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Complete Denture

Presented by:Dr. Shady A. M. Negm

Bachelor's Degree School of Dentistry, Pharos University.

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• Extensive bone loss and periodontal disease

• Gross decay or abscesses

• Edentulous patient

• Lack of financial resources for alternative treatments

• Patient refused partial dentures

• Gross decay or abscesses

Indications for a Complete Denture

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Appointments for a Complete Denture

History Taking & Examination

Primary impression

Final impression

Jaw relationship

Try – in

Denture delivery

First follow-up

Adjustments

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History Taking, Examination & recording the Information

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• 1. Main Complaint(s)• 2. History of the main complaint• 3. Social History• 4. Dental History• 5. Medical History• 6. Habits• 7. Radiographic examination• 8. Extra-oral & Intra-oral examination• 9. Treatment Plan

History Taking, Examination & recording the Information

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Primary impression

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• Step 1: Selection of trays

• Step 2: Modification the trays

• Step 3: Impression taking

• Step 4: Evaluation of the impressions

• Step 5: Disinfection

Primary impression

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Final Impressions

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• Step 1: Evaluation of special tray• Step 2: Adjusting the tray• Step 3: Impression taking• Step 4: Evaluation of the impressions• Step 5: Disinfection

Final Impressions

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Jaw Relationship

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• Step 1: Seating the patient• Step 2: Evaluating the laboratory work• Step 3: Posterior palatal seal (post dam)• Step 4: Tissue support• Step 5: Vertical dimensions• Step 6: Assess the recording• Step 7: Disinfection

Jaw Relationship

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Try-in Appointment

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• Step 1: Trial denture evaluation• Step 2: Assessment on the articulator• Step 3: Assessment in the mouth• Step 4: Jaw relationship• Step 5: Phonetics• Step 6: Appearance• Step 7: Disinfection

Try-in Appointment

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Delivery Appointment

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• Step 1: Evaluating the laboratory work• Step 2: Evaluation of the fitting

surfaces• Step 3: Evaluation of the occlusion• Step 4: Correction of the occlusion• Step 5: Re-evaluation of aesthetics• Step 6: Final polishing• Step 7: Patient instructions

Delivery Appointment

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• Step 1: Assessment of the patient

• Step 2: Extra-oral assessment

• Step 3: Intra-oral assessment

• Step 4: Adjustment

First follow-up

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Denture Complaints

• 1. Pain• 2. Appearance• 3. Inefficient chewing• 4. Poor retention (maxillary denture)• 5. Instability (mandibular denture)• 6. Clicking teeth• 7. Nausea, gagging or retching• 8. Discomfort• 9. Altered speech• 10. Biting cheek & tongue• 11. Food under the denture• 12. Lower denture cannot be worn

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Adjustments

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Denture Relines, Adjustments, and Repairs

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