constructing a denture: technique exercise dr s gonsalkorale
TRANSCRIPT
Types of dentures
Complete dentures/full dentures Partial dentures Cobolt-chromium dentures Acrylic dentures
Treatment Sequence History, Exam, Primary impressions MMR, Face bow Treatment plan, design, informed consent Tooth modification, secondary
impressions Casting try-in MMR, shade selection Wax try-in Primary issue Secondary issue Fluoride treatment/ Exam/ Recall
Primary Impressions
Aim: To obtain an accurate models of the patients maxillary and mandibular oral tissues.
Facebow Record Adjustable articulators allow the cast of the
maxillary denture to be located accurately in relation to the mandibular condyles and to a horizontal plane of reference (frankfurt plane). The Facebow records this information clinically and transfers this relationship to an articulator.
The mandible moves along an arc of rotation as it opens and closes. The centre of rotation is in the condyle. The distance from the centre of rotation of the arc to the teeth is relevant in developing the occlusion
MMR: maxillo-mandibular relationship
Aim:– relate the upper cast
to the lower cast in the correct anatomical relationship.
– Relate the upper cast to the condyles in the correct relationship
How do you do this?
Hand articulate If you cannot hand articulate you will
need to use base plates with wax rims.
(The casts are then articulated)
Tooth modification
Based on the denture design carry out any tooth modification:– Rest seat
preparation– lowering of survey
lines– Guideplanes
Secondary impression
Once the tooth modification has been carried out a new impression is taken using the special tray.
Retake MMR
The new cast needs to be re-articulated against the existing lower cast.
If the casts cannot be hand articulated new baseplates and wax rims will be required.
Set teeth and wax-up
Once the casts have been re-articulated the teeth are set on the baseplate.
The wax contours are finalised. The denture is now ready to
process…...
Issue
Trim and polish denture carefully to maintain contours and maintain contact.
Polish with pumice and then with dentishine.
The denture is now ready to issue…...
References McGivney GP, Castleberry DJ. McCracken’s
Removable Partial Prosthodontics. 9th Ed. 1995.
Removable partial prosthodontics : a case oriented manual of treatment. Lechner SK, MacGregor AR. St. Louis : Wolfe c1994.
CD: ROM : Interactive Prosthodontics. Learning to design removable partial dentures. Lechner SK, Thomas GA. The University of Sydney.