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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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Re-establishment of CO
Problem: Teeth too nearly end toendSolution: Grind Inclines
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Re-establishment of CO
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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Correction of working side occlusal
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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Correction of working side occlusal
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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