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Complete DENTURES - Retention, Support, Stability
Complete DENTURES - Retention, Support, Stability
Complete DENTURES - Retention, Support, Stability
-Precision attachments
Stability
Definition: Resistance of the denture to lateral
forces and therefore resistance to lateral
movement (as a result of functional forces).
Factors that influence:
-ridge height
-flange height
-Teeth position
Maximising stability:
Occlusion:
-Balanced articulation
-teeth positioned in their neutral zone (biometric
guides)
Engage vertical surfaces – lateral aspects of
ridges, tuberosities and retromylohyoid fossae
Well formed ridges
Support
Definition: Resistance of the movement of the denture
towards the underlying tissues (along the path of
insertion)
Supporting tissues
Primary denture bearing areas – areas of tissue supported by
basal bone which does not resorb in response to denture
loading including the vault of the hard palate posteriorly and
the buccal shelf
Secondary denture bearing areas – areas of tissue supported
by alveolar bone which resorbs after extraction of teeth and
under load from dentures (e.g. slope of residual ridge).
Factors:
Maximal coverage of tissues without
encroaching on displacing musculature
Consideration of primary and secondary
support areas
Roots/implants: if overdentures
Anatomical landmarks
Landmarks – maxillary impression
20
Polymerization contraction of acrylic resin
21
Post dam can be either added to the denture
chairside or by the laboratory