Dr Rahul Tripathi (BDS,MDS in Prosthodontics and Implantology)
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complete denture: • Complete Denture: Obje...
Steps in fabrication of complete denture
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Two procedures: clinical procedures & Laboratory procedures
Clinical procedures Laboratory procedure
Diagnois & treatment Primary cast
Mouth preparation Fabrication of custom tray
Primary impression Master cast
Secondary impression Occlusion rim
Recording jaw relation Articulator
Try in Arrangement of artificial teeth
Denture insertion Processing of denture
Postinsertion review and maintenance
Diagnosis and treatment planning
Diagnosis: patient evaluation - facial expression,complexion,speech that help in arranging artificial teeth, breathing pattern, personality, metal attitude
History - General information: name, age, occupation, address & habits
Medical history: cardiovascular problem, neurological problem, oral malignancies, epilepsy
examination: extraoral examination: facial examination,lip examination, muscular examination
Intraoral examination: mucosa, residual alveolar ridge, palate
tongue, saliva
2) Primary impression: replica of a teeth and associated structure
purpose for diagnosis, treatment planning or fabrication of special tray
material used alginate or impression compound
3) primary cast: pouring is done by POP
4) fabrication of special tray: use for border moulding & final impression.
to record minute details of denture bearing area
5) border moulding is done to create a peripheral seal
material used is green stick compund
manipulation of peripheral tissues is done with two methods
active methods and passive metods
Active metods : patient perform the various function to manipulate the borders
passive metods: dentist physically manipulate the tissue to mould them
6) Final impression: is taken to with help of zinc oxide eugenol
7) Master cast is made with dental stone
8) occlusion rim: is made to record maxillomandibular relation and to arrange teeth
9) jaw relation is done
10 ) relation is transfer to the articulator : it is a mechanical device which represent temporomandibular joint and jaw members
11) arrangement of teeth
12) try in
13) processing is done
14) denture insertion
adaptation
border and peripheral extention
retention and stability
aesthetics
occlusion1
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6 сен 2024
