Professional Documents
Culture Documents
Diagnosis is the examination of the physical state, evaluation of the mental or psychological makeup and understanding the need of each patient to ensure a predictable result
Treatment planning means developing a coarse of action that comprises the ramification and sequelae of treatment to save the patent need.
Name Proper
Name
Surname
Treatment planning - general health, time and affordability Selection of teeth shape , shade , form and materials Arrangement of teeth Characterization Adaptability Clinical procedure
Treatment planning, affordability, dependency Selection of teeth shape , shade and form Arrangement of teeth Characterization dentogenic concept Physiological and psychological changes
Treatment planning dependence Selection and approval of teeth and arrangement Psychological state of the patient
Economic background and Social status Determines on oral health and esthetics Mental Attitude of the patient Formulating Treatment planning- cost , time ,characterization Appointments
The dentist should meet the mind of the patient before he meets the mouth of the patient De Van 1942
How long have you been without natural teeth. Primary reason for loss of teeth. Why do you mainly require denture.
General constitution
Medical History
Relation to denture success Precautions prior to and during treatment Avoid post treatment complications Altering Prosthodontics procedures and treatment plan Determines the dental prognosis
Diabetics
Known condition for fist time Sign and symptom Habit of sweet eating Severity of the disease condition 3P= polyphgasia, polyuria, polydispia Delayed wound healing Dryness of mouth Infection of the oral cavity Management: Blood sugar level to know the severity Medical management in case of high sugar level If under control patient motivation and councelling
Consequences of using the denture in diabetic condition Retention loosing the body weit=gth , bone resorption frequent relining Diet counciling non sugar food. Procedure must be atraumatic Appointment without altering fooding time During impression mucostatis impression material
During jaw relation- proper reduced height might cause angular chelitis Centric relation improper might cause sliding fo denture , repeating ulceration Arrrangement of the teeth mono planre of semianatomic teeth , Proper finishing and poslishing of the denture
Management
Diabeties develop after the treatment Loosenes of the denture in the morning time poly urea at night Infection denture stomatitis , canadasis Delayed wound healing due to sharp edge of the denture Resorption of the bone will be more Mucosa will be frasile burning sensation, repeated ulceration
Reduce sharp edges Relining might be needed Tissue conditioner
Highly contagious with aerosol Anti tubercular drugs xerostomia and retention might be decreased Tubercular ulceration Decrease retention with rapid weight loss Retention of denture should be proper- pps should be proper, relief of frenum
Appointment timing short appointment Medication to reduce anxiety Pre prosthetic surgery
Tonicity of the muscle/ neuromuscular control Difficult in clinical procedure Neuraligia- trigger point
Sharp edges
Mucositis Xerostomia Debleting condition Osteoradionecrosis Six month after therapy ideal / at least 3 month Radio opadue material should be removed if in the path of therapy reflection of radiation to other part causing management
Chief complaint Years of edentulous Duration of edentulous Previous dentures Existing current denture Pre extraction records Denture success
Family status
Education status
Mental status
Classification by: MM House 1937 Philosophic Exacting Hysterical Indifferent
Patient expectations
Square
Tapering
Oval
Selection of
size of the teeth
shape of the teeth.
Mesiodistal width of the anterior six teeth = 1/3 of bizygomatic width of the face
Mesiodistal width of the central incisor= 1/16 of bizygomatic width of the face
Class I
Class II
Class III
Indicates the relative size of the upper and lower jaw and vertical jaw relation. Aids in teeth arrangement
Convex profile- class II disharmony Concave profile- class III disharmony Overjet and overbite relation
Decreased/Normal/Increased
Jaw relation
VDR=VDO+ FWS
A finger should be placed in the immediate pre-auricular area, gently applying pressure on the lateral head of the condyle while the jaw is closed. The level of pain and discomfort on each side should be assessed and compared.
>35 mm in Female
Lateral >8 mm in both sexes
Deflection
Deviation
MAXILLARY
MANDIBULAR
Maxillary
Mandibular
Maxilla
I II
III
Flatter the soft palate, the broader the of the vibrating line area
Class III
Class II
Class I