Complete Denture Occlusion Complete Denture Occlusion

Course RT432a Course RT432a

Michael O. Hamada, D.D.S.
UCLA School of Dentistry
Division of Advanced Prosthodontics,
Hospital Dentistry and Biomaterials
Complete Denture Occlusion Complete Denture Occlusion
Course Introduction Course Introduction
l Introducti on to Edentulism
l Overview of Complete Denture Treatment
Clinical Appointments and Procedures
Laboratory Steps and Procedures
Complete Denture Occlusion Complete Denture Occlusion
Course Introduction Course Introduction
l Laboratory Exercise
Materials and Preparation
Context within Actual Patient Treatment
l Laboratory Procedures
Master Cast Preparation
Occlusal Plane Landmarks
Begin Setting Maxillary Anterior Teeth
Required reading: Textbook of Complete Dentures - Heartwell
RT432a Laboratory Manual - Hamada et al
FOR MORE INFO...
Introduction to Edentulism Introduction to Edentulism
Sequellae of tooth loss Sequellae of tooth loss
Sequellae of tooth loss Sequellae of tooth loss
Sequellae of tooth loss Sequellae of tooth loss
Sequellae of tooth loss Sequellae of tooth loss
Sequellae of tooth loss Sequellae of tooth loss
Sequellae of tooth loss Sequellae of tooth loss
Sequellae of tooth loss Sequellae of tooth loss
Sequellae of tooth loss Sequellae of tooth loss
Sequellae of tooth loss Sequellae of tooth loss
l Residual Ridge Resorption (RRR)
l Various Changes in Intraoral
Structures
l Loss of Facial Support and Muscle
Tonus
l Decreased Masticatory Function
l Potential Psycho-Social Effects
A Brief Overview of Complete A Brief Overview of Complete
Denture Treatment Procedures Denture Treatment Procedures
lProsthesis Fabrication
Required reading: Textbook of Complete Dentures - Heartwell
RT432a Laboratory Manual - Hamada et al
FOR MORE INFO...
Versus. . .
l Treatment and Rehabilitation of the
Edentulous Patient
Clinical & Laboratory Overview Clinical & Laboratory Overview
l First Clinical Appointment
Treating and Rehabilitating the
Edentulous Patient
Clinical & Laboratory Overview Clinical & Laboratory Overview
l First Clinical Appointment
l First Clinical Appointment
Modified Stock
Edentulous Impressi on Trays
Preliminary Impressions
l First Clinical Appointment
Preliminary Impressions
l First Clinical Appointment
Preliminary Cast Fabrication
l Laboratory Procedures
Custom Tray Fabrication
l Laboratory Procedures
Custom Tray Fabrication
l Second Clinical Appointment
Border Moldi ng
Master Impressions
l Second Clinical Appointment
Master Impressions
Border Moldi ng
l Second Clinical Appointment
Master Impressions
l Laboratory Procedures
Beading and Boxi ng
the Impression
Pouring the Master Cast
Master Cast Fabrication
l Laboratory Procedures
Record Bases & Occlusion Rims
Maxillary & Mandibular Master Casts
l Laboratory Procedures
Record Bases
aka Baseplates
Record Bases & Occlusion Rims
l Laboratory Procedures
Record Bases & Occlusion Rims
Maxil lary Occlusi on Rim
Mandibul ar Occl usion Rim
l Laboratory Procedures
Record Bases & Occlusion Rims
l Third Clinical Appointment
Transfer our patients . . .
l Third Clinical Appointment
Transfer our patients . . .
. . .maxillary and mandibular relationship. . .
l Third Clinical Appointment
. . . to our articulator
Maxillo-mandibular Relation Records
l Third Clinical Appointment
1) Adjusting the Occlusion Rims to
reflect tooth position
Maxillo-mandibular Relation Records
l Third Clinical Appointment
2) Relating the maxilla to the hinge axis
Maxillo-mandibular Relation Records
l Third Clinical Appointment
3) Establishing the vertical separation
between the arches (VDO)
Maxillo-mandibular Relation Records
l Third Clinical Appointment
4) Relating the mandible to the maxill a
(CR)
Maxillo-mandibular Relation Records
l Third Clinical Appointment
1) Adjusting the Occlusion Rims
Maxillo-mandibular Relation Records
l Third Clinical Appointment
2) Relating the maxilla to the hinge axis
Maxillo-mandibular Relation Records
The Facebow Record
The Facebow Transfer
l Third Clinical Appointment
Maxillo-mandibular Relation Records
Relati ng the mandible to the maxi lla
VDSas a guide toVDO
l Third Clinical Appointment
Maxillo-mandibular Relation Records
Relati ng the mandible to the maxi lla
4) Establi shing the Centric Relati on Record
3) Establishing the Vertical
Dimension of Occl usion
l Laboratory Procedures
Wax Trial Denture Fabrication
Required reading: RT432a Laboratory Manual - Hamada et al
Setting Denture Teeth - Lab Sections II - V
FOR MORE INFO...
l Fourth Clinical Appointment
Wax Trial Denture Try-in Appointment
l Fourth Clinical Appointment
1
2
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5
6
7
l Fourth Clinical Appointment
1
2
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6
7
1) Check arch for infringement on tongue
l Fourth Clinical Appointment
1
2
3
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5
6
7
l Fourth Clinical Appointment
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2
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5
6
7
2) Check Closest Speaking Space or VDS
l Fourth Clinical Appointment
1
2
3
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7
1
2
3
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6
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3) Check Vertical Dimension of Occlusi on
l Fourth Clinical Appointment
l Fourth Clinical Appointment
3) Check Vertical Dimension of Occlusi on
l Fourth Clinical Appointment
1
2
3
4
5
6
7
l Fourth Clinical Appointment
1
2
3
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4) Prove Centric Relation Record
l Fourth Clinical Appointment
1
2
3
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7
l Fourth Clinical Appointment
1
2
3
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7
5) Make Protrusive Record
Set the Condylar Inclination
l Fourth Clinical Appointment
1
2
3
4
5
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7
l Fourth Clinical Appointment
1
2
3
4
5
6
7
6) Posterior Palatal Seal Final Check
l Fourth Clinical Appointment
1
2
3
4
5
6
7
l Fourth Clinical Appointment
1
2
3
4
5
6
7
7) Evaluate and Correct Esthetics
l Fourth Clinical Appointment
7) Evaluate and Correct Esthetics
l Fourth Clinical Appointment
7) Evaluate and Correct Esthetics
l Laboratory Procedures
Refining the Wax
Trial Denture and
Festooning
Processing the Wax Trial Denture
The Completed Wax
Pattern ready for investing
l Laboratory Procedures
Processing the Wax Trial Denture
Refining the Wax
Trial Denture and
Festooning
The Completed Wax
Pattern ready for investing
l Laboratory Procedures
Processing the Wax Trial Denture
Flasking (investing) the wax
trial denture
Molds after boil out of wax
l Laboratory Procedures
Processing the Wax Trial Denture
Packing the molds with acrylic
resin
Compressed flasks ready for processing
l Laboratory Procedures
Processing the Wax Trial Denture
De-flaski ng the processed
denture
The Laboratory Remount and Equili brati on
l Laboratory Procedures
The Laboratory Remount
Equil ibrati on and correcti on of
processi ng error
Re-establi shing the VDO
l Laboratory Procedures
Fabrication of Clinical Remount Casts
Required reading: Textbook of Complete Dentures - Heartwell
RT432b Pre-clinical Complete Denture Course
FOR MORE INFO...
l Laboratory Procedures
Finishing, Polishing and Hydration
Polishing of Dentures
Hydrate the dentures pri or to insertion
l Fifth Clinical Appointment
Denture Insertion Appointment
Required reading: Textbook of Complete Dentures - Heartwell
RT432c Clinical Complete Denture Course
FOR MORE INFO...
l Fifth Clinical Appointment
Required reading: Textbook of Complete Dentures - Heartwell
RT432c Clinical Complete Denture Course
FOR MORE INFO...
Denture Insertion Appointment
Adjustment and adaptation of the
Denture Base Tissue Surface
l Fifth Clinical Appointment
Required reading: Textbook of Complete Dentures - Heartwell
RT432c Clinical Complete Denture Course
FOR MORE INFO...
Denture Insertion Appointment
The Clini cal Remount and
Equilibration
l Follow-up Clinical Appointments
Required reading: Textbook of Complete Dentures - Heartwell
RT432c Clinical Complete Denture Course
FOR MORE INFO...
24 hour and One Week Check
Summary Summary
1st Clinical Appointment - Exam & preliminary
impressi ons
Lab procedures - custom tray fabrication
2nd Clinical Appointment - Master impressions
Lab procedures - master cast, record base &
occlusion rim fabrication
3rd Clinical Appointment - Maxillomandibular
relation records
Lab procedures - wax trial denture fabrication
Summary Summary
4th Clinical Appointment - Wax trial denture
try-in (confirm mounting & esthetics)
Lab procedures - process dentures
5th Clinical Appointment - Denture insertion
adjust tissue surface & flanges, clinical
remount, adjust occlusion & care instructions
6th & 7th Clinical Appointments - 24 hour and one
week post-insertion checks
adjust dentures & reinforce care instructions