetics.
3. Preoperative planning involves dental management to preserve teeth near the defect, as well as suggestions to surgeons to maintain alveolar processes and avoid interproximal cuts between teeth.
biomechanics of removable partial dentureAnil Goud
This document discusses biomechanical considerations for removable partial dentures. It explains that dentists must consider the direction, duration, frequency and magnitude of forces when placing partial dentures. Removable partial dentures function using simple machines like levers, wedges and screws. The location of stabilizing and retentive components is important in relation to the horizontal axis of rotation of the abutment teeth. Indirect retainers help prevent displacement of the denture base through lever action. Partial dentures are subject to three main movements: rotation around a transverse axis through the back teeth, rotation around a longitudinal axis, and rotation around a vertical axis. Indirect retainers do not control movement toward the tissues.
SURVEYORS & SURVEYING PROCEDURES IN REMOVABLE PARTIAL PROSTHODONTICSKanika Manral
The document discusses the history and procedures of surveying for removable partial dentures. It describes how surveying has evolved from being done by eye to using specialized surveyor instruments. It outlines the key parts and uses of surveyors, including orienting the cast, marking survey lines to identify contours and undercuts, measuring retention, and identifying interferences. The purpose of surveying is to determine the optimal path of insertion and locations for retention and support of a removable partial denture.
This document discusses different impression techniques used in dentistry. It describes stock and custom impression trays, and their advantages and disadvantages. It also explains several impression techniques in detail, including the physiologic, McLean, Hindels modification, fluid wax, and selected pressure techniques. The selected pressure technique aims to equalize support between teeth and soft tissue by directing more force to areas that can absorb stress without damage, while protecting less resilient areas.
04- Occlusion in prosthodontics- Concepts of occlusion.pptAmal Kaddah
This document discusses concepts of occlusion for complete dentures. It describes the importance of balanced occlusion and outlines numerous philosophies that have been proposed over time for arranging artificial tooth occlusion, including theories from Gysi, Hanau, Pleasure, and Boucher. While no single superior approach has been proven, a balanced articulation that considers factors like condylar guidance, incisal guidance, and cuspal angle appears most appropriate for satisfying patient needs regarding comfort, function, and aesthetics.
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 discusses removable partial dentures (RPDs). It describes the objectives of prosthodontic treatment, consequences of tooth loss, components and classification of RPDs, principles of design including support, retention and stability, and types of major connectors and retainers. The Kennedy classification system and Applegate's rules for applying it are also summarized.
This document discusses the concept of centric relation, which refers to the position of the mandible relative to the maxilla. It provides an overview of the many definitions that have been proposed for centric relation over time from 1929 to present. There has been significant debate and controversy around defining this term. More recently, centric relation is understood to refer to the most anterior-superior position of the condyles in the glenoid fossa, rather than the most retruded position as was previously believed. The document also discusses methods for recording centric relation in patients.
impression techniques in Removable Partial Denture Dr.Richa Sahai
This document discusses impression procedures for removable partial dentures. It defines partial denture impressions and differentiates them from complete denture impressions. Various impression techniques are described including anatomic form impressions, functional impression techniques like McLean's method and the functional reline method. The document reviews literature on modified techniques like the altered cast technique and selective tissue placement impressions. It emphasizes the importance of functional impressions to distribute load and maximize longevity of remaining structures. In summary, the choice of impression technique impacts the support, function and longevity of the resulting removable partial denture.
The document discusses the effects of aging on edentulous patients. It describes the physiological, psychological, and pathological changes that occur with aging, including loss of teeth and senses, osteoporosis, nutritional changes, and memory loss. It also discusses the impact of these changes on oral health, such as thin oral mucosa, dry mouth, and increased risk of oral cancer for denture wearers. Treatment for the aging patient must consider these effects and address their psychological and esthetic needs.
2- b. Basic principles for designing Kennedy class II, III and IV Removable P...AmalKaddah1
1-a. Basic principles for designing the removable partial denture (class I partial denture design)
Introduction.
Objectives and Functions of RPD.
Factors that affect RPD design.
Basic principles for designing Kennedy class I partial denture.
2- b. Basic principles for designing Kennedy class II, III and IV Removable Partial Denture(RPD)
Orthodontic study models are three-dimensional plaster reproductions of a patient's teeth and surrounding tissues that are used to accurately diagnose and monitor orthodontic treatment. The document outlines the requirements, uses, and proper procedures for fabricating and trimming study models. Key steps include accurately reproducing the dental anatomy, trimming bases and backs at specific angles, and using wax bites and articulators to achieve proper occlusion. Study models provide a permanent record for treatment planning, evaluation, and legal documentation of a patient's orthodontic condition and progress.
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 instructions for adjusting a metal partial denture framework. It describes examining the framework for accuracy to the master cast and design. Disclosing media is used to identify areas that do not fully seat by applying it to the framework's intaglio surface and pressing it onto the teeth. Interferences are corrected by modifying the framework with burs. The framework is then fitted to the opposing occlusion using shim stock and articulating paper to eliminate interfering contacts. The process involves individually adjusting each framework and then adjusting them together to eliminate interferences between frameworks. Upon completion, the framework is finished and polished.
Relining & rebasing / dental implant courses by Indian dental academy Indian dental academy
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
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.
INDIRECT RETAINERS IN CAST PARTIAL DENTURESAamir Godil
The document discusses indirect retainers in cast partial dentures. Indirect retainers are components located away from the primary abutment tooth that help control movement of the denture base. They work by resisting rotational movement around the fulcrum line when forces are applied. The most effective location for an indirect retainer is as far from the fulcrum line as possible, typically on a canine or first premolar tooth. In addition to preventing movement away from tissues, indirect retainers can help reduce torque on abutments, stabilize the denture against horizontal movement, and provide auxiliary support to the major connector. Common forms include auxiliary occlusal rests, canine rests, cingulum bars and lingual plates.
This document discusses mandibular movements including their importance, methods of study, factors regulating movement, classifications, and literature review. It describes several types of movements such as hinge, protrusive, lateral, and border movements. Key points covered include condylar and incisal guidance, neuromuscular factors, basic jaw positions like centric relation and occlusion, and classification systems based on axis of movement, direction, extent, and habitual functions. Diagrams illustrate concepts like condylar paths, Bennett movement, and border tracings.
This document provides an overview of achieving esthetics in complete dentures. It discusses the definition and history of denture esthetics. The fundamentals of esthetics including visual perception, composition, proportion, dominance and illusion are covered. Methods for achieving complete denture esthetics are described, including accurate impressions, jaw relation, selection of anterior teeth, arrangement of teeth, and characterization of the denture base. Dynesthetic interpretation of dentogenic concepts and laboratory steps are also summarized.
09- Occlusion in prosthodontics- occlusal correction.pptAmal Kaddah
The document discusses causes of denture errors including clinical errors, technical errors, and material deficiencies. It then covers specific clinical errors like inaccurate impressions or jaw relation records. Technical errors from processing like distortion or tooth movement are also reviewed. The document outlines types of occlusal errors and challenges detecting them clinically. Steps for occlusal correction include trial insertion, fabrication of an occlusal index, remounting, and selective grinding. Clinical remounting with new records is described as the preferred method for correcting errors in the patient's mouth.
This document provides guidelines for selecting teeth for complete dentures. It discusses selecting anterior teeth based on size, form, and shade to match the patient's facial features and complexion. Posterior tooth selection considers shade, size, number, and form, prioritizing function over aesthetics. Tooth forms can be anatomic, semi-anatomic, or non-anatomic based on the patient's jaw ridge relationship and health conditions. Proper tooth selection is important for denture stability and masticatory function.
1. The document discusses the rehabilitation of maxillary defects through obturator prostheses. It covers the classification of maxillary defects, design principles for different defect classes, and considerations for impression making and prosthetic rehabilitation.
2. Key objectives of obturator design include adequate support, retention, and stability to restore functions like feeding, speech, and aesthetics.
3. Preoperative planning involves dental management to preserve teeth near the defect, as well as suggestions to surgeons to maintain alveolar processes and avoid interproximal cuts between teeth.
biomechanics of removable partial dentureAnil Goud
This document discusses biomechanical considerations for removable partial dentures. It explains that dentists must consider the direction, duration, frequency and magnitude of forces when placing partial dentures. Removable partial dentures function using simple machines like levers, wedges and screws. The location of stabilizing and retentive components is important in relation to the horizontal axis of rotation of the abutment teeth. Indirect retainers help prevent displacement of the denture base through lever action. Partial dentures are subject to three main movements: rotation around a transverse axis through the back teeth, rotation around a longitudinal axis, and rotation around a vertical axis. Indirect retainers do not control movement toward the tissues.
SURVEYORS & SURVEYING PROCEDURES IN REMOVABLE PARTIAL PROSTHODONTICSKanika Manral
The document discusses the history and procedures of surveying for removable partial dentures. It describes how surveying has evolved from being done by eye to using specialized surveyor instruments. It outlines the key parts and uses of surveyors, including orienting the cast, marking survey lines to identify contours and undercuts, measuring retention, and identifying interferences. The purpose of surveying is to determine the optimal path of insertion and locations for retention and support of a removable partial denture.
This document discusses different impression techniques used in dentistry. It describes stock and custom impression trays, and their advantages and disadvantages. It also explains several impression techniques in detail, including the physiologic, McLean, Hindels modification, fluid wax, and selected pressure techniques. The selected pressure technique aims to equalize support between teeth and soft tissue by directing more force to areas that can absorb stress without damage, while protecting less resilient areas.
04- Occlusion in prosthodontics- Concepts of occlusion.pptAmal Kaddah
This document discusses concepts of occlusion for complete dentures. It describes the importance of balanced occlusion and outlines numerous philosophies that have been proposed over time for arranging artificial tooth occlusion, including theories from Gysi, Hanau, Pleasure, and Boucher. While no single superior approach has been proven, a balanced articulation that considers factors like condylar guidance, incisal guidance, and cuspal angle appears most appropriate for satisfying patient needs regarding comfort, function, and aesthetics.
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 discusses removable partial dentures (RPDs). It describes the objectives of prosthodontic treatment, consequences of tooth loss, components and classification of RPDs, principles of design including support, retention and stability, and types of major connectors and retainers. The Kennedy classification system and Applegate's rules for applying it are also summarized.
This document discusses the concept of centric relation, which refers to the position of the mandible relative to the maxilla. It provides an overview of the many definitions that have been proposed for centric relation over time from 1929 to present. There has been significant debate and controversy around defining this term. More recently, centric relation is understood to refer to the most anterior-superior position of the condyles in the glenoid fossa, rather than the most retruded position as was previously believed. The document also discusses methods for recording centric relation in patients.
impression techniques in Removable Partial Denture Dr.Richa Sahai
This document discusses impression procedures for removable partial dentures. It defines partial denture impressions and differentiates them from complete denture impressions. Various impression techniques are described including anatomic form impressions, functional impression techniques like McLean's method and the functional reline method. The document reviews literature on modified techniques like the altered cast technique and selective tissue placement impressions. It emphasizes the importance of functional impressions to distribute load and maximize longevity of remaining structures. In summary, the choice of impression technique impacts the support, function and longevity of the resulting removable partial denture.
The document discusses the effects of aging on edentulous patients. It describes the physiological, psychological, and pathological changes that occur with aging, including loss of teeth and senses, osteoporosis, nutritional changes, and memory loss. It also discusses the impact of these changes on oral health, such as thin oral mucosa, dry mouth, and increased risk of oral cancer for denture wearers. Treatment for the aging patient must consider these effects and address their psychological and esthetic needs.
2- b. Basic principles for designing Kennedy class II, III and IV Removable P...AmalKaddah1
1-a. Basic principles for designing the removable partial denture (class I partial denture design)
Introduction.
Objectives and Functions of RPD.
Factors that affect RPD design.
Basic principles for designing Kennedy class I partial denture.
2- b. Basic principles for designing Kennedy class II, III and IV Removable Partial Denture(RPD)
Orthodontic study models are three-dimensional plaster reproductions of a patient's teeth and surrounding tissues that are used to accurately diagnose and monitor orthodontic treatment. The document outlines the requirements, uses, and proper procedures for fabricating and trimming study models. Key steps include accurately reproducing the dental anatomy, trimming bases and backs at specific angles, and using wax bites and articulators to achieve proper occlusion. Study models provide a permanent record for treatment planning, evaluation, and legal documentation of a patient's orthodontic condition and progress.
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 instructions for adjusting a metal partial denture framework. It describes examining the framework for accuracy to the master cast and design. Disclosing media is used to identify areas that do not fully seat by applying it to the framework's intaglio surface and pressing it onto the teeth. Interferences are corrected by modifying the framework with burs. The framework is then fitted to the opposing occlusion using shim stock and articulating paper to eliminate interfering contacts. The process involves individually adjusting each framework and then adjusting them together to eliminate interferences between frameworks. Upon completion, the framework is finished and polished.
Relining & rebasing / dental implant courses by Indian dental academy Indian dental academy
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
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.
9- Denture Placement and occlusion correction.pptxAmalKaddah1
COMPLETE DENTURE CONSTRUCTION
1- Diagnosis and Treatment Planning for Removable Prosthodontics
2- Preliminary Maxillary and mandibular impression procedures
3- Final Maxillary and mandibular impression procedures
4- Jaw Relation Registration
a. Introduction and the stomatognathic system
What 'occlusion' is and why it is important
b. Definitions.
c. Check denture foundation and Establishment of facial contour.
d. Establishment of the occlusal plane.
e. Importance of mounting the maxillary cast using Maxillary face-bow record and transfer.
f. Determination of vertical dimension of centric occluding relation.
g. Determination of centric and eccentric relations at the accepted vertical dimension.
5- Selection of Artificial Teeth
6- Prosthetic Problems and possible solutions in Setting –up of teeth for skeletal Class II and Class III arch relationship of completely edentulous patients.
7- Try-in of the wax trial complete denture.
8- Complete denture insertion (Delivery)
9- Occlusal corrections.
10- Managements of Post Insertion Problems and Complaints.
11- Single denture and Kelly's Syndrome
12- Denture Processing and Laboratory Errors.
This document discusses the process of denture insertion and adjustment. The key steps include: 1) examining the finished denture for any areas causing discomfort, interference, or aesthetic issues; 2) modifying the occlusion as needed; 3) instructing the patient on denture use and care; and 4) assessing denture retention, stability, and occlusion. The dentist checks for pressure areas, sharp edges, and proper extension and makes any necessary adjustments to ensure a well-fitting, functional denture.
Post insertion instructions /orthodontic courses by Indian dental academy Indian dental academy
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
checking the design of prosthesis in complete absence of teethSagharMousavi1
Errors can occur when determining the central ratio of the jaws during the fabrication of full dentures. This ratio refers to the relationship between the central incisors and the facial midline. Errors may include an improper vertical dimension, misalignment of the central teeth, or incorrect lateral or rear occlusal relationships. To address errors, the dentist will make adjustments to the wax denture try-in, such as modifying the occlusal rims or repositioning teeth, and re-evaluate the central ratio to ensure proper alignment and function.
Errors can occur when determining the central ratio of the jaws during the process of fabricating full dentures. This involves establishing the proper alignment of the upper and lower front teeth in relation to the facial midline. Specific errors include increasing or decreasing the vertical dimension, misaligning the central incisors laterally or sagittally, and issues related to applying the occlusal rims. The dentist will evaluate for these errors and make necessary adjustments to the wax denture model, such as modifying the rims or repositioning teeth, to correctly determine the central ratio.
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.
7-Try-in of the wax trial complete dentureAmalKaddah1
CLINICAL STEPS FOR COMPLETE DENTURE CONSTRUCTION
1- Diagnosis and Treatment Planning for Removable Prosthodontics
2- Preliminary Maxillary and mandibular impression procedures
3- Final Maxillary and mandibular impression procedures
4- Jaw Relation Registration
a.Introduction and the stomatognathic system
What 'occlusion' is and why it is important
b.Definitions.
c.Check denture foundation and Establishment of facial contour.
d.Establishment of the occlusal plane.
e.Importance of mounting the maxillary cast using Maxillary face-bow record and transfer.
f. Determination of vertical dimension of centric occluding relation.
g.Determination of centric and eccentric relations at the accepted vertical dimension.
5- Selection of Artificial Teeth
6- Prosthetic Problems and possible solutions in Setting –up of teeth for skeletal Class II and Class III arch relationship of completely edentulous patients.
7- Try-in of the wax trial complete denture.
8- Complete denture insertion (Delivery)
9- Managements of Post Insertion Problems and Complaints.
The document discusses the try-in process for complete denture patients. It defines try-in and trial dentures as preliminary fittings used to evaluate aesthetics, fit, and jaw relationships. The try-in involves extraoral and intraoral examinations to check the denture bases, teeth arrangement, occlusion, retention, stability, and other factors. Adjustments are made to optimize aesthetics, function, and patient comfort before the final dentures are fabricated.
The document provides instructions for the denture insertion appointment, including:
1) Adjusting the denture base using pressure indicating paste to eliminate pressure points and ensure proper adaptation.
2) Adjusting the denture borders using disclosing wax to eliminate overextended areas.
3) Remounting the dentures on the articulator using centric relation and protrusive records to correct the occlusion.
4) Educating the patient on the limitations, expected tissue response, care of the prostheses, and follow-up treatment.
The document discusses the process of the insertion appointment for new dentures. It involves adjusting the denture bases using pressure indicating paste to eliminate pressure spots, adjusting the denture borders to eliminate overextensions, remounting the dentures on an articulator to correct any errors, and making occlusion adjustments. The appointment also includes educating the patient and conducting a follow-up check within 24 hours to further adjust the dentures based on any issues.
Immediate dentures /certified fixed orthodontic courses by Indian dental academyIndian dental academy
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 guidelines for conducting an aesthetic try-in appointment when replacing anterior teeth with dentures. The try-in allows the patient and dentist to evaluate the fit, appearance, phonetics, and occlusion of the new denture teeth. The dentist assesses factors like tooth length, width, shade, overlap, and alignment. Patient feedback is also important to make any necessary modifications before the final denture is made.
Interocclusal records and mounting of casts on articulator/prosthodontic coursesIndian dental academy
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
Prosthetic management of cleft lip and palate patientsanjivbairwa7
This document discusses prosthodontic treatment for individuals with cleft lip and palate. It covers classification of clefts, impression materials used, impression techniques, feeding plates for infants, and options for tooth replacement including removable partial dentures, fixed partial dentures, and dental implants. The main goals of prosthodontic rehabilitation are to improve feeding, tongue function, and speech development for infants using feeding plates, and to provide natural-looking tooth replacement for older individuals.
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.
9- Denture placement and occlusion correction.AmalKaddah1
COMPLETE DENTURE CONSTRUCTION
1- Diagnosis and Treatment Planning for Removable Prosthodontics.
2- Preliminary Maxillary and mandibular impression procedures.
3- Final Maxillary and mandibular impression procedures.
4- Jaw Relation Registration.
a. Introduction and the stomatognathic system
What 'occlusion' is and why it is important.
b. Definitions.
c. Check denture foundation and Establishment of facial contour.
d. Establishment of the occlusal plane.
e. Importance of mounting the maxillary cast using Maxillary face-bow record and transfer.
f. Determination of vertical dimension of centric occluding relation.
g. Determination of centric and eccentric relations at the accepted vertical dimension.
5- Selection of Artificial Teeth
6- Prosthetic Problems and possible solutions in Setting –up of teeth for skeletal Class II and Class III arch relationship of completely edentulous patients.
7- Try-in of the wax trial complete denture.
8- Complete denture insertion (Delivery).
9- Occlusal corrections.
10- Managements of Post Insertion Problems and Complaints.
11- Single denture and Kelly's Syndrome.
12- Denture Processing and Laboratory Errors.
This document discusses patient management and management of removable orthodontic appliances. It covers fitting a new removable appliance, subsequent visits, activation of appliances, use of headgear, and clinical management of functional appliances. Key points include demonstrating proper insertion and cleaning of appliances, adjusting clasps and acrylic, providing light initial activation, checking for progress at regular visits, and ensuring appliances are worn as instructed to achieve desired tooth movement.
Similar to FITTING OF FINISHED DENTURE AND INSTRUCTIONS FOR PATIENT (20)
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1ST, 2ND AND 3RD ORDER BENDS IN STANDARD EDGEWISE APPLIANCE SYSTEM /Fixed ort...Indian dental academy
Indian Dental Academy: will be one of the most relevant and exciting training center with best faculty and flexible training programs for dental professionals
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The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
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The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
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Cytotoxicity of silicone materials used in maxillofacial prosthesis / dental ...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
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Diagnosis and treatment planning in completely endntulous arches/dental coursesIndian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
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Properties of Denture base materials /rotary endodontic coursesIndian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
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Use of modified tooth forms in complete denture occlusion / dental implant...Indian dental academy
This document discusses dental occlusion concepts and philosophies for complete dentures. It introduces key terms like physiologic occlusion and defines different occlusion schemes like balanced articulation and monoplane articulation. The document discusses advantages and disadvantages of using anatomic versus non-anatomic teeth for complete dentures. It also outlines requirements for maintaining denture stability, such as balanced occlusal contacts and control of horizontal forces. The goal of occlusion for complete dentures is to re-establish the homeostasis of the masticatory system disrupted by edentulism.
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
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The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
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This document discusses dental casting investment materials. It describes the three main types of investments - gypsum bonded, phosphate bonded, and ethyl silicate bonded investments. For gypsum bonded investments specifically, it details their classification, composition including the roles of gypsum, silica, and modifiers, setting time, normal and hygroscopic setting expansion, and thermal expansion. It provides information on how the properties of gypsum bonded investments are affected by their composition. The document serves as a comprehensive overview of dental casting investment materials.
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
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The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.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
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
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বাংলাদেশের অর্থনৈতিক সমীক্ষা ২০২৪ [Bangladesh Economic Review 2024 Bangla.pdf] কম্পিউটার , ট্যাব ও স্মার্ট ফোন ভার্সন সহ সম্পূর্ণ বাংলা ই-বুক বা pdf বই " সুচিপত্র ...বুকমার্ক মেনু 🔖 ও হাইপার লিংক মেনু 📝👆 যুক্ত ..
আমাদের সবার জন্য খুব খুব গুরুত্বপূর্ণ একটি বই ..বিসিএস, ব্যাংক, ইউনিভার্সিটি ভর্তি ও যে কোন প্রতিযোগিতা মূলক পরীক্ষার জন্য এর খুব ইম্পরট্যান্ট একটি বিষয় ...তাছাড়া বাংলাদেশের সাম্প্রতিক যে কোন ডাটা বা তথ্য এই বইতে পাবেন ...
তাই একজন নাগরিক হিসাবে এই তথ্য গুলো আপনার জানা প্রয়োজন ...।
বিসিএস ও ব্যাংক এর লিখিত পরীক্ষা ...+এছাড়া মাধ্যমিক ও উচ্চমাধ্যমিকের স্টুডেন্টদের জন্য অনেক কাজে আসবে ...
Thinking of getting a dog? Be aware that breeds like Pit Bulls, Rottweilers, and German Shepherds can be loyal and dangerous. Proper training and socialization are crucial to preventing aggressive behaviors. Ensure safety by understanding their needs and always supervising interactions. Stay safe, and enjoy your furry friends!
MATATAG CURRICULUM: ASSESSING THE READINESS OF ELEM. PUBLIC SCHOOL TEACHERS I...NelTorrente
In this research, it concludes that while the readiness of teachers in Caloocan City to implement the MATATAG Curriculum is generally positive, targeted efforts in professional development, resource distribution, support networks, and comprehensive preparation can address the existing gaps and ensure successful curriculum implementation.
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.
This Gasta posits a strategic approach to integrating AI into HEIs to prepare staff, students and the curriculum for an evolving world and workplace. We will highlight the advantages of working with these technologies beyond the realm of teaching, learning and assessment by considering prompt engineering skills, industry impact, curriculum changes, and the need for staff upskilling. In contrast, not engaging strategically with Generative AI poses risks, including falling behind peers, missed opportunities and failing to ensure our graduates remain employable. The rapid evolution of AI technologies necessitates a proactive and strategic approach if we are to remain relevant.
Executive Directors Chat Leveraging AI for Diversity, Equity, and InclusionTechSoup
Let’s explore the intersection of technology and equity in the final session of our DEI series. Discover how AI tools, like ChatGPT, can be used to support and enhance your nonprofit's DEI initiatives. Participants will gain insights into practical AI applications and get tips for leveraging technology to advance their DEI goals.
June 3, 2024 Anti-Semitism Letter Sent to MIT President Kornbluth and MIT Cor...Levi Shapiro
Letter from the Congress of the United States regarding Anti-Semitism sent June 3rd to MIT President Sally Kornbluth, MIT Corp Chair, Mark Gorenberg
Dear Dr. Kornbluth and Mr. Gorenberg,
The US House of Representatives is deeply concerned by ongoing and pervasive acts of antisemitic
harassment and intimidation at the Massachusetts Institute of Technology (MIT). Failing to act decisively to ensure a safe learning environment for all students would be a grave dereliction of your responsibilities as President of MIT and Chair of the MIT Corporation.
This Congress will not stand idly by and allow an environment hostile to Jewish students to persist. The House believes that your institution is in violation of Title VI of the Civil Rights Act, and the inability or
unwillingness to rectify this violation through action requires accountability.
Postsecondary education is a unique opportunity for students to learn and have their ideas and beliefs challenged. However, universities receiving hundreds of millions of federal funds annually have denied
students that opportunity and have been hijacked to become venues for the promotion of terrorism, antisemitic harassment and intimidation, unlawful encampments, and in some cases, assaults and riots.
The House of Representatives will not countenance the use of federal funds to indoctrinate students into hateful, antisemitic, anti-American supporters of terrorism. Investigations into campus antisemitism by the Committee on Education and the Workforce and the Committee on Ways and Means have been expanded into a Congress-wide probe across all relevant jurisdictions to address this national crisis. The undersigned Committees will conduct oversight into the use of federal funds at MIT and its learning environment under authorities granted to each Committee.
• The Committee on Education and the Workforce has been investigating your institution since December 7, 2023. The Committee has broad jurisdiction over postsecondary education, including its compliance with Title VI of the Civil Rights Act, campus safety concerns over disruptions to the learning environment, and the awarding of federal student aid under the Higher Education Act.
• The Committee on Oversight and Accountability is investigating the sources of funding and other support flowing to groups espousing pro-Hamas propaganda and engaged in antisemitic harassment and intimidation of students. The Committee on Oversight and Accountability is the principal oversight committee of the US House of Representatives and has broad authority to investigate “any matter” at “any time” under House Rule X.
• The Committee on Ways and Means has been investigating several universities since November 15, 2023, when the Committee held a hearing entitled From Ivory Towers to Dark Corners: Investigating the Nexus Between Antisemitism, Tax-Exempt Universities, and Terror Financing. The Committee followed the hearing with letters to those institutions on January 10, 202
2. EXAMINATION OF THE FINISHED
DENTURES
Before fitting the dentures they should be inspected to
ensure that they have been correctly finished by the
technician, following points being most important:
1. The fitting surface must show no irregularities which
are not present in the mouth.
2. The entire periphery should be rounded and highly
polished except the back-edge of the upper denture and
the posterior lingual flange of the lower which should be
thinned down almost to a knife-edge; but perfectly
smooth and not sharp.
3. The edges of the relief area should be rounded and
not left square and sharpwww.indiandentalacademy.comwww.indiandentalacademy.com
3. Place the dentures, which have previously kept in
water, in the mouth and examine them as for the try-in.
Test the retention of the upper by placing a finger behind
the incisor teeth bringing pressure to bear in an outward
and upward direction. If the back-edge of the denture
has been correctly placed, considerable force should be
needed to break the peripheral seal. The retention will
increase after the patient has worn the dentures for a
few days, due to the adaptation of the soft tissues to the
denture.
www.indiandentalacademy.comwww.indiandentalacademy.com
4. CHECKING THE OCCLUSION
If the try-in has been done carefully, the
occlusion should be almost perfect. The
occlusion should be checked with articulating
paper; this is paper impregnated with a blue dye.
Place a piece between the teeth and ask the
patient to chew up and down in centric occlusion.
Remove the dentures from the mouth and
examine them .
www.indiandentalacademy.comwww.indiandentalacademy.com
5. The occlusal surfaces will exhibit areas of blue
coloration where the cusps and fossae of the
opposing teeth have been in contact. These blue
areas should be evenly spread over the occlusal
surface, and the coloration of them should be
uniform. Areas of Hard or uneven pressure will show
up as darker, and broader blue spots areas of low
pressure, or no contact at all as very lightly coloured
spots, or not coloured at all. To equalize the
pressure, the high spots should be lightly ground
(according to BULL law) with a carborundum stone.
The denture should then be washed to remove the
dye and a further test with articulating paper made,
and so on until occlusal balance is obtained.www.indiandentalacademy.comwww.indiandentalacademy.com
6. The Use of Wax Templates
Articulating paper has the disadvantage that it will colour a
tooth even if it only rubs lightly against it, and thus areas which are
not in occlusion are frequently marked. A more satisfactory way of
adjusting the occlusion is by using wax templates. The technique
of this is as follows: Two strips of pink wax 6 mm. wide, of either
single or double thickness, are softened and laid one on either
side of the lower denture on the occlusal surfaces of the posterior
teeth. The denture is then inserted in the mouth and the patient is
instructed to chew up and down on the wax with slow deliberate
movements. The lower denture is removed from the mouth, and
the wax templates chilled in cold water and gently removed from
the denture. If these templates are then viewed by transmitted
light, those areas where the occlusion is hard will be seen as
thinned, completely transparent wax; or even as a hole right
through the wax.
www.indiandentalacademy.comwww.indiandentalacademy.com
7. Another advantage of the templates is that, by fitting the
upper and lower dentures into their correct positions in one
template, the actual position of occlusion on the opposite side of
the dentures, as it exists in the mouth, may be observed, and
gross errors readily seen.
It requires to be emphasized that the even adjustment of
the occlusion is most important to the success of the dentures, as
uneven occlusion may cause soreness on the ridge, or in the
sulcus, in its immediate vicinity. This should not be overlooked if
a patient returns complaining of pain, because frequently the
periphery of a denture is blamed for what is in reality a fault of
occlusion.
Uneven occlusion will also increase the patient's difficulties
when attempting to eat with the new dentures because they will
feel uneven and uncomfortable when in occlusion.
To achieve perfection of occlusion a check record should
be taken, the dentures remounted on the articulator and the
occlusion ground in. www.indiandentalacademy.comwww.indiandentalacademy.com
8. FITTING ANATOMICALLY ARTICULATED
DENTURES
Check as for the try in. Test the articulation in
centric, lateral, and protrusive relations with articulating
paper and carry out a check record.
At the second visit, when the dentures have had
time to settle, the teeth should be ground in. Place a
strip of carborundum wax between the teeth and ask the
patient to chew, until satisfied that the articulation is
even. Although the wax holds the carborundum powder
firmly, it is important to caution your patient not to
swallow when grinding in the dentures as carborundum
powder in the stomach is an irritant. This is especially
important if tooth-paste is used as the vehicle.
www.indiandentalacademy.comwww.indiandentalacademy.com
9. FINISHED DENTURES EXHIBITING
AN INCORRECT CENTRIC
OCCLUSION
If the centric occlusion is discovered to be
incorrect at the finished stage, it may be due to a
slight retrusion of the mandible, i.e. the dentures
have been made to a slightly forward position. If
this is not more than a cusp it may be corrected
by means of a check record . When the error is
gross it will require the removal of all the
posterior teeth from the lower denture as follows:www.indiandentalacademy.comwww.indiandentalacademy.com
10. Gently flame the posterior teeth of the lower
denture playing the flame actually on to the porcelain
and not the acrylic base; conduction of the heat through
the porcelain softens the acrylic without burning it, and
the teeth may be prised off the denture. Wax blocks are
then built to replace the teeth, trimmed to the correct
height by trial, and the centric occlusion re-taken. The
dentures are then re-articulated, and the back teeth
reset.
If the over-jet resulting from the new record is
abnormal, the lower front teeth must also be removed
from the denture and reset. If acrylic posterior teeth were
used they are merely ground down and replaced with
wax blocks for the new registration. In most cases of
gross error the denture needs to be completely re-made.
www.indiandentalacademy.comwww.indiandentalacademy.com
12. Any prosthesis constructed to replace
missing teeth, restore the ability to speak and
eat, provide a pleasing cosmetic appearance,
and prevent further loss of teeth and residual
bone. A prosthesis however does not accomplish
these objective automatically, the patient and the
dentist must work together to accomplish these
goals.
www.indiandentalacademy.comwww.indiandentalacademy.com
13. Prosthetic failures can result from a
misunderstanding between the dentist and patient
in regard to the treatment result. Patients may have
unrealistically high expectations at the beginning of
complete denture treatment. A thorough patient
education program should begin with the initial
patient visit and be interwoven throughout denture
construction. Patient education should help create
a positive attitude for proper oral and denture
hygiene. www.indiandentalacademy.comwww.indiandentalacademy.com
14. The ultimate acceptance or rejection of a
denture is dependent on the attitude of the patient.
The primary attitudinal determinant may be
whether the actual result of denture service is
consistent with the expected result. For this reason
it is necessary to condition the mind of the patient
to anticipate and accept reasonable goals.
www.indiandentalacademy.comwww.indiandentalacademy.com
15. Patient- Physiologic aspects
Psychological aspects
Prosthodontist
(skill)
Materials
Technique Post insertion
instructions
COMPLETE
DENTURE FAMILY
www.indiandentalacademy.comwww.indiandentalacademy.com
16. Communication is essential because it
is an act of sharing. It is a participation in a
relationship that involves a deep
understanding of the patient. It includes an
ability to listen, empathize, and ultimately
establish a trusting doctor/patient
relationship.
www.indiandentalacademy.comwww.indiandentalacademy.com
17. THE NATURE OF COMPLETE DENTURE
MODELS OR DIAGRAMS
NATURAL TOOTH
Root
Mastication of tough
DENTURE
Rest on a wet,
slippery mucosa
Masticatory force is
taken by interposed
tissue
Proprioceptive
mechanism is not there
Vs
food is possible
Proprioception
www.indiandentalacademy.comwww.indiandentalacademy.com
18. These comparisons are made not
to discourage the patient but to
give him or her the understanding
of the physical and mechanical
limitations that are present in
denture prosthesis.
www.indiandentalacademy.comwww.indiandentalacademy.com
19. DENTURE HYGIENE
The formation of stain on a denture and
the development of odors are causes for
concern and anxiety for most denture patients.
Plaque formation on the fitting surface of denture
is the cause of denture stomatitis.
www.indiandentalacademy.comwww.indiandentalacademy.com
20. 1. Rinse under running cold water to remove debris
after eating.Very hot water may cause warpage.
2.Immerse in an effective cleansing solution at least
once each day, preferably overnight.
Brushing in the morning when the denture is
removed from the solution will remove debris
loosened by the action of the cleaning solution.
www.indiandentalacademy.comwww.indiandentalacademy.com
21. 3.The denture should be brushed over a basin
partially filled with water or covered with a wet
wash cloth to prevent breakage in case they are
dropped.
www.indiandentalacademy.comwww.indiandentalacademy.com
22. TISSUE HYGIENE AND MASSAGE
Rinsing the mouth is recommended each time
the dentures are removed for cleaning.
The basal seat mucosa and tongue should be
brushed and massaged to clean the tissues and
stimulate the circulation.
www.indiandentalacademy.comwww.indiandentalacademy.com
23. A soft brush applied to the oral tissues, using
long posterior-to-anterior strokes, will remove
surface debris, and the sides of the bristles of the
same brush can be used to deliver vibratory
stimulation to the mucosa. As an alternative to the
brush for tissue massage, the thumb may be used
in the palatal vault areas and an index finger may
be used for the other surfaces.
www.indiandentalacademy.comwww.indiandentalacademy.com
24. TISSUE REST
Patient should be advised that the oral tissue
were never indented to be covered or to support a hard
denture base. All occlusal forces are compressive to
the soft tissue and squeeze the tissue between the
denture and bone. Removing the denture at night
allows the oral tissue to offset the daily stress placed
upon them. Failure to allow the tissue to recover
from these forces may result in soreness and
irritation.
If clenching or grinding - remove the mandibular
denture periodically during the daywww.indiandentalacademy.comwww.indiandentalacademy.com
25. EXCESS SALIVA
New dentures are often interpreted as
foreign objects by the oral system. This leads to
stimulation of salivary glands to produce saliva.
Patient should be assured that this overflow of
saliva is a normal reaction to new dentures and
will decrease over the next few weeks.
Patients should be advised that compulsive
rinsing or spitting should be avoided, as it is
unsettling to the denture.
www.indiandentalacademy.comwww.indiandentalacademy.com
26. SPEECH
Speech production depends on valving of
the tongue, lips, teeth and palate. Because the
contour of the valve is often changed in a new
prosthesis, a slight difference in speech is to be
expected initially.
Patient should be encouraged to read aloud
while at home. Speech will attain the natural tone
and fluency within few weeks.
www.indiandentalacademy.comwww.indiandentalacademy.com
27. MASTICATION
The dentist should stress to the patient that
mastication with denture is a developed skill. Some
people learn quickly than others.
The food should be cut into small pieces and only
a little placed in the mouth at a time.
Bilateral Chewing with the posterior teeth should
be mastered. This also aids in distributing the forces
of mastication to both sides of the residual ridge.
Soft and non-sticky foods are easier to eat than
the more fibrous types.
www.indiandentalacademy.comwww.indiandentalacademy.com
28. TONGUE POSITION
The most common complaint of complete
denture patient is “loose” mandibular denture.Many
of these problems is due to lack of understanding of
the special problem associated with mandibular
complete denture.
The mandibular denture is smaller, covers less
area, and has more border than the maxillary
complete denture, making it difficult to provide
adequate suction.
The mandibular denture is surrounded lingually
and buccally by muscle.www.indiandentalacademy.comwww.indiandentalacademy.com
29. The mandibular denture depends on proper tongue
position to maintain adequate peripheral seal and
stability
To determine whether the patient has proper tongue
position
Ask the patient to open just wide enough to
accept food. Only the dorsal surface of the tongue and
the occlusal surfaces of teeth should be seen. In this
position, the tongue is in intimate contact with the
lingual surface of denture and the floor of mouth is at
a normal level. At this position mandibular denture will
be stable. www.indiandentalacademy.comwww.indiandentalacademy.com
30. If the occlusal surface of teeth, lingual
surface of the denture, and the anterior floor of the
mouth is seen, the tongue is in a retracted
position. The denture will be unstable, have no
retention and will be easily dislodged.
Proper tongue position Retracted tongue positionwww.indiandentalacademy.comwww.indiandentalacademy.com
31. Management
1.Make the patient aware of the proper tongue
position.
2.Demonstrate the proper tongue position and the
subsequent increase in denture retention and
stability while the patient looks in a mirror.
www.indiandentalacademy.comwww.indiandentalacademy.com
32. POST INSERTION CARE
At least 3 visits over a period 2 weeks.
First visit within 48 hours.
Second visit is 3 or 4 days later.
The final observation before placing the patient on
a recall basis is at least a week after the second
visit. www.indiandentalacademy.comwww.indiandentalacademy.com
33. It is difficult for even the most skilled dentist to
completely satisfy the physical and/or emotional
needs of every individual who requires complete
dentures. If the dentist convince the patient that “
Everyone is an individual, every mouth is unique,
every prosthesis is different, and the ability to
learn to use a prosthesis differs” she/he have a
better chance of success with the prosthesis.
CONCLUSION
www.indiandentalacademy.comwww.indiandentalacademy.com
34. We should understand that many
problems require “patience with patients”
through effective communication and listening
to their needs.
www.indiandentalacademy.comwww.indiandentalacademy.com