Complete Denture Introduction

Key Terms

Complete Denture Base plate Bite rim Border molding Centric occlusion Denture base

Muscle trimming Overdenture Vertical dimension

Complete Denture: a removable dental prosthesis that replaces all of the natural teeth in the maxillary or mandibular dental arch. The denture is usually made of methyl methacrylate and is completely supported by the mouth tissues. Baseplate (Record Base): The portion of an artificial denture in contact with the jaw. A temporary form representing the base of a denture and used to help establish jaw relationships and the arrangement of teeth. Bite rim: a border constructed on temporary or permanent denture bases in order to record the maxillomandibular relation and for positioning of the teeth.

Border molding: the shaping of an impression material by the manipulation or action of the tissues to determine the denture border position.
centric occlusion: that in the vertical and horizontal position of the mandible in which the cusps of the mandibular and maxillary teeth interdigitate maximally. denture base: the material in which the teeth of a denture are set and which rests on the supporting tissues when the denture is in place in the mouth.

Border molding (muscle trimming): the shaping of an impression material by the manipulation or action of the tissues to determine the denture border position.
Over [lay] Denture: a complete denture supported both by soft tissue (mucosa) and by a few remaining natural teeth that have been altered, as by insertion of a long or short coping, to permit the denture to fit over them. Vertical Dimension: a vertical measurement of the face between any two arbitrarily selected points that are conveniently located one above and one below the oral cavity, usually in the midline.

Centric Jaw Relation: the relation of the mandible to the maxillae when the condyles are in their most posterosuperior unstrained positions in the glenoid fossae, from which lateral movements can be made at the occluding vertical relation normal for the individual. Centric relation is a relation that can exist at any degree of jaw separation.
Occlusal Relationship: the individual and collective relationships of the mandibular teeth to the maxillary teeth and the relationship of the adjacent teeth in the same dental arch.

Removable Complete Denture

Edentulous patient Denture supported by alveolar bone and oral mucosa

Indications for a Complete Denture

Extensive Lack of bone loss and motivation or periodontal ability to disease maintain teeth Edentulous patient Patient refused partial dentures Gross decay or abscesses

Lack of financial resources for alternative treatments

Indications for a Complete Denture

Denture base

Non-anatomical teeth
Complete denture Anatomical teeth

Saddle

Flange

Appointments for a Complete

Denture

Examination

Jaw relationship

Consultation
Oral surgery Final impressions

Denture delivery
First follow-up

Adjustments

Incisive Papilla
Tuberosity

Final Impressions

Impression compound Border molding Muscle trimming

Construction of Complete Dentures

Baseplate

Represents denture base Simulates space provided by height of teeth Occlusal relationship

Bite rim

Vertical dimension

Jaw Relationship Set-up

Baseplates and bite rims Centric occlusion

Retrusion Protrusion Lateral movement

Vertical dimension Shade Mold

Try-in Appointment

Denture teeth mounted in wax Evaluate

Esthetics Retention Comfort Speech articulation

Delivery Appointment

Immediate dentures

Extractions and alveoplasty

Evaluation Adjustments Instructions

Insertion and removal Daily maintenance

Denture Relines, Adjustments, and Repairs

Assessment Questions
What does the bite rim simulate? Vertical dimension, or the height of the teeth. What is the term for not having any teeth? Edentulous. What happens to the bone following tooth extractions? The bone will shrink and resorb.

Prosthodontic Treatment For Edentulous Patients

George A. Zarb

Chapter 2 Chapter 13 Chapter 14