1. DIAGNOSIS AND TREATMENT PLANNING
DR MUHAMMAD RIZWAN MEMON
F.C.P.S (T) (Prosthodontics)

2. Patient Interview Demographic data Chief complaint and its history
Medical history review
Dental history review
Patient expectations

3. Infection Control Doctor: Instruments: Operatory: Gloves Mask Glasses
Sterilization
Operatory:
Scrubbing & wiping of surfaces
Carefully handling of disposable materials

4. Clinical Examination Extra Oral: Intra Oral: TMJ, Mouth opening etc
Existing Teeth
Periodontal health
Occlusion
Conservative & Endodontic status
Residual ridges
Height of floor of mouth

5. Radiographic Examination
Periodontal bone loss
Structure of basal bone in denture bearing areas
Presence of perapical bone loss & furcation involvement

7. Examination of Diagnostic Casts
Permit view of occlusion from lingual & buccal aspects, degree of overclosure, amount of interocclusal space available etc
Permit topographic survey of occlusion
Permits a logical & comprehensive presentation to the patient
Individual impression trays may be fabricated
Used as constant reference as the work progress
Become a permanent part of patient record

9. Treatment Planning Phase-1 Phase-2
Collection & evaluation of diagnostic data
Treatment of emergency conditions
Determining type of prosthesis
Patient motivation
Phase-2
Preprosthetic mouth preparation ( Relief of pain, Oral surgical procedures, Periodontal therapy, Correction of occlusal plane, Orthodontic correction, Splinting weakened teeth
Making primary impression

12. Phase-3 Phase-4 Phase-5 Phase-6 Designing the RDP
Prosthetic mouth preparation (Preparation of undercuts, guide planes & rest seats)
Making the final impression
Patient motivation
Phase-5
Fabrication of RDP
Phase-6
Insertion
Post insertion management
Periodic recall and review

13. Differential Diagnosis Fixed OR Removable Dental Prosthesis
Indications for fixed restorations
Tooth-bounded edentulous regions
Modification spaces
Anterior modification spaces
Replacement of unilaterally missing molars (SDA)

14. Indications for removable restorations
Distal extension situations
After recent extractions
Long span
Need for effect of bilateral stabilization
Excessive loss of residual bone
Unusually sound abutment teeth
Abutments with guarded prognosis
Economic considerations

15. THANK U