Post on 18-Dec-2014
description
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Complete Denture
Presented by:Dr. Shady A. M. Negm
Bachelor's Degree School of Dentistry, Pharos University.
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• Extensive bone loss and periodontal disease
• Gross decay or abscesses
• Edentulous patient
• Lack of financial resources for alternative treatments
• Patient refused partial dentures
• Gross decay or abscesses
Indications for a Complete Denture
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Appointments for a Complete Denture
History Taking & Examination
Primary impression
Final impression
Jaw relationship
Try – in
Denture delivery
First follow-up
Adjustments
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History Taking, Examination & recording the Information
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• 1. Main Complaint(s)• 2. History of the main complaint• 3. Social History• 4. Dental History• 5. Medical History• 6. Habits• 7. Radiographic examination• 8. Extra-oral & Intra-oral examination• 9. Treatment Plan
History Taking, Examination & recording the Information
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Primary impression
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• Step 1: Selection of trays
• Step 2: Modification the trays
• Step 3: Impression taking
• Step 4: Evaluation of the impressions
• Step 5: Disinfection
Primary impression
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Final Impressions
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• Step 1: Evaluation of special tray• Step 2: Adjusting the tray• Step 3: Impression taking• Step 4: Evaluation of the impressions• Step 5: Disinfection
Final Impressions
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Jaw Relationship
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• Step 1: Seating the patient• Step 2: Evaluating the laboratory work• Step 3: Posterior palatal seal (post dam)• Step 4: Tissue support• Step 5: Vertical dimensions• Step 6: Assess the recording• Step 7: Disinfection
Jaw Relationship
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Try-in Appointment
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• Step 1: Trial denture evaluation• Step 2: Assessment on the articulator• Step 3: Assessment in the mouth• Step 4: Jaw relationship• Step 5: Phonetics• Step 6: Appearance• Step 7: Disinfection
Try-in Appointment
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Delivery Appointment
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• Step 1: Evaluating the laboratory work• Step 2: Evaluation of the fitting
surfaces• Step 3: Evaluation of the occlusion• Step 4: Correction of the occlusion• Step 5: Re-evaluation of aesthetics• Step 6: Final polishing• Step 7: Patient instructions
Delivery Appointment
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• Step 1: Assessment of the patient
• Step 2: Extra-oral assessment
• Step 3: Intra-oral assessment
• Step 4: Adjustment
First follow-up
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Denture Complaints
• 1. Pain• 2. Appearance• 3. Inefficient chewing• 4. Poor retention (maxillary denture)• 5. Instability (mandibular denture)• 6. Clicking teeth• 7. Nausea, gagging or retching• 8. Discomfort• 9. Altered speech• 10. Biting cheek & tongue• 11. Food under the denture• 12. Lower denture cannot be worn
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Adjustments
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Denture Relines, Adjustments, and Repairs
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