m

.co
su
gu
IMPROVING DENTURE BEARING

fk
FOUNDATION FOR EDENTULOUS
PATIENTS
0-
k2
b lo
w.
ww

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

 m
.co
su
gu
Preprosthetic

fk
1. Nonsurgical Methods

0-
2. Surgical Methods
k2
b lo
w.
ww

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

 m
.co
su
gu
1. Preprosthetic Nonsurgical Methods

fk
0-
1) Rest for the Denture Supporting Tissues
2) Occlusal Correction of the Old Prostheses
k2
3) Good Nutrition
4) Conditioning of the Patient’s Musculature
b lo
w.
ww

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

 m
1. Preprosthetic Nonsurgical Methods

.co
1) Rest for the Denture Supporting Tissues

su
gu
Many dentures fail because the impressions

fk
or registration of the relations are made when
the tissues are distorted by the old dentures

0-
k2
• Rest for the denture supporting tissues can
lo
be achieved by removal of the dentures
from the mouth (48-72 hours, at least 24
b

hours)
w.

• Tissue Conditioning Materials

ww

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

 m
.co
1. Preprosthetic Nonsurgical Methods

su
gu
2) Occlusal Correction of the Old Prostheses

fk
• To restore an optimal vertical dimension of

0-
occlusion to the dentures presently worn by
k2
the patient with an interim resilient lining
material
b lo
w.
ww

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

 m
.co
1. Preprosthetic Nonsurgical Methods

su
gu
3) Good Nutrition

fk
• A good nutritional program must be

0-
emphasized for each edentulous patient.
k2
This program is especially important for the
geriatric patients whose metabolic and
lo
masticatory efficiency may be compromised
b
w.
ww

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

 m
.co
1. Preprosthetic Nonsurgical Methods

su
gu
4) Conditioning of the Patient’s Musculature

fk
• If at the initial appointment the dentist

0-
observes that the patient responds with
k2
difficulty to instructions for relaxation and
coordinated mandibular movement, a
lo
program of mandibular exercises may be
b

prescribed
w.
ww

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

 m
.co
su
2. Preprosthetic Surgical Methods

gu
fk
1) Correction of Conditions That Preclude

0-
Optimal Prosthetic Function
2) Enlargement of Denture Bearing Areas
k2
3) Repalcement of Tooth Roots with
lo
Osseointegrated Dental Implants
b
w.
ww

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

 m
.co
su
2. Preprosthetic Surgical Methods

gu
1) Correction of Conditions That Preclude
Optimal Prosthetic Function

fk
0-
• Hyperplastic Ridge, Epulis Fissuratum and
k2
Papillomatosis
• Frenular Attachments and Pendulous
lo
Maxillary Tuberosities
b

• Discrepancies in Jaw SizePressure on the

w.

Mental Foramen
ww

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

 m
.co
su
2. Preprosthetic Surgical Methods

gu
2) Enlargement of Denture Bearing Areas

fk
0-
• Vestibuloplasty
k2
• Ridge Augmentation
b lo
w.
ww

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