Dentures

A photo showing the hands of a real prosthodontist.

Eye / Ocular Impression Procedure using Alginate as the Impression Material.
1. Position the patient in almost reclining position.
2. Attach the head cover cloth.
3. Apply vaseline on the field of operation and adjacent areas.
4. Cover the deep undercut using vaselinized gauze.
5. Paint thinly mixed alginate on the area alternately packing small square gauze to cover the alginate and so on, extending to the other eye for comparison.
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Obvious problems with the above Removable Partial Denture metal framework design are:

1. I-bar should be used on tooth 36 (free-end case).
2. Unnecessary rest on tooth 44.
3. Occlusal rest on 47 should be placed on the mesial.

Acrylic with Metal Backing Fixed Partial Denture which was installed as provisional restoration.

Impression of the Eye with Rubber Impression.

Materials

Dentsply Aquasil Automix Light Body Polyvinyl siloxane Impression Material
Dentsply Aquasil Heavy Body Polyvinyl siloxane Impression Material
Visible Light Curing Box
1 wafer Dentsply Visible Light Cured resin tray material
Boxing wax
Plaster of Paris
Type IV Die Stone
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Modeling compound stick is being used in Border Molding. This custom tray will be used in the Final Impression of the lower arch in a Complete Denture procedure.

Next generation of elderly adults are committed to high level of oral health.
They consider their teeth important for their self-image and the ability to enjoy eating.
They will be able to pay considerable amount to have missing teeth replaced by FPD rather than RPD.
Patients prefer a fixed restoration
More comfortable when chewing.
Difficulty in accommodating to major change in oral status. (From natural to RPD)
Adaptation problems.

General Treatment Considerations

No definitive prosthetic treatment should be started bfore a comprehensive treatment plan has been made.
Treatment plan is based on detailed medical and dental history and thorough clinical examination.
Treatment with fixed prostheses normally should not be carried out if oral hygiene can not be controlled.
Control of gingival inflammation, due to persistent poor oral hygiene, is crucial to successful Fixed Prosthodontic Care in older adults
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Custom Trays / Individual Trays which were fabricated using the Preliminary Cast. These Custom Trays will be used in the Final Impression Taking of completely edentulous arches.

Preliminary cast is used in fabrication of light cured custom trays. Also known as, individual tray, customized tray is used in the Final Impression of completely edentulous ridge.

Tooth Loss: Consequences of Partially Edentulous Arches

1. Supraeruption.
2. Drifting.
3. Bone resorption.
4. Rotation.
5. Cheek biting.
6. Loss of contact areas.
7. Food impaction.
8. Increase caries susceptibiliy.
9. Periodontal probles can ensue.
10. Occlusal disruption.
11. Altered facial appearance.
12. Function of speech and mastication is altered.
13. Patient well-being is compromised.
14. TMJ disorder.

You can also view the Consequences of Complete Edentulous Arches