Beruflich Dokumente
Kultur Dokumente
clinical steps that are covered by this course . Lets start with some important definitions
Definitions:
Prothesis (:) Replacement of lost body part the prostheses : plural of prosthesis Prosthetics: science and art that deal with prostheses Dental prosthetics is called prosthodontics : ) ) replacement of loss oral tissues related to oral cavity . Prosthodontist :person who specializes in prosthodontics. Complete Denture (CD) : dental prosthesis that replaces all missing teeth and associated structures . Edentulous: patient with no teeth (.) Partially edentulous: patient with some teeth missing. Dentate: still have teeth.
prosthodontics
Fixed prosthodontics
*the restoration cant be removed from its place by patient . Ex.(crowns and bridges)
Removable prosthodontics The restoration can be removed from its place by patient . *actually it should be removed from its place every day to get cleaned .
Implant prosthodontics
Maxillofacial prosthodontics *here we dont replace missing teeth or gums we replace missing structures
Complete denture
*when we have no teeth at all in the patients mouth all teeth are missing.
Partial denture
*where we have missing and remaining teeth .not all teeth missing
An Over denture rests on 1.remaining roots of un extracted natural teeth *notice not remaining teeth remaining roots . 2.implants
Now we will talk about clinical and laboratory steps First of all you should know that making a complete denture requires 5 visits minimum ideally if you were lucky and things went smoothly and you dont have to repeat steps .. Some private clinics skip a visit or two and this is questionable if they get the best results or not !! and most likely they dont
clinic 1. History taking 2. Clinical examination 3. Primary impression making using : Alginate
OR
Impression compound *we get moderately accurate impression *in primary impression we use stock tray.
lab 1.Poring the impression using gypsum type 2 plaster We get primary casts moderately accurate On the primary casts we 2.fabricate special trays using: Cold cured acrylic
OR
1. Boarder
moulding using green stick compound. 2. Secondary impression taking using zinc oxide eugenol impression material
1.Pouring secondary impression using type 3 gypsum (dental stone) we get secondary casts on secondary casts we 2.fabricate record blocks *record blocks are composed of: 1. base plate made from light cured acrylic resembling denture base 2. wax rim on the base plate occupying the place of the future teeth
1. mounting the
record blocks that are sealed together on an articulator to make my self an exact replica of the patients mouth . 2. teeth setting which includes removing parts of the wax and putting the acrylic teeth in its place . Processing which is a type of lost wax technique replacing wax with acrylic. Processing includes: a. Flasking b. Dewaxing c. Packing d. Curing e. Deflasking f. Finishing and polishing of the denture
Delivery that means giving the denture to your patient telling him how to wear it and also again checking esthetics phonetics and occlusion .
You have to review your patient to see how is the denture in function meaning in chewing and talking etc.. *90-95% of patients satisfied at delivery will have complaints at recall.
The end