Complete Dentures - From Planning to Problem Solving by Allen, P. Finbarr -- Read -- Imperial Library of Trantor

Index

Cover Title Page Copyright Page Table of Contents Foreword Editor’s Foreword Preface Chapter 1: Countdown to Edentulousness: Managing the Transition Successfully

Aim Outcome Introduction Adult Dental Health Trends Edentulous Maxilla Opposing Partially Dentate Mandible The Dentition With a Poor Prognosis – Stages in the Transition To Edentulousness

Terminal dentition – caries and periodontal disease Terminal dentition – pathological tooth wear Complete immediate replacement dentures

Key Clinical Points Conclusions

Chapter 2: Assessment of the Edentulous Patient

Aim Outcome Consequences of Edentulousness Planning New Complete Dentures Assessment of the Patient Examination of the Patient

Extraoral examination Intraoral examination Dentures in situ Dentures – external assessment

Formulation of the Treatment Plan Preliminary Treatment

Conclusions

Chapter 3: Impression Procedures for Complete Dentures

Aim Outcome Impression Theory Anatomy of the Denture-bearing Area: Primary Impressions

Disinfection procedures

Common Faults With Primary Impressions Prescription for Special (Customised Impression) Trays Final Impression Techniques Special Impression Techniques

Unemployed ridge Flabby maxillary ridge

Tips for Impression Making – Summary Conclusions Reference

Chapter 4: Registration of the Jaw Relationship

Aim Outcome Prescription of Occlusal Rims Terminology Technique Choosing an Articulator for Complete Denture Construction Tips for Registration of the Jaw Relationship – Summary Conclusions Reference

Chapter 5: Aesthetic Considerations for Edentulous Patients

Aim Outcome Introduction Size of the Teeth Shade of the Teeth Position of the Teeth Arrangement of the Teeth Material of the Teeth The Gingival Contour Should All Complete Dentures be Class 1? Conclusions

Chapter 6: Developing Occlusal Schemes for Complete Dentures

Aim Outcome Occlusal Schemes – Why Bother? What Factors Influence Occlusion? Types of Occlusal Scheme Posterior teeth – cuspal inclination Posterior teeth – materials Conclusions

Chapter 7: From Trial Dentures to Delivery

Aim Outcome Assessment of the Trial Dentures

Appearance Tooth position Occlusion Freeway space Phonetics

Delivery of Complete Dentures

Checks on return from laboratory Final checks Post-insertion instructions

Key Clinical Points Conclusions

Chapter 8: Review Visit: Problem Solving

Aim Outcome The Review Visit

Pain/discomfort Looseness of one or both dentures Speech problems Unsatisfactory appearance Chewing problems

To Reline or Rebase?

The reline procedure The rebase procedure

Conclusions

Chapter 9: Building On Success with Copy Dentures

Aim Outcome Introduction Copy Technique – Rationale Procedure

Recording the impressions of the dentures Producing the replicas Trial denture stage Definitive impression procedures

Modified Copy Technique Indications Drawbacks Conclusions

Aim Outcome Introduction Fixed Implant Prostheses Removable Implant Overdentures Complete Replacement Dentures or Implants?

What are the patient’s concerns? Are implants feasible? Should implants be placed in one or both jaws? Fixed or removable prosthesis

When is it Appropriate to Refer? Conclusions Further Reading