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  • Single Complete Denture

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    Nelly Suriamah
    62 views20 pages
    Maxillary single dentures are more common than mandibular single dentures, which should be avoided when possible due to increased stress on residual ridges. Single dentures are more difficult to fabricate and prone to displacement, fracture, and residual ridge resorption due to greater forces. Tooth malpositions decrease stability. Careful occlusal adjustment of natural teeth is needed, including reducing curves of Spee and recontouring rotated teeth. Avoid single dentures contacting only anterior teeth to prevent resorption, loosening, and fracture. Use occlusal rims to establish vertical dimension and flat surfaces for opposing natural teeth. Make centric records with opposing casts to optimize occlusion. More frequent recalls are needed for single dentures

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    20. Single Complete Denture

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    Maxillary single dentures are more common than mandibular single dentures, which should be avoided when possible due to increased stress on residual ridges. Single dentures are more difficult to fabricate and prone to displacement, fracture, and residual ridge resorption due to greater forces. Tooth malpositions decrease stability. Careful occlusal adjustment of natural teeth is needed, including reducing curves of Spee and recontouring rotated teeth. Avoid single dentures contacting only anterior teeth to prevent resorption, loosening, and fracture. Use occlusal rims to establish vertical dimension and flat surfaces for opposing natural teeth. Make centric records with opposing casts to optimize occlusion. More frequent recalls are needed for single dentures

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    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
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    Download as ppt, pdf, or txt
    62 views20 pages

    Single Complete Denture

    Uploaded by

    Nelly Suriamah
    Maxillary single dentures are more common than mandibular single dentures, which should be avoided when possible due to increased stress on residual ridges. Single dentures are more difficult to fabricate and prone to displacement, fracture, and residual ridge resorption due to greater forces. Tooth malpositions decrease stability. Careful occlusal adjustment of natural teeth is needed, including reducing curves of Spee and recontouring rotated teeth. Avoid single dentures contacting only anterior teeth to prevent resorption, loosening, and fracture. Use occlusal rims to establish vertical dimension and flat surfaces for opposing natural teeth. Make centric records with opposing casts to optimize occlusion. More frequent recalls are needed for single dentures

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as ppt, pdf, or txt
    of 20

    SingleCompleteDentures

    MaxillarySingleDentures

    Morecommon
    Teethusuallylostbefore
    theirmandibularantagonists

    MandibularSingleDentures
    Avoidwhenpossible
    Severeridgeresorptiondueto
    force
    Stressreductionshouldbeused

    Processedresilientdentureliner
    Overdenture
    Implantretaineddenture

    SingleDentures
    Moredifficult
    Greaterforcecauses

    Displacement
    Fractureduetoflexure
    Severeresidualridgeresorption

    SingleDentures
    Moredifficult
    Toothmalpositionsdecrease
    stability(extrusion,tipping,
    rotation)
    Difficultybalancing

    SingleCompleteDenture
    Occlusaladjustmentofnaturalteeth
    ReduceseverecurveofSpeelevel
    supraeruptions
    Recontourrotatedteeth
    topermitcontactson
    flatsurfaces

    SingleCompleteDentures
    Reducecuspsinshadedarea,tolevelplaneofocclusion
    SevereCurveofSpee

    Supereruption

    Mockadjustmentcanbe

    performedonadiagnosticcast

    AvoidaSingleDentureAgainst
    AnteriorTeethAlone

    Resorption
    Loosening
    Fracture
    CombinationSyndrome

    AvoidaSingleDentureAgainstAnterior
    TeethAlone
    FabricateaRPDforStress
    Distribution
    MakeCD&RPDatthe
    sametime
    Ensuresoptimalocclusion

    OcclusionRims
    UsetoestablishOVD,
    NOTIncisalDisplay
    Overbitewillbe
    incorporatedwhen
    anteriorteethareset,
    lengtheningincisal
    edges

    OcclusionRims
    FlatSurfacefor
    OpposingTeeth

    Noinclines
    Ifstepsinocclusal
    plane,provideflat
    areasforopposing
    naturalteeth

    MaxilloMandibularRelations
    OcclusionRimsonRPD
    framework
    OpposesCDRims
    Centricandeccentric
    recordswithAlluwax
    Optimizesocclusion

    MaxilloMandibularRelations
    Crownsorbridges
    shouldbewaxedup
    againsttheCDtooth
    setup
    Optimizesocclusion
    Ensures,changescanbe
    made

    MaxilloMandibular
    Relations
    CentricRegistration

    CUDusuallystable
    Extraoralhand
    positionifopposing
    naturaldentition(less
    obtrusive)

    SettingAnteriorTeeth
    Moredifficult

    Settingforestheticsmay
    produceexcessiveoverbite
    withnaturalteeth
    Decreasesstability
    Compromisedposition,
    usedtobalanceneedfor
    esthetics&function

    PosteriorDentureTeeth
    Requiresmoreadjustmentto
    obtainstablecentriccontacts

    Dentureteethwillnotnormally
    articulatewellwithnatural
    dentition
    Pinpointcontacts/inclines,etc.

    Tip:
    Increaseincisalpin1mm
    Setposteriorteeth
    Letwaxharden
    Returnpintooriginal
    position
    Adjustocclusionuntilpin
    touchestable

    CastMetalDentureBase
    Useifdenturefractures
    repeatedly
    Usualcauses:

    Heavyforcesfromnatural
    teeth
    Occlusalcontactsoninclines
    Impingementonabony
    midline
    flexingofthedenture

    DentureTeethWear

    Morerapidagainstnaturalteeth
    Morefrequentrecalls
    Adjustocclusiontoprevent
    changesinstressdistribution

    DentureTeethWearMoreRapidly
    Neveruseporcelaindenture
    teeth

    Severeattritionofnaturalteeth
    Preferdentureteethtowear

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