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

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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