Laboratory stages of manufacture of complete dentures Laboratory stages of manufacture of complete dentures. Peculiarities of choice of materials for prostheses in patients Gerontological profile.
Complete Denture
Complete denture prosthodontics: involves an artificial replacement of the lost natural dentition and associated structures of the maxilla and mandible for patient who has lost all their remaining natural teeth. Complete denture A removable dental prosthesis that replaces the entire dentition and associated structures of the maxilla or mandible.
Diagnosis and Treatment Plan
Complete dentures have three surfaces: 1- The fitting surface. 2- The occlusal surface. 3- The polished surface.
Tissue Condition Improve Tissue Health
Clinical and laboratory steps of complete denture construction 1. Examination of the mouth. 2. Preliminary impression making. Pouring of impression to obtain the Construction of special (custom) trays 3. Final impression. Boxing and pouring of the final Construction of recording bases 4. Recording jaw relationships and selection of artificial teeth. Mounting of the models with occlusal rims on articulator. setting-up of teeth and waxing-up. 5. Try-in of the waxed-up denture. Processing of the dentures (flasking, wax elimination, packing, curing, deflasking & polishing 6. Insertion of the finished denture. 7. Post-insertion care.
Tissue Condition Resilient Liner
Repair Denture if Necessary
Preliminary Impressions
Pour Diagnostic Casts
Make Custom Trays More Accurate Impressions
Border Mold Accurate Registration of Peripheries for Retention
Remove Tray Spacer and Load Impression Material
Make Final Impression
Box Impression Stronger cast with peripheries for Processing
Pour Master Casts
Record Bases and Occlusion Rims For Making Jaw Relationship Records
Facebow Record Relates Maxilla to Transverse Hinge Axis
Mount Maxillary Cast Same Relationship to Transverse Hinge Axis
Determine Occlusal Vertical Dimension Facial Height/Separation of Dentures
Centric Relation Registration Ant/Post & Mediolateral Relationships
Mount Mandibular Cast on Articulator
Set Anterior and Posterior Teeth in Wax Ability to Visualize and Change Appearance
Finalize Waxup
Remove Denture from Articulator Flask for Processing
Flask Waxup
Boil Out Wax and Remove Record Bases Teeth Trapped in Stone
Pack Acrylic Resin Hydraulic Pressure or Injection
Remount and Adjust for Processing Errors
Fabricate Remount Index
Remove From Cast Finish and Polish
Remount & Adjust Occlusion
Variations Single Dentures
Delivery to the patients
Function of complete denture: 1- Mastication: chew food for swallowing and digestion. 2- Speech (phonetics): the teeth either natural or artificial assist the tongue and lips to form some of the sounds of speech. 3- Appearance (aesthetic): is influence by the shape of jaws together with the position and occlusal relation ship of the teeth. 4- Health of the alveolar bone and the tempro- mandibular joints (T.M.J).