Beruflich Dokumente
Kultur Dokumente
Place reference marks on the occlusion rims to aid in tooth selection and placement
Midline Position
Critical reference #7 wax spatula Score a line parallel the facial midline Mark both rims
Palatal Midline
Through middle of incisive papilla & mid-palatal raphe Extend onto land area Check for symmetry If not symmetrical, adjust rim
Shape Selection
Tooth shape does not correspond to facial shape Trubyte system good starting point
No proven male/female characteristics
Shape Selection
Use existing teeth as a guide - do they look good USE COMMON SENSE & OBSERVATION
QuickTime and a TIFF (Uncompressed) decompress or are needed to see this picture.
QuickTime and a TIFF (Uncompressed) decompress or are needed to see this picture.
Shade Selection
Portrait shade guide Use existing teeth as a guide Shade B2 is close an average shade Top number (A, B, C, D) on tabs corresponds to Vita porcelain shade Bottom number (P) is Portrait # for ordering
Shade Selection
Dont show all shades to patient Patients will pick the whitest Show 2 or 3 shades under lip
Colour perception affected by background
Check shade of existing denture Ask if patient wants same shade or change Allow patient to view shade against lip with mirror Obtain patient approval
Squint Test
Check for value (brightness) Squinting reduces the influence of hue If the teeth look too bright while squinting, suggest something less bright
Shade Selection
Teeth darken with age Correlation with skin and hair colour is suspect Vita C shades are greyish
Acrylic New acrylics wear better Improved translucency with layers More resilient - Less breakage Chemically bonds to base Quieter Easier to set/adjust Gum sticks
Anatomic Teeth
(10, 20, 30, 40)
Use for patients with: Esthetic concerns Coordinated jaw movements Denture opposing natural teeth
10
20
30
Non-Anatomic Teeth
(0, Rational, Monoline, etc.) Jaw size discrepancies (Class III) Severe ridge resorption Uncoordinated jaw movements Poorer esthetics, due to lack of cuspal inclines
Non-Anatomic Teeth
No overbite Normal overjet (1-2mm)
No tooth form has been proven most efficient - most patient cant discern a difference
Summary
Selecting denture teeth advise patient dont persuade an art, minimal science use common sense use old denture as a starting point look at dentate patient esthetics Seminar exercise
Seminar Exercise
Work in pairs in seminar groups Select shade for partners Use maxillary cast and Boley gauge to select tooth mold that best approximates partner Select corresponding mold for mand. teeth Complete prescription for teeth Have faculty seminar leader check & sign