P dentures Flashcards
Why p dentures?
appearance
speech
mastication
cleft palate
prevent tooth wear
prevent tooth movement
prevent lat tongue spread
negatives of p dentures
caries
gingivits
periodontitis
oral mucosal
gingival stripping
plaque
overloading of natural teeth
oral mucosal problems associated with denture
denture stomatitis
denture stomatitis bacteria
candida albicans
1st clinical visit
history and exam
tx plan
2nd clinical visit
primary imps
lab stage 1
production of primary casts (study casts)
record blocks for occlusion
3rd clinical visit
occlusion (if required)
why would you not have occlusion stage
if sufficient amount of posterior and anterior teeth
lab stage 2
design of p dentures
- survey articulated casts
- examine occlusion
what does surveying do
provides path of insertion
determines areas around teeth that can be clasped
4th clinical visit
tooth modifications
secondary imps in special trays
tooth selection
lab stage 3
casting and setting teeth in wax
what wax technique is used in stage 3
lost wax technique
5th clinical visit
try in
what do you check in the try in stage
extensions
adaptation
retention
occlusion
appearance
lab stage 4
processing denture
- convert wax to PMMA
- secure artificial teeth
6th clinical visit
fitting
give denture wear and care instruction
7th clinical visit
review
Kennedy class I
Bilateral free end saddle
Kennedy class II
unilateral free end saddle
Kennedy class III
single bounded saddle NOT crossing midline
Kennedy class IV
single bounded saddle crossing midline
what saddle defined the kennedy class
the most posterior
