Knowledge (XXG)

Complete dentures

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376:-supported overdenture is not appropriate for the short-term transitioning stage into conventional complete dentures, it is an option that should be considered for the definitive treatment, given the higher stability and retention of such dentures. Despite complications, the success rate of dental implants is well established, with reports exceeding 98% in 20 years for mandibular anterior teeth. The provision of a two-implant supported overdenture in the mandibular (lower) edentulous jaw is now considered as the first choice of treatment, with patients reporting to have a significant improvement in quality of life and greater patient satisfaction when compared to conventional removable prostheses. 452: 691:(OVD). This task is particularly challenging in complete dentures, as there is no existing occlusion to which the clinician can reference to, and as a result, it is the cause of many errors in complete denture construction. The resting vertical dimension (RVD) may be defined as the vertical dimension between two points, one on the maxilla and one on the mandible, when the patient's muscles are at a relaxed position. The difference between OVD and RVD is termed the Freeway space (FWS). This distance should be between 2–4 mm. 203:(or chewing) efficiency. Teeth function to help with the chewing of food, breaking it down in small pieces that can be swallowed. Denture-wearing can bring some masticatory function back to normal. It cannot, however, fully compensate for the efficiency of the natural dentition because (1) dentures are not fixed in place like teeth are and so have to be actively controlled by the muscles and (2) biting forces are greatly reduced (about one-sixth of the natural dentition) as the dentures are impinging on soft tissues. 651:
tray). Consequently, the mucosa will have an even distribution of loads during function, but the retention of the denture is adversely affected as it inhibits a close adaptation of the denture base to the mucosa in the resting position, which occurs during the majority of time. Such a technique, however, can be considered in patients with a history of mucosal trauma and discomfort (particularly in the lower jaw). Suitable materials for this purpose include high-viscosity silicone impression materials.
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requires a thickness of at least 3 mm to prevent distortion whereas the more elastic silicone materials can be used in thickness of 1–2 mm. Therefore, when special trays are constructed, it is the responsibility of the prescribing clinician to ask for the appropriate level of spacing between the tray and the tissues.
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months. As patients age, the process of learning and memorising new skills as well as neuromuscular control (i.e. controlling when and how much muscles contract) becomes more challenging. Hence transitional partial dentures can provide a practice period for the musculature, before complete dentures are provided.
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In an edentate patient, the OVD cannot be measured unless it was recorded prior to clearance of the dentition or pre-existing dentures provide a satisfactory value. In the majority of cases, however, the OVD needs to be calculated by determining the RVD and allowing for adequate FWS (i.e. OVD = RVD -
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Once the impressions have been cast, a set of models has been produced that provide the clinician and dental technician with a replica of the upper and lower jaws with which to work in order to produce the final complete denture. An integral part to the construction is to record how the patient is or
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Denture-related problems can be linked to dentist-related factors, patient-related factors or processing errors. The most common denture-related problems include insufficient retention and improper jaw relations. These are both related to the final-impression technique and the material used to create
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Mucostatic impression records the soft tissues in their resting state, thus no or minimal pressure is applied during impression-taking. This technique has the advantage of ensuring a close adaptation of the denture base to the entirety of the mucosa and hence enhancing retention. Due to the fact that
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Border moulding refers to the functional or manual manipulation of the cheeks and lips in order to mould the borders of the impression to that of the functional depth of the sulcus and floor of mouth. This is necessary to ensure stability and adequate retention of the complete dentures. The following
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Although stock trays (metallic or plastic) come in different sizes, it is very likely that some parts will be over- or under-extended and therefore have to be modified prior to impression-taking to ensure that the entirety of the mucosa is recorded accurately. Greenstick or silicone putty can be used
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Record blocks are made in such a way so that the dental technician is provided with all the information necessary to provide a wax replica of the dentures. They consist of blocks of wax resting on a rigid base that can be made out of shellac, light-cured or heat-cured acrylic. The base can sometimes
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As described above, special trays (acrylic or shellac) ensure that the secondary impressions accurately record the tissues whilst ensuring a uniform thickness of impression material throughout the tray. Different impression materials will have different thickness requirements. Alginate, for example,
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and fitted once the teeth have been removed, at the same appointment. Such dentures help restore masticatory (chewing) function and aesthetics whilst at the same time allowing a period for the soft tissues to heal and the bone levels to stabilise before constructing the definitive complete dentures.
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provided in the interim so that the patient can become accustomed to denture wearing. Alternatively, if the former is not possible, consideration should be given to whether roots of teeth can be retained in strategic locations in the maxilla or mandible to help with the stability of the prostheses.
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will lead to further destruction of bone that will later become the foundation for denture support. Complete dentures require some level of muscular control from the patient (e.g. lifting tongue to stabilise upper denture on biting) and this process of adaptation can last for several weeks or even
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Many patients find the idea of wearing complete dentures very upsetting. Such psychological effects, together with the challenges that accompany successful prosthetic wear, can make acceptance of treatment difficult. It is, therefore, reasonable to consider different ways of transitioning into the
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The peri-oral muscles (muscles of the cheeks and lips) can cause displacement of the dentures. Patients can, however, learn to control and coordinate their muscles so that the forces exerted are minimised or counter-acted to prevent such displacement. With age, the ability to learn new skills and
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A mucocompressive impression is obtained by applying some pressure to the soft tissues during impression-taking, thus recording the shape of the soft tissues under masticatory loading (functional impression technique, i.e. the force is applied by asking the patient to bite down on the impression
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Complete dentures are prone to a variety of displacing forces of differing magnitude as they are resting on oral mucosa and are in close proximity with tissues that are constantly changing due to the action of muscles. Consequently, for complete dentures to be retentive and stable, the retentive
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Level of occlusal plane – the block should be trimmed or added onto so that the height of the rim is aesthetically pleasing to the amount of wax shown when the patient is at rest (block should be just visible) and when the patient is asked to smile (a few mm should be visible incisally). A more
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Another feature which should be incorporated into special trays is tissue stops, which can be described as 2–3 mm wide extensions on the impression surface of the special tray. Without the incorporation of tissue stops, when the special tray is tried in the mouth to check for the accuracy of
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Similarly to all removable prostheses, the first step in denture construction is to obtain accurate impressions of the soft tissues. As the height of the ridge will vary throughout the arch, two sets of impressions are taken. The primary (or preliminary) impressions, taken using a stock tray
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in the jaws. Compared to conventional complete dentures, it provides a greater level of stability and support for the prosthesis. The mandibular (lower) jaw has significantly less surface area compared to the maxillary (upper) jaw; hence, retention of a lower prosthesis is greatly reduced.
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Limited lifespan of prosthesis and relines often required – as the tissues heal following extractions, the alveolar bone starts to resorb causing the tissues to recede. Consequently, immediate dentures will require some level of maintenance, with relines of the fit surface and/or occlusal
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thorough assessment can be performed by asking the patient to say a few sentences while the clinician concentrates on how much of the record block is visible. Such adjustments will guide the dental technician to the position and length of teeth to be incorporated in the dentures.
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the mucosa is uneven in compressibility, however, there will inevitably be an uneven distribution of loads during masticatory function. An impression material of low viscosity (e.g. impression paste, alginate or light body silicone) is selected for this technique.
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in 2018 comparing final impression techniques and materials for making complete dentures concluded that further high-quality research is required as there was no clear evidence to suggest that one technique or material had a significant advantage over another.
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extensions, it will appear over-extended as the laboratory has extended the tray in a way that will allow the specified thickness of impression material to be accommodated. Tissue stops allow the clinician to appropriately assess the extensions of the tray.
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control is satisfactory, tooth-supported overdentures can be considered as a long-term treatment option. Alternatively, if treatment fails, the roots can be extracted and the overdenture can easily be converted into a conventional complete denture.
503:– the effects of this muscle are more evident when there has been considerable alveolar bone resorption in the mandibular (lower) jaw. As the mentalis muscle contracts, it can cause displacement of the prosthesis in a posterior and upward fashion 301:
Retaining two or three natural teeth as retained roots can greatly improve the retention and stability of a complete denture, especially if the roots are fitted with special precision attachments. The process involves decoronation (removing the
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Allow clinician to transfer jaw relationship and aesthetics from natural teeth onto immediate dentures. If immediate dentures are not provided, then following extraction of the teeth such information will be lost; hence it prevents later
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Orientation of occlusal plane – using either a wooden spatula or a more sophisticated Fox's occlusal plane indicator, the orientation of the upper occlusal plane should be parallel to both the ala-tragal line and the interpupillary
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Teeth that can be restored despite a poor long-term prognosis may be retained to transition the patient into the edentulous state via a series of transitional partial dentures. It is important that the patient can maintain good
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Thomason JM, Heydecke G, Feine JS, Ellis JS (June 2007). "How do patients perceive the benefit of reconstructive dentistry with regard to oral health-related quality of life and patient satisfaction? A systematic review".
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causing loss of fit of prosthesis, broken dentures, etc.). Whether or not they are deemed satisfactory by the wearer or clinician, existing dentures can provide invaluable information for the construction of a new set.
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Unpredictable fit and aesthetics – the dentures are constructed before all teeth are removed in a jaw; therefore, there is some level of guesswork involved with respect to tooth placement and the fitting surface of the
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on the maxillary arch remains relatively constant in position during alveolar bone resorption and remodelling, and can, therefore, be used to mark the midline of the upper jaw and facilitate placement of prosthetic
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acquire some level of neuromuscular control declines. Therefore, the "training" time-frame for patients to learn how to successfully use their new complete dentures is expected to be much longer for older patients.
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are significant and may, in turn, lead to an increased rate of bone resorption. Therefore, in order to ensure an equal distribution of forces across the mucosa, complete dentures should have maximum extensions.
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Thomason JM, Feine J, Exley C, Moynihan P, Müller F, Naert I, Ellis JS, Barclay C, Butterworth C, Scott B, Lynch C, Stewardson D, Smith P, Welfare R, Hyde P, McAndrew R, Fenlon M, Barclay S, Barker D (2009).
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be made out of wax; however, such a material lacks the rigidity required to ensure accurate measures are taken. Additionally, it may distort during transport and thus damage the validity of the recordings.
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edentate state in patients who have not yet lost all of their teeth but in which complete dentures will be required in the foreseeable future. Certain teeth can be retained in the short to medium-term with
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The ultimate goal of complete dentures is to maintain oral health and function. Complete dentures should be comfortable for the individual while also improving aesthetics and psychological well-being.
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FWS = RVD - (2 to 4 mm)). The patient is asked to relax the muscles of the mandible, and the measurement for RVD is taken with a Willis gauge from a point on the chin and a point underneath the nose.
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forces that hold the dentures in place must be greater than the ones aiming to displace it. Obtaining maximum stability and retention is one of the biggest challenges in full denture construction.
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within the last decades; people retain their natural dentition for longer. Nonetheless there is still a great demand for complete dentures as more than 10% of adults aged 50–64 are completely
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to extend the trays if they are under-extended; this is of vital importance, as any unsupported impression material may distort until the impressions are cast. A suitable material such as
199:), they can nevertheless provide some artificial support to mask this loss in tone. Furthermore, perhaps the most noticeable effect of tooth loss from a patient perspective is the loss in 53:, a complete denture is constructed when there are no more teeth left in an arch; hence, it is an exclusively tissue-supported prosthesis. A complete denture can be opposed by natural 224:
can be defined as the resistance to vertical dislodgment that can arise from either muscular forces or physical forces. It can be gained from three different surfaces of the denture:
517:– over-extension in the sulcus around the maxillary molar region can cause mucosal trauma as the tissues are trapped between the prosthesis and the zygomatic process of the maxilla 1186:
Ekelund JA, Lindquist LW, Carlsson GE, Gemt T (2003). "Implant treatment in the edentulous mandible: a prospective study on Brånemark system implants over more than 20 years".
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should be biting, (i.e. the spatial relationship between the maxilla and the mandible) as well as recording all the necessary information for the next stage, the wax try-in.
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When setting up the teeth during construction of complete dentures, the clinician must decide a vertical height on which the patient will be biting upon; this is termed the
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Xie Q, Närhi TO, Nevalainen JM, Wolf J, Ainamo A (October 1997). "Oral status and prosthetic factors related to residual ridge resorption in elderly subjects".
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To achieve these goals, it is important to obtain an accurate impression in order to design and create a denture that has adequate retention and stability.
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Consequently, mandibular overdentures are much more commonly prescribed than maxillary ones, where the palate often provides enough support for the plate.
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also lose their support as teeth are lost, contributing to an 'aged' appearance of the individual. Although complete dentures cannot prevent the loss in
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Centric occlusion refers to teeth contact when the jaws are in centric relation (when the condyles are in the uppermost and foremost position in the
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treatment provision, single-rooted anterior teeth are preferred, with the exception of lower incisors as they lack sufficient root surface area. If
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The record blocks are inserted in the mouth and the following should be examined and deemed satisfactory prior to proceeding with any adjustments:
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Mandibular (lower) complete denture posterior extension: pear-shaped pads (act as tissue stops to prevent horizontal displacement of denture)
1216:"Mandibular two implant-supported overdentures as the first choice standard of care for edentulous patients - the York Consensus Statement" 126:, which continues throughout life. Although the rate of resorption varies, certain factors such as the magnitude of loading applied on the 77:, with age, smoking status and socioeconomic status being significant risk factors. Tooth loss can occur due to many reasons, such as: 438:
In many circumstances patients will already have a set of dentures that will require replacing for various reasons (e.g. recession of
49:) is a removable appliance used when all teeth within a jaw have been lost and need to be prosthetically replaced. In contrast to a 1403:
Brunton PA, McCord JF (1993). "An analysis of nasiolabial angles and their relevance to tooth position in the edentulous patient".
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demonstrate the best accuracy of fit and are therefore the most retentive, with heat-cured acrylic being superior to light-cured.
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There are several anatomical structures that have the potential to cause displacement of the complete dentures. These are:
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Davis DM, Fiske J, Scott B, Radford DR (2000). "The emotional effects of tooth loss: a preliminary quantitative study".
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When clearance of the dentition is the only viable treatment option, immediate dentures can be constructed prior to the
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Johnson A, Wildgoose DG, Wood DJ (October 2002). "The determination of freeway space using two different methods".
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Alveolar bone resorption is an important consideration when designing complete dentures. In the absence of natural
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Brill N (September 1967). "Factors in the mechanism of full denture retention--a discussion of selected papers".
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Lower impression: ask patient to raise tongue to contact upper lip and move it to the right and left cheek
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Maxillary (upper) complete denture posterior extension: vibrating line (i.e. the intersection between the
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Jayaraman S, Singh BP, Ramanathan B, Pazhaniappan Pillai M, MacDonald L, Kirubakaran R (April 2018).
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ridge can be classified according to the amount of bone in both the vertical and horizontal axes:
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and when muscles are in their most relaxed state). It is sometimes referred to as the retruded
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Conforming to the height of desired OVD by either adding onto or removing wax from the block
526: 439: 123: 473:). The landmarks for the vibrating line are the fovea palatinae (collecting ducts of minor 1491: 1041: 666: 506: 196: 119: 642:
There are two ways in which the soft tissues can be recorded during impression taking:
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Atwood DA (1971). "Reduction of residual ridges: a major oral disease entity".
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Allow for time of adaptation as the patient gets used to their new dentures
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Class IV: knife-edge ridge form, adequate in height and inadequate in width
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Occlusal vertical dimension, resting vertical dimension and freeway space
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Cawood JI, Howell RA (1988). "A classification of the edentulous jaws".
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Shaping of the buccal surfaces to ensure adequate lip and cheek support
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Mucostatic and mucocompressive (mucodisplacive) impression techniques
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The tray should be supported by the clinician throughout the moulding
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Relationship of the buccal and lingual surfaces to the neutral zone
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Reduced alveolar bone resorption and preservation of alveolar ridge
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or complete denture, fixed appliances or, sometimes, soft tissues.
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There has been a decline in both the prevalence and incidence of
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Class III: well-rounded ridge form, adequate in height and width
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for their support. As a consequence, the forces exerted on the
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Class VI: depressed ridge form, with some basilar loss evident
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and healing potential of the patient seem to affect this. The
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European Journal of Prosthodontics and Restorative Dentistry
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Baillie S, Woodhouse K (1988). "Medical aspects of ageing".
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Requires endodontic (root canal) treatment of abutment teeth
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of the overdenture abutments. For matters of simplicity for
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Class V: flat ridge form, inadequate in height and width
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International Journal of Oral and Maxillofacial Surgery
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National Institute of Dental and Craniofacial Research
487:(determined by border moulding) for optimum retention 1629: 1566: 1469: 623:steps can be carried out during impression-taking: 535:Construction of complete dentures: clinical stages 398:Restoration of aesthetics and masticatory function 343:Improved aesthetics (compared to partial dentures) 455:Surface anatomy of maxillary denture-bearing area 288:is a prosthesis that fits over retained roots or 807:Müller F, Naharro M, Carisson GE (Summer 2007). 1025:Prosthetic treatment of the edentulous patient 410:Protection of wound area following extractions 271:control during this period, as progression of 1447: 1023:Basker RM, Davenport JC, Thomason JM (2011). 8: 1306:A clinical guide to applied dental materials 118:Following the loss of teeth, there occurs a 1325:The Cochrane Database of Systematic Reviews 1454: 1440: 1432: 1344: 1231: 1099:The Dental Practitioner and Dental Record 1065: 933: 824: 630:Firmly pull and relax the cheeks and lips 587:that can be used with special trays are: 571:Secondary (master or working) impressions 450: 195:(as they are not firmly attached to the 1188:International Journal of Prosthodontics 799: 754:surface to ensure adequate tongue space 1299: 1297: 1295: 1042:"The glossary of prosthodontic terms" 1018: 1016: 852:"Tooth Loss in Adults (Age 20 to 64)" 114:Effects of tooth loss on oral tissues 65:Epidemiology and causes of tooth loss 7: 1036: 1034: 1014: 1012: 1010: 1008: 1006: 1004: 1002: 1000: 998: 996: 846: 844: 447:Anatomy of the denture-bearing areas 1046:The Journal of Prosthetic Dentistry 168:, such dentures rely completely on 25: 558:Primary (preliminary) impressions 328:Increased retention of prosthesis 248:Transition into complete dentures 1382:10.1046/j.1365-2842.2002.00950.x 1278:10.1111/j.1600-0501.2007.01461.x 826:10.1111/j.1600-0501.2007.01459.x 765:Adjusting the lower record block 729:Adjusting the upper record block 239:Muscular control of the dentures 102:molar incisor hypomineralisation 1266:Clinical Oral Implants Research 879:Journal of Prosthetic Dentistry 813:Clinical Oral Implants Research 778:Recording the centric occlusion 207:Principles of complete dentures 1370:Journal of Oral Rehabilitation 1337:10.1002/14651858.cd012256.pub2 1304:Bonsor SJ, Pearson GJ (2013). 1058:10.1016/j.prosdent.2005.03.013 914:Acta Odontologica Scandinavica 757:Mark midline, canine line and 567:can be used for this purpose. 492:Relevant anatomical structures 434:Relevance of existing dentures 1: 979:10.1016/s0901-5027(88)80047-x 262:Transitional partial dentures 891:10.1016/0022-3913(71)90069-2 515:Zygomatic process of maxilla 27:Denture for toothless people 689:occlusal vertical dimension 306:of the tooth) and elective 145:Class II: immediately post- 96:Congenital disorders (e.g. 1684: 745:Naso-labial angle 102–116° 926:10.3109/00016359709114969 334:Reduced horizontal forces 98:dentinogenesis imperfecta 699:The record (bite) blocks 1556:Craniofacial prosthesis 1233:10.1038/sj.bdj.2009.728 1138:10.1038/sj.bdj.4800522a 1067:2027/mdp.39015007410742 1052:(1): 10–92. July 2005. 220:Retention in removable 1589:Maximum intercuspation 1126:British Dental Journal 603:Condensation silicones 456: 1487:Resin-retained bridge 454: 585:impression materials 483:Functional depth of 308:root canal treatment 1584:Crown-to-root ratio 1272:(Suppl 3): 168–88. 362:periodontal disease 273:periodontal disease 130:, the technique of 87:Periodontal disease 1642:Cosmetic dentistry 1604:mutually protected 1599:vertical dimension 1477:Dental restoration 1027:. Wiley-Blackwell. 600:Addition silicones 597:Impression plaster 592:Zinc oxide eugenol 540:Patient assessment 457: 380:Immediate dentures 234:Impression surface 34:(also known as a 1655: 1654: 1647:Dental laboratory 1616:Masticatory force 1551:Ocular prosthesis 1536:Removable Partial 1521:Diagnostic wax-up 1511:Inlays and onlays 674:Bite registration 527:Incisive papillae 368:Implant supported 16:(Redirected from 1675: 1668:Prosthodontology 1579:Centric relation 1463:Prosthodontology 1456: 1449: 1442: 1433: 1421: 1420: 1400: 1394: 1393: 1365: 1359: 1358: 1348: 1316: 1310: 1309: 1301: 1290: 1289: 1260: 1254: 1253: 1235: 1210: 1204: 1203: 1183: 1177: 1176: 1156: 1150: 1149: 1121: 1115: 1114: 1094: 1088: 1087: 1069: 1038: 1029: 1028: 1020: 991: 990: 962: 956: 955: 937: 909: 903: 902: 874: 868: 867: 865: 863: 848: 839: 838: 828: 804: 594:impression paste 521:Coronoid process 255:partial dentures 231:Polished surface 228:Occlusal surface 142:Class I: dentate 32:complete denture 21: 18:Complete denture 1683: 1682: 1678: 1677: 1676: 1674: 1673: 1672: 1658: 1657: 1656: 1651: 1625: 1562: 1492:Rochette bridge 1465: 1460: 1430: 1425: 1424: 1402: 1401: 1397: 1367: 1366: 1362: 1331:(4): CD012256. 1318: 1317: 1313: 1303: 1302: 1293: 1262: 1261: 1257: 1212: 1211: 1207: 1185: 1184: 1180: 1158: 1157: 1153: 1123: 1122: 1118: 1096: 1095: 1091: 1040: 1039: 1032: 1022: 1021: 994: 964: 963: 959: 911: 910: 906: 876: 875: 871: 861: 859: 858:. February 2018 850: 849: 842: 806: 805: 801: 796: 780: 767: 750:Shaping of the 731: 701: 685: 676: 667:Cochrane Review 640: 620: 618:Border moulding 573: 560: 547: 542: 537: 507:Masseter muscle 501:Mentalis muscle 494: 475:salivary glands 462: 449: 436: 421: 395: 382: 370: 356:Predisposes to 350: 325: 299: 297:Tooth supported 282: 264: 250: 241: 218: 209: 197:skeletal system 116: 67: 51:partial denture 28: 23: 22: 15: 12: 11: 5: 1681: 1679: 1671: 1670: 1660: 1659: 1653: 1652: 1650: 1649: 1644: 1639: 1637:Dental implant 1633: 1631: 1627: 1626: 1624: 1623: 1618: 1613: 1608: 1607: 1606: 1601: 1591: 1586: 1581: 1576: 1574:Biologic width 1570: 1568: 1564: 1563: 1561: 1560: 1559: 1558: 1553: 1547:Maxillofacial 1545: 1544: 1543: 1538: 1533: 1523: 1518: 1513: 1508: 1507: 1506: 1496: 1495: 1494: 1489: 1479: 1473: 1471: 1467: 1466: 1461: 1459: 1458: 1451: 1444: 1436: 1429: 1428:External links 1426: 1423: 1422: 1395: 1376:(10): 1010–3. 1360: 1311: 1291: 1255: 1226:(4): 185–186. 1205: 1194:(6): 602–608. 1178: 1151: 1132:(9): 503–506. 1116: 1089: 1030: 992: 973:(4): 232–236. 957: 904: 885:(3): 266–279. 869: 840: 798: 797: 795: 792: 790:relationship. 779: 776: 775: 774: 771: 766: 763: 762: 761: 755: 748: 747: 746: 740: 736: 730: 727: 726: 725: 722: 719: 716: 706:Acrylic resins 700: 697: 684: 681: 675: 672: 662:the dentures. 653: 652: 648: 639: 636: 635: 634: 631: 628: 619: 616: 615: 614: 609: 604: 601: 598: 595: 572: 569: 559: 556: 546: 543: 541: 538: 536: 533: 532: 531: 524: 518: 512: 511:Floor of mouth 509: 504: 493: 490: 489: 488: 481: 478: 461: 458: 448: 445: 435: 432: 431: 430: 426: 420: 417: 416: 415: 411: 408: 402: 399: 394: 391: 381: 378: 369: 366: 365: 364: 354: 349: 346: 345: 344: 341: 338:Proprioception 335: 332: 329: 324: 321: 298: 295: 281: 278: 263: 260: 249: 246: 240: 237: 236: 235: 232: 229: 222:prosthodontics 217: 214: 208: 205: 181:Facial muscles 162: 161: 158: 155: 152: 149: 143: 115: 112: 111: 110: 105: 94: 89: 84: 66: 63: 26: 24: 14: 13: 10: 9: 6: 4: 3: 2: 1680: 1669: 1666: 1665: 1663: 1648: 1645: 1643: 1640: 1638: 1635: 1634: 1632: 1628: 1622: 1619: 1617: 1614: 1612: 1609: 1605: 1602: 1600: 1597: 1596: 1595: 1592: 1590: 1587: 1585: 1582: 1580: 1577: 1575: 1572: 1571: 1569: 1565: 1557: 1554: 1552: 1549: 1548: 1546: 1542: 1539: 1537: 1534: 1532: 1529: 1528: 1527: 1524: 1522: 1519: 1517: 1514: 1512: 1509: 1505: 1504:Post and core 1502: 1501: 1500: 1497: 1493: 1490: 1488: 1485: 1484: 1483: 1480: 1478: 1475: 1474: 1472: 1468: 1464: 1457: 1452: 1450: 1445: 1443: 1438: 1437: 1434: 1427: 1418: 1414: 1410: 1406: 1399: 1396: 1391: 1387: 1383: 1379: 1375: 1371: 1364: 1361: 1356: 1352: 1347: 1342: 1338: 1334: 1330: 1326: 1322: 1315: 1312: 1307: 1300: 1298: 1296: 1292: 1287: 1283: 1279: 1275: 1271: 1267: 1259: 1256: 1251: 1247: 1243: 1239: 1234: 1229: 1225: 1221: 1217: 1209: 1206: 1201: 1197: 1193: 1189: 1182: 1179: 1174: 1170: 1166: 1162: 1161:Dental Update 1155: 1152: 1147: 1143: 1139: 1135: 1131: 1127: 1120: 1117: 1112: 1108: 1104: 1100: 1093: 1090: 1085: 1081: 1077: 1073: 1068: 1063: 1059: 1055: 1051: 1047: 1043: 1037: 1035: 1031: 1026: 1019: 1017: 1015: 1013: 1011: 1009: 1007: 1005: 1003: 1001: 999: 997: 993: 988: 984: 980: 976: 972: 968: 961: 958: 953: 949: 945: 941: 936: 931: 927: 923: 920:(5): 306–13. 919: 915: 908: 905: 900: 896: 892: 888: 884: 880: 873: 870: 857: 853: 847: 845: 841: 836: 832: 827: 822: 818: 814: 810: 803: 800: 793: 791: 789: 785: 784:glenoid fossa 777: 772: 769: 768: 764: 760: 756: 753: 749: 744: 743: 741: 737: 733: 732: 728: 723: 720: 717: 714: 713: 712: 709: 707: 698: 696: 692: 690: 682: 680: 673: 671: 668: 663: 659: 656: 649: 645: 644: 643: 637: 632: 629: 626: 625: 624: 617: 613: 610: 608: 605: 602: 599: 596: 593: 590: 589: 588: 586: 581: 577: 570: 568: 566: 557: 555: 553: 552:special trays 544: 539: 534: 528: 525: 522: 519: 516: 513: 510: 508: 505: 502: 499: 498: 497: 491: 486: 482: 479: 476: 472: 468: 464: 463: 459: 453: 446: 444: 441: 440:alveolar bone 433: 427: 423: 422: 419:Disadvantages 418: 412: 409: 406: 403: 400: 397: 396: 392: 390: 387: 379: 377: 375: 367: 363: 359: 358:dental caries 355: 352: 351: 348:Disadvantages 347: 342: 339: 336: 333: 330: 327: 326: 322: 320: 317: 313: 309: 305: 296: 294: 291: 287: 279: 277: 274: 270: 261: 259: 256: 247: 245: 238: 233: 230: 227: 226: 225: 223: 215: 213: 206: 204: 202: 198: 194: 193:muscular tone 190: 186: 182: 178: 175: 171: 167: 159: 156: 153: 150: 148: 144: 141: 140: 139: 137: 133: 129: 125: 124:alveolar bone 122:(or loss) of 121: 113: 109: 106: 103: 99: 95: 93: 90: 88: 85: 83: 82:Dental caries 80: 79: 78: 76: 72: 64: 62: 60: 56: 52: 48: 44: 40: 39: 33: 19: 1621:Neutral zone 1611:Dahl concept 1530: 1411:(2): 53–56. 1408: 1404: 1398: 1373: 1369: 1363: 1328: 1324: 1314: 1305: 1269: 1265: 1258: 1223: 1219: 1208: 1191: 1187: 1181: 1164: 1160: 1154: 1129: 1125: 1119: 1102: 1098: 1092: 1049: 1045: 1024: 970: 966: 960: 917: 913: 907: 882: 878: 872: 860:. Retrieved 855: 816: 812: 802: 781: 710: 702: 693: 686: 677: 664: 660: 657: 654: 641: 621: 607:Polysulphide 582: 578: 574: 561: 548: 495: 437: 429:adjustments. 414:'guesswork'. 405:Psychosocial 383: 372:Although an 371: 300: 283: 280:Overdentures 265: 251: 242: 219: 210: 179: 170:soft tissues 163: 117: 108:Parafunction 68: 46: 42: 35: 31: 29: 1308:. Elsevier. 1167:: 236–241. 1105:(1): 9–19. 545:Impressions 471:hard palate 386:extractions 286:overdenture 201:masticatory 43:false teeth 1567:Physiology 1470:Procedures 935:2066/24585 794:References 759:smile line 718:Extensions 460:Extensions 407:advantages 393:Advantages 340:maintained 323:Advantages 312:endodontic 147:extraction 136:edentulous 132:extraction 120:resorption 75:edentulous 71:tooth loss 1594:Occlusion 721:Stability 715:Retention 612:Polyether 216:Retention 166:dentition 55:dentition 1662:Category 1630:See also 1531:Complete 1526:Dentures 1390:12421334 1355:29617037 1286:17594380 1250:24730846 1242:19696851 1200:14714838 1146:10859849 1084:41712721 1076:16080238 862:March 2, 835:17594365 819:: 2–14. 565:alginate 425:denture. 290:implants 1417:7920393 1346:6494560 1173:3248660 1111:4864741 987:3139793 952:3303741 944:9370029 899:4934947 752:palatal 724:Comfort 374:implant 183:on the 59:partial 38:denture 1516:Veneer 1482:Bridge 1415:  1388:  1353:  1343:  1284:  1248:  1240:  1198:  1171:  1144:  1109:  1082:  1074:  985:  950:  942:  897:  833:  530:teeth. 485:sulcus 316:plaque 269:plaque 185:cheeks 174:mucosa 92:Trauma 1541:Fixed 1499:Crown 1246:S2CID 1080:S2CID 948:S2CID 735:line. 304:crown 128:ridge 47:plate 36:full 1413:PMID 1386:PMID 1351:PMID 1329:2018 1282:PMID 1238:PMID 1196:PMID 1169:PMID 1142:PMID 1107:PMID 1072:PMID 983:PMID 940:PMID 895:PMID 864:2018 831:PMID 583:The 469:and 467:soft 360:and 189:lips 187:and 57:, a 1378:doi 1341:PMC 1333:doi 1274:doi 1228:doi 1224:207 1220:BDJ 1134:doi 1130:188 1062:hdl 1054:doi 975:doi 930:hdl 922:doi 887:doi 821:doi 788:jaw 284:An 45:or 1664:: 1407:. 1384:. 1374:29 1372:. 1349:. 1339:. 1327:. 1323:. 1294:^ 1280:. 1270:18 1268:. 1244:. 1236:. 1222:. 1218:. 1192:16 1190:. 1165:15 1163:. 1140:. 1128:. 1103:18 1101:. 1078:. 1070:. 1060:. 1050:94 1048:. 1044:. 1033:^ 995:^ 981:. 971:17 969:. 946:. 938:. 928:. 918:55 916:. 893:. 883:26 881:. 854:. 843:^ 829:. 815:. 811:. 665:A 100:, 41:, 30:A 1455:e 1448:t 1441:v 1419:. 1409:2 1392:. 1380:: 1357:. 1335:: 1288:. 1276:: 1252:. 1230:: 1202:. 1175:. 1148:. 1136:: 1113:. 1086:. 1064:: 1056:: 989:. 977:: 954:. 932:: 924:: 901:. 889:: 866:. 837:. 823:: 817:3 104:) 20:)

Index

Complete denture
denture
partial denture
dentition
partial
tooth loss
edentulous
Dental caries
Periodontal disease
Trauma
dentinogenesis imperfecta
molar incisor hypomineralisation
Parafunction
resorption
alveolar bone
ridge
extraction
edentulous
extraction
dentition
soft tissues
mucosa
Facial muscles
cheeks
lips
muscular tone
skeletal system
masticatory
prosthodontics
partial dentures

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