Presentation is loading. Please wait.

Presentation is loading. Please wait.

Denture Delivery and Follow Up Dr. Cecilia E. Aragón.

Similar presentations


Presentation on theme: "Denture Delivery and Follow Up Dr. Cecilia E. Aragón."— Presentation transcript:

1 Denture Delivery and Follow Up Dr. Cecilia E. Aragón

2 CEA Evaluations From the Dentist From the Dentist From the Patient From the Patient From Family/Friends From Family/Friends

3 CEA Treatment at the Time of Denture Insertion Inspection of dentures. Elimination of basal surface errors. Inspection of dentures. Elimination of basal surface errors. Dentures to be seated in healthy tissues. Dentures to be seated in healthy tissues.

4 CEA Elimination of Intaglio Surface Errors Pressure Indicator Paste (PIP) to be used for every new denture!! Pressure Indicator Paste (PIP) to be used for every new denture!!

5 CEA Check occlusion

6 CEA Occlusion may seem okay, but…

7 CEA Prematurity Accommodation Resilient Tissue Abused Tissues

8 CEA Errors in Occlusion Possible causes of error: inaccurate MMR records or transfer of these, failure to use face bow, incorrect teeth arrangement, denture processing errors, changes in denture base material. Possible causes of error: inaccurate MMR records or transfer of these, failure to use face bow, incorrect teeth arrangement, denture processing errors, changes in denture base material. Checking for occlusion errors Checking for occlusion errors –Best done in the articulator: REMOUNT

9 CEA Remounting Procedure Ask patient to bite on cotton rolls for 10 min. Ask patient to bite on cotton rolls for 10 min. Guide mandible into CR several times. Guide mandible into CR several times. Aluwax is placed on the post. Teeth of the mandibular denture. Aluwax is placed on the post. Teeth of the mandibular denture.

10 CEA Place both dentures in the patient’s mandible is guided in a hinge movement. Place both dentures in the patient’s mandible is guided in a hinge movement. Obtain interocclusal record of CR. Obtain interocclusal record of CR.

11 CEA Mount upper denture using remounting jig. Mount upper denture using remounting jig. Mount lower denture Mount lower denture

12 CEA

13 Selective spot grinding The art of reducing premature contacting surfaces, so that an equal pressure exists at all points with interference at no point.

14 CEA Eliminating occlusal records in anatomic teeth Re-establishment of CO. Re-establishment of CO. Correction of working side occlusal errors. Correction of working side occlusal errors. Correction of balancing-side errors. Correction of balancing-side errors. Correction of protrusive relation. Correction of protrusive relation.

15 CEA Basic Tooth Positions Balancing ContactsCentric Occlusion Working Contacts

16 CEA Re-establishment of CO Problem: Teeth too long Solution: Deepen the fossae

17 CEA Re-establishment of CO Problem: Teeth too nearly end to end Solution: Grind Inclines

18 CEA Re-establishment of CO Problem: Too much horizontal overlap Solution: Broaden central fossae

19 CEA After the CO re-establishment…. DO NOT: DO NOT: –Reduce maxillary lingual cusps. –Reduce mandibular buccal cusps. –Deepen the fossae.

20 CEA Correction of working side occlusal errors. Reduce lingual inclines of buccal cusps of maxillary teeth. Reduce lingual inclines of buccal cusps of maxillary teeth. Reduce buccal inclines of lingual cusps of mandibular teeth. Reduce buccal inclines of lingual cusps of mandibular teeth. ON WORKING SIDE ONLY!!!

21 CEA Correction of working side occlusal errors. Problem: Buccal and lingual cusps too long. Solution: Change inclines of balancing cusps.

22 CEA Correction of working side occlusal errors. Problem: Buccal cusps are too long Solution: Change lingual incline of maxillary buccal cusp

23 CEA Correction of working side occlusal errors. Problem: Lingual cusp too long. Solution: Change buccal incline of lingual cusp of mandibular tooth.

24 CEA Correction of balancing-side errors. Reduce lingual inclines of mandibular buccal cusps; or Reduce lingual inclines of mandibular buccal cusps; or Decide which supporting cusp maintains CO and reduce its opponent. Decide which supporting cusp maintains CO and reduce its opponent.

25 CEA Correction of balancing-side errors. Grind the lingual incline of the mandibular buccal cusp.

26 CEA Correction of protrusive relation. Distal inclines Mesial inclines

27 CEA Eliminating occlusal errors in nonanatomic teeth Interocclusal CR record is made. Interocclusal CR record is made. Dentures mounted and gross premature contacts are removed. Dentures mounted and gross premature contacts are removed. Final adjustments with articulating paper. Final adjustments with articulating paper.

28 CEA Instructions to the patient Individuality of patients Individuality of patients New dentures and: New dentures and: –Appearance –Mastication –Speech –Oral Hygiene Education materials Education materials

29 CEA 24-hour Oral Examination (OE) and Treatment (Tx) Examination procedures Examination procedures Adjustments related to: Adjustments related to: –Occlusion –Denture base Subsequent OEs and Txs Subsequent OEs and Txs Periodic recall for OE……12 months Periodic recall for OE……12 months Occlusion Tissues

30 CEA What to look for:

31 CEA What to look for:

32 CEA What to look for:

33 CEA What to look for:

34 CEA What to look for: Moskona D, Kaplan I. Oral lesions in elderly denture wearers. Clin Prev Dent. 1992;14:11-4 : 500 pts. Total frequency of soft tissue lesions was 16.7% in edentulous non-denture patients and 58.2% in patients with poor quality dentures.

35 CEA What to look for:

36 CEA Overdentures Bars

37 CEA O-ring abutments Locator attachments

38 CEA

39


Download ppt "Denture Delivery and Follow Up Dr. Cecilia E. Aragón."

Similar presentations


Ads by Google