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Complete Denture
Prof. Dr. Mohammed Alkhafagy
Prosthodontics Curriculum
1-Complete denture prosthesis:
a- Definition.
b- Desired objectives.
2- Anatomy in relation to complete denture, upper maxillary landmark.
3- Anatomy in relation to complete denture, lower maxillary landmark.
4- Impression trays:
a- Definition.
b- Stock tray.
5- Primary impression:
a- Production of study model.
b- Common fault in impression making.
6- Study cast:
Special trays, materials, importance and advantages.
7-Secondary of final impression:
a- Mucostatic impression technique.
b- Functional impression technique.
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PROSTHODONTICS CURRICULUM
8-Final impression materials:
a- Plaster impression.
b- Zinc/oxide eugenol paste.
c- Elastomere impression.
d- Boxing and production of master cast.
9-Occlusion blocks:
a- Record bases. Occlusion rims.
b- Uses of bite rims, occlusal plane.
10-Recording jaw relations:
a- Maxillo-mandibular relation.
b- Vertical dimensions.
11-Methods of recording vertical and horizontal relations:
PROSTHODONTICS CURRICULUM
12-Articulators:
a- Types of articulators.
b- Face-bow, definition, types.
13-Mounting the cast on the articulator.
Method, common errors.
14- Selection of artificial teeth:
a- Anterior teeth.
b- Posterior teeth.
c- Types of teeth according to material, cusp inclination.
15-Arrangement of artificial teeth:
a- Guides.
b- Arrangement of upper and lower six anterior teeth.
16-Arrangement of posterior teeth:
a- Orientation of occlusion plane.
b- Balanced occlusion.
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PROSTHODONTICS CURRICULUM
17-Wax contouring of denture.
18-Flasking of denture.
19-Wax elimination:
20-Preparation and packing of acrylic resin:
21- Deflasking of dentures:
22-Abrasive and polishing agents:
23-Selective grinding.
Rules for selective grinding.
24-Denture repair.
Fractured denture, replacing teeth.
25-Relining and rebasing.
Boucher's
Prosthodontic Treatment for
Edentulous Patients
Prosthodontics Textbook
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Complete Denture
Prosthetic: The art and science of supply
artificial replacement for missing parts of the
human body.
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Prosthodontics (prosthetic dentistry): Is the
dental specialty pertaining to the diagnosis,
treatment planning, rehabilitation and maintanance
of the oral function, comfort, appearance and
healthy of patients with clinical conditions
associated with missing or deficient teeth and \ or
maxillofacial tissues using biocompatible substitutes
.
Prosthesis: An artificial replacement of an absent
part of the human body or a therapeutic device to
improve or alter function.
Dental prosthesis: An artificial replacement of one
or more teeth (up to the entire dentition in either
arch) and associated dental \ alveolar structures.
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Fixed dental prosthesis: Any dental prosthesis that is
luted, screwed or mechanically attached or otherwise
securely retained to natural teeth, tooth roots, and \
or dental implants that furnished the primary support
for dental prosthesis.
Removable dental prosthesis: Any dental
prosthesis that replaces some or all teeth in
partially dentate arch (partial removable dental
prosthesis) or edentate arch (complete dental
prosthesis). It can be removed from the mouth
and replaced at will.
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Complete denture prosthesis: The replacement
of the natural teeth in the arch and their
associated parts by artificial substitutes or the
art and science of the restoration of an
edentulous mouth.
Objectives of complete denture:
1 – Restoration of the function of mastication.
2 – Restoration of the facial dimension and
contours (esthetic).
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Objectives of complete denture:
3 –Preservation of the remaining tissues in
health.
4 – Satisfaction, pleasing and comfort of the
patient.
5 – Correction of speech due to loss of natural
teeth .
General considerations in complete denture
construction :
1 – From the operator
a- Certain degree of diagnostic skills.
b-Sound knowledge of biological and mechanical principles.
c-Certain degree of artistic ability to achieve good esthetic
requirements.
d-Careful manipulation of dental materials and devices.
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General considerations in complete denture
construction :
2 – From the patient:
a-Co – operation with the dentist.
b-Some understanding of the limitation of prosthodontic restoration.
c-Patience during the construction, learning and adustment of the new
prosthesis.
General considerations in complete denture
construction :
3 – From the technician:
There should be co – operation between clinical and technical
procedures.
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Complete dentures are composed of the following:
1 – Basal or impression surface:
The part of a denture that rests on the foundation tissue(
the oral structure available to support a denture) and to
which teeth are attached.
Complete dentures are composed of the following:
2 – Denture occlusal surface:
The portion of the surface of a denture that make contact
with its antagonist.
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Complete dentures are composed of the following:
3 – Denture polished surface :
The portion of the surface of a denture that extends in an
occlusal direction from the border of the denture and
includes the palatal surface. It is the part of the denture base
that is usually polished, and it includes the buccal and lingual
surfaces of the teeth.
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4 – Denture border:
The margins of the denture base at the junction of the
polished surface and the impression surface.
5 – Denture flange:
The part of the denture base that extends from the
cervical ends of the teeth to the denture border.
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Thank you for
Listening
Thank you
for
Listening
Anatomy and
physiology in relation
to complete denture
construction
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Anatomy and physiology in relation to complete
denture construction:
The knowledge of oral anatomy and physiology will
help the operator and provides enough landmarks to
act as positive guide during denture construction.
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Anatomy and physiology in relation to
complete denture construction:
I – Intra – oral landmarks of prosthetic
importance and border structures that limit the
periphery of the denture in maxilla and
mandible.
II – Extra – oral landmarks of prosthetic
importance.
III – Anatomy and physiology of the T. M. J. and
mandibular movements.
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Maxillary arch landmarks
LIMITING STRUCTURES
SUPPORTING STRUCTURES
RELIEF AREA
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LIMITING STRUCTURES
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Support
is the resistance to the displacement towards the basal tissue
or underlying structures.
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SUPPORTING STRUCTURES
Secondary stress
bearing area
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Canine eminence (cuspid eminence): It is
around elevation in the corner of the mouth it
represent the location of the root of the canine,
which is helpful to be used as a guide for
arrangement of the maxillary anterior teeth.
.
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Zygomatic process: It is located opposite to
the first molar region, hard area found in the
mouth that has been edentulous for long time.
Some dentures require relief over this area to
prevent soreness of the underlying tissues..
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Torus palatinus: It is a hard bony enlargement
that occurs in the midline of the roof mouth (hard
palate). It is found in 20% of the patients. It should be
relieved when it small and surgical correct when it is
very large and extended to the vibrating line.
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Anatomical landmarks of the
mandibular arch
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A. Supporting structures
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b. Limiting structures
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Lingual Frenum:
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Alveololingual Sulcus
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Pterygomandibular raphe or ligament
It is union of buccinator and superior constrictor muscles
extending from hamular process to retromolar pad, it is stretched
during mouth opening
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Relief Areas
Mental Foramen
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Relief Areas
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Relief Areas
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Relief Areas
Torus Mandibularis
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Thanks For Listening
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