Denture Delivery

and Follow Up
Dr. Cecilia E. Aragn

Evaluations
From the Dentist
From the Patient
From Family/Friends

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Treatment at the Time of Denture

Insertion
Inspection of dentures. Elimination of

basal surface errors.

Dentures to be seated in healthy tissues.

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Elimination of Intaglio Surface

Errors
Pressure Indicator Paste (PIP) to be used
for every new denture!!

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Check occlusion

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Occlusion may seem okay, but

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Prematurity

Resilient Tissue
Accommodation

Abused Tissues

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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

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Remounting Procedure
Ask patient to bite on

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cotton rolls for 10

min.
Guide mandible into
CR several times.
Aluwax is placed on
the post. Teeth of the
mandibular denture.

 Place both dentures in

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the patients mandible

is guided in a hinge
movement.
Obtain interocclusal
record of CR.

 Mount upper denture

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using remounting jig.

Mount lower denture

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Selective spot grinding

The art of reducing

premature contacting
surfaces, so that an equal
pressure exists at all points
with interference at no
point.
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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.

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Basic Tooth Positions

Balancing Contacts

Centric Occlusion
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Working Contacts

Re-establishment of CO

Problem: Teeth too long

Solution: Deepen the fossae

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Re-establishment of CO

Problem: Teeth too nearly end to

end
Solution: Grind Inclines

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Re-establishment of CO

Problem: Too much horizontal

overlap
Solution: Broaden central fossae

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After the CO re-establishment.

DO NOT:
Reduce maxillary lingual cusps.
Reduce mandibular buccal cusps.
Deepen the fossae.

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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!!!

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Correction of working side occlusal

errors.
Problem: Buccal and
lingual cusps too long.
Solution: Change
inclines of balancing
cusps.

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Correction of working side

occlusal errors.
Problem: Buccal cusps are
too long
Solution: Change lingual
incline of maxillary buccal
cusp

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Correction of working side occlusal

errors.
Problem: Lingual cusp
too long.
Solution: Change buccal
incline of lingual cusp of
mandibular tooth.

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Correction of balancing-side errors.

Reduce lingual inclines of mandibular

buccal cusps; or
Decide which supporting cusp maintains
CO and reduce its opponent.

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Correction of balancing-side errors.

Grind the lingual

incline of the
mandibular buccal
cusp.

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Correction of protrusive relation.

Distal inclines

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Mesial inclines

Eliminating occlusal errors in

nonanatomic teeth
Interocclusal CR record is made.
Dentures mounted and gross premature

contacts are removed.

Final adjustments with articulating paper.

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Instructions to the patient

Individuality of patients
New dentures and:
Appearance
Mastication
Speech
Oral Hygiene

Education materials
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24-hour Oral Examination (OE) and

Treatment (Tx)
Examination procedures
Adjustments related to:

Occlusion
Tissues

Occlusion
Denture base

Subsequent OEs and Txs

Periodic recall for OE12 months
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What to look for:

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What to look for:

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What to look for:

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What to look for:

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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.
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What to look for:

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Overdentures

Bars

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Locator attachments

O-ring abutments
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