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Denture Fabrication - Start to Finish
PATRICIO C LARRAGOITE DDSCOCHITI PUEBLO DENTAL PROGRAMS
CLASSIC STEPS
• Initial examination, diagnosis, alginate impressions and photos
• Custom Tray Fabrication• Border Molding and Final Impression w/ custom trays:• Wax Rim Fabrication • Wax Rim Appointment - Maxillomandibular Records• Setting Denture Teeth• Esthetic Try in of Denture teeth• Processing of Denture• Delivery• Followup
THE NON CLASSIC
• Initial examination, diagnosis, alginate impressions and photos
• Wax Rim Appointment - Maxillomandibular Records VD Vertical Dimension Maxillary Post Dam
• Esthetic Try in of Denture teeth\Wax Try In• Muscle mold functional • MASTER Impression• Processing of Denture• Delivery• Follow-up
homson Delmar Learning. ALL RIGHTS RESERVED. 7
Part B: Removable Complete Denture
• Edentulous patient
• Denture supported by alveolar bone and oral mucosa
Indications for a Complete Denture
Lack of financial resources for
alternative treatments
Patient refused partial dentures
Edentulous patient
Gross decay or abscesses
Lack of motivation or
ability to maintain teeth
Extensive bone loss and
periodontal disease
Components of a Complete Denture
Anatomicalteeth Flange
Saddle
Denturebase
Completedenture
Final Impressions
Impression compoundBorder moldingMuscle trimming
Construction of Complete DenturesBaseplate
Represents denture base
Bite rimSimulates space provided by height of teeth
Vertical dimensionOcclusal relationship
Try In Appointment
Denture teeth mounted in waxEvaluate
EstheticsRetentionComfortSpeech articulation
Followup
• 24 hours appointment - Patient wears the denture for 24 hours
• 1. Check Occlusion Intraorally for any shifting of the denture (occlusal discrepancies/deflective contacts)
• 2. Check intaglio surface with Pressure Indicating Paste.
• 3. Check "painful" mucosal areas and relieve.• 4. Reinforce Hygiene (clean with dish soap and a
denture brush)
FOLLOWUP SYNOPSIS
• 72 hours• 1 week• 1 month
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