Delivery of CD Flashcards
The adjustment of processing error is
done through:
ØLaboratory remounting
ØSelective grinding
ØDenture base finishing
Clinical Evaluation of the Denture
ØChecking the border extension
ØChecking the support
ØChecking the retention and stability
ØChecking the occlusion
The pressure indicator paste is especially helpful when
bilateral undercuts
on the residual ridge interfere with the initial
placement of dentures or when pressure spots
are present or suspected in the final impression
Reading PIP
• Burn through (No paste left) – Excessive pressure that should be relieved • Streaks remaining – No tissue contact – Other areas need to be relieved • Paste remaining with no streaks – Acceptable contact
Paste Removal
- Gauze, cotton rolls, brushes
- Alcohol for stubborn areas
- Rinse and replace denture
Test for the retention and peripheral seal of the
anterior labial part by
applying vertical
downward force on the anterior region
Test for the posterior palatal seal
• By applying upward and outward pressure on
the cingulae of the upper incisors.
Test for the seal at the tuberosity area
• By applying upward and outward
pressure at the opposite canine region.
Test the retention for the lower denture
• Applying an upward force, bearing in mind
that the extent to which retention can be
developed in the lower denture is commonly
less than that of an upper.
• If the retention is poor then the base must be
corrected.
Occlusal disharmony (Error) Errors in occlusion can result from:-
ØClinical errors.
ØErrors in mounting models on the articulator.
ØDuring processing of the dentures.
One of the following methods may be
used for correcting occlusal disharmony by
selective grinding
Ø Intraoral methods.
Ø Remounting .
Ø New jaw relationship records.
ØArticulating paper alone will not give as
accurate indication because:-
ØThe resiliency of the supporting tissues
ØThe denture bases can move from the basal
seat.
ØTo place articulating paper on one side of the
arch may induce the patient to close to or
away from that side.
ØThe use of abrasive paste in the mouth has
many disadvantages:-
ØThe shifting of the base a result of a premature
contact
ØCusps that maintain the occlusal vertical
dimension may be destroyed.
ØAbrasive paste is not selective.
Disadvantage of the intra-oral method
Shifting of the dentures over resilient
supporting tissues in eccentric jaw
positions will give false markings.
Clinical Remounts Save Time
• Allows identification of interferences not seen intraorally – Reflex avoidance caused by: • Pain • Instability of the dentures • Fewer adjustment appointments
- In the posterior segment the surfaces to
be reduced are selected according to
two basic rules
- If the cusp is high in both centric and eccentric
occlusion, reduce the cusp. - If the cusp is high in centric but not in
eccentric occlusion, deepen the fossa.
ØIf the anterior dentition is found to be in
traumatic contact reduce the traumatic areas
of contact using the following rules:
ØReduce the lingual surfaces of the maxillary
incisal edges.
ØReduce the labial surfaces of the mandibular
incisal edges.
Denture adhesives
ØA temporary measure to provide increased
retention of dentures
ØAnalgesic ointments – increase the vertical
dimension of the denture
Chemical cleaning
- Sodium hypochlorite
* White vinegar