INTRODUCTION

PREPARATION OF MOUTH IS FUNDAMENTAL TO A

SUCCESSFUL RPD SERVICE MUST BE ACCOMPLISHED BEFORE THE IMPESSION PROCEDURES ,THAT WILL PRODUCE THE MASTER CAST GENERAL MOUTH PREPARATION INCLUDES 1. ORAL SURGICAL PROCEDURE 2. CONDITIONING OF ABUSED & IRRITATED TISSUE 3. PERIODONTAL PREPARATION 4. PREPARATION OF ABUTMENT TEETH

ORAL SURGICAL PREPARATION

SHOULD BE DONE 3-6 MONTHS BEFORE , TO

ALLOW ADEQUATE HEALING

VARIOUS OS PREPARATIONS INCLUDE

1.EXTRACTION
TEETH THAT ARE NON STRATEGIC & THAT WOULD

PRESENT COMPLICATIONS OR DETRIMENTAL TO THE DESIGN OF RPD SHOULD BE EXTRACTED 2.REMOVAL OF RESIDUAL ROOT ALL RETAINED ROOTS OR FRAGMENTS SHOULD BE REMOVED

 RESIDUAL ROOTS ADJACENT TO ABUTMENT

TEETH MAY CONTRIBUTE TO PERIODONTAL POCKETS 3.IMPACTED TEETH ALL IMPACTED TEETH INCLUDING THOSE IN THE EDENTULOUS AREAS & THOSE ADJACENT TO ABUTMENTMENT TEETH SHOULD BE REMOVED ASYMPTOMATIC IMPACTED TEETH IN ELDERLY THAT ARE COVERED WITH BONE SHOULD BE LEFT TO PRESERVE THE ARCH MORPHOLOGY 4. MALPOSED TEETH IF PROPER ANCHORAGE IS NOT PRESENT TO CARRY OUT ORTHO TREATMENT THEN INDIVIDUAL TEETH OR GROUP OF TEETH & THEIR SUPPORTING ALVEOLAR BONE CAN BE SURGICALLY REPOSITIONED

 5. CYST & ODONTOGENIC TUMOR RESOLUTION OF SUCH PATHOLOGIES SHOULD

BE CARRIED OUT AFTERCONFORMATION BY A PATHOLOGIST

6. EXOSTOSES & TORI ALTHOUGHMODIFICATION OF RPD CAN AT

TIMES ACCOMMODATE FOR EXOSTOSES.BUT MORE FREQUENTLY THIS RESULTS IN ADDITIONAL STRESS TO THESUPPORTING ELEMENTS & COMPROMISED FUNCTION
7. MUSCLE ATTACHMENT & FRENA MYLOHYOID,BUCCINATOR,MENTALIS &

GENNIOGLOSSUS MOST LIKELY TO INTRODUCE PROBLEMS

 APPROPRIATE RIDGE EXTENSION PROCEDURE

CAN BE DONE TO REPOSITION MUSCLE ATTACHMENT MAX. LABIAL & MAND. LINGUAL FRENUM CAN BE SURGICALLY MODIFIED
8.HYPERPLASTIC TISSUE ALL FORM OF EXCESS HYPERPLASTIC TISSUE

SHOULD BE REMOVED TO PROVIDE A FIRM BASE FOR DENTURE

9. BONY SPINES & KNIFE-EDGE
SHARP BONY SPICULES SHOULD BE REMOVED KNIFE LIKE CREST GENTLY ROUNDED

 10. POLYPS PAPILLOMAS & TRAUMATIC

HEMANGIOMAS ALL ABNORMAL SOFT TISSUE LESIONS SHOULD BE EXCISED FOR PATHOLOGICAL EXAMINATION BEFORE THE FABRICATION OF RRD
11. HYPERKERATOSES, ERYTHROPLAKIA &

ULCERATION BIOPSY SHOULD BE CARRIED OUT

12. DENTO FACIAL DEFORMITY SURGICAL CORRECTION OF DENTOFACIAL

DEFORMITY SHOULD BE CARRIED OUT

 13. OSTEOINTEGRATED DEVICES

DENTAL IMPLANTS CAN BE GIVEN AS A STRATEGY

TO CONTROL PROSTHESIS MOVEMENT

14. AUGMENTATION OF ALVEOLAR BONE
AUTOGENOUS & ALLOPLSTIC MATERIAL CAN BE

USED

CONDITIONING OF ABUSED AND IRRITATED TISSUE

PATIENTS demonstrate following symptoms
Inflammation & irritation of mucosa Distortion of normal anatomic structure

Burning sensation in residual ridge,tongue&cheeks &

lips
THE 1ST TMT PROCEDURE SHOULD INCLUDE SALINE MOUTH RINSE TDS MASSAGE RIDGE,PALATE & TONGUE WITH SOFT

BRUSH

 REMOVING THE PROSTHESIS AT NIGHT

MULTI-VITAMIN
HIGH PROTEIN LOW-CARBOHYDRATE USE OF TISSUE CONDITIONING MATERIALS

SUCH AS ELASTOPOLYMERS
THESE MATERIALS HAVE A MASSAGING EFFECT

ON IRRITATED MUCOSA OCCLUSAL FORCES ARE MORE EVENLY DISTRIBUTED

 PERIODONTAL THERAPY OBJECTIVES

1. REMOVAL & CONTROL OF ALL ETIOLOGICAL

FACTORS CONTRIBUTING TO PDL DISEASE 2. ELIMINATION OF POCKETS 3. ESTABLISHMENT OF FUNCTIONAL ATRAUMATIC OCCLUSAL RELATIONSHIP 4. DEVELOPMENT OF A PERSONAL PLAQUE CONTROL

 INITIAL DISEASE CONTROL 1. ORAL HYGIENE INSTRUCTION 2. SCALING & ROOT PLANNING

3. ELIMINATION OF LOCAL IRRITATING FACTORS

OTHER THAN CALCULUS 4. ELIMINATION OF GROSS OCCLUSAL INTERFERE 5. GUIDE TO OCCLUSAL ADJUSTMENT 6. TEMPORARY SPLINTING 7. USE OF NIGHT GUARD 8. MINOR TOOTH MOVEMENT

 DEFINATIVE PERIODONTAL SURGERY A. PERIODONTAL SURGERY 1. PERIODONTAL FLAPS

INVOLVES THE ELEVATION OF EITHER MUCOSA &

PERIOSTEUM 2. GUIDED TISSUE REGENERATION THESE PROCEDURE ATTEMPTS REGENERATION OF LOST PERIODONTAL STRUCTURE THROUGH DIFFERING TISSUE RESPONSES 3. PERIODONTAL PLASTIC SURGERY IT INVOLVES MUCO GINGIVAL SURGERY

 RECALL MAINTAINANCE PHASE REINFORCEMENT OF PLAQUE CONTROL THOROUGH DEBRIEMENT OF ALL ROOT

SURFACES OF SUPRAGINGIVAL & SUB GINGIVAL

 ABUTMENT TEETH PREPARATION ABUTMENT TOOTH SHOULD BE RESTORED ALL PROXIMAL ABUTMENT SURFACES THAT ARE

TO SERVE AS GUIDING FOR RPD SHOULD BE PREPARED SO THAT THEY WILL BE MADE AS NEARLY PARALLEL AS POSSIBLE TO THE PATH OF PLACEMENT

THANK YOU