Dr shabeel pn

• 2nd phase

Preprosthetic mouth preparation

Prosthetic mouth preparation

to remove any hindrance into the prosthetic treatment.

is done to facilitate prosthetic treatment.

Done along with diagnosis and treatment planning.

Done after partial denture design.

PREPROSTHETIC PROCEDURES

1. Relief of pain & infection.

2. Oral surgical procedures.

3. Conditioning of abused & irritated tissue

4. Periodontal therapy.

5. Correction of occlusal plane.

6. Orthodontic correction.

7. Splinting weakened teeth.

8. Reshaping teeth.

9. Preparation of rest and guiding planes

RELIEF OF PAIN & INFECTION

• Potential emergency conditions

Acute pain Abscess

• Carious teeth with pain and

discomfort.

• Asymptomatic teeth with

deep caries lesions are

excavated and filled

Gingival diseasegingival

ANUGabscess

EXTRACTION OF TEETH

• Extraction of teeth

with poor prognosis

• Removal of residual roots.

• Extraction of impacted teeth

• Severely malposed teeth

• Indication for extraction:-

1. where teeth can complicate /compromise the treatment.

2. Orthodontic treatment cannot correct malalignment.

3. When teeth interfere with placement of a major connector.

• Radiographs bone cyst, tumor, tori, exostosis, hyperplasia, etc.

• Bone cyst exostosis

Palatal tori

Lingual tori

Muscle and frenal attahments should be examined

Frenectomy

• Ridges should be palpated for bony spicules and knife edged ridges.

• Soft tissue should be examined for pathological lesions.

Dentofacial deformitiesCleft lip

Alveoloplasty/ Alveolectomy

•Simple (sharp edges)-Primary-Secondary

•Interradicular (interseptal)•Radical

Horizontal or vertical problemsPre-radiation

•Preserve Attached Gingiva

Simple alveoloplasty

Conditioning of abused and irritated tissues.

• Should be treated before impression making the tissue contour may change according to tissue healing.

• Causes

ill fitting dentures,

nutritional disturbances,

Diabates

Blood dyscrasiasis

• Symptoms Inflammation and irritation of soft tissues

in the denture bearing areas.Distortion of normal anatomical structures

like incisive papillae, rugae, and retromolar pads.

Burnng sensation in the residual ridge, tongue, cheeks and lips.