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INTRODUCTION TO PROSTHODONTICS AND COMPLETE DENTURES
- 1. Introduction to Prosthodontics Dr. AamirGodil Department of Prosthodontics M.A.R.D.C.
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- 3. Scope of dentistry OralMedicine & Radiology Periodontology Oral & Maxillofacial Surgery
- 4. Scope of dentistry ConservativeDentistry & Endodontics Pedodontics Orthodontics & Dentofacial Orthopedics
- 5. Scope of dentistry OralPathology & Microbiology Public Health Dentistry
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- 7. Prosthodontics Prostho- Related to prosthesis/artificial -dontics Study of a dental subject
- 8. Prosthodontics The branch ofdentistry concerned with the design, manufacture, and fitting of artificial replacements for teeth and other parts of the mouth. -Oxford Dictionary
- 9. Prosthodontics Prosthodontics is thedental specialty pertaining to the diagnosis, treatment planning, rehabilitation, and maintenance of the oral function, comfort, appearance, and health of patients with clinical conditions associated with missing or deficient teeth and/or maxillofacial tissues by using biocompatible substitutes. -Glossary of Prosthodontic Terms – 9 (GPT-9)
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- 11. Edentulism e-dĕn΄cha-lĭz-um (1998) the stateof being edentulous; without natural teeth -Glossary of Prosthodontic Terms – 9 (GPT-9)
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- 13. Complete V/S Partial Edentulism Completely edentulous mandibulararch Partially edentulous maxillary arch
- 14. Consequences of Edentulism 1.Chewing efficiency • Poor digestion • Impaired sensations 2. Appearance (esthetics) • While smiling and talking • Loss of muscle tone and lip support 3. Psychological effects • Social awkwardness • Lack of confidence 4. Affect on adjacent teeth and tissues • Supra-eruption of antagonist teeth • Tipping of adjacent teeth 5. Bone resorption • Loss of alveolar bone and bone height • Deterioration of quality of ridge
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- 16. Removable Prosthodontics Complete Denture forcompletely edentulous arches Cast Partial Denture for partially edentulous arches
- 17. Fixed Prosthodontics Tooth supportedFPD e.g. crowns, bridges, veneers, etc. Implant supported FPD for partial and complete edentulous cases
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- 19. Maxillofacial Defects & Prosthesis Congenital(by birth) e.g. Cleft palate Acquired (surgically resected) e.g. cancer, infection
- 20. Maxillofacial Defects & Prosthesis Missingparts of face and body e.g. eyes, nose, ears, etc.
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- 22. History of Prosthodontics Animal teeth Teethfrom slaves Wood Metals Ivory
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- 24. Terminologies in Prosthodontics Impression Dentalcast Impression trays Wax rims Teeth set Articulator Micromotor handpiece Occlusion
- 25. What all doyou deal with? in Prosthodontics
- 26. Patients Missing teeth Malformed teeth Unpleasantteeth Faulty restorations Maxillofacial defects TMJ disorders Parafunctional habits Derma fillers
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- 28. Art & Engineering Prosthodontics Mechanical propertiesof materials Feather light hand Technological advancements Artistic approach Chemistry of materials Esthetic sense
- 29. Dental Materials Impression materialsCast and die materials Denture base materials Metals and alloys Ceramics and esthetic materials Implant biomaterials Maxillofacial materials Auxilliary materials
- 30. Variety of Armamentarium BursHandpiece Chairside instruments Sculpting instruments Articulator & Facebow Shade guides Implant drills Surveyor Lab machinery Digital & Softwares
- 31. Occlusion :the static relationshipbetween the incising or masticating surfaces of the maxillary or mandibular teeth or tooth analogues
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- 34. Introduction to Complete Dentures Dr.Aamir Godil Department of Prosthodontics M.A.R.D.C.
- 35. Complete Dentures… from nothing toeverything
- 36. Complete denture :a fixedor removable dental prosthesis that replaces the entire dentition and associated structures of the maxillae or mandible -Glossary of Prosthodontic Terms – 9 (GPT-9)
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- 38. Complete denture surfaces Polished/cameo surface Impression /intaglio surface Occlusal surface
- 39. Complete denture parts Completedenture Base Acrylic Metal Flange Labial Buccal Lingual Border Teeth Acrylic Porcelain Labial flange Denture border Buccal flange Artificial teeth
- 40. Steps in fabricationof complete denture Diagnosis and treatment plan Primary impressions and primary casts Final impressions and final casts Jaw relation, mounting and teeth arrangement Try in and evaluation Denture processing and denture insertion Maintenance and follow-up
- 41. Steps in fabricationof complete denture Laboratory step Clinical step
- 42. 1. Diagnosis andtreatment planning Steps: • Detailed case history record • Clinical evaluation • Radiographic evaluation • Pre-prosthetic considerations • Diagnosis • Formulation of treatment plan Clinical evaluation Radiographic evaluation
- 43. 2. Primary impression Steps: •Selection of tray based on choice of impression material • Impression materials: impression compound, hydrocolloids, elastomer • Marking significant landmarks e.g.: posterior palatal seal, flabby tissues, etc.
- 44. 3. Primary casts Steps: •Beading and boxing primary impression • Pouring the impression in dental plaster • Trimming, conditioning and marking the cast
- 45. 4. Fabrication ofcustom tray Steps: • Marking tray extensions, relief areas, tissue stops • Adaptation of spacer wax • Material manipulation and adaptation • Tray handle •Trimming and finishing
- 46. 5. Final impression Steps: •Border moulding using low fusing compound (Green stick) • Removal of spacer wax • Relief holes (if necessary) • Final/ wash impression
- 47. 6. Final casts Steps: •Beading and boxing final impression • Pouring the impression in dental stone • Trimming, conditioning and marking the cast
- 48. 7. Fabrication ofrecord base and occlusal rims Steps: • Block undercuts, relief areas on final cast with wax • Fabrication of record base using cold cure PMMA • Fabrication of occlusal rims using modelling wax
- 49. 8. Jaw relationrecord Steps: • Orientation of maxilla and mandible • Three records: • Orientation jaw relation | Vertical jaw relation | Centric jaw relation
- 50. 9. Mounting onarticulator Steps: • Orientation of sealed rims on the articulator with clay • Mounting upper and lower cast to respective members of articulator with dental plaster
- 51. 10. Teeth arrangement Steps: •Following teeth selection, maxillary and mandibular anterior teeth arrangement • Posterior teeth arrangement • Waxing, carving and characterization
- 52. 11. Try inand evaluation Steps: • Intra-oral evaluation of teeth arrangement • Assessment of: • Comfort • Phonetics • Esthetics • Occlusion
- 53. 12. Denture processing Steps: •Sealing the arrangement to cast • Flasking: mould preparation • Dewaxing: wax elimination • Packing: Heat cure acrylic • Curing: Processing in 740C water under pressure
- 54. 13. Finishing andpolishing Steps: • After retrieval, excess trimmed with carbide bur • Plaster removal using small head bur, cones, etc • Finishing with increasing grits of sand paper • Polishing: wet buffing with pumice slurry + dry buffing
- 55. 14. Denture insertion Steps: •Assessment of • Fit, extension and retention • Esthetics, phonetics, occlusion
- 56. 15. Maintenance andfollow up Steps: • Instructions for wear and daily use • Periodic follow-up and recall
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