Introduction & Overview of Clinical & Laboratory Procedures

Khaled Q Al Hamad

BDS MSc MRD RCSEd

Associate Professor Jordan University of Science & Technology

Dent 445- Lecture 1
Sunday 22/9/2012

Fabrication of Complete Dentures:

Clinical & Laboratory Steps

Clinic Visit 1: Primary impression (Lab 1) Visit 2: Secondary/definitive Impression (Lab2 ) Visit 3: Occlusal registration (Lab 3) Visit 4: Try in (Lab 4) Visit 5: Insertion

Laboratory Lab 1: making the master Casts and custom trays Lab 2: Making occlusal wax rim Lab 3: Teeth arrangement and wax up Lab 4: Processing , finishing the dentures ready for insertion

Fabrication of Complete Dentures:

Clinical & Laboratory Steps

Clinic Visit 1: Primary impression (Lab 1) Visit 2: Secondary/definitive Impression (Lab2 ) Visit 3: Occlusal registration (Lab 3) Visit 4: Try in (Lab 4) Visit 5: Insertion

Laboratory Lab 1: making the master Casts and custom trays Lab 2: Making occlusal wax rim Lab 3: Teeth arrangement and wax up Lab 4: Processing , finishing the dentures ready for insertion

Visit 1: Primary impression

1.

2.

3. 1.

2.

3.

Maxillary Residual ridges including the full extent of the tuberosities and the hamular notch. Functional depth of the labial & buccal sulci, including frenae & muscle attachments. The hard palate & its junction with soft palate. Mandibular Residual ridge, including the full extent of the retromolar pad area. Functional depth of the labial & buccal sulci, including frenae, muscle attachments, and the external oblique ridge. The lingiual sulci, frenum, myloyioid ridges & the retromylohyoid areas.

Fabrication of Complete Dentures:

Clinical & Laboratory Steps

Clinic Visit 1: Primary impression (Lab 1) Visit 2: Secondary/definitive Impression (Lab2 ) Visit 3: Occlusal registration (Lab 3) Visit 4: Try in (Lab 4) Visit 5: Insertion

Laboratory Lab 1: making the master Casts and custom trays Lab 2: Making occlusal wax rim Lab 3: Teeth arrangement and wax up Lab 4: Processing , finishing the dentures ready for insertion

It is recommended that the clinician will indicate the extent of the denture bearing area. Also the spacing and the design form of the tray should be indicated on the laboratory form.

Fabrication of Complete Dentures:

Clinical & Laboratory Steps

Clinic Visit 1: Primary impression (Lab 1) Visit 2: Secondary/definitive Impression (Lab2 ) Visit 3: Occlusal registration (Lab 3) Visit 4: Try in (Lab 4) Visit 5: Insertion

Laboratory Lab 1: making the master Casts and custom trays Lab 2: Making occlusal wax rim Lab 3: Teeth arrangement and wax up Lab 4: Processing , finishing the dentures ready for insertion

Visit 2: Definitive Impression

Clinical Aim: to record the denture-bearing areas, the appropriate degree of tissue displacement, and the functional width and depth of the sulci.

Fabrication of Complete Dentures:

Clinical & Laboratory Steps

Clinic Visit 1: Primary impression (Lab 1) Visit 2: Secondary/definitive Impression (Lab2 ) Visit 3: Occlusal registration (Lab 3) Visit 4: Try in (Lab 4) Visit 5: Insertion

Laboratory Lab 1: making the master Casts and custom trays Lab 2: Making occlusal wax rim Lab 3: Teeth arrangement and wax up Lab 4: Processing , finishing the dentures ready for insertion

Lab 2

Technicians Aim:

Definitive/Master/2nd impression is cast in stone providing the master cast. The dentist should scribe on the impression the planned position of the post dam, and the planned preservation of the peripheral roll.

Block & relief areas. Production of the baseplates and wax rims.

Fabrication of Complete Dentures:

Clinical & Laboratory Steps

Clinic Visit 1: Primary impression (Lab 1) Visit 2: Secondary/definitive Impression (Lab2 ) Visit 3: Occlusal registration (Lab 3) Visit 4: Try in (Lab 4) Visit 5: Insertion

Laboratory Lab 1: making the master Casts and custom trays Lab 2: Making occlusal wax rim Lab 3: Teeth arrangement and wax up Lab 4: Processing , finishing the dentures ready for insertion

Visit 3: Registration Stage

1.

2.

3.

To determine the form of the upper denture and clear guideline for teeth placements. To relate the mamndibular arch to the maxillary arch. To select teeth of appropriate mould

Arch form

Occlusal plan.

Landmarks

Recording the CR: Vertical relation

Recording the CR: Horizontal relation

Selection of the mould & shade

Facebow transfer of the maxillary rim

Facebow transfere

Fabrication of Complete Dentures:

Clinical & Laboratory Steps

Clinic Visit 1: Primary impression (Lab 1) Visit 2: Secondary/definitive Impression (Lab2 ) Visit 3: Occlusal registration (Lab 3) Visit 4: Try in (Lab 4) Visit 5: Insertion

Laboratory Lab 1: making the master Casts and custom trays Lab 2: Making occlusal wax rim Lab 3: Teeth arrangement and wax up Lab 4: Processing , finishing the dentures ready for insertion

Lab 3

Mounting. (indexing) Setting the teeth using the shade & mould selected by the dentist. Wax up and contouring.

Fabrication of Complete Dentures:

Clinical & Laboratory Steps

Clinic Visit 1: Primary impression (Lab 1) Visit 2: Secondary/definitive Impression (Lab2 ) Visit 3: Occlusal registration (Lab 3) Visit 4: Try in (Lab 4) Visit 5: Insertion

Laboratory Lab 1: making the master Casts and custom trays Lab 2: Making occlusal wax rim Lab 3: Teeth arrangement and wax up Lab 4: Processing , finishing the dentures ready for insertion

Visit 4: Trial denture

Verify the appearance. Verify the occlusal requirements. Examine speech

Fabrication of Complete Dentures:

Clinical & Laboratory Steps

Clinic Visit 1: Primary impression (Lab 1) Visit 2: Secondary/definitive Impression (Lab2 ) Visit 3: Occlusal registration (Lab 3) Visit 4: Try in (Lab 4) Visit 5: Insertion

Laboratory Lab 1: making the master Casts and custom trays Lab 2: Making occlusal wax rim Lab 3: Teeth arrangement and wax up Lab 4: Processing , finishing the dentures ready for insertion

Lab 4

Packing & processing of the denture:

1. 2.

Removal of wax Replacing the wax mould with PMMA

Fabrication of Complete Dentures:

Clinical & Laboratory Steps

Clinic Visit 1: Primary impression (Lab 1) Visit 2: Secondary/definitive Impression (Lab2 ) Visit 3: Occlusal registration (Lab 3) Visit 4: Try in (Lab 4) Visit 5: Insertion

Laboratory Lab 1: making the master Casts and custom trays Lab 2: Making occlusal wax rim Lab 3: Teeth arrangement and wax up Lab 4: Processing , finishing the dentures ready for insertion

Visit 5 : Insertion

Mirror those of the trial stage except hopefully the patient is taking the dentures home. Arrange review visits as needed.

References
Refer to clinic manual for more details .

Refer to references listed in the syllabus and/or in previous courses for more in depth scientific material for each subject