This presentation is the new version of last presentation which I uploaded. With new information.
Department of Prosthodondics, School of Dentistry, Kabul University of Medical Science
Fixed prosthodontic treatment can offer exceptional satisfaction for both patient and the dentist. Fixed Prosthodontics can transform an unhealthy, unattractive dentition with poor function into a comfortable, healthy occlusion capable of giving years of further service while greatly enhancing esthetics.
Nothing is more important in the construction of fixed partial dentures than an adequate diagnosis and a well-devised treatment plan. Although these two subjects are usually considered together. Astute dentists must recognize their subtle differences. Diagnosis is an evaluation of the condition of the patient when he presents for treatment. Treatment planning concerns the treatment procedures by which the dentist will restore the patient to an optimum state of dental health.
Fixed prosthodontic treatment can offer exceptional satisfaction for both patient and the dentist. Fixed Prosthodontics can transform an unhealthy, unattractive dentition with poor function into a comfortable, healthy occlusion capable of giving years of further service while greatly enhancing esthetics.
Nothing is more important in the construction of fixed partial dentures than an adequate diagnosis and a well-devised treatment plan. Although these two subjects are usually considered together. Astute dentists must recognize their subtle differences. Diagnosis is an evaluation of the condition of the patient when he presents for treatment. Treatment planning concerns the treatment procedures by which the dentist will restore the patient to an optimum state of dental health.
Is a dental condition that is commonly seen in patients with a completely edentulous maxilla and partially edentulous mandible with preserved anterior teeth
The patient who requires a single denture opposing a natural or restored dentition challenges the clinician even more than the completely edentulous patient does. This is due to the biomechanical differences in the supporting tissues of the opposing arches. So a proper evaluation, correction of the existing factors and proper sequence of denture construction is necessary to give a more stable prosthesis.
this presentation has all the techniques in impression making in the fabrication of an RPD.
The presentation is available on request. Mail me at apurvathampi@gmail.com
One of the objectives in complete denture prosthetics is to produce a harmonious appearance of the denture when in the patient’s mouth.
A denture usually perceived as esthetics when the teeth and bases are in harmony with the facial musculature as well as the size & shape of the head.
The selection of artificial teeth & their arrangement to meet esthetic requirements demand artistic skill in addition to scientific knowledge.
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
Is a dental condition that is commonly seen in patients with a completely edentulous maxilla and partially edentulous mandible with preserved anterior teeth
The patient who requires a single denture opposing a natural or restored dentition challenges the clinician even more than the completely edentulous patient does. This is due to the biomechanical differences in the supporting tissues of the opposing arches. So a proper evaluation, correction of the existing factors and proper sequence of denture construction is necessary to give a more stable prosthesis.
this presentation has all the techniques in impression making in the fabrication of an RPD.
The presentation is available on request. Mail me at apurvathampi@gmail.com
One of the objectives in complete denture prosthetics is to produce a harmonious appearance of the denture when in the patient’s mouth.
A denture usually perceived as esthetics when the teeth and bases are in harmony with the facial musculature as well as the size & shape of the head.
The selection of artificial teeth & their arrangement to meet esthetic requirements demand artistic skill in addition to scientific knowledge.
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
Mouth preparation refers to procedures that must be accomplished before fixed prosthodontic treatment can be properly performed.
Rarely are crowns or fixed prosthodontic treatment provided without initial therapy because what causes the need for the fixed prosthesis also promote other pathological processes (caries and periodontal disease are the most common).
Failure of fixed prosthesis often results from inadequate or incomplete mouth preparation.
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
Description :
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.
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
Similar to Mouth Preparation for Complete Dentures by Dr. Hedayatullah Ehsan (20)
Dentists prescribe several categories of medications to manage a variety of oral diseases and conditions. Among these conditions are bacterial, fungal, and viral infections and pain.
Geriatric dentistry is the delivery of dental care to older adults involving diagnosis, prevention, management and treatment of problems associated with age related diseases.
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
2. TABLE OF CONTENTS
Introduction
01
Tissues Conditioning
Treatment
04
Methods of
Treatment
02
Nutritional Program
05
Correction of the occlusion of
old restorations
03
Soft Tissue
Correction
Bony Tissue
Correction
06 07
3. Introduction
Mouth preparations are
identified as those procedures
that are accomplished to
prepare the mouth for
reception of prosthesis.
مادهآساختنجوفدهنبهعنوآنیک
سلسلسهسیجرهایوپرشناختهشدهکهتوسط
نآجوفدهنآیربخذآوپذیرشتیزهوپرا
مادهآمیگردد.
4. Introduction
Many conditions in the edentulous mouth should be
corrected or treated prior to the construction of
complete dentures. Often, patients are not aware
that tissues in their mouth have been damaged or
deformed by the presence of old restorations. Other
conditions may have developed or be present which
must be altered to increase chances for success of
new dentures. The patient must be made aware of
these problems.
5. METHODS OF TREATMENT
Some of the methods of treatment to correct
edentulous mouths include : (1) removal of the
dentures from the mouth for an extended period of
time to allow deformed tissue of the residual ridges or
temporomandibular joints to recover its normal form,
(2) surgery, (3) correction of the occlusion of old
restorations, (4) tissue placement by means of tissue
treatment material, and (5) nutritional therapy.
6. 1. Correction of the occlusion of old restorations:
• It may be necessary to eliminate deflective
occlusal contacts in eccentric positions and;
• To establish harmony between centric occlusion
and centric relation.
• Heavy contacts between opposing anterior teeth
causes a decreased vertical relation of occlusion.
• These corrections reduce traumatic forces of
occlusion to the supporting tissues and joints
and;
• Reduce the time that the dentures must be left
out of the mouth before construction of new
dentures is begun.
7. KUMS
• This treatment is indicated for those patients who
cannot leave their old dentures out of the mouth for a
sufficient length of time to allow the supporting tissues
to become healthy.
• It may be necessary to correct the extent of tissue
coverage by the denture base so that all usable
supporting tissues will be included in the treatment.
• Tissue treatment material permits movement of the
denture base so that its position becomes compatible
with the existing occlusion and allows displaced tissues
to recover and assume their original position.
2.Tissues Conditioning Treatment
(Tissue Placement or treatment material):
9. Nutritional Program
● A good nutritional program is needed for all patients, particularly
for the elderly patient with complete dentures.
● The metabolic efficiency of the geriatric patient has been
decreased because of his age, and his masticatory efficiency has
been decreased because of the loss of his natural teeth.
● Vitamin C in large doses helps combat capillary fragility and
large doses of Vitamin B aid in tissue recovery.
● An over-all diet that is low in carbohydrate and fat and high in
protein is recommended for these patients.
.
10. MP for CD
▪ All patients are required to leave their old dentures out of the
mouth for 24 to 48 hours to allow the supporting tissue to recover its
normal form prior to making impressions for new dentures.
▪ This procedure is generally followed even after the use of tissue
treatment material or other corrective methods.
12. KUMSHyperplastic Tissue.-Increased pressure or chronic
irritation may produce excessive connective tissue proliferation.
Hyperplastic tissue often forms around the labial border of
immediate dentures when “follow-up” treatment has not been
provided.
• Excess pressures from heavy contacts of opposing anterior
teeth is a primary cause of hyperplastic tissue.
• Other causes of hyperplastic tissue include deflective occlusal
contacts, which cause the denture to shift from its resting
position, and ill-filling dentures with sharp borders.
• In some instances, removal of the old dentures from the
mouth will allow sufficient response of the tissue so that no
other treatment will be necessary.
SOFT TISSUE CORRECTIONS
14. SOFT TISSUE CORRECTIONS
Papillomatosis.-Inflammatory papillary hyperplasia often occurs in
the region surrounding the median palatal raphe.
• Chronically inflamed tissues of palates may vary from mild hyperplasias
to conditions which could be precancerous.
• The cause of papillomatosis is sometimes vague.
• Since papillomatosis could be a precancerous lesion, treatment is
controlled in a different manner from that for other soft tissue changes.
• The patient is required to leave the dentures out of the mouth for 7 to
10 days.
• If the irritated tissue remains inflamed after this treatment, a biopsy is
made.
• If sign of tumor so the surgery should be done.
17. SOFT TISSUE CORRECTIONS
• When the pathologic report indicates hyperplasia, then several
procedures can be followed.
• The dentures can simply be left out of the mouth until the
inflammation subsides, tissue treatment material can be placed in
the dentures, or
• The whole of the palatal part of the upper denture can be removed
and the patient can wear a palateless upper denture until the tissue
becomes healthy.
20. KUMSFibrous Moveable Tissue.-Tissue contours may
appear to represent a well-formed edentulous ridge.
• The cause of this bony resorption and replacement by fibrous
moveable tissue may be occlusion, excess pressure from ill
fitting dentures, general systemic conditions, or combinations
of these factors.
• Treatment of moveable fibrous tissue is based on its severity
and the health of the patient.
• Surgery in combination with an immediate temporary reline
of the dentures is most often the treatment of choice.
• When surgery is contraindicated, the dentures are left out of
the mouth until the desired improvement is achieved.
SOFT TISSUE CORRECTIONS
22. SOFT TISSUE CORRECTIONS
Vestibular Corrections.-Certain corrections that involve the
reflections or vestibular spaces are desirable to enhance retention of the
completed dentures.
• In some instances, the upper labial frenum may be composed of a
strong band of fibrous connective tissue that inserts on the lingual
side of the crest of the residual ridge.
• Such a frenum prevents apposition of the natural upper central
incisors and will dislodge or interfere with the border seal of the
upper denture.
• Since the labial frenum does not contain a muscle, this tissue can be
removed surgically (frenectomy) prior to construction of new
dentures.
25. KUMS
Other pathologic forms, such
as benign and malignant tumors, cysts, and
tubercular and syphilitic lesions, in the
edentulous mouth are treated in a
comparable manner to those in the
dentulous mouth.
SOFT TISSUE CORRECTIONS
26. BONY TISSUE CORRECTIONS
Undercuts.- excessively large or undercut maxillary tuberosities must be
treated surgically.
• Many times the bony protuberance can be left on one side and surgically
corrected only on the opposite side of the mouth.
• Bony reductions in the anterior part of either ridge should be performed
only in extreme situations.
• The bone of this part of the mouth is often unnecessarily trimmed and the
patient suffers reduced denture stability for the rest of his life.
• Diagnostic casts can be surveyed as a guide to the amount of tissue that
must be removed.
29. BONY TISSUE CORRECTIONS
Tori.- Mandibular tori are almost always removed as the tissue covering is thin
and the tori quite frequently extend into the region of the border seal of the lower
denture.
• Mandibular tori are found in approximately 7 per cent of the general adult
population.
• Most palatal tori are not removed unless they are excessively undercut or
extend into the area of the vibrating line and interfere with the posterior
palatal seal of the upper denture.
• Relief must be provided in the denture has either arbitrarily or by a functional
procedure upon completion of the upper denture.
• Maxillary tori are found in approximately 21 per cent of the population.
31. KUMS
Sharp Spines or Spicules.-Sharp projections of the
alveolar process, that remain following removal of teeth, press
on the mucosa from its inside surface and cause discomfort to
the patient.
• Sometimes the stimulation from massage of the finger will
speed resorption of these projections.
• When this procedure fails, they are removed surgically
with little operative or postoperative difficulty.
BONY TISSUE CORRECTIONS
32. KUMS
Genial Spines.-Severe resorption of the residual ridge
may cause the genial spines to become exceedingly sharp and
prominent in relation to the residual ridge.
• On rare occasions, these spines are reduced surgically as
even the movement of the overlying mucosa from pressure
of the nearby denture base causes soreness.
• However, in most instances no treatment is given and the
patient is informed of the limitations that these structures
will place on the completed dentures.
BONY TISSUE CORRECTIONS
33. KUMS
Knife Edge Ridges.-Sharp ridges must be palpated
well before enthusiastically launching into a surgical program.
• The anatomic nature of the knife edge ridge is often such
that surgery offers only temporary relief and another
sharp narrow ridge may become prominent in a few
months.
• The only available treatment for this kind of ridge is often
adequate provisions for relief in the impression and
completed dentures.
BONY TISSUE CORRECTIONS
34. KUMS
Exostoses.- Excess bone formation may occur from
unknown causes in various parts of the residual ridge.
• These projections of bone are surgically removed if they
interfere in any way with denture construction.
BONY TISSUE CORRECTIONS
35. INTERARCH SPACE CORRECTIONS
• When insufficient space exists between the maxillary
tuberosities and the retromolar pads, the tuberosities should
be surgically corrected to permit the denture bases to cover all
available tissue and end on moveable tissue.
• The surgery is performed on the tuberosities and not on the
retromolar pads because of the anatomic structures contained
within the pad (temporal tendon, pterygomandibular raphe,
superior constructor and buccinator muscle fibers, and palatal-
type mucous glands).
37. INTERARCH SPACE CORRECTIONS
• In addition to creating needed space, removal of this tissue
allows the occlusal plane of the upper denture to be oriented
in such a manner that resultant forces are directed toward the
ridge and tend to seat the upper denture rather than dislodge
it.
• When health conditions, proximity of the maxillary sinus, or
other factors make surgical intervention impractical, then
metal sections can be incorporated in both denture bases
posteriorly to utilize a small interarch space.
38. SUMMARYOF THE ABOVE LESSONS
• The dentist is obligated to construct the best
complete dentures possible.
• The dentures can be no better than their supporting
foundation.
• Methods outlining tissue improvement programs for
various conditions of the edentulous mouth have
been described.
42. KUMSThere are certain periodontal procedures that should be considered
involving soft/hard tissue abnormalities. After oral hygiene measures, scaling
and root planning have been carried out periodontal surgery may be
recommended for:
1. No bony defects – excess gingiva | gingivectomy
2. NO bony defect – inadequate gingiva | micro gingival surgery
3. Bony defect – osseous surgery
One of the more common and useful procedures is “salvaging the buried
crown” increasing the crown length of a major abutment by a simple
gingivectomy procedure.
هم کهدآرد وجودژیپیریودونتولو آنساجبهمربوطمشخص ومعیینسیجرهایوپرتعدآدیکبخشآیندر
میسازددخیلآرسختآنساجهم ونرمآنساجآبنارملتیهای.وسکلینگ ودهنآلصحه حفظآقدآماتآزبعد
میگردد آرآجرمنظوسهآیربپیریودونتل آحیرجپالنینگ تور:
آضافیبیره–تومیجینجیوک
ناکافیبیره–آحیرججینجیولومایکر
آستخوآنیضایعات–آحیرجآوسیوس
میباتومیجینجیویکطریق آزپایهدندآن تاجیا نوکرطولآیشزآفآزعبارت مهم خیلیسیجرهایوپر آزیکیشد.
Periodontal treatment
43. KUMS1. Removal and control of all etiologic factors contributing to
periodontal disease along with reduction or elimination of bleeding
on probing.
2. Elimination of, or reduction in, the pocket depth of all pockets with
the establishment of healthy gingival sulci whenever possible.
3. Establishment of functional atraumatic occlusal relationships and
tooth stability.
4. Development of a personalized plaque control program and a
definitive maintenance schedule.
۱-یابینگوپرهنگامخونریزیباعثیا وپیریودونتلآضرآمباعث کههایرتوفکتمامبردنبین آزمیباشدمعاینه.
۲-د آیبیرهسالم سلکسیکساختنمهیاباآهرهم آیبیرهتهایپاکعمقدآدنکاهشیابردنبینآزآمکانترصور
میباشد.
۳-ثبآیجادبا آهرهمبودندشدهنامنظمماهاوتر آثردر که لیزآکلوآبطورتمامکردنمهیا ودنروآبوجوددرستات
دندآنها.
۴-آیجادآزتادندآنی پالک کنندهنظارت وکنند لوکنترخودآمرگوپریککردنتهیهیادنروآبوجودجلوگیریپالک
گیردترصو.
Objectives Of Periodontal Therapy
45. KUMS
There are three phases Phase
1. Initial disease control therapy Phase
2. Definitive periodontal surgery Phase
3. Recall maintenance
آیربتدآویتمامحاالتمرضییاناسالمپیریوسهفازیاسهمرحلهوجوددآرد:
۱-فازآولعبارتآزلوکنترمرضنوتشکلیافته.
۲-فازدومعبارتآزمرحلهآحیرجیووپیربودهکهفتآبهیکحدقابلمالحظهپیشرفت
کرده.
۳-حفظحالتآحیاشدهبهگونهسالموپایدآر.
TREATMENT PLANNING of Perio:
47. KUMS
Gingivectomy:
It is indicated to eliminate supra bony pockets. Pocket depth
confined to band of attached gingiva.
Periodontal flaps:
They may be used to perform osseous recontouring Osseous
recontouring may be indicated for pocket elimination, when
crown lengthening is needed.
تومیجینجیویک:آبیره وآستخوآنیفوقانیتهایپاکتمامبردنآزبینآیربضافی.
فلپپیریودونتل:وینگرریکانتویعنیآستخوآنشکلکردن آصالحآیربآیشزآفآیربیا
میگرددآستفادهباشدنیاززمانیکهتاجیکطول.
TREATMENT PLANNING of Perio:
48. KUMS
Orthodontic preparation is carried out to
achieve the following:
▪ Reduce the need for prosthetic teeth as much as
possible.
▪ Position the teeth to allow the most natural
prosthetic replacement of teeth.
▪ Create sufficient vertical height to allow room for
placement of artificial teeth.
▪ Allow sufficient occlusal guidance on natural teeth.
•باشدآمکانش کهحدتاتیزوپربهنیازساختن کم
•باشدآمکانش که حدتاطبیعیگونهبهتیزوپربهدآدندرستموقعیت
•یدآبوجود کافی جایتیزوپر آیربتا کافیبگونهعمودی تفاعرآآیجاد
•میشودآدهطبیعیدندآنهایآیرب کهمانندبه لیزآکلورهنمود بهدآدن آجازهد.
Orthodontic Considerations or Preparation
49. Endodontic And Restorative
Treatment
▪ Teeth with pulpal involvement and root end pathology are
candidates for endodontic therapy. Restorative therapy like - crowns,
inlays, onlays, restoration of carious lesions and replacement of
defective restorations should be integrated with endodontic
treatment.
▪ Use of pulpless teeth as an abutment: It is considered when pulpless
teeth that has been treated endodontically is presented as a
potential abutment in mouth of patient for whom a removable
partial denture is to be made.
50. 4. Teeth preparation
Tooth modification is one of the simplest procedures and yet one of the most
neglected steps in mouth preparation. The main reason for this neglect is that if
dentin were exposed, abutments would be more susceptible to caries. Penetration of
the dentin can be prevented by careful radiographic interpretation. Susceptibility to
caries can be reduced by smoothing the involved tooth surfaces with fine disks,
rubber wheels, pumice and fluoride pastes.
Tooth modification should follow an organized logical sequence:
1. Establishing guiding plane
2. Recontouring survey line.
3. Increasing retention
4. Occlusal relationship
5. Restorative procedures
6. Endodontic treatment
7. Complete veneer restorations
8. Rest seat preparations
51. RESOURCES
● PREPARATION OF THE MOUTH FOR COMPLETE DENTURES, KUNDOC.COM
● Stewart’s: Clinical Removable Partial Prosthodontics. Quintessence Books, Third
edition 2003
● Mc Cracken's: Removable Partial Prosthodontics. Mosby,Inc. Tenth edition 2000
● Mills M. Mouth preparation for removable partial dentures. J Am Dent Assoc
1960;60:154-159
● McCracken, W. L:Mouth Preparations for Partial Dentures, J. Pros. Den. 6:39-52,
1956
● Glann G.W, Ralph C. Mouth preparation for removable partial dentures. J. Pros Den
1950:10:698-706
● Prosthodontics - Complete Denture ( Mouth preparation & Impression ), YOYTUBE
● Deepak Nallaswamy Veeraiyan, 2003
.