Beruflich Dokumente
Kultur Dokumente
Transitional Complete
Conventional Complete
Partial
UWO School of
Dentistry
Objectives
Immediate Dentures
Know:
Describe and prescribe appropriate types of
ID
Clinical protocols associated with each type
Laboratory protocols
Post-insertion care
UWO School of
Dentistry
Immediate Transitional
Dentures
Complete clearance
Indications
Multiple extractions
Patient needs/demands
UWO School of
Dentistry
Immediate
Transitional Denture
A denture made without prior extraction
of teeth
Synonyms:
Interim
Temporary
Provisional
UWO School of
Dentistry
Immediate
Transitional Dentures
Indications
Multiple extractions
Esthetics
Function
Conventional ICD
contraindicated
UWO School of
Dentistry
Immediate
Transitional Dentures
Technique:
Alginate impressions
Lab or office pour
Gypsum model
Hybrid model
Mounted models
Arbitrary estimation of contour
UWO School of
Dentistry
Immediate
Transitional Dentures
UWO School of
Dentistry
Immediate
Transitional Dentures
Before
After
UWO School of
Dentistry
Immediate
Transitional Denture
UWO School of
Dentistry
Immediate Transitional
Dentures
Problems
Intensive post insertion care
Short-term solution
More expensive
UWO School of
Dentistry
Conventional Immediate
Dentures
Maxillary six anteriors
Posterior teeth extracted 812 weeks previously
Predictable, stable ridge
contour
UWO School of
Dentistry
Conventional Immediate
Complete Dentures
Concept
Remove all posterior teeth
about 3 months before
making immediate denture
UWO School of
Dentistry
Conventional Immediate
Complete Dentures
Rationale
Allows for posterior segment
to heal and stabilize
Maintains anterior teeth for
appearance, some function
UWO School of
Dentistry
Conventional Immediate
Complete Dentures
Indications
Maxilla
anterior teeth present
Cooperative patient
Not Recommended
Both jaws
simultaneously
Mandibular arch
UWO School of
Dentistry
Immediate Dentures
Impression Techniques
Single custom tray
Split impression technique
Posterior segment
Anterior segment
Stock tray
Putty index
UWO School of
Dentistry
Retention
lugs
Handl
e
UWO School of
Dentistry
UWO School of
Dentistry
UWO School of
Dentistry
Putty-Index Technique
UWO School of
Dentistry
UWO School of
Dentistry
UWO School of
Dentistry
Putty-Index Technique
UWO School of
Dentistry
Putty-Index Technique
UWO School of
Dentistry
Conventional Immediate
Dentures
Cast trimming guidelines
Normal periodontal condition
Rule of Thirds
Advanced periodontal
deterioration
X-ray & probing measurements
UWO School of
Dentistry
Conventional Immediate
Dentures
Rule of thirds
Normal gingival/bone
relationship
UWO School of
Dentistry
Remove tooth at
gingival level
Step 2
Recess Socket 1
mm
Labial edge
recess to incisal
third mark
Step 4
Mid-point recess
to mid-width labial
cut
Step 5
Step 6
UWO School of
Dentistry
UWO School of
Dentistry
Posterior teeth:
Arrange posterior teeth on record base in
(balanced/monoplane/lingualized) occlusion and
wax-up for try-in evaluation.
UWO School of
Dentistry
UWO School of
Dentistry
UWO School of
Dentistry
UWO School of
Dentistry
UWO School of
Dentistry
UWO School of
Dentistry
Posterior teeth:
Arrange posterior teeth on record base in
(balanced/monoplane/lingualized) occlusion and
wax-up for try-in evaluation.
UWO School of
Dentistry
ICD Try-In
Sectional wax-up
Anterior segment for
patient viewing
Posterior segment for
check record
UWO School of
Dentistry
ICD Try-In
Posterior removable
section used for:
Confirmation of
horizontal and vertical
relationships
Tooth shade
UWO School of
Dentistry
UWO School of
Dentistry
Teeth removed
Sockets recessed
Ready for Step 3
Ready for arbitrary
posterior palatal seal
UWO School of
Dentistry
UWO School of
Dentistry