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

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

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

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

5. Check occlusion
CEA

6. Occlusion may seem okay, but…
CEA

7. Prematurity
Resilient Tissue
Accommodation
Abused Tissues
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8. 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.
Checking for occlusion errors
Best done in the articulator: REMOUNT
CEA

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

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

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

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.
CEA

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

15. Basic Tooth Positions Balancing Contacts Centric Occlusion
Working Contacts
CEA

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

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

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

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

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

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

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

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

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

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

26. Correction of protrusive relation.
Distal inclines
CEA
Mesial inclines

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

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

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

30. What to look for:
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31. What to look for:
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32. What to look for:
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33. What to look for:
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34. 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.
CEA

35. What to look for:
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36. Overdentures
Bars
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37. Locator attachments
O-ring abutments
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38. CEA

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