CASE ANALYSIS AND DIAGNOSTIC

DATA FOR COMPLETE DENTURE

PATIENT DATA

Name

Date

Age

Occupation

Address
Opd no.
Personality: Philosophic----; Exacting----; Hysterical----; Indifferent---Chief complaint

Medical history
Have you ever had any of the following:
1. Heart disease
2. Tuberculosis
3. Epilepsy
4. Diabetes
5. Anaemia
6. High blood pressure
7. Burning tongue
8. Reaction to anaesthetics
9. Asthma
10. Prolonged bleeding

11. Radiotherapy
12. Arthritis

Dental history:Extraction history:Maxillary:

Periodontal/caries/both
Duration:

Mandibular:

Periodontal/caries/both

Duration:

Earlier denture experience:

None
Good
Poor
Age of present denture
Duration of edentulism
Type of denture: U/L complete-----; only upper-----; only lower---Immediate denture
Denture worn: Constantly-----; Intermittently-----; Day only-----;
Rarely-----

Tooth material: Resin-----; Porcelain----Tooth form: cusped-----; cuspless----Denture base material: Resin-----; Others----Interocclusal space: Adequate-----; Inadequate----Occlusion: correct-----; incorrect----Expectations:
1. Understands limitations: --------2. Function:

----------

3. Esthetics:

----------

CLINICAL EVALUATION
A) Facial form
Frontal (House and loop): square, tapering, square tapering, ovoid
Profile (Angle): class I------; class II------; class III-----B) Complexion
Skin colour : ---------------; eye colour:-----------C) Lip
Contour: Adequately supported/Unsupported
Maxilla----------------------Mandible-------------------Vermilion border: visible/not visible
Maxilla-----------------

Mandible-------------Mobility: Normal_____ Reduced______

Length: Long-------------; Normal---------; Short-----------D) TMJ

comfort-----------

crepitus------------ clicking------------

Smoothness----------- locking-------------- deviation---------Protrusive------------- lateral

E) Neuromuscular evaluation
Co-ordination
Class I (excellent)
Class II (fair)
Class III (poor)
Speech:

Normal------------; Affected------------

F) Oral cavity
1) Arch size: Maxilla-------------; Mandible----------(Large) (Medium) (small)
2) Arch form: Maxilla-----------; Mandible----------(Square) (Tapering) (Ovoid)
3) Ridge form:
Maxillary: Class I--------; square to gently round
Class II-------; tapering V shaped

Class III------; flat

Mandibular: Class I--------; inverted U shaped, parallel walls from
Medium to tall with broad crest
Class II-------; inverted U shaped with flat rest
Class III------; unfavorable, inverted W short inverted V
4) Defects: Tori: Palatinus_________; Mandibularis_____________;
Undercuts
Bone
Soft tissue
5) Interarch space
Class I______ Class II_______ Class III_______
Ideal

Excessive

Insufficient

6) Ridge parallelism
Class I______ Parallel
Class II______ Mandibular diverted anteriorly
Class III______ Maxilla diverted anteriorly
7) Ridge relationship
Class I______ Class II_______ Class III_______
Ideal

Retrognathic

Prognathic

8) Hard palate:
High vault______ medium vault_______ low vault_______

9) Soft palate (M M House classification)

Class I______ Class II_______ Class III_______
Horizontal 45o

70o to vertical

10) Vestibular depth:

Maxilla

Adequate_________Inadequate________

Mandible Adequate_________Inadequate________
11) Mucosa:
Maxillary: 1 2 3
Mandibular: 1 2 3
1) Clinically normal, no signs of inflammation
2) Irritated
3) Pathologic
12) Frenum attachment (House)
Class I- High in maxilla and low in mandible
Class II- Medium
Class III- At crest
13) Tuberosity: Favourable
Unfavourable
14) Lateral throat form (Neil)
Class 1- Deep

Class II- Normal

Class III- Shallow
15) Saliva:
Class I: Normal quantity and quality
Class II: Excessive, more mucous
Class III: Xerostomia
16) Tongue
a) Size (House)
Class I______:Normal in size, development and function
Class II_____:Teeth absent from long enough to permit change in
form and function of tongue
Class III____: Excessively large
b) Position (Wright)
class I

Tongue fills the floor of the mouth and rests on the

occlusal surfaces of posterior teeth and apex rests
on the incisal edges of anterior teeth.

Class II Retracted. The floor of the mouth pulled downward is exposed

back to the molar area. Lateral borders are raised above the occlusal
plane and apex is pulled down into the floor of the mouth.
Class III Retracted. The tongue is very tense and pulled backward and
upward. The apex is pulled back into the body of the tongue and almost
disappears.

STUDY CAST ANALYSIS:

Upper

Lower

RADIOGRAPHIC ASSESMENT:
SURGICAL PROCEDURE NECESSARY:
Bone
Alveoloplasty

Area

Exostosis

Area

Soft tissue

Area

PROGNOSIS:Favourable

Unfavourable

TREATMENT PLANNING:-