IMPRESSIONS FOR FULL DENTURES
Dmtal Detachment, Marine Corps Rem&t Depot, Parris
HE procedure I present is neither new nor revolutionary, but the facts I havegathered attendant to this procedure are interesting and present a factor forsome thought and consideration.It has always seemed to me that if we could obtain a perfect moulage of thedenture-bearing areas and construct dentures upon casts made from such impres-sions, it would be the ideal. This would represent a duplication of the form oftissues at rest. A denture constructed from such an origin would represent an exactnegative of those surfaces upon the tissue side of the denture.Tliis would be,in fact, an impression of tissues without distortion or displacement, and the com-pleted denture would not have these detrimental attributes incorporated into it.
The premise upon which this work is based is that a good impression isinitially the most important factor in the construction of good dentures.This particular subject in full denture procedure has always been a sourceof debatable interest and many authors have given it its respected position of im-portance. On the other hand, many have relegated it to a lesser degree of im-portance in comparison with such subjects as occlusion, phonetics, esthetics, toothform, et cetera, but I am sure that was only because of their interest in theirspecific topic at the time.Of course, I am not for one moment depreciating the importance of diagnosisand occlusion and all of the attendant evaluations necessary to establish a prac-tical occlusion, nor any other single factor that may comprise the cooperativechain necessary to produce dentures that are biomechanically correct.Neverthe-less, without a good impression, our objective may not be attained. Far moreimportant, I think, is the making of an impression that will not contribute towardthe destruction of the ridges, all the other afore-mentioned factors notwithstand-ing, and not the making of the impression with the intent to give a patient theso-called “tight fit.”
The opinions or assertions contained herein are the private ones of the writer and arenot to be construed as official or reflecting the views of the Navy Department or the navalservice at large.Read before the Chicago Dental Society Midwinter Meeting, Feb. 6, 19!52.Received for publication May 26, 1962.737