32 Removable Prosthodontics

2 Artificial structures replacing teeth and tissues Restore lost functions –Stabilize arch –Improve aesthetics Additional training necessary

3 Patient Considerations Good communication Patient should be in good health, have a positive attitude, and be cooperative Fluctuations in the patient’s weight may alter fit of prosthesis Good oral hygiene is a must

4 Role of the Dental Assistant Prepare materials Record measurements and details Patient education and support Laboratory procedures

5 Diagnosis and Treatment Planning Patient examination Medical history reviewed Patient’s desire Consultation appointment

6 The Consultation Appointment Study models of patient’s mouth Radiographs mounted on a viewbox Patient’s photographs Visual aids to explain types Proposed treatment plan

7 Removable Partial Denture Advantages –Repairs and adjustments are easy –Fewer appointments –Easier to clean –Supports remaining teeth –Less expensive than the fixed model

8 Removable Partial Denture Considerations –Adequate root structure of remaining teeth

9 Components of Removable Partial Denture Metal framework Rests Connectors Retainer Denture base Artificial teeth Rests Metal framework Clasp placement Partial in place

10 Partial Denture Procedure Appointment schedule –Examination –Consultation –Final impressions –Try-in adjustment –Delivery –Adjustment

11 The Complete Denture Fabricated to replace all natural teeth Considerations –Bone loss –Lack of motivation to retain natural teeth –Remaining teeth have gross decay, disease –Patient is edentulous –Lack of alternatives

12 Denture Components Denture teethDenture base

13 Appointments for Complete Denture Examination Consultation Oral surgery Final impressions Jaw relationships Denture delivery First follow-up Adjustments

14 Denture Reline and Repair Chairside relining –Saves patient time –Patient will not be without dentures –Temporary solution

15 Denture Reline and Repair Repair –Always disinfect it before repair process –Some repairs will need lab work –Impressions may need to be made

16 Polishing the Removable Prostheses Dental lathe used to polish Do not overheat dentures!

17 The Overdenture Implants become anchors Retention and stability