Complete Denture Complete Denture IntroductionIntroduction

Key TermsKey Terms

Complete DentureComplete Denture Base plateBase plate Bite rimBite rim Border moldingBorder molding Centric occlusionCentric occlusion Denture baseDenture base

Muscle trimmingMuscle trimming OverdentureOverdenture Vertical dimensionVertical dimension

•Complete Denture: a removable dental prosthesis that replaces all of the natural teeth in the maxillary or mandibular dental arch. The denture is usually made of methyl methacrylate and is completely supported by the mouth tissues.

•Baseplate (Record Base): The portion of an artificial denture in contact with the jaw. A temporary form representing the base of a denture and used to help establish jaw relationships and the arrangement of teeth.

•Bite rim: a border constructed on temporary or permanent denture bases in order to record the maxillomandibular relation and for positioning of the teeth.

•Border molding: the shaping of an impression material by the manipulation or action of the tissues to determine the denture border position.

•centric occlusion:  that in the vertical and horizontal position of the mandible in which the cusps of the mandibular and maxillary teeth interdigitate maximally.

•denture base: the material in which the teeth of a denture are set and which rests on the supporting tissues when the denture is in place in the mouth.

•Border molding (muscle trimming): the shaping of an impression material by the manipulation or action of the tissues to determine the denture border position.

•Over [lay] Denture: a complete denture supported both by soft tissue (mucosa) and by a few remaining natural teeth that have been altered, as by insertion of a long or short coping, to permit the denture to fit over them.

•Vertical Dimension: a vertical measurement of the face between any two arbitrarily selected points that are conveniently located one above and one below the oral cavity, usually in the midline.

•Centric Jaw Relation: the relation of the mandible to the maxillae when the condyles are in their most posterosuperior unstrained positions in the glenoid fossae, from which lateral movements can be made at the occluding vertical relation normal for the individual. Centric relation is a relation that can exist at any degree of jaw separation.

•Occlusal Relationship: the individual and collective relationships of the mandibular teeth to the maxillary teeth and the relationship of the adjacent teeth in the same dental arch.

Removable Complete DentureRemovable Complete Denture

Edentulous patientEdentulous patient Denture supported Denture supported

by alveolar bone by alveolar bone and oral mucosaand oral mucosa

Indications for a Complete Indications for a Complete DentureDenture

Lack of Lack of financial financial

resources for resources for alternative alternative treatmentstreatments

Patient Patient refused refused partial partial

denturesdentures

Edentulous Edentulous patientpatient

Gross decay Gross decay or or

abscessesabscesses

Lack of Lack of motivation motivation oror ability to ability to

maintain maintain teethteeth

Extensive Extensive bone loss bone loss

and and periodontal periodontal

diseasedisease

Indications for a Complete Indications for a Complete DentureDenture

Non-anatomicalteeth

Anatomicalteeth

Flange

Saddle

Denturebase

Completedenture

AppointmentsAppointments for a Complete for a Complete DentureDenture

Examination

Consultation

Oral surgery

Final impressions

Jaw relationship

Denture delivery

First follow-up

Adjustments

Incisive Papilla

Tuberosity

Final ImpressionsFinal Impressions

Impression Impression compoundcompound

Border moldingBorder molding Muscle trimmingMuscle trimming

Construction of Complete Construction of Complete DenturesDentures

BaseplateBaseplate Represents denture Represents denture

basebase Bite rimBite rim

Simulates space Simulates space provided by height provided by height of teethof teeth

Vertical dimensionVertical dimension Occlusal relationshipOcclusal relationship

Jaw Relationship Set-upJaw Relationship Set-up

Baseplates and Baseplates and bite rims bite rims

Centric occlusionCentric occlusion RetrusionRetrusion ProtrusionProtrusion Lateral movementLateral movement

Vertical dimensionVertical dimension ShadeShade MoldMold

Try-in AppointmentTry-in Appointment

Denture teeth Denture teeth mounted in waxmounted in wax

EvaluateEvaluate EstheticsEsthetics RetentionRetention ComfortComfort Speech articulationSpeech articulation

Delivery AppointmentDelivery Appointment

Immediate denturesImmediate dentures Extractions and Extractions and

alveoplastyalveoplasty EvaluationEvaluation AdjustmentsAdjustments InstructionsInstructions

Insertion and Insertion and removalremoval

Daily maintenanceDaily maintenance

Denture Relines, Denture Relines, Adjustments, and RepairsAdjustments, and Repairs

Assessment QuestionsAssessment Questions

What does the bite rim simulate?What does the bite rim simulate?Vertical dimension, or the height of Vertical dimension, or the height of

the teeth.the teeth. What is the term for not having any What is the term for not having any

teeth?teeth?Edentulous.Edentulous. What happens to the bone following What happens to the bone following

tooth extractions?tooth extractions?The bone will shrink and resorb.The bone will shrink and resorb.

Prosthodontic Treatment For Edentulous Patients

George A. Zarb Chapter 2 Chapter 13 Chapter 14