In edentulous patients nasolabial fold deepens, wrinkles appear on upper lip, Lip commissure accentuated and an extrafold is visible. In such patients, a complete denture diminishes the above facial changes. Form and esthetics go hand in hand which influence function. check pic Left-low VD Right-Hi VD Repair the broken denture for use, till a new CD is fabricated. check for ridge shape, structure ,arch shape, vault type, tori, exostoses, pathology, bony spicules, retained roots and resiliency of mucosa. Pt is much more experienced than the dentist with their dentures. Listen to pts who are already having dentures. Carefully assess the expectations of the pt. Even a fully functional complete denture with ideal requirements might turn out to be a nightmare if the pts expectations arent met. Examine tissue for color, texture, health, need for any preprosthetic surgery Lost vertical/loose CD ----reline the CD Impressions.>diagnostic casts-survey ridges, arches, undercuts, custom tray materials Custom tray fabrication-border molding using green stick wax check for retention stability by asking pts to do all fuctional movts . Make sure they dont lift or rock. Also make sure no overextension of the periphery using PIP. Use a surgical knife to trim the border molding and not handpiece or burs as the wax is just held by mechanical bonding. Polyvinyl siloxane has better adaptability, doesnt displace soft tissues and has better shelf life . Impression plaster & polysulfides , when used for final impression, custom tray doesnt need holes.
Impression materials can be ZnOE, medium body Polyvinyl siloxane, impression
plaster, polysulfide. Then do boxing and pour the impression for master cast. Land area should be 3mm.
Carve the posterior palatal seal.
If the midpalatal area is thin, it may irritate the tissues, hence relieve this area using tin foil or die separating paint(used in casting procedures).
VERY IMPORTANT& RPTED Q
Max CD and unilateral free saddle is called kellys combination syndrome. Fabricate bite trims. Thickness/width for occlusal rims labiolingually 3-5 mm Anteriors 5-7 mm canine premolar area 8-10 mm molar area Facebow transfer: 1st jaw relationship on record.r literature on facebow. VERY IMPORTANT RPTED Q Definitions hinge axis & terminal hinge axis hinge axis uses Facebow and parts of facebow VERY IMP: RPTED Q THIRD REFERENCE POINT TMJ rods positioned on skin of TMJ, Nasion or Orbitale forms 3 rd reference point. : FLAT teeth or noncusped teeth (angulation zero degrees)- no need for facebow transfer. Cusp teeth or teeth with anatomical cusps( 30 to 45 degree ) need facebow transfer. definitions for articulation, articulator,occlusion,CO,CR,COR.
VERY IMP : RPTED Q: : def of anatomical articulation, balanced occlusion, balanced