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Prostho IV - Lec 3 - Review of the Relevant Anatomy for Maxillary and Mandibular Dentures

Prostho IV - Lec 3 - Review of the Relevant Anatomy for Maxillary and Mandibular Dentures

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Published by Baraa'h AlSalamat

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Published by: Baraa'h AlSalamat on Oct 22, 2013
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 Review of the relevant anatomy formaxillary and mandibular denturesRazan Tanous
Khalid Al-Hamad
Review of the relevant anatomy for maxillaryand mandibular dentures
 Mucosa: stratified squamus epithelium and connective tissue (lamina dura)Submucosa : connective tissues made of dense to loose areolar tissues- if firmly attached : withstands pressure- if loose, thin, traumatized, mobile, flabby: won't be stable to withstandpressure {not resilient}Masticatory Mucosa (keratinized) : hard palate, residual ridges, residual attachedgingivalHard palate:- keratinized.- mid palatine suture : submucosa is extremelythin, requires relief!- primary support area: horizontal portion of thehard palate- secondary support area: rugae area (set at rightangle to the residual ridge)The palatal gingival vestige: remnants of the lingualgingival margin, it is the remains of the palatalgingival ; after tooth extraction the position of thevestige remains relatively constant (static), thesame as the incisive papilla. This can be a veryhelpful pointer for posterior tooth positioningduring denture construction.there are some techniques that are based onthese static marks, but we won't be using any of them in our fourth & fifthyears!Residual Ridges:1.
Mucus membrane: it's keratinized and firmly attached
the submucosa: devoid the glandular tissue. Dense collagenous fibers.It's relatively thin and not sufficient to provide support for the denturebase.2.
Crest of the ridges: it is prone to resorption, and of the secondary supportarea!3.
Inclined facial surfaces: it loses its firm attachment, so it offers little supportand cannot be used as a support area.
 The Fovea Palatine:1.
Two orifices one on each side of the palatalmidline.It is the coalescence of several mucous glands,and it's ALWAYS located in the soft palate!2.
They act as collecting ducts for a group of minor palatine salivary glands.The most important thing in impressions is to get the BORDERS accurately!It's also important to get all the structures accurately; it's not an easy task to bedone accurately. But it's important to know that a denture depends on theperipheral seal (for the primary impression), ok you need good adaptation, goodimpression, no voids here and there, the choice of the material or the technique....but this is sort of easy; to fill between the borders! But as we can see there aremany structures here at the borders that you have to get in order to have a goodfinal impression.
Knowledge of the muscles and structures that produce the borders is aprerequisite to successful impression making.
Knowledge of how to activate the muscles and locate the structures is alsoneeded.
Let's start withthem one byone...

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