PROSTHO

COMPLETE DENTURE o Elastomeric impression (1.5mm)

PROCEDURES IN CD CONSTRUCTION *REQUIREMENTS OF A GOOD INDIVIDUAL TRAY
- Diagnosis - Rigid & Stable
- Preliminary impression - Borders should be rounded & smooth
- Study cast - Made of a material that will allow adjustment and
- Individual tray trimming
- Border molding - 2-3mm thick and uniform in thickness
- Final impression - With a handle that will not interfere with the lips
- Boxing (same inclination of the incisors when present)
- Master cast - Should be 2mm under extended in relation to the
- Record base tissue reflection
- Occlusion contour rim
- Facial dimension BORDER MOLDING
- Vertical dimension *Incremental technique
- Centric relation registration - Boder molding in section
- Articulator & mounting - Use stick compound (greenstick compound)
- Artificial teeth selection *One-step technique
- Setting of artificial teeth - Records all borders in one section
- Waxing & festooning - Use heavy body PVS rubber or self-curing acrylic
- Try-in resin
- Processing
- Denture delivery FINAL IMPRESSION
- Periodic check up - **Should have no pressure points.

DIAGNOSIS BOXING
- Complete edentulous maxillary and mandibular - Wax boxing method
ridges - Plaster of paris-pumice boxing method
- Complete edentulous maxillary OR mandibular
ridges MASTER CAST
- Patient whose prognosis of remaining teeth is poor - Should include all anatomic surfaces of the final
- Patient with remaining natural teeth that can serve as impression
overdenture abutment - Should include a 2-3mm land area around the entire
periphery of the cast
PRELIMINARY IMPRESSION - Should show a full peripheral border
- To obtain an overextended negative copy of the - Should have a base 10-15mm thick, and parallel to
denture bearing areas the residual ridge
*PRELIMINARY IMPRESSION MATERIALS - Contain no bubbles or flaws in the stone
- Impression compound - *land(2-3mm)
- Alginate - *depth of vestibule (2-3mm)
- *base (15-17mm thick)
STUDY CAST *BOUNDARIES OF THE POSTERIOR PALATAL SEAL
- Helps in diagnosing a case (POST DAM)
- Used for the fabrication of individual trays - Anteriorly
o Shaped like cupid’s bow
INDIVIDUAL TRAY o Located by Valsalva maneuver or saying
*TYPES OF INDIVIDUAL TRAYS (MATERIAL USED) “ah” with short vigorous burst
- Shellac - Posteriorly
- Acrylic resin o Located by saying “ah” in normal fashion
- VLC tray resin - Laterally
- Old denture o Hamular notch
*Close fitting tray (without spacer) *SOFT PALATE AND POST DAM
- For mucocompressive impression technique - Flatter the soft palate, the broader the area of the
vibrating line
*Spaced tray (with spacer)
- For mucostatic impression technique RECORD BASE
- Maybe made up of wax or paper *TYPES OF RECORD BASE
o Alginate with tray perforation (3mm) - Temporary bases
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o Shellac - Central bearing point (gothic arch)

o Cold-curing resin - Stretch-relax exercises
o Vacuum-formed vinyl or polysterene - Tongue curling backward
o Baseplate wax - Swallowing
o Light-cured resin - Reclining the patient
- Permanent bases - Palpation of temporal muscle
o Processed acrylic resin *RECORDING MEDIUM/MATERIALS USED IN
RECORDING CR
o Gold
- Wax
o Chromium cobalt alloy
- ZOE paste
o Chromium nickel allow
- Cold cure acrylic resin
- Warm staple wires
OCCLUSION RIM DIMENSION - Pins
- Length
o Upper rim ARTICULATOR &MOUNTING
 Anterior – 20-22mm - Non-adjustable articulator
 Posterior – 16-18mm - Adjustable articulator
o Lower rim
 Anterior – 16-18mm ANTERIOR TEETH SELECTION
 Posterior – 2/3 of the retromolar - Shade
pad - Size
- Width - Shape
o Anterior – 3-5mm - Material
o Premolar – 7mm
o Molar – 8-10mm POSTERIOR TEETH SELECTION
- Tooth form
FACIAL DIMENSION - Buccolingual width
- Upper lip length can be used as a guide to the amount - Length+mesiodistal width
of incisal show - Cuspal inclines
- Incisal plane parallel to the interpupillary line *MOULD CHART
- Occlusal plane parallel to the ala-tragus line - Corresponding upper ant. and post. teeth
- O – ovoid
VERTICAL DIMENSION - S – square
- It is the vertical measurement of the face between any - T – triangle
two arbitrarily selected points conveniently located
one above and one below the mouth usually in the SETTING OF ARTIFICIAL TEETH
midline - *Aims of setting
- VDO = VDR – FWS - Guidelines for centric occlusion
*PHYSIOLOGIC METHODS OF DETERMINING - Guidelines to positioning of anterior teeth
VERTICAL DIMENSION - Guidelines to positioning of posterior teeth
- Physiologic rest position - posterior teeth inclinations
- Phonetics *Maxillary anterior teeth checklist
- Esthetics - Anteriors
- Swallowing o Arch form
- Tactile sense o Symmetry

CENTRIC RELATION REGISTRATION - The distobuccal surface of the 1st molar and buccal
- A maxilla-mandibular relationship in which the surfaces of the 2nd molar are slightly inwards and are
condyles articulate with the thinnest avascular placed so that all buccal surfaces of the 1st and 2nd
portion of their respective disks with the complex in molars follow a straight line
the anterior-superior position against the slopes of the - *crest line
articular eminence - *pound’s line
- The most retruded position of the mandible against *Class 1
the maxilla at the established vertical dimension *Class 2
*TECHNIQUES TO POSITION THE CONDYLE IN *Class 3
CENTRIC RELATION *5-6 mm
- Finger guidance
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WAXING & FESTOONING

*Waxing
- Defined as the contouring of the wax base of a trial
denture into the desired form
o Press on method
o Drip on method
*Festooning
- The procedure of carving the denture base to simulate
the contour of the natural tissues which are being
replaced by the denture

TRY-IN
- Evaluation of retention, stability and support
- Evaluation and verification of vertical dimension
- Evaluation and verification of centric relation &
occlusion
- Evaluation and verification of facial esthetics
- Evaluation and verification of teeth arrangement and
esthetics
- Evaluation and verification of denture base contour
- To complete the posterior palatal seal
- CR = MIP = CO

DENTURE PROCESSING
- Split Flask technique/Compression technique
- Injection technique
- IVOCAP/Heat polymerization under constant
pressure

DENTURE DELIVERY
- Check occlusion
- Vertical dimension
- BULL rule (Buccal Upper Lingual Lower)
- Check retention & stability
- Check phonetics (“F”&”V” ; “S”&”SCH”)
PATIENT’S INSTRUCTIONS & POST INSERTION
CHECK UP
- Eating with new dentures
- Denture care
- Tissue care
- 1st 24 hour recall
- Periodic check-up and recall