m

.co
su
gu
Biomechanics of the

fk
Edentulous State
0-
k2
b lo
w.
ww

Prof. Ismet Danial Nasution,drg.,Ph.D.,Sp.Pros (K)

 m
.co
su
gu
Biomekanik pada
fk
Edentulus Penuh 0-
k2
b lo
w.
ww

Prof. Ismet Danial Nasution,drg.,Ph.D.,Sp.Pros (K)

 m
.co
su
gu
1. Biomechnical support for the natural
dentition

fk
2. Biomechanical support mechanisms

0-
for complete dentures :
k2
2.1 Mucosal support and masticatory
loads
lo

2.2 The Residual Ridge

b

2.3 Psychological Effect on Retention

w.
ww

Prof. Ismet Danial Nasution,drg.,Ph.D.,Sp.Pros (K)

 m
.co
su
gu
1. Dukungan biomekanik pada gigi geligi
asli

fk
2. Mekanisme dukungan biomekanik

0-
pada Gigitiruan Penuh
k2
2.1 Dukungan mukosa dan beban
pengunyahan
lo
2.2 Linggir alveolaris
b

2.3 Faktor psikologis terhadap retensi

w.
ww

Prof. Ismet Danial Nasution,drg.,Ph.D.,Sp.Pros (K)

 m
.co
su
gu
1. Biomechanical support for the

fk
natural dentition

0-
(Dukungan biomekanik pada gigi
k2
geligi asli)
b lo
w.
ww

Prof. Ismet Danial Nasution,drg.,Ph.D.,Sp.Pros (K)

 m
Enamel

.co
Dentin Sulcus
Natural Dentition
Gingiva

su
Pulp

gu
Functional

fk
Periodontal
Ligament

0-
1. Mastication
2. Fonetic
k2 Alveor
3. Deglutition Bonel
b lo

1. Tooth
Nerve,artery
w.

2. Supporting tissues and vein

ww

Prof. Ismet Danial Nasution,drg.,Ph.D.,Sp.Pros (K)

 m
Natural Dentition

.co
Enamel
Sulcus
Dentin

su
Gingiva
Functional Pulp

gu
The periodontium

fk
attaches the teeth to Periodontal

0-
Ligament
the bone of the jaw,
providing a resilient
k2
Alveor
suspensory apparatus Bonel
lo
resistant to functional
forces. It allows the
b

positions of the teeth

w.

Nerve,artery
to change in response and vein
ww

to stress
Prof. Ismet Danial Nasution,drg.,Ph.D.,Sp.Pros (K)
 m
.co
Natural Dentition Enamel

Dentin Sulcus

su
Pulp Gingiva
Functional

gu
fk
Two principal Periodontal
Ligament
functions of the

0-
Periodontium arek2
support and positional Alveor
adjustments of the Bonel
lo
tooth, together with the
b

secondary and
w.

dependent function of Nerve,artery

and vein
sensory perception
ww

Prof. Ismet Danial Nasution,drg.,Ph.D.,Sp.Pros (K)

 m
.co
Enamel

Natural Dentition Dentin Sulcus

su
Pulp Gingiva

gu
Functional

fk
Periodontal

0-
Ligament
Perception: is a process
k2
by which individuals Alveor
Organize and interpret Bonel
lo
Their Sensory
b

impressions in
w.

Nerve,artery
order to give meaning to and vein
their environment
ww

Prof. Ismet Danial Nasution,drg.,Ph.D.,Sp.Pros (K)

 m
.co
su
gu
fk
0-
k2
b lo
w.
ww

Prof. Ismet Danial Nasution,drg.,Ph.D.,Sp.Pros (K)

 m
.co
su
gu
Factors Influencing

fk
Perception:

0-
k2 1.Perceiver
2.Target
lo
3.Situation
b
w.
ww

Prof. Ismet Danial Nasution,drg.,Ph.D.,Sp.Pros (K)

 m
.co
su
Person Perception:

gu
fk
Making Judgments
0- About
k2
Others/Something
b lo
w.
ww

Prof. Ismet Danial Nasution,drg.,Ph.D.,Sp.Pros (K)

 m
.co
Natural Dentition

su
Esthetic

gu
1. Tooth

fk
2. Supporting tissues

0-
k2
b lo
w.
ww

Prof. Ismet Danial Nasution,drg.,Ph.D.,Sp.Pros (K)

 m
.co
su
gu
2. Biomechanical support

fk
mechanism for complete
denture
0-
(Mekanisme dukungan
k2
biomekanik pada Gigitiruan
lo

Penuh
b
w.
ww

Prof. Ismet Danial Nasution,drg.,Ph.D.,Sp.Pros (K)

 m
.co
Full Edentulous

su
gu
fk
0-
k2
b lo
w.
ww

Prof. Ismet Danial Nasution,drg.,Ph.D.,Sp.Pros (K)

 m
Full Edentulous

.co
su
Loss of the Integrity of the masticatory system

gu
Functional Esthetic

fk
0-
k2 Loss of a body part

The required treatment must adress a range of

lo
biomechanical problems
b
w.

Individual tolerance perceptions

ww

Prof. Ismet Danial Nasution,drg.,Ph.D.,Sp.Pros (K)

 m
.co
su
gu
fk
2.1 Mucosal support
0-
and masticatory
k2
loads
b lo
w.
ww

Prof. Ismet Danial Nasution,drg.,Ph.D.,Sp.Pros (K)

 m
Full Edentulous

.co
Mucosal Masticatory

su
Support Loads

gu
Maxilla Mandibula Natural Complete

fk
22.96 cm2 12.25 cm2 Teeth Denture
45cm2

0-
44 lb 13-16 Lb
(20 Kg) (6-8 Kg)
k2
Little tolerance :
•Systemic diseases Bite forces appear to be
lo
- Anemia five to six times less for
b

- Hypertension complete denture

w.

- Diabetes
* Nutritional deficiencies Selecting Food
ww

Prof. Ismet Danial Nasution,drg.,Ph.D.,Sp.Pros (K)

 m
.co
su
2.2 The Residual Ridge

gu
fk
0-
k2
b lo
w.
ww

Prof. Ismet Danial Nasution,drg.,Ph.D.,Sp.Pros (K)

 m
.co
su
2.2 The Residual Ridge

gu
fk
0-
k2
b lo
w.
ww

Prof. Ismet Danial Nasution,drg.,Ph.D.,Sp.Pros (K)

 m
.co
su
gu
fk
Full Edentulous

0-
k2
b lo
w.
ww

Prof. Ismet Danial Nasution,drg.,Ph.D.,Sp.Pros (K)

 m
.co
su
Residual Ridge

gu
fk
Consists :

0-
1. Denture –bearing mucosa
k2
2. Submucosa and periosteum
lo
3. Residual alveolar bone
b

(Residual ridge)
w.
ww

Prof. Ismet Danial Nasution,drg.,Ph.D.,Sp.Pros (K)

 m
A direct consequence
Loss of Residual Bone

.co
of loss of the
periodontal structure

su
Other factors

gu
Movement of Complete Denture

fk
during parafunctional movements
may be a major factor contributing to

0-
residual ridge reduction
k2
lo
1. Maximal extension of the denture
base
b

2. Maximal intimate contact of the

w.

denture base and its basal seat

ww

Prof. Ismet Danial Nasution,drg.,Ph.D.,Sp.Pros (K)

 m
.co
su
Natural Dentition Edentulous

gu
fk
1. Area 45cm2 in each

0-
arch
2. Viscoelastic properties Inherently unsuited
k2
3. Sophisticated sensory to natural dentition role
mechanism
lo

4. Potential for bone

b

remodeling
w.
ww

Prof. Ismet Danial Nasution,drg.,Ph.D.,Sp.Pros (K)

 m
.co
su
gu
2.3 Psychological

fk
Effect on Retention
0-
k2
b lo
w.
ww

Prof. Ismet Danial Nasution,drg.,Ph.D.,Sp.Pros (K)

 m
.co
Full Edentulous

su
Psychological Effect on Retention

gu
fk
Salivary

0-
k2 Secretions
lo

Retention of
b

Complete Denture
w.
ww

Prof. Ismet Danial Nasution,drg.,Ph.D.,Sp.Pros (K)

 m
.co
Hiroshima Jepang- Istana Negara Jakarta

su
April 08 13 Sept 09

gu
fk
0-
k2
b lo
w.
ww