Successful Dentures Part II - Removable Prosthodontics
Successful Dentures Part II - Removable Prosthodontics
Successful Dentures Part II - Removable Prosthodontics
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General Concepts of Denture<br />
Occlusion<br />
Occlusal Spectrum<br />
Common Features<br />
Functional anatomy is the main<br />
determinant of denture tooth<br />
position<br />
Simultaneous, bilateral posterior<br />
contact in centric relation<br />
Centralization of centric occlusal<br />
forces over the mandibular<br />
residual ridges<br />
Buccal-lingually<br />
Anterior-posteriorly<br />
Centric Relation<br />
Anatomic<br />
Balanced occlusion<br />
Lingualized<br />
Balanced occlusion<br />
Non-balanced occlusion<br />
Non-anatomic (Monoplane)<br />
Balanced occlusion<br />
Non-balanced occlusion<br />
Neutrocentric<br />
Occlusal Spectrum<br />
Lingualized<br />
(lingual contact)<br />
semianatomic<br />
nonanatomic<br />
(balancing<br />
ramp)<br />
Posterior Tooth Selection<br />
Criteria<br />
Resorbed or flabby ridges<br />
Physical condition of the patient<br />
Patients who clench or brux<br />
Previous denture occlusion<br />
Ridge relationship<br />
Immediate dentures<br />
Opposing arch<br />
anatomic<br />
nonanatomic<br />
Posterior Tooth Selection<br />
Indications<br />
Posterior Tooth Selection<br />
Indications<br />
Anatomic<br />
Non-anatomic<br />
Anatomic<br />
Non-anatomic<br />
Good residual ridges<br />
Well coordinated patient<br />
Previously successful with<br />
anatomic dentures<br />
Class I ridge relationship<br />
Denture opposes natural<br />
dentition<br />
When “Lingualized”<br />
occlusion is desired<br />
Poor residual ridges<br />
Poor neuromuscular control<br />
(Bruxers, CP, etc.)<br />
Previously successful with<br />
monoplane dentures or<br />
severely worn occlusion on<br />
previous denture<br />
Arch discrepancies<br />
Class <strong>II</strong> or <strong>II</strong>I or cross-bite<br />
Good residual ridges<br />
Poor residual ridges<br />
Immediate dentures<br />
Except when opposing natural<br />
dentition<br />
Potential poor follow-up
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