1 Assessment of Edentulous Patients
Introduction
The Patient Interview
Patient Interview: Age
Patient Interview: Attitude
Patient Interview: Expectations
Patient Interview: Chief Complaint
Patient Interview: General Health
Patient Interview: Complete Denture Experience
Patient Interview: Denture Remake Frequency
Patient Interview: Patient Satisfaction
Patient Interview: Photographs, Diagnostic Casts, and Radiographs
The Facial Analysis
Facial Analysis: Facial Tissue Tone
Facial Analysis: Tooth and Denture Base Display
Facial Analysis: Midlines
Facial Analysis: Lip Mobility
Facial Analysis: Lip Dimension
Prosthetic Factors
Prosthetic Factors: Vertical Dimensions
Prosthetic Factors: Existing Dentures
Prosthetic Factors: Skeletal Relationship
Prosthetic Factors: Saliva
Prosthetic Factors: Oral Tolerance
Prosthetic Factors: Temporomandibular Joints
Prosthetic Factors: Oral Cancer Review
Oral Characteristics
Oral Characteristics: Palatal Throat Form
Oral Characteristics: Arch Size
Oral Characteristics: Maxillary Ridge Height
Oral Characteristics: The Palate
Oral Characteristics: Maxillary Ridge Contour
Oral Characteristics: The Maxillary Denture Foundation
Oral Characteristics: Mandibular Ridge Height
Oral Characteristics: Mandibular Ridge Contour
Oral Characteristics: Mandibular Muscle Attachments
Oral Characteristics: Mandibular Denture Foundation
Oral Characteristics: Maxillary Tuberosity Curve
Oral Characteristics: Vestibule
Oral Characteristics: Frenula Attachments
Oral Characteristics: Pterygomandibular Raphe
Oral Characteristics: Denture Bearing Soft Tissues
Oral Characteristics: Retromolar Pads
Oral Characteristics: Maxillary Ridge Crest to Resting Lip Length (Esthetic Space)
Oral Characteristics: Mandibular Ridge Crest to Resting Lip Length (Esthetic Space)
Oral Characteristics: Maximal Oral Opening
Oral Characteristics: Retromylohyoid Space
Oral Characteristics: Tongue Size
Oral Characteristics: Tongue Position
Oral Characteristics: The Neutral Zone
Summary
References
2 Orthopedic Resolution of Mandibular Posture
Introduction
Conditioning Abused Tissues and Stabilizing the Existing Prosthesis
Materials Properties and Technique
Technique
Re-establishing Orthopedic Mandibular Position
Summary
References
3 Definitive Impressions
Preimpression Considerations
Background
Impression Fundamentals
Impression Materials
Edentulous Impression Trays
Technique for Making Single Appointment Definitive Impressions for Conventional Complete Dentures
Tray Selection and Tray Adaptation
Fabrication of Tray Stops
Border Molding the Impression Tray
Final (Definitive) Impression
Techniques for Making Single Appointment Definitive Impressions for Implant-Assisted Complete Dentures and Immediate Dentures
Attachment Selection
Implant-Retained Overdentures
Tray Selection
Impression Technique
Implant-Retained and Supported Overdentures
Immediate Dentures
Master Cast Production
Summary
References
4 Fabricating Record Bases, Occlusal Rims, and Mounting a Central Bearing Device
Introduction
Fabrication of Record Base and Occlusal Rims
Fabrication of Maxillary Wax Occlusal Rim
Fabrication of Neutral Zone Mandibular Occlusal Rim
Technique
Jaw Recorder Device (Central Bearing Device)
Jaw Recorder Device Assembly
Mounting the Jaw Recorder Device on Record Bases
Mounting of the Jaw Recorder for Implant Overdentures
Mounting the Jaw Recorder Device on Partially Edentulous Arches
Procedure
Summary
References
5 Developing an Esthetic Blueprint
Introduction
Contouring and Shaping the Maxillary Occlusal Rim
Summary
References
6 Registering the Maxillo-Mandibular Jaw Relationship
Introduction
Facebow Recording
Centric Relation Recording for the Edentulous Patient
Centric Relation Recording for the Partially Dentate Patient
Summary
References
7 Neutral-Zone Registration
Introduction
Recording the Physiologic Neutral Zone for Edentulous Patients
Technique
Recording the Physiologic Neutral Zone for a Dentate Patient
Technique
Summary
References
8 Second Laboratory Procedure: Selection and Arrangement of Prosthetic Teeth
Introduction
Indexing the Esthetic Blueprint Record
Indexing the Neutral Zone Record
Selection of Anterior Teeth
Maxillary Anterior Teeth Arrangement
Mandibular Anterior Teeth Arrangement
Selection of Posterior Teeth
Mandibular Posterior Teeth Arrangement
Maxillary Posterior Tooth Arrangement
Tooth Selection and Arrangement for the Partially Edentulous Patient
Summary
References
9 Trial Placement Appointment
Trial Placement
Evaluation of Esthetics
Evaluation of Phonetics
Evaluation of Occlusal Vertical Dimension (OVD)
Evaluation of Centric Contact Position
External Impressions
Technique
Summary
References
10 Denture Placement
Introduction
Placement of Immediate Dentures
Placement Procedures
Evaluation and Adjustment of Intaglio Surface
Technique
Evaluation and Adjustment of Denture Borders
Evaluating the Cameo Surface
Occlusal Evaluation and Correction
Subtractive Correction Technique
Additive Correction Technique
Patient Education and Instructions
Technique for Adhesive Application
Technique for Adhesive Removal
Home Care Instructions for Denture Patients
Postplacement Problems with New Dentures
Retention Problems
Soreness
Sore Throat
Speech Problems
Gagging
Summary
References
11 Use of CAD/CAM Technology for Recording and Fabricating Neutral-Zone Dentures
Introduction
Registering the Neutral Zone during Impression Making
Technique
Registering the Neutral Zone during Maxillo-Mandibular Records
Technique
Registering the Neutral Zone during the Trial Placement
Technique
Summary
References