1. ©2013 Delmar, Cengage Learning. All Rights Reserved. May not be scanned, copied, duplicated, or posted to a publicly accessible website, in whole or in part. Removable Prosthodontics Chapter 32

2. ©2013 Delmar, Cengage Learning. All Rights Reserved. May not be scanned, copied, duplicated, or posted to a publicly accessible website, in whole or in part. Removable Prosthodontics Artificial structures replacing teeth and tissues Purposes: –Restore lost functions –Stabilize arch –Improve aesthetics Additional training necessary

3. ©2013 Delmar, Cengage Learning. All Rights Reserved. May not be scanned, copied, duplicated, or posted to a publicly accessible website, in whole or in part. Patient Considerations Good communication Patient should be in good health, have positive attitude, and be cooperative Fluctuations in patient’s weight may alter fit of prosthesis Good oral hygiene required

4. ©2013 Delmar, Cengage Learning. All Rights Reserved. May not be scanned, copied, duplicated, or posted to a publicly accessible website, in whole or in part. Role of the Dental Assistant Prepare materials Record measurements and details Educate and support patient Perform laboratory procedures

5. ©2013 Delmar, Cengage Learning. All Rights Reserved. May not be scanned, copied, duplicated, or posted to a publicly accessible website, in whole or in part. Diagnosis and Treatment Planning Patient examination Medical history review Patient’s desires Consultation appointment

6. ©2013 Delmar, Cengage Learning. All Rights Reserved. May not be scanned, copied, duplicated, or posted to a publicly accessible website, in whole or in part. Consultation Appointment Study models of patient’s mouth Radiographs mounted on viewbox Patient’s photographs Visual aids to explain types Proposed treatment plan

7. ©2013 Delmar, Cengage Learning. All Rights Reserved. May not be scanned, copied, duplicated, or posted to a publicly accessible website, in whole or in part. Removable Partial Denture Advantages: –Easy repairs and adjustments –Fewer appointments –Easy to clean –Supports remaining teeth –Less expensive than fixed model

8. ©2013 Delmar, Cengage Learning. All Rights Reserved. May not be scanned, copied, duplicated, or posted to a publicly accessible website, in whole or in part. Removable Partial Denture Consider adequate root structure of remaining teeth © Cengage Learning 2013

9. ©2013 Delmar, Cengage Learning. All Rights Reserved. May not be scanned, copied, duplicated, or posted to a publicly accessible website, in whole or in part. Components of Removable Partial Denture Metal framework Rests Connectors Retainer Denture base Artificial teeth Rests Metal framework Clasp placement Partial in place © Cengage Learning 2013

10. ©2013 Delmar, Cengage Learning. All Rights Reserved. May not be scanned, copied, duplicated, or posted to a publicly accessible website, in whole or in part. Partial Denture Procedure Appointment schedule –Examination –Consultation –Final impressions –Try-in adjustment –Delivery –Adjustment

11. ©2013 Delmar, Cengage Learning. All Rights Reserved. May not be scanned, copied, duplicated, or posted to a publicly accessible website, in whole or in part. Dental Check What are some factors for the dentist to consider in choosing a patient as a candidate for a partial denture? –Teeth to which the partial can be stabilized, motivation in adjustments, and ability to maintain good oral hygiene

12. ©2013 Delmar, Cengage Learning. All Rights Reserved. May not be scanned, copied, duplicated, or posted to a publicly accessible website, in whole or in part. Complete Denture Fabricated to replace all natural teeth Considerations: –Bone loss –Lack of motivation to retain natural teeth –Remaining teeth have gross decay and disease –Patient is edentulous –Lack of alternatives

13. ©2013 Delmar, Cengage Learning. All Rights Reserved. May not be scanned, copied, duplicated, or posted to a publicly accessible website, in whole or in part. Denture Components Denture teeth Denture base © Cengage Learning 2013

14. ©2013 Delmar, Cengage Learning. All Rights Reserved. May not be scanned, copied, duplicated, or posted to a publicly accessible website, in whole or in part. Appointments for Complete Denture Examination Consultation Oral surgery Final impressions Jaw relationships Try-in appointment Denture delivery First follow-up Adjustments

15. ©2013 Delmar, Cengage Learning. All Rights Reserved. May not be scanned, copied, duplicated, or posted to a publicly accessible website, in whole or in part. Consultation and Oral Surgery Appointments All information and options given to patient during consultation Oral surgery and prostheses appointments made according to healing time needed

16. ©2013 Delmar, Cengage Learning. All Rights Reserved. May not be scanned, copied, duplicated, or posted to a publicly accessible website, in whole or in part. Consultation and Oral Surgery Appointments Final impressions appointment –After extractions have healed, custom trays made from study models to take impressions for manufacture of baseplates and bite rims

17. ©2013 Delmar, Cengage Learning. All Rights Reserved. May not be scanned, copied, duplicated, or posted to a publicly accessible website, in whole or in part. Jaw Relationship Appointment Facebow records relationship of maxillary dentition to TMJ Facebow transfer takes specific measurements needed to transfer to articulator Other measurements then taken by dentist

18. ©2013 Delmar, Cengage Learning. All Rights Reserved. May not be scanned, copied, duplicated, or posted to a publicly accessible website, in whole or in part. Dental Check Name the measurements that are taken with the facebow. –Vertical dimension, centric relationship, intercuspation, centric occlusion, retrusion, protrusion, lateral excursion

19. ©2013 Delmar, Cengage Learning. All Rights Reserved. May not be scanned, copied, duplicated, or posted to a publicly accessible website, in whole or in part. Denture Reline and Repair Chairside relining –Saves patient time –Patient will not be without dentures –Temporary solution

20. ©2013 Delmar, Cengage Learning. All Rights Reserved. May not be scanned, copied, duplicated, or posted to a publicly accessible website, in whole or in part. Denture Reline and Repair Repair –Always disinfect before repair process –Some repairs will need lab work –Impressions may need to be made

21. ©2013 Delmar, Cengage Learning. All Rights Reserved. May not be scanned, copied, duplicated, or posted to a publicly accessible website, in whole or in part. Polishing the Removable Prostheses Use dental lathe Be careful to avoid overheating dentures © Cengage Learning 2013

22. ©2013 Delmar, Cengage Learning. All Rights Reserved. May not be scanned, copied, duplicated, or posted to a publicly accessible website, in whole or in part. Overdenture Implants become anchors Retention and stability Courtesy of Clifton O. Caldwell, Jr., DDS., FICD, FACD