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RPD Manual 11 - Removable Prosthodontics - Dalhousie University

RPD Manual 11 - Removable Prosthodontics - Dalhousie University

RPD Manual 11 - Removable Prosthodontics - Dalhousie University

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Anatomy Tour - 7<br />

RESIDUAL RIDGES (Identify on casts, and corresponding portions of dentures)<br />

If ridges are severely resorbed, inform the patient, so they know denture fabrication and retention<br />

will be difficult.<br />

! Maxillary<br />

! Mandibular<br />

VESTIBULES (Identify on casts and corresponding portions of dentures)<br />

If vestibules are short, inform the patient, so they know denture fabrication and retention will be<br />

difficult.<br />

! Maxillary Buccal<br />

! Mandibular Buccal<br />

! Mandibular Lingual<br />

MAXILLA:<br />

! Maxillary Tuberosities<br />

These will be more easily observed in edentulous patients (identify, then see casts)<br />

What influence will these structures have on dentures:<br />

a) if they are oversized?<br />

b) if they are severely resorbed?<br />

c) if they are severely undercut? i.<br />

ii.<br />

! Incisive Papilla<br />

Important landmark for setting of teeth (midline of papilla to labial of incisor !10mm)<br />

On a partner, note the position and size of the papilla in relation to the teeth:<br />

a. How far anterior to the incisive papilla are the central incisors? ____________mm<br />

b. What is the mediolateral relation of the incisive papilla to the midline of the maxillary<br />

teeth ___________________________________<br />

! “Hamular” Notch<br />

The posterior border of a complete denture and some partial dentures must pass through<br />

this notch, between the bony tuberosity and hamulus. Denture border must terminate<br />

on “soft displaceable tissue”, to provide comfort and retention. In some patients the<br />

notch is posterior to where the depression in the soft tissue appears.<br />

! Use the head of your mirror to palpate the notch & mark with an indelible marker.<br />

! Posterior Border of the Hard Palate<br />

- What significance is this border for maxillary complete and partial dentures?<br />

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