Textbook of Complete Dentures"Textbook of Complete Dentures, Sixth Edition" presents various aspects of the basic principles of complete denture prosthodontics. The text is technique-oriented and relates the basic sciences of anatomy, physiology, pathology, pharmacology and psychology with the art and mechanics involved in complete denture construction. This clinically oriented and well-illustrated book will provide the essential information to successfully treat complete denture patients in any dental practice environment. All dental students and practitioners interested in removable prosthodontics will benefit greatly from reading this comprehensive textbook. New to this edition: new color photographs of all clinical procedures; introduction to implant retained/supported overdentures; in-depth discussion of all denture occlusion concepts; and, new digital image collection for instructors. |
Contents
Introduction and Definitions | 1 |
Introduction | 2 |
Definitions | 3 |
Dental Materials for Complete Dentures | 7 |
Denture Base Materials | 8 |
MetalBased Dentures | 10 |
Polymer Plastic Teeth | 11 |
Chairside Reline Materials | 12 |
Effective Cusp Angles ECA | 155 |
Example | 156 |
Conclusion | 158 |
Maxillomandibular Records and Articulators | 161 |
Articulators for Complete Dentures | 162 |
Maxillomandibular Records | 167 |
LabialBuccal Contour | 168 |
Forming the Plane of Occlusion | 170 |
Laboratory Reline Materials | 13 |
Denture Repair | 14 |
Polyvinyl Siloxane PVS and Polyether PE | 15 |
Dental Stones | 16 |
Types of Stones | 17 |
Dental Waxes | 18 |
Abrasive Cleansers | 19 |
Denture Adhesives | 20 |
PasteBased Products | 21 |
Anatomy of the Edentulous Ridges | 25 |
Extraoral Features | 26 |
Structures of the Facial Vestibules | 27 |
Alveolar Residual Ridges | 29 |
Maxillary Arch | 30 |
Mandibular Arch | 34 |
Diagnosis and Treatment Planning | 45 |
Diagnosis | 46 |
Present Medical Condition | 47 |
Dental History | 48 |
Intraoral Examination | 51 |
Mental Attitude of Patient | 57 |
Additional Diagnostic Information | 58 |
Treatment Planning | 60 |
Prognosis | 61 |
Preprosthetic Surgical Considerations | 65 |
Patient Evaluation and Expectations | 66 |
Treatment Planning | 67 |
Commonly Used Preprosthetic Procedures | 68 |
Intraseptal Alveoloplasty | 69 |
Edentulous Ridge Alveoloplasty | 70 |
Buccal Exostosis | 71 |
Maxillary Tuberosity Reductions | 72 |
Maxillary Tori | 75 |
Mylohyoid Ridge Reduction | 76 |
Genial Tubercle Reduction | 77 |
Maxillary Soft Tissue Tuberosity Reduction | 78 |
Excision of RedundantHypermobile Tissue Overlying the Tuberosities | 80 |
Inflammatory Papillary Hyperplasia of the Palate | 81 |
Surgical Guides Templates | 82 |
Preliminary Impressions Diagnostic Casts and Custom Final Impression Trays | 85 |
Making the Preliminary Impressions | 87 |
Pouring the Diagnostic Casts | 94 |
Shaping the Diagnostic Casts | 95 |
Custom Final Impression Trays | 97 |
Impression Philosophies as Related to Tray Fabrication | 98 |
The Selective Pressure Impression Tray and StressBearing Areas | 99 |
Fabrication of the Impression Tray | 101 |
Final Impressions and Creating the Master Casts | 105 |
Proper Custom Impression Tray Extension | 107 |
Border Molding | 113 |
Border Molding with Modeling Compound | 116 |
Border Molding the Maxillary Arch | 117 |
Border Molding the Mandibular Arch | 118 |
Preparing the Tray for the Impression | 119 |
Making the Final Impression | 120 |
Posterior Palatal Seal Area | 122 |
Record Bases and Occlusion Rims | 131 |
Record Base Fabrication | 132 |
Occlusion Rim Fabrication | 136 |
Posterior Occlusal Schemes | 142 |
Traditional Balanced Occlusion | 144 |
Conventional Monoplane Occlusion | 147 |
Why is a Balanced Occlusion Required in Patients Exhibiting a Significant Degree of Incisal Guidance? | 148 |
Why is a Balanced Occlusion Required in Patients with Opposing Anatomic Denture Teeth? | 149 |
Functional Inclines | 151 |
Factors of Protrusive Occlusion | 152 |
Mounting the Maxillary Cast on the Articulator | 172 |
Establishing the Occluding Vertical Dimension OUD | 174 |
Determining the Centric Relation Position | 176 |
Articulating the Mandibular Cast | 179 |
Completing the Maxillomandibular Records Appointment | 181 |
Tooth Selection | 185 |
Anterior Mold Selection | 187 |
Commercial Guides | 188 |
Additional Guides | 190 |
Posterior Mold Selection | 191 |
Shade Selection | 192 |
Tooth Arrangement | 197 |
General Considerations for the Arrangement of the Anterior Teeth | 198 |
Maxillary Anterior Tooth Arrangement | 199 |
Mandibular Anterior Tooth Arrangement | 201 |
General Considerations for Posterior Tooth Arrangement | 203 |
Mandibular Posterior Tooth Arrangement | 206 |
Maxillary Posterior Teeth | 209 |
Trial Insertion Appointment | 217 |
Evaluation of Occluding Vertical Dimension | 218 |
Evaluation of Centric Relation Record | 220 |
Eccentric Records | 222 |
Facial Support Esthetics and Phonetics Evaluation | 223 |
Final Evaluations | 224 |
Insertion | 229 |
Evaluating the Denture Base | 231 |
Evaluating Borders | 234 |
Correcting Occlusion | 236 |
Patient Remount and Selective Grinding | 237 |
Selective Grinding of Anatomic Teeth in a Balanced Occlusion | 240 |
Selective Grinding of Lingualized Balanced Occlusion | 241 |
Selective Grinding of Nonanatomic Teeth | 242 |
Final Checks of The Prostheses | 244 |
Post Insertion | 251 |
Compatibility | 252 |
Soft Tissue Considerations | 253 |
BasalSeat Mucosa | 254 |
Lining Mucosa | 255 |
Treatment Procedures | 258 |
Problems with Maxillary Denture | 259 |
Problems with Mandibular Denture | 260 |
Burning Tongue and Palate | 261 |
Overview of Single Dentures Overdentures and Immediate Dentures | 265 |
Single Dentures | 266 |
Overdentures | 268 |
Immediate Dentures | 271 |
Summary | 274 |
Relining Complete Dentures | 277 |
Impression Technique | 280 |
Implant Supported Complete Dentures | 287 |
Introduction | 288 |
Treatment Planning | 289 |
Clinical Procedures | 294 |
Single Component Support | 296 |
New Prostheses | 297 |
Preliminary | 303 |
Creating Diagnostic Casts | 317 |
Custom Impression Trays | 327 |
Final Impressions | 343 |
Record Bases and Occlusion Rims | 379 |
Maxillomandibular Records | 397 |
Tooth Selection | 407 |
Esthetic and Functional Trial Insertion | 423 |
Insertion | 429 |
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Common terms and phrases
Alveoloplasty anatomic approximately articulator balanced occlusion bar substructure bases and occlusion bone border molding buccal canine centric occlusion centric relation centric relation position clinician complete denture condylar inclination contour crest cusp cusp angle custom impression tray denture base denture teeth diagnostic cast distal edentulous esthetic evaluated excessive existing denture facebow Figure final impression flange frenum functional inclines gingiva hamular notch hard palate implant impression material incisal guidance intraorally labial lingualized occlusion mandible mandibular arch mandibular denture masseter muscle master cast maxilla maxillary cast maxillary denture minimize modeling compound mouth mucosa muscle natural teeth occluding vertical dimension occlusal plane occlusal scheme occlusion rim overdenture plane of occlusion polymerized posterior palatal seal posterior teeth premolar pressure procedure prostheses Prosthet Dent Prosthodontic protrusive record base reline removed residual ridges resin retention retromolar pad selection shade soft palate soft tissue surface tongue treatment plan trial insertion trimmed undercut vertical overlap vestibule vibrating line