SUPPORT IN COMPLETE

DENTURE
 FACTORS AFFECTING SUPPORT IN COMPLETE
DENTURE
• Contour & quality of the residual ridge

• Extent of residual ridge coverage by denture base

• Type & accuracy of the impression registration

• Accuracy of the fit of the denture base

• Total occlusal load applied

 EFFECTIVE SUPPORT IS REALISED WHEN,

• The denture is extended to cover a maximal surface area without

impinging on movable or friable tissues,

• Those tissues most capable of resisting resorption are selectively loaded

during function,

• Those tissues most capable of resisting vertical displacement are allowed

to make firm contact with the denture base during function, and

• Compensation is made for the varying tissue resiliency to provide for

uniform denture base movement under function and maintain a
harmonious occlusal relationship.
 TYPES OF SUPPORT

 CONSIDERED IN 2 POINTS OF VIEW:

• Dentures should confine to the underlying tissues so that the occlusal

forces can correctly oppose to one another at initial closure & under
functional loading.

• The denture should maintain this for a period of time for the longevity of
the dentures
 SUPPORT IS ACHIEVED

INITIALLY :

• By impression procedures that provide optimal extension & functional

loading of the supporting tissue which vary in their resiliency.

LONG TERM :

• Directing the forces of occlusal loading towards those tissue most resistant
to remodeling & resorptive changes
 PRACTICAL CONSEDERATION FOR SUPPORT

• Principle of impression making – maximal extension of denture bearing

area

• Mucostatic theory/Pressure free impression – based on Pascal’s law

• But tissues vary in their ability to tolerate pressure and transmit it

according to their anatomic location and histologic make up.
• Desirable impression technique – mild displacement of more resilient
tissues .

• Tissues beneath the denture base be recorded in the shape and contour
that they assume on loading.

• Equalized pressure distribution minimizes localized pressure concentration

which otherwise would lead to: Pressure induced resorption Mucosal
irritation Base instability