Denture Delivery and Follow Up Dr. Cecilia E. Aragón

Evaluations From the Dentist From the Patient From Family/Friends CEA

Treatment at the Time of Denture Insertion Inspection of dentures. Elimination of basal surface errors. Dentures to be seated in healthy tissues. CEA

Elimination of Intaglio Surface Errors Pressure Indicator Paste (PIP) to be used for every new denture!! CEA

Check occlusion CEA

Occlusion may seem okay, but… CEA

Prematurity Resilient Tissue Accommodation Abused Tissues CEA

Errors in Occlusion Possible causes of error: inaccurate MMR records or transfer of these, failure to use face bow, incorrect teeth arrangement, denture processing errors, changes in denture base material. Checking for occlusion errors Best done in the articulator: REMOUNT CEA

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. CEA

Obtain interocclusal record of CR. Place both dentures in the patient’s mandible is guided in a hinge movement. Obtain interocclusal record of CR. CEA

Mount upper denture using remounting jig. Mount lower denture CEA

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Selective spot grinding The art of reducing premature contacting surfaces, so that an equal pressure exists at all points with interference at no point. CEA

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. CEA

Basic Tooth Positions Balancing Contacts Centric Occlusion Working Contacts CEA

Re-establishment of CO Problem: Teeth too long Solution: Deepen the fossae CEA

Re-establishment of CO Problem: Teeth too nearly end to end Solution: Grind Inclines CEA

Re-establishment of CO Problem: Too much horizontal overlap Solution: Broaden central fossae CEA

After the CO re-establishment…. DO NOT: Reduce maxillary lingual cusps. Reduce mandibular buccal cusps. Deepen the fossae. CEA

Correction of working side occlusal errors. Reduce lingual inclines of buccal cusps of maxillary teeth. Reduce buccal inclines of lingual cusps of mandibular teeth. ON WORKING SIDE ONLY!!! CEA

Correction of working side occlusal errors. Problem: Buccal and lingual cusps too long. Solution: Change inclines of balancing cusps. CEA

Correction of working side occlusal errors. Problem: Buccal cusps are too long Solution: Change lingual incline of maxillary buccal cusp CEA

Correction of working side occlusal errors. Problem: Lingual cusp too long. Solution: Change buccal incline of lingual cusp of mandibular tooth. CEA

Correction of balancing-side errors. Reduce lingual inclines of mandibular buccal cusps; or Decide which supporting cusp maintains CO and reduce its opponent. CEA

Correction of balancing-side errors. Grind the lingual incline of the mandibular buccal cusp. CEA

Correction of protrusive relation. Distal inclines CEA Mesial inclines

Eliminating occlusal errors in nonanatomic teeth Interocclusal CR record is made. Dentures mounted and gross premature contacts are removed. Final adjustments with articulating paper. CEA

Instructions to the patient Individuality of patients New dentures and: Appearance Mastication Speech Oral Hygiene Education materials CEA

24-hour Oral Examination (OE) and Treatment (Tx) Examination procedures Adjustments related to: Occlusion Denture base Subsequent OEs and Txs Periodic recall for OE……12 months Occlusion Tissues CEA

What to look for: CEA

What to look for: CEA

What to look for: CEA

What to look for: CEA

What to look for: Moskona D, Kaplan I. Oral lesions in elderly denture wearers. Clin Prev Dent. 1992;14:11-4 : 500 pts. Total frequency of soft tissue lesions was 16.7% in edentulous non-denture patients and 58.2% in patients with poor quality dentures. CEA

What to look for: CEA

Overdentures Bars CEA

Locator attachments O-ring abutments CEA

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