Successful Dentures Part II - Removable Prosthodontics

More documents

Recommendations

Info

Vertical Dimension Swallowing Vertical Dimension Average Occlusal Rim Dimensions During swallowing After swallowing Maxillary – 22 mm Mandibular – 18 mm Tooth Selection Anterior Tooth Selection Anterior Tooth Selection Anterior teeth are primarily selected to satisfy esthetic requirements Posterior teeth are primarily selected to satisfy masticatory requirements/ occlusion Anterior Tooth Selection Guides Pre-extraction records Photos, diagnostic casts, old radiographs Existing dentures Patient’s facial characteristics Patient’s gender, personality, age Arch size and shape Patient’s preferences Anterior Tooth Selection Shape Square, tapering, ovoid Size Length, width, circumference Shade
Anterior Tooth Selection Shape Anterior Tooth Selection Shape Dentogenics concept Gender Male – rugged with square teeth and bold central incisors Female – pronounced curvatures, rounded point angles Personality Vigorous or delicate – maxillary lateral varies more in size, form, and position Age Young – tapered, ovoid, rounded teeth Middle – somewhere between young/old Old – square, sharp corners Ovoid Pronounced gingivo-incisal curvature which tends to disperse light and create a softened appearance Square Tapering Rounded contours which taper towards the cervical ridge Moderate gingivo-incisal curvature Central incisor is dominant and gingivo-incisal curvature is moderate Offers maximum light deflection and creates a bold effect 50 Anterior Tooth Selection Size Anterior Tooth Selection Size Width of 6 anteriors on a curve Average 46-56 mm Wax rim & ruler •Commissure of lips represents distal surface of canine Anterior Tooth Selection Size Anterior Tooth Selection Size Major rugae of palate points to canine position Exaggerated Smile Length High smile – 11% Reveals total length of maxillary anterior teeth and a continuous band of gingiva Average smile – 69% Reveals 75-100% of maxillary anterior teeth and interproximal gingiva only Low smile – 20% Displays less than 75% of maxillary anterior teeth
Page 1 and 2: Secrets to Successful Dentures Part
Page 3 and 4: Anatomy in Relation to Complete
Page 5 and 6: Anatomy in Relation to Complete
Page 7: Mandibular Relations Vertical Dime
Page 11 and 12: Anterior Tooth Arrangement General
Page 13 and 14: General Concepts of Denture Occlusi
Page 15 and 16: Non-Anatomic Occlusion Is ‘Balanc
Page 17 and 18: Maxillary Posterior Tooth Arrangeme
Page 19 and 20: External-hex and Internal-hex Exte
Page 21 and 22: Locator Selection Locator Abutment
Page 23 and 24: Direct Pickup Direct Pickup Choose

Successful Dentures Part II - Removable Prosthodontics

Create successful ePaper yourself

Delete template?

Save as template?