Denture Delivery-Ippt 16-p

7/29/2019 Denture Delivery-Ippt 16-p

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Clinical Removable Prosthodontic-I

Ass. Professor. Sayed Hafiz

Removable Prosthodontics Department

Ibn Sina National College for Medical Studies

( 16-b )


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Denture Delivery

and Follow Up

Evaluations:

From the Dentist

From the Patient

From Family/Friends


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Treatment at the Time of Denture Insertion

Inspection of dentures. Elimination ofbasal surface errors.

Dentures to be seated in healthy tissues.

Elimination of small Surface Errors Pressure Indicator Paste (PIP) to be used

for every new denture!


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Check occlusion

Occlusion may seem okay, but


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Prematurity

Accommodation

Resilient Tissue

Abused Tissues


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Errors in Occlusion

Possible causes of error: inaccurateMMR records or transfer of these, failure to use

face bow, incorrect teeth arrangement, denture

processing errors, changes in denture basematerial.

Checking for occlusion errors

Best done in the articulator: REMOUNT


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Remounting Procedure

Ask patient to bite on

cotton rolls for 10 min.

Guide mandible into

CR several times. Aluwax is placed on

the post. Teeth of the

mandibular denture.


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Place both dentures

in the patients

mandible is guided in

a hinge movement. Obtain interocclusal

record of CR.


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Mount upper denture

using remounting jig.

Mount lower denture


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Selective spot grinding

The art of reducingpremature contactingsurfaces, so that an equalpressure exists at all pointswith interference at no

point.


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Eliminating occlusal records in

anatomic teeth

Re-establishment of CO.

Correction of working side occlusal errors. Correction of balancing-side errors.

Correction of protrusive relation.


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Basic Tooth Positions

Balancing Contacts Centric Occlusion Working Contacts


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Re-establishment of CO

Problem: Teeth too longSolution: Deepen the fossae


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Problem: Teeth too nearly end toendSolution: Grind Inclines


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Problem: Too much horizontal

overlapSolution: Broaden central fossae


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After the CO re-establishment.

DO NOT:

Reduce maxillary lingual cusps.

Reduce mandibular buccal cusps.

Deepen the fossae.


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Correction of working side occlusal

errors.

Reduce lingual inclines of buccal cusps ofmaxillary teeth.

Reduce buccal inclines of lingual cusps of

mandibular teeth.

ON WORKING SIDE ONLY!!!

C ti f ki id l l


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errors.

Problem: Buccal and

lingual cusps too long.Solution: Changeinclines of balancingcusps.


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Correction of working side

occlusal errors.

Problem: Buccal cusps are

too longSolution: Change lingualincline of maxillary buccalcusp


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errors.

Problem: Lingual cusp

too long.Solution: Change buccalincline of lingual cusp ofmandibular tooth.


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Correction of balancing-side errors.

Reduce lingual inclines of mandibular

buccal cusps; or

Decide which supporting cusp maintains

CO and reduce its opponent.


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Correction of balancing-side errors.

Grind the lingual

incline of themandibular buccalcusp.


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Correction of protrusive relation.

Distal inclines

Mesial inclines


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Eliminating occlusal errors in

nonanatomic teeth

Interocclusal CR record is made.

Dentures mounted and gross premature

contacts are removed.

Final adjustments with articulating paper.


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Instructions to the patient

Individuality of patients

New dentures and:

Appearance

Mastication

Speech

Oral Hygiene

Education materials


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24-hour Oral Examination (OE) and

Treatment (Tx)

Examination procedures

Adjustments related to: Occlusion

Denture base

Subsequent OEs and Txs Periodic recall for OE12 months

OcclusionTissues


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What to look for:


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What to look for:


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What to look for:


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What to look for:


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What to look for:


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Denture Delivery-Ippt 16-p

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