Case Guides to Complete and Partial Denture Prosthodontics

Description:

Case-based dentistry resource details the art of crafting basic to complex dental prosthodontics

Case Guides to Complete and Partial Denture Prosthodontics by prosthodontist and educator Robin Wilding is designed to take dental students on a progressive journey through a sequence of case guides that are based on actual patient scenarios. This comprehensive resource presents clinical challenges in stepwise increments, starting with a one-tooth partial denture and concluding with an implant-supported mandibular overdentures. By mastering less complicated prosthetics first, students are able to gain the necessary skills and confidence to manage more advanced cases.

Key Highlights

Eleven clinical scenarios reflect those a student or general dentist will likely encounter in daily practice

Basic science content offered in separate appendices provides relevant scientific background for each case, while keeping the focus on clinical skills

Highly-rated appendices cover practice management topics, including patient FAQs

Videos provide step-by-step guidance on performing specific procedures, from duplicating and placing a denture to solving the problems of an unstable mandibular complete denture

This guide is an essential learning resource for dental students and an excellent teaching tool for dental school instructors.

Table of Contents:

Part I: Case Guides

Case Guide 1 The Acrylic-Based RPD Replacing Anterior Teeth

1.1 Assessment of Patient Needs, Examination, and Informed Consent

1.1.1 Patient Assessment

1.1.2 Patient Examination

1.1.3 Informed Consent

1.2 Making Preliminary Impression for Study Casts

1.3 Planning the RPD

1.4 Making the RPD Final Impressions

1.5 Selecting a Tooth Shade

1.6 Writing a Laboratory Request

1.7 Assessing the Trial RPD

1.8 Placement of the Acrylic-Based RPD

1.9 Immediate Replacement Dentures

Case Guide 2 The Acrylic-Based RPD Replacing Posterior Teeth

2.1 Assessment of Patient Needs, Examination, and Informed Consent

2.2 Making Preliminary Impressions of the Edentulous Ridge and Natural Dentition

2.3 Planning the RPD

2.4 Making the Final Impressions

2.5 Making a Jaw Registration

2.6 Assessing the Trial Denture

2.7 Denture Placement

Case Guide 3 Duplicating an Existing Complete Denture

3.1 Diagnosis and Evaluation of Complete Dentures

3.1.1 History

3.1.2 Denture Examination

3.1.3 Patient Examination

3.1.4 Treatment Planning

3.2 Making Impressions to Duplicate a Denture

3.2.1 Laboratory Request

3.3 Protocol for Assessing a Complete Trial Denture

3.4 Using a Denture as an Individualized Tray

3.5 Making an Interocclusal Record

3.5.1 Laboratory Request

3.6 Placement of the Finished Denture

Case Guide 4 Complete Maxillary and Mandibular Dentures

4.1 Diagnosis and Evaluation of Complete Dentures

4.2 Use of Edentulous Stock Trays and Wax Stops

4.3 Making Final Impressions Using Individualized Trays

4.4 Constructing Occlusal Rims

4.5 Modifying Occlusal Rims

4.6 Making the Jaw Registration

4.7 Assessing the Trial Denture

Case Guide 5 The Single Complete Denture Opposed by a Natural Dentition

5.1 Making a Jaw Registration for the Single Denture

5.2 Making a Face Bow Record

5.3 Making a Protrusive Jaw Registration

Case Guide 6 Metal Framework Support for an RPD

6.1 Case Selection Criteria for RPD on Metal Framework

6.2 Principles of Metal Framework Design

6.3 Drawing a Design for a Metal Framework

6.4 Trying in and Adjusting the Metal Framework

Case Guide 7 Special Needs of the Elderly Denture Patient

7.1 The Special Needs of Elderly Patients

7.2 Managing the Expectations of Relatives

7.3 Repairing, Relining, and Rebasing Dentures

7.3.1 Denture Repair

7.3.2 Chairside Reline

7.3.3 Laboratory Reline and Rebase

7.4 Diagnosis of Denture Pain

7.5 Management of Denture Pain

7.5.1 Consent

7.5.2 Clinical Procedures

7.5.3 Advice

7.6 Chronic Mucosal Lesions

7.6.1 Fibrous Epulis

7.6.2 Denture Stomatitis

7.6.3 Burning Mouth Syndrome

Case Guide 8 The Alveolar Ridge with Advanced Resorption

8.1 Impression Techniques for the Resorbed Ridge

8.2 Balanced Occlusion and the Resorbed Ridge

8.3 Posterior Tooth Forms for the Resorbed Ridge

Case Guide 9 Complete Dentures with Arch Size Discrepancy

9.1 Recognizing Class II and Class III Skeletal Relationships

9.2 Making the Jaw Registration for Class II Cases

9.3 Making the Jaw Registration for Class III Cases

Case Guide 10 Capturing the Essence of a Natural Smile

10.1 Key Properties of Aesthetic Tooth Arrangements

10.2 The Value of Pre-extraction Records

10.3 Immediate Dentures

10.4 Adjusting the Teeth of a Trial Denture

10.5 Achieving Patient and Family Approval

Case Guide 11 Implant-Supported Mandibular Overdentures

11.1 Treatment Planning for Implant Overdentures

11.2 Attaching the Denture to Implant Abutments

Part II: Appendices

Appendix A

A.1 The Psychology of Tooth Loss

A.2 The Biological Price of Partial Dentures

A.3 Informed Consent

A.4 Management of Undercut

A.5 Dental Materials Summaries

A.5.1 Alginate Impression Materials

A.5.2 Dental Plaster

A.5.3 Dental Stone

A.5.4 Elastomeric Impression Materials

A.5.5 Acrylic Denture Base

A.5.6 Nylon Denture Base

A.5.7 Acrylic Denture Teeth

A.5.8 Color in Denture Teeth

A.5.9 Denture Fixatives

A.6 Cleaning Dentures

A.7 Resin Bonded Bridge

Appendix B

B.1 Impact of RPDs on Chewing Function

B.2 Anatomy of the Residual Alveolar Ridge

B.2.1 Mucosal Types

B.2.2 Clinical Features

B.3 Tooth-Supported RPDs

B.4 Retention of RPDs

B.5 The Physical Properties of Clasp Materials

B.5.1 Stainless Steel

B.5.2 Gold Wire

B.5.3 Fiber Reinforced Composite

B.5.4 Cast Cobalt-Chrome Clasps

B.6 Adding Occlusal Units Which Conform to Existing Tooth Contacts

B.7 Principles of Static Occlusion

B.7.1 Arch and Tooth Relationships

B.8 Centric Occlusion and Centric Relation

Appendix C

C.1 Retention and Stability in Complete Dentures

C.1.1 Denture Retention

C.1.2 Denture Stability

C.2 The Materials and Occlusal Patterns of Acrylic Denture Teeth

C.3 Laboratory Changes during Denture Processing

C.4 Properties of Occlusal Indicators

Appendix D

D.1 Troubleshooting Denture Complaints

D.1.1 Complaints of Denture Looseness

D.1.2 Complaints of Poor Chewing Ability

D.1.3 Complaints of Painful Dentures

D.1.4 Complaints of Poor Appearance

D.2 Using the Residual Ridges as Guides to Setting Denture Teeth

D.2.1 Anterior Tooth Position

D.2.2 Posterior Teeth

D.3 Restoring Centric Occlusion in Centric Relation

Appendix E

E.1 Tooth Contacts during Function

E.2 The Clinical Limitations of Not Using a Face Bow

E.3 Semiadjustable Articulators

E.4 Avoiding Interference in Lateral Excursions

E.5 Avoiding Interference in Protrusive Excursions

E.6 Setting the Condylar Guide Angles

Appendix F

F.1 Clasp Design and Undercut Zones

F.2 Major Connectors

F.3 Design and Tissue Preservation

F.4 RPD Attachments

Appendix G

G.1 Denture Repair

G.2 Interim Resilient Reline Materials

G.3 Semipermanent Resilient Reline Materials

G.4 The Susceptibility of Oral Mucosa to Denture Pain

G.4.1 Variation in Type and Resilience

G.4.2 Reduced Area of Support for Functional Forces

G.4.3 The Vascular Supply of the Residual Oral Mucosa

G.4.4 Response of the Oral Mucosa to Loading

Appendix H

H.1 Tissue-Displacing Impression Techniques

H.2 Occlusion Designed to Achieve Denture Stability

H.2.1 Occlusal Curves in the Natural Dentition

H.2.2 Occlusal Curves in Dentures

H.2.3 Posterior Teeth with Reduced Cusp Angles

Appendix I

I.1 The Neutral Zone Concept

I.2 Characteristics of the Class II Dentition

I.3 Characteristics of the Class III Dentition

Appendix J

J.1 The Emotional Importance of Teeth

J.2 How Important Is Denture Aesthetics?

J.3 Reestablishing the Patient’s Body Image

Appendix K

K.1 Implant-Supported Overdentures and the Standard of Care

K.2 Response of Bone to Dentures and Implants

Appendix L Management of the Denture Patient

L.1 Booking Appointments

L.2 Payment Planning

L.3 Patient Information

L.4 Building Patient Confidence

L.5 The Patient with Difficulties

L.6 The Difficult Patient

Your New Dentures: Frequently Asked Questions

Index