Professional Documents
Culture Documents
Mahmoud Ramadan I
Rem. Prosthodontics
502
Dr. Mahmoud Ramadan II
Immediate Denture
-:Indication*
To avoid loss of appearance& function for the short time between
.extraction of teeth& fitting of denture
-:Advantages*
.maintenance of appearance-1
.minimise the interference with speech-2
.excellent psychological effect upon the patient-3
.maintain adequately the important vertical& horizontal relation ship-4
.possibility of development of abnormal mandibular movement ↓-5
preservation of vertical dimension, prevent muscle of mastication from-6
.losing tone& Shortening and the ligaments from being stretched
.prevent possible movement of remaining natural teeth-7
.(control post extraction hemorrhage (stents -8
.controlling effect upon the resorption of the alveolar process-9
-:Disadvantages*
.can't retain fit for a longer than few weeks-1
Relining or remaking is usually twice during period of alveolar-2
.resorption
-:Classification*
.Socketed or Flanged immediate dentures-1
N.B. upper denture may be Socketed or with partial or full extension
.labial flange
.Partial or Complete immediate dentures-2
-:Advantages*
.position of anterior teeth may be exactly duplicated-1
.Apperance of denture is natural-2
.Presence of labial undercut doesn't complicate denture insertion-3
.Difficult in obtaining correct amount of cast trimming is avoiding-4
Necessity for providing the surgeon with a resien base of the trimmed-5
.area is avoided
-:Disadvantage*
.absence of labial flange ↓ retention& stability-1
.recession of the gums may expose the necks of the artificial teeth-2
.healing& conservation of ridge than with labial flange ↓-3
gum margins& sockets must be preserved without injury at time of-4
.extraction
.unexpected difficulty during extraction make the method uncertain-5
-:Technique*
-:At the Clinic →
.perform scaling& extract any remaining roots-1
.make alginate impression of upper& lower casts-2
.record the shade of extracted teeth-3
.make inter-occlusal record to mount the casts-4
-:Advantages*
.retention& resistance to antero-posterior movement of the denture-1
.providing lip support-2
.allow freedom in changing position of anterior teeth-3
.protection of the healing sockets-4
-:Disadvantages*
.Thickness of the flange limits the length of artificial teeth-1
Difficulity in insertion& removal if the flange engages a deep labial-2
.undercut
.Accomodation of the relieved labial flange is difficult-3
.The ridge needs surgical trimming to reduce the labial undercut-4
Dr. Mahmoud Ramadan V
Technique:- It includes *
following the insertion of the upper plate by several weeks, the lower(11
teeth are reproduced on complete lower plate by the same technique&
.inserted in the mouth
-:Alternative Technique ♥
Dr. Mahmoud Ramadan VIII
-:Technique*
.Extract upper& lower posterior teeth-1
.Allow healing period for 6 – 8 weeks-2
.Make upper& lower alginate impression and pour in stone plaster-3
.Make posterior record bases& wax rims-4
.Record centric Maxillo-mandibular relation& mount on articulator-5
A distal extension temporary partial denture is processed& delivered to-6
(the pt.(Allow one or two weeks for accommodation to partial denture
Make a corrective impression for the partial denture. Check& reinsert-7
.and make an over all impression in alginate stock tray
The partial denture will come out as a part of the whole impression.-8
.Pour in stone plaster
Mount the cast with the upper denture on an articulator with the cast-9
.of the opposite arch
.Break the upper& lower anterior teeth on the casts-10
Do sockets or trim ridge to receive flanges, If trimming is extensive-11
.duplicate the trimmed cast to make the transparent acrylic template
Set artificial anterior teeth& wax up teeth with the temporary partial-12
.denture. Process, finish& polish
.Extract remaining anterior teeth& Insert the complete denture-13
-:Technique *
after recording the shade of the natural teeth, an alginate impression of-1
.the teeth to be extracted is taken
Any of these teeth have cavities should be filled with temporary filling-2
.or wax to restore contour before taking the impression
there is no need for the impression to extend too much beyond the-3
.cervical margins of teeth
.Teeth impression are cast immediately in molten wax-4
Dr. Mahmoud Ramadan IX