Complete Dentures.

Check Patients facial appearance, tissue sags, wrinkles,

In edentulous patients nasolabial fold deepens, wrinkles appear on upper lip,
Lip commissure accentuated and an extrafold is visible.
In such patients, a complete denture diminishes the above facial changes.
Form and esthetics go hand in hand which influence function. check pic
Left-low VD
Right-Hi VD
Repair the broken denture for use, till a new CD is fabricated.
check for ridge shape, structure ,arch shape, vault type, tori, exostoses, pathology,
bony spicules, retained roots and resiliency of mucosa.
Pt is much more experienced than the dentist with their dentures.
Listen to pts who are already having dentures.
Carefully assess the expectations of the pt.
Even a fully functional complete denture with ideal requirements might turn out to
be a nightmare if the pts expectations arent met.
Examine tissue for color, texture, health, need for any preprosthetic surgery
Lost vertical/loose CD ----reline the CD
Impressions.>diagnostic casts-survey ridges, arches, undercuts,
custom tray materials
Custom tray fabrication-border molding using green stick wax check for retention
stability by asking pts to do all fuctional movts . Make sure they dont lift or rock.
Also make sure no overextension of the periphery using PIP.
Use a surgical knife to trim the border molding and not handpiece or burs as the
wax is just held by mechanical bonding.
Polyvinyl siloxane has better adaptability, doesnt displace soft tissues and has
better shelf life .
Impression plaster & polysulfides , when used for final impression, custom tray
doesnt need holes.

Impression materials can be ZnOE, medium body Polyvinyl siloxane, impression

plaster, polysulfide.
Then do boxing and pour the impression for master cast.
Land area should be 3mm.

Carve the posterior palatal seal.

If the midpalatal area is thin, it may irritate the tissues, hence relieve this area using
tin foil or die separating paint(used in casting procedures).

VERY IMPORTANT& RPTED Q

Max CD and unilateral free saddle is called kellys combination syndrome.
Fabricate bite trims.
Thickness/width for occlusal rims labiolingually 3-5 mm Anteriors
5-7 mm canine premolar area
8-10 mm molar area
Facebow transfer: 1st jaw relationship on record.r literature on facebow.
VERY IMPORTANT RPTED Q
Definitions hinge axis & terminal hinge axis
hinge axis uses
Facebow and parts of facebow
VERY IMP: RPTED Q THIRD REFERENCE POINT
TMJ rods positioned on skin of TMJ, Nasion or Orbitale forms 3 rd reference point.
: FLAT teeth or noncusped teeth (angulation zero degrees)- no need for facebow
transfer.
Cusp teeth or teeth with anatomical cusps( 30 to 45 degree ) need facebow
transfer.
definitions for articulation, articulator,occlusion,CO,CR,COR.

VERY IMP : RPTED Q: : def of anatomical articulation, balanced occlusion, balanced

articulation