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Page 1: Clinical and laboratory steps of complete denture fabricationsemmelweis.hu/fogpotlastan/files/2017/11/Clinical-and-laboratory... · Preparing Complete Denture 1. Personal particulars

Clinical and laboratory steps of complete denture fabrication

Dr. Katalin Károlyházy Semmelweis University Budapest, Department of ProsthodonticsHead of the Department:Med. Habil. Dr.Péter Hermann 2017.

Page 2: Clinical and laboratory steps of complete denture fabricationsemmelweis.hu/fogpotlastan/files/2017/11/Clinical-and-laboratory... · Preparing Complete Denture 1. Personal particulars

Preparing Complete Denture

1. Personal particulars2. Present complaints3. Dental History4. Medical History5. Extra-oral Examination6. Intra-oral Examination

(stomato-onkological examination) 7. Orthopantomogram8. Examination of the denture.

Page 3: Clinical and laboratory steps of complete denture fabricationsemmelweis.hu/fogpotlastan/files/2017/11/Clinical-and-laboratory... · Preparing Complete Denture 1. Personal particulars

Diagnosis: Complete edentulousness

Treatment plan:upper and lower complete dentures

Prognosis

Page 4: Clinical and laboratory steps of complete denture fabricationsemmelweis.hu/fogpotlastan/files/2017/11/Clinical-and-laboratory... · Preparing Complete Denture 1. Personal particulars

Primary impression:

It is an impression in which certain landmarks of the jaw are recorded.

Characteristics:

Stock tray

Static

Overextended

Dental materials for impression taking:

Plaster of Paris (history ) AlginateSilicon

Page 5: Clinical and laboratory steps of complete denture fabricationsemmelweis.hu/fogpotlastan/files/2017/11/Clinical-and-laboratory... · Preparing Complete Denture 1. Personal particulars

Primary impression, outlineing the special tray.

Page 6: Clinical and laboratory steps of complete denture fabricationsemmelweis.hu/fogpotlastan/files/2017/11/Clinical-and-laboratory... · Preparing Complete Denture 1. Personal particulars

The material of the special tray: -shellaque

-acrylat:-light curing,-self curing,-clear

Close fitting or spaced tray

Page 7: Clinical and laboratory steps of complete denture fabricationsemmelweis.hu/fogpotlastan/files/2017/11/Clinical-and-laboratory... · Preparing Complete Denture 1. Personal particulars

Adjusting the special tray:

Border trimming materials:Green stick compound,impression wax, acrylic

Page 8: Clinical and laboratory steps of complete denture fabricationsemmelweis.hu/fogpotlastan/files/2017/11/Clinical-and-laboratory... · Preparing Complete Denture 1. Personal particulars

Secondary impression taking techniques: -mucostatic -mucodinamic

Secondary impression materials: ZnO-eugenol paste

silikon

poliszulfid

Oroplastic impression material

Page 9: Clinical and laboratory steps of complete denture fabricationsemmelweis.hu/fogpotlastan/files/2017/11/Clinical-and-laboratory... · Preparing Complete Denture 1. Personal particulars

Combinated technique:ZnO eugenol and oroplastic impression material

Page 10: Clinical and laboratory steps of complete denture fabricationsemmelweis.hu/fogpotlastan/files/2017/11/Clinical-and-laboratory... · Preparing Complete Denture 1. Personal particulars

Working cast,Occlusal rims:

Boxing with impression wax

Page 11: Clinical and laboratory steps of complete denture fabricationsemmelweis.hu/fogpotlastan/files/2017/11/Clinical-and-laboratory... · Preparing Complete Denture 1. Personal particulars

Jaw registrationPreparing upper and lower occlusal rims

Measures of wax rim:Highness at the front region:

Lower: 16-18 mmUpper: 18-22 mm

Highness at the molar region: till the middle of the tuberculum alveolare mandibulae

Width:Molar region: 6 mmFront region :3-4 mm

Not longer than the second molar

Page 12: Clinical and laboratory steps of complete denture fabricationsemmelweis.hu/fogpotlastan/files/2017/11/Clinical-and-laboratory... · Preparing Complete Denture 1. Personal particulars

Jaw registration,Tooth shade selection

Determination of RVD, interocclusal space, OVD. Carving the orientation lines.

Semiadjustable and adjustable articulators construct occlusal balance in lateral, and protrusive movement of the mandible.

Page 13: Clinical and laboratory steps of complete denture fabricationsemmelweis.hu/fogpotlastan/files/2017/11/Clinical-and-laboratory... · Preparing Complete Denture 1. Personal particulars

Casts are mounted on an articulatorSetting up the trial denture in the laboratory

Page 14: Clinical and laboratory steps of complete denture fabricationsemmelweis.hu/fogpotlastan/files/2017/11/Clinical-and-laboratory... · Preparing Complete Denture 1. Personal particulars

Try in procedure

Page 15: Clinical and laboratory steps of complete denture fabricationsemmelweis.hu/fogpotlastan/files/2017/11/Clinical-and-laboratory... · Preparing Complete Denture 1. Personal particulars

Flasking and packing acrylic resin

Page 16: Clinical and laboratory steps of complete denture fabricationsemmelweis.hu/fogpotlastan/files/2017/11/Clinical-and-laboratory... · Preparing Complete Denture 1. Personal particulars

Fitting the complete denture, Short time recall, Long time recall

Page 17: Clinical and laboratory steps of complete denture fabricationsemmelweis.hu/fogpotlastan/files/2017/11/Clinical-and-laboratory... · Preparing Complete Denture 1. Personal particulars

The Clinical and Laboratory Steps of Complete Denture Fabrication

Clinical 1.k, History, examination, stomato-

oncological monitoring 2.k, Primary impressions 3.k, Outlining of the special tray on the

primary cast 4.k, Functioning of the special tray,

Secondary impressions 5.k, Determination of centric relation 6.k, Try in procedure 7.k, Insertion 8.k, Short term control 9.k, Long term control

Laboratory

2.l, Primary cast3.l, Fabrication of special trays4.l, Fabrication of the secondary cast and occlusal rims5.l, Mounting of articulator, setting up teeth6.l, Finishing of the denture

Page 18: Clinical and laboratory steps of complete denture fabricationsemmelweis.hu/fogpotlastan/files/2017/11/Clinical-and-laboratory... · Preparing Complete Denture 1. Personal particulars

Thank You for You’r attention!