Textbook of Complete Dentures

C h a p t e r 1 Introduction and Definitions Introduction Definitions C h a p t e r 2 Dental Materials for Complete Dentures Denture Base Materials Resin-Based Dentures (Heat- and Auto-Polymerized Materials) Metal-Based Dentures Denture Teeth Tooth Retention Porcelain Teeth Polymer (Plastic) Teeth Denture Liners Chairside Reline Materials Laboratory Reline Materials Denture Tissue Conditioners Denture Repair Impression Materials Alginate Hydrocolloid Polyvinyl Siloxane (PVS) and Polyether (PE) Dental Stones Types of Stones Interocclusal Registration Materials Registration Materials Dental Waxes Denture Cleansers Abrasive Cleansers Solution Cleaners: Hypochlorites, Ozygenating Agents, Mild Acids Denture Adhesives Powder-Based Products Paste-Based Products C h a p t e r 3 Anatomy of the Edentulous Ridges Extraoral Features Structures of the Facial Vestibules Alveolar (Residual) Ridges Maxillary Arch Mandibular Arch C h a p t e r 4 Diagnosis and Treatment Planning Diagnosis Medical History Present Medical Condition Dental History Clinical Extraoral Examination Intraoral Examination Mental Attitude of Patient Additional Diagnostic Information Treatment Planning Prognosis C h a p t e r 5 Pre-prosthetic Surgical Considerations Patient Evaluation and Expectations Treatment Planning Review of Flaps Commonly Used Preprosthetic Procedures Ridge Alveoloplasty with Extraction Intraseptal Alveoloplasty Edentulous Ridge Alveoloplasty Buccal Exostosis Maxillary Tuberosity Reductions Mandibular Tori Maxillary Tori Mylohyoid Ridge Reduction Genial Tubercle Reduction Soft Tissue Procedures Maxillary Soft Tissue Tuberosity Reduction Maxillary Labial Frenectomy Excision of Redundant/Hypermobile Tissue Overlying the Tuberosities Excision of Inflammatory Fibrous Hyperplasia (Epulis Fissuratum) Inflammatory Papillary Hyperplasia of the Palate Surgical Guides (Templates) C h a p t e r 6 Preliminary Impressions, Diagnostic Casts,and Custom (Final) Impression Trays Making the Preliminary Impressions Pouring the Diagnostic Casts Shaping the Diagnostic Casts Custom (Final) Impression Trays Custom Impression Tray Extensions Impression Philosophies as Related to Tray Fabrication The Selective Pressure Impression Tray and Stress-Bearing Areas Block Out and Relief Wax Fabrication of the Impression Tray C h a p t e r 7 Final Impressions and Creating the Master Casts Proper Custom Impression Tray Extension Border Molding Border Molding with Modeling Compound Border Molding the Maxillary Arch Border Molding the Mandibular Arch Preparing the Tray for the Impression Making the Final Impression Posterior Palatal Seal Area Creating the Master Cast C h a p t e r 8 Record Bases and Occlusion Rims Record Base Fabrication Occlusion Rim Fabrication C h a p t e r 9 Occlusal Concepts Posterior Occlusal Schemes Traditional Balanced Occlusion Conventional Monoplane Occlusion Balanced Occlusion or Not Why is a Balanced Occlusion Required in Patients Exhibiting a Significant Degree of Incisal Guidance? Why is a Balanced Occlusion Required in Patients with Opposing Anatomic Denture Teeth? Lingualized Occlusion Functional Inclines Factors of Protrusive Occlusion Effective Cusp Angles (ECA) Example Conclusion C h a p t e r 1 0 Maxillomandibular Records and Articulators Articulators for Complete Dentures Maxillomandibular Records Contouring the Occlusion Rims Labial/Buccal Contour Incisal Length and Esthetics Forming the Plane of Occlusion Mounting the Maxillary Cast on the Articulator Establishing the Occluding Vertical Dimension (OVD) Determining the Centric Relation Position Articulating the Mandibular Cast Completing the Maxillomandibular Records Appointment C h a p t e r 1 1 Tooth Selection Anterior Mold Selection Existing Information Record Bases and Occlusion Rims Commercial Guides Additional Guides Posterior Mold Selection Shade Selection C h a p t e r 1 2 Tooth Arrangement General Considerations for the Arrangement of the Anterior Teeth Maxillary Anterior Tooth Arrangement Mandibular Anterior Tooth Arrangement General Considerations for Posterior Tooth Arrangement Mandibular Posterior Tooth Arrangement Maxillary Posterior Tooth Arrangement C h a p t e r 1 3 Trial Insertion Appointment Evaluation of Occluding Vertical Dimension Evaluation of Centric Relation Record Eccentric Records Facial Support, Esthetics, and Phonetics Evaluation Final Evaluations C h a p t e r 1 4 Insertion Evaluating the Denture Base Evaluating Borders Correcting Occlusion Patient Remount and Selective Grinding Selective Grinding of Anatomic Teeth in a Balanced Occlusion Selective Grinding of Lingualized Balanced Occlusion Selective Grinding of Nonanatomic Teeth Stripping Method for The Occlusal Equilibrationof Nonanatomic Teeth Final Checks of The Prostheses C h a p t e r 1 5 Post Insertion Compatibility Problems with Mastication Soft Tissue Considerations Stress-Bearing Mucosa Basal-Seat Mucosa Transitional Submucosa Lining Mucosa Treatment Procedures Problems with Maxillary Denture Problems with Mandibular Denture Other Common Problems Gagging and Vomiting Burning Tongue and Palate Summary C h a p t e r 1 6 Overview of Single Dentures, Overdentures, and Immediate Dentures Single Dentures Overdentures Immediate Dentures Summary C h a p t e r 1 7 Relining Complete Dentures Impression Technique C h a p t e r 1 8 Implant Supported Complete Dentures Introduction Treatment Planning Clinical Procedures Retrofitting Existing Prostheses Bar Substructure Single Component Support New Prostheses Bar Substructure Single Component Support Clinical and Technical Procedures Preliminary Impressions Creating Diagnostic Casts Custom Impression Trays Final Impressions Creating Master Casts Record Bases and Occlusion Rims Maxillomandibular Records Tooth Selection Esthetic and Functional Trial Insertion Insertion