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REMOVABLE PROSTHETICS
Dentures, Partials, etc.
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PARTIAL DENTURES indications: replace several teeth
repaired and adjusted easily restores function fewer appointments stabilizes arch expense
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PARTIAL DENTURES contraindications:
insufficient number of teeth and positioned poorly adequate root structure and aveolar bone patient interest
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CHARACTERISTICS Receives support and retention from tissues and remaining teeth abutments designed to distribute forces applied during chewing
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COMPONENTS Metal Framework Rests Clasps Acrylic Artificial Teeth
Major connector = Bar Saddle Rests Clasps Acrylic Artificial Teeth porcelain plastic
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Appointments Exam Initial Impression Final Impression Try-in Framework
Study Model Final Impression Try-in Framework Wax up Delivery Adjustments
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FINAL PRODUCT
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COMPLETE DENTURE Full denture fabricated to restore function and improve aesthetics for patients
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TYPES OF DENTURES Immediate Dentures - place immediately after extractions Overdentures - retained teeth or dental implants provide support to the denture or partial
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Indications for: totally edentulous remaining teeth can not be saved remaining teeth can not support partial patient refuses alternative treatment
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Contraindications: other acceptable methods patients cooperation patients motivation
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PATIENT CONSIDERATIONS
Positive attitude educated patient good health
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COMPONENTS OF A DENTURE
Base - fits over ridge Flange - extends up into the vesible Post Dam - maxillary retention, suction seal in posterior palate Mandibular retention - depends on size and shape of ridge Teeth/Acrylic
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FINAL IMPRESSION Custom Tray Disposable Tray Perforated Rim Lock
Patients Denture Border molding
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APPOINTMENTS Exam Initial Impression Final Impression Wax Try-in
Wax Try-in with teeth Delivery Adjustments
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ADJUSTING THE DENTURE Pressure Indicating Paste, PIP
Used to indicate ill-fitting areas Painted on inside Polish after adjustment pumice and rag wheel disinfect
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DENTURE RELINE AND REPAIR
Relines - helps to improve fit and comfort Re-adapts denture to alveolar ridge Need a final impression - patients denture
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Reline Material Soft Reline - chair relines
Soft material placed to allow tissues to heal Temporary Laboratory reline
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Repairs Repairs can be done in office or sent to lab.
Tooth replacement Broken Denture
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ORAL HYGIENE INSTRUCTIONS
Either Denture or Partial Brush acrylic, teeth, base, clasps, rests Remove at night Keep moist
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