ESIC Dental College & Hospital
Sector 15, Rohini, Delhi -110085
PRECLINICAL
PROSTHODONTICS MANUAL
Department of Prosthodontics Crown & Bridge dentistry
NAME
ROLL NO.
Certificate
This is certified to be bonafied work of the student
............…………………..in the Pre Clinical Prosthodontics lab
during academic year…………..in the department of Prosthodontics
crown & bridge dentistry.
Dr. (Prof). BHAWANA TIWARI
Prof. & HOD
---------------------------------------------------------------
Sign & date
Dr. DWARKA
Associate Prof.
------------------------------------------------
Sign & date
Dr. KOMAL LADDHA
Associate Prof.
------------------------------------------------
Sign & date
INDEX
S no Name of Exercise Page Date Signature
no.
1 Introduction
2 Definitions
3 Anatomical landmarks of maxilla
4 Anatomical landmarks of mandible
5 Manipulation of impression compound
6 Beading and boxing
7 Special trays
8 Fabrication of temporary record base
9 Occlusal rims
10 Articulator and articulation
11 Teeth selection
12 Try in
13 Wax up
14 Occlusion
15 Post insertion
16 Relining and Rebasing in complete denture
17 Maxillofacial prosthesis materials
18 Removable partial dentures
19 Surveying
20 Fixed partial dentures
21 Dental Implants
1. Introduction
Prosthodontics:
Appliance/ Prosthesis:
Classification:
Removable Partial Denture Prosthesis:
1
Fixed Denture Prosthesis:
Aims of Prosthodontics treatment:
Problems facing Prosthodontics:
2
Complete dentures:
Steps in construction of complete denture:
3
Removable partial dentures:
4
2. DEFINITIONS
Abutment:
Acrylic:
Ala Tragus Line/ Campers line:
Alveolar Bone:
Anatomic Crown:
Anatomic landmarks:
Anterio-posterior curve/ curve of spee:
Arch Form:
5
Articulating Paper:
Articulator:
Balanced Occlusion:
Basal bone:
Bennet angle:
Bennet movement:
Block out:
Border Moulding:
6
Bruxism:
Centric occlusion:
Centric Relation:
Christensens Phenomenon:
Closests speaking Space:
Compensating curve:
Condylar Guidance:
condylar path:
7
condylar element:
Crown root ratio:
Curve of monsoon:
Custom Tray:
Denture Base:
Denture retention:
Denture stability:
Diastema:
8
Eccentric jaw relation:
Facebow:
Facial form:
Facial profile:
Festoon:
Guide plane:
Guide table:
Horizontal overlap/overjet:
9
Incisal guidance:
Intercondylar distance:
Interocclusal distance:
Non working side condyle/ non balancing side:
Occlusion:
Occlusal rings:
Primary cast:
Residual ridge:
10
Ridge lap:
Relief:
Relief area:
Residual bone:
Surveyor:
Vertical overlap/overbite:
Vibrating line:
Working side:
11
Xerostomia:
12
3. Anatomical landmarks of maxillary
edentulous arch
Limiting structures:
Supporting structures:
Relief areas:
Labial frenum:
13
Labial vestibule:
Buccal frenum:
Buccal vestibule:
Mandibular Notch:
14
Posterior palatal seal:
15
Discuss technique to record posterior palatal seal area (with diagrams)
16
Residual alveolar ridge:
Hard palate:
Maxillary tuberosity:
17
Pterygomaxillary ( Hamular notch):
Rugae:
Incisive papillae:
Mid palatine raphae:
18
Fovea palatinae:
19
4. Anatomical landmarks of mandibular
edentulous arch
Limiting structures:
Supporting structures:
Relief areas:
Labial frenum:
20
Labial Vestibule:
Buccal frenum:
Buccal vestibule:
21
Lingual frenum:
Retromolar pad:
Alveolingual sulcus:
22
Pterygomandibular raphae:
Retromylohyoid fossa:
Buccal Shelf area:
23
Residual alveolar ridge:
Sublingual fold:
Mylohyoid muscle:
Masster muscle:
24
External oblique ridge:
Mylohyoid ridge:
Mental foramen:
Genial tubercles:
25
Tonus mandibularis:
26
5. Manipulation of impression compound and
making of edentulous impression on a model
Impression:
Requirements:
Manipulation:
27
Theories of impression making:
28
Objectives of impression making:
29
6. Beading and Boxing for diagnostic casts
and master casts
Definition of cast:
Types of casts:
Requirements of good casts:
30
Beading:
Boxing:
Methods of cast preparation:
1. Boxing Method:
31
2. inversion method:
32
Inspecting master cast:
Finishing the cast:
33
7. Special trays
Impression tray:
Types of impression trays:
Tray selection:
Parts of a tray:
Special tray/custom tray/individualized tray:
34
Requirements of special tray:
Materials used for special trays:
Fabrication of special trays:
35
Prefabricated trays/stock trays:
Criteria for selecting tray:
Relief and block out:
Wax spacer:
36
Impression techniques:
1. Pressure technique:
2. Minimal pressure damage:
3. Selected pressure :
37
Maxilla:
Mandible:
Occlusal stops/ Tissue stops:
Purpose of tissue stops:
38
Different methods
1. Sprinkle method:
39
2. Finger adaptation dough method:
40
3. Vacuum adapted method:
41
4. Shellac method:
42
8. Fabrication of temporary record base
Definition:
Classification:
Materials used:
Purpose of record base:
43
Requirements of record base:
Fabrication:
1. Self cure resin/cold cure resin:
Procedure:
44
Advantages:
Disadvantages:
45
2. Shellac base plate:
Procedure:
Advantages:
Disadvantages:
46
3. Thermoplastic resin base plates/ vacuum adapted resin base:
Advantages:
Disadvantages:
4. Wax base plates:
Advantages:
Disadvantages:
5. Heat cure resin base plates:
Procedure:
Advantages:
47
Disadvantages:
6. Metal denture bases:
Advantages:
Disadvantages:
48
9. Occlsal rims
Definition:
Purpose of wax occlusal rims:
Materials used:
49
Basic factors considered during fabrication:
1. Relationship of natural teeth to alveolar bone:
50
2. Relationship of occlusal rims to edentulous ridge:
3. Fabrication technique:
51
4. Clinical guidelines:
52
53
10. Articulator and articulations
Definition:
Functions of articulator:
Advantages of articulator:
54
Limitations of articulator:
Classification:
1.
2.
3.
Requirements:
Additional requirements:
55
Mean value articulator:
Parts of an articulator:
Bonwill’s theory:
56
11. Teeth selection and arrangement
Teeth selection:
Teeth arrangement:
Instruments required:
Procedure:
57
Anterior teeth selection:
Other guidelines:
58
Form of anterior teeth:
Dentogenic concept:
Colour of teeth:
59
Squint test:
Principles in arrangement of maxillary anterior teeth:
60
Principles in arrangement of mandibular anterior teeth
61
Posterior teeth selection:
Occlusal form:
62
Size of posterior teeth:
Guidelines:
Arrangement of maxillary posterior teeth:
63
Arrangement of mandibular posterior teeth:
64
Principles in arrangement of maxillary posterior teeth:
Principles in arrangement of mandibular posterior teeth:
65
12. Try-In procedure
List the observations to be made during time of final try in procedure in patient’s mouth:
66
67
13. Wax up and flasking
Steps:
1. Preparation of wax pattern:
2. Disarticulation/ demounting:
3. Flasking procedure:
68
4. Dewaxing:
5. Placing retentive grooves on artificial teeth:
6. Application of separating medium:
69
7. Mixing of powder and liquid(Acrylic):
8. Packing:
9. trial closure:
70
10. curing cycle/ polymerization:
11. cooling:
12. deflasking:
13. lab remounting:
71
14. trimming and polishing:
72
14. Occlusion in complete denture patients
Definition of occlusion:
Difference between natural and complete denture occlusion:
Requirements of complete denture occlusion:
Types of occlusion
1.
2.
3.
73
Types of complete denture occlusion:
1. Balanced occlusion:
Factors affecting balanced occlusion:
Advantages and disadvantages:
74
2. Monoplane occlusion:
Advantages and disadvantages:
75
3. Lingualized occlusion:
76
15. Post insertion
Classify broadly post insertion complaints:
77
Write a note on problems associated with speech in a newly fabricated complete denture:
78
16. Relining/ rebasing and repair in complete
dentures
1. Tissue conditioners:
Indications:
Advantages:
Disadvantages:
79
2. Resilient liners:
Indications:
Advantages:
Disadvantages:
80
3. Relining:
Indications:
Advantages:
Disadvantages:
81
4. Rebasing:
Indications:
Advantages:
Disadvantages:
82
5. Open mouth techniques:
Indications:
Advantages:
Disadvantages:
83
6. Close mouth technique:
Indications:
Advantages:
Disadvantages:
84
7. Discuss repair of maxillary and mandibular dentures
85
17. Maxillofacial prosthesis materials
Objectives of maxillofacial prosthesis:
Classify maxillofacial defects:
obturator:
Types of obturator:
86
Classify partially edentulous maxillectomy defects:
Classify mandibular defects:
Hollow bulb obturator:
87
Retention in maxillofacial prosthesis:
Extra oral prosthesis:
Materials used in maxillofacial prosthesis:
88
18. Removable partial denture,
Indications of RPD:
Classification of partially edentulous arches:
1. Kennedy classification:(with diagrams)
89
2. Applegates modification:(with diagrams)
3. Applegates rules:
90
4. steps in fabrication of RPD:
5. Parts of an RPD:
6. Maxillary major connectors:
7. Mandibular major connectors:
91
8. Direct retainer:
9. Indirect retainer:
10. tooth replacements:
92
19. Surveying
Definition:
Surveyor:
Types of Surveyors:
93
Parts of surveyor tools:
Uses:
94
20. Fixed Partial dentures
Definition:
Consequences of not replacing missing teeth:
Parts of fixed partial dentures:
1. Retainer:
2. Pontic
Classification of pontics
95
3. Connector:
Classification of connectors:
96
Crown root ratio:
Ante’s law:
97
21. Dental Implants
Classify dental implants:
Indications:
Contraindications:
98
Osseous integration:
Components/ parts of implants:
Classification of implant materials:
99
Grade Index
S Exercise date Grade and signature
no
1 Marking of maxillary anatomical landmarks
on casts
2 Marking of mandibular anatomical
landmarks on cast
3 Marking of stress bearing and relief areas on
maxillary casts
4 Marking of stress bearing and relief areas on
mandibular casts
5 fabrication of maxillary special tray in self
cure acrylic
6 fabrication of mandibular special tray in self
cure acrylic
7 Fabrication of various types of spacers on
maxillary and mandibular casts
8 Marking of major connector on partially
edentulous dental casts:
a) maxillary
b) mandibular
100
Teeth setting Grade Index
Class I Teeth setting no.1
S. Name of work Date Grade and
No. Signature
1. Fabrication of maxillary
and mandibular denture
bases in self cure acrylic
resin
2. Fabrication of maxillary
and mandibular occlusal
rims in self cure acrylic
resin
3. Articulation
4. Arrangement of maxillary
anterior teeth
5. Arrangement of
mandibular anterior teeth
6. Arrangement of maxillary
posterior teeth
7. Arrangement of
mandibular posterior teeth
8. Final wax up and carving
101
Class I Teeth setting no.2
S. Name of work Date Grade and
No. Signature
1. Fabrication of maxillary
and mandibular denture
bases in shellac base plate
2. Fabrication of maxillary
and mandibular occlusal
rims in shellac base plate
3. Articulation
4. Arrangement of maxillary
anterior teeth
5. Arrangement of
mandibular anterior teeth
6. Arrangement of maxillary
posterior teeth
7. Arrangement of
mandibular posterior teeth
8. Final wax up and carving
102
Class I Teeth setting no. 3
S. Name of work Date Grade and
No. Signature
1. Fabrication of maxillary
and mandibular denture
bases in thermoplastic
resin base plates
2. Fabrication of maxillary
and mandibular occlusal
rims in thermoplastic resin
base plates
3. Articulation
4. Arrangement of maxillary
anterior teeth
5. Arrangement of
mandibular anterior teeth
6. Arrangement of maxillary
posterior teeth
7. Arrangement of
mandibular posterior teeth
8. Final wax up and carving
103
Class I Teeth setting no. 4
S. Name of work Date Grade and
No. Signature
1. Fabrication of maxillary
and mandibular denture
bases in wax base plates
2. Fabrication of maxillary
and mandibular occlusal
rims in wax base plates
3. Articulation
4. Arrangement of maxillary
anterior teeth
5. Arrangement of
mandibular anterior teeth
6. Arrangement of maxillary
posterior teeth
7. Arrangement of
mandibular posterior teeth
8. Final wax up and carving
104
Class I Teeth setting no.5
S. Name of work Date Grade and
No. Signature
1. Fabrication of maxillary
and mandibular denture
bases in heat cure resin
base plates
2. Fabrication of maxillary
and mandibular occlusal
rims in heat cure resin base
plates
3. Articulation
4. Arrangement of maxillary
anterior teeth
5. Arrangement of
mandibular anterior teeth
6. Arrangement of maxillary
posterior teeth
7. Arrangement of
mandibular posterior teeth
8. Final wax up and carving
105
Class I Teeth setting no.6
S. Name of work Date Grade and
No. Signature
1. Fabrication of maxillary
and mandibular denture
bases in self cure acrylic
resin
2. Fabrication of maxillary
and mandibular occlusal
rims in self cure acrylic
resin
3. Articulation
4. Arrangement of maxillary
anterior teeth
5. Arrangement of
mandibular anterior teeth
6. Arrangement of maxillary
posterior teeth
7. Arrangement of
mandibular posterior teeth
8. Final wax up and carving
106
Class I Teeth setting no.7
S. Name of work Date Grade and
No. Signature
1. Fabrication of maxillary
and mandibular denture
bases in shellac base plates
2. Fabrication of maxillary
and mandibular occlusal
rims in shellac base plates
3. Articulation
4. Arrangement of maxillary
anterior teeth
5. Arrangement of
mandibular anterior teeth
6. Arrangement of maxillary
posterior teeth
7. Arrangement of
mandibular posterior teeth
8. Final wax up and carving
107
Class I Teeth setting no.8
S. Name of work Date Grade and
No. Signature
1. Fabrication of maxillary
and mandibular denture
bases in thermoplastic
resin base plates
2. Fabrication of maxillary
and mandibular occlusal
rims in thermoplastic resin
base plates
3. Articulation
4. Arrangement of maxillary
anterior teeth
5. Arrangement of
mandibular anterior teeth
6. Arrangement of maxillary
posterior teeth
7. Arrangement of
mandibular posterior teeth
8. Final wax up and carving
108
Class I Teeth setting no.9
S. Name of work Date Grade and
No. Signature
1. Fabrication of maxillary
and mandibular denture
bases in wax base plates
2. Fabrication of maxillary
and mandibular occlusal
rims in wax base plates
3. Articulation
4. Arrangement of maxillary
anterior teeth
5. Arrangement of
mandibular anterior teeth
6. Arrangement of maxillary
posterior teeth
7. Arrangement of
mandibular posterior teeth
8. Final wax up and carving
109
Class I Teeth setting no. 10 and acrylization
S. Name of work Date Grade and
No. Signature
1. Fabrication of maxillary
and mandibular denture
bases in heat cure resin
base plates
2. Fabrication of maxillary
and mandibular occlusal
rims in heat cure resin base
plates
3. Articulation
4. Arrangement of maxillary
anterior teeth
5. Arrangement of
mandibular anterior teeth
6. Arrangement of maxillary
posterior teeth
7. Arrangement of
mandibular posterior teeth
8. Final wax up and carving
9. Finishing and polishing
110
Class II Teeth setting no. 1 and acrylization
S. Name of work Date Grade and
No. Signature
1. Fabrication of maxillary
and mandibular denture
bases in heat cure resin
base plates
2. Fabrication of maxillary
and mandibular occlusal
rims in heat cure resin base
plates
3. Articulation
4. Arrangement of maxillary
anterior teeth
5. Arrangement of
mandibular anterior teeth
6. Arrangement of maxillary
posterior teeth
7. Arrangement of
mandibular posterior teeth
8. Final wax up and carving
9. Finishing and polishing
111
Class III Teeth setting no. 1 and acrylization
S. Name of work Date Grade and
No. Signature
1. Fabrication of maxillary
and mandibular denture
bases in heat cure resin
base plates
2. Fabrication of maxillary
and mandibular occlusal
rims in heat cure resin base
plates
3. Articulation
4. Arrangement of maxillary
anterior teeth
5. Arrangement of
mandibular anterior teeth
6. Arrangement of maxillary
posterior teeth
7. Arrangement of
mandibular posterior teeth
8. Final wax up and carving
9. Finishing and polishing
112
