Diagnosis and treatment plan for complete dentures-1 /certified fixed orthodontic courses by Indian dental academy

DIAGNOSIS AND TREATMENT PLAN FOR
COMPLETE DENTURES

INDIAN DENTAL ACADEMY
Leader in continuing dental education
www.indiandentalacademy.com

CONTENTS
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
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
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Objectives
Evaluation of the patient
Extra oral Examination
Intra oral Examination
Treatment plan
Investigations
Conclusion
Bibliography

Introduction




Evaluation of pt for complete
denture should be through and well
documented.
Check list provides better
understanding of
• Problems
• Anatomy
• Treatment goals
• Improved care of patients.

OBJECTIVE
S



List the requirements of a first patient visit.



Describe and discuss the effects of aging



Be familiar with various methods of
rehabilitating prosthodontic patients


EVALUATION OF THE PATIENT
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Name
AGE
SEX
OCCUPATION
GENERAL HEALTH
DENTAL HISTORY


NAME


For the purpose of communication and
identification.



Most patients liked to be called by their
name, this has a psychological effect as well.


AGE
Record chronological age whenever possible
When the exact information is unobtainable, an
estimate may be made and age listed as "under
40", "40 to 60 years", and "over 60 years".
The significance of the age from the prosthodontist
standpoint is in the ability of a patient to wear
dentures successfully.
Two main factors present themselves
 Adaptability
 Physiological Condition of Supporting Structures

SEX



Esthetics and of the influence of
Sex hormones on the supporting structures.

Unlike men, women may regard appearance
even above the efficient functioning of the
replacement teeth.
In the second consideration, normal
physiologic change decrees that women
undergo menopause, a period productive of
many problems which mitigate against easy
denture construction.

OCCUPATION

People generally making public appearances,
such as artists, actors, salesmen,
public speakers, singers, teachers, etc.,
are particularly concerned with the
esthetics and phonetics of replacements.
while tradesmen, mechanics, or laborers,
etc., are concerned with functional efficiency.
People like beauticians, who open bobby pins
with their teeth, might place leverage on the
front of the CD and cause problems of
function; i.e. retention.

Address


It is recorded for communication with the patient.


EXAMINATION PROCEDURE

The examination must be routine,
preplanned,and orderly so as not to
miss something.


MATERIALS

The materials needed are a
Good light,
Dental mirror,
2 X 2 gauze,
Dental explorer.



The clinical examination of the patient
should begin with a general overall
evaluation of the individual.
Observe the patient as she/he walks to the
dental chair. This is known as Gait.
Attitude may be readily ascertained as in
the patient who will not make eye to eye
contact and who may look the other way.
This is known as Mental Attitude.
The medical and dental history should be
reviewed before the examination begins

PERSONALITY

According to House’s classification: Mental
Attitude are of four types
Philosophical
Exacting
Hysterical
Indifferent


Philosophical


Exacting


Hysterical


Indifferent


Chief complaint






The chief complaint is recorded in patients
own words.
Pt should be questioned regarding his/her
cc
1. The response allows the practitioner to
assess whether the pt expectations are
realistic
2. The response provides information
regarding the patients psychological
classification
As a guide, remember that without a

DENTAL HISTORY





Year of edentulous
Reasons for tooth loss
Denture wearing experience
Pre extraction records.


Face form


Face profile

by Angle


Muscle tone


According to House, is classified as
a)Class-I
b)Class-ll
c) Class--lll


Lips
1


It is checked to assess for
1. Vermillion border
2. Support
3. Mobility
4. Length
5. Thickness.

Frenum
According to House
 In maxilla as
a. High
b. Medium
c. Low.
In mandible as
a. Low
b. Medium
c. High.



Intra oral Examination


Arch size




It determines the amount of basal
seat for denture foundation
It can be classified as
1. Large
2. Medium
3. small


Arch form by House


Torus




Location
Problems
Treatment .


INTERRIDGE DISTANCE


RIDGE PARALLELISM


RIDGE RELATIONSHIP


SOFT PALATE


Palatal sensitivity by House


It is classified as
1. Normal
2. Hyposensitive
3. Hypersensitive


LATERAL THROAT FORM


Saliva
 Serous
 Mucous.


Bibliography








Prosthodontic treatment for edentulous
patientBoucher
Syllabus of Complete DentureHartwell
Essentials of complete dentureWinkler
Complete Denture Prosthodonticswww.indiandentalacademy.com
John J Sharry

Leader in continuing dental education


Diagnosis and treatment plan for complete dentures-1 /certified fixed orthodontic courses by Indian dental academy

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