1st SCENARIO

A 65 years old woman came to the dentist with her son

complaining the incapability in chewing since she had loss all of her
tooth. IO examination resulted that there were edentulous area in
upper and lower jaw, with high alveolar bone of upper jaw, while
alveolar bone in lower jaw has decreased. EO examination showed
that there was angular cheilitis and short level of face. The patient
want to make a denture.

Difficult word :
Topic : full denture
Formulating problem:
1. What is full denture? And what are the function?
A dental prosthetic that replaced all the natural teeth. Full
coverage oral prosthetic device tha replaced a complete arch of
missing teeth.
Function:
 Mastication
 Esthetics
 Correction of speech
2. What are the indication and contraindication of full denture?
Indications:
 Full of missing teeth
Contraindications:

 Allergic to acrilic
 Xerostomia
 Severe dental alveolar resorbtion
 Severe gag reflex
  Hipersensitif to dental material
3. What are the anatomical landamarks for making impression?
Maxilla :
 Rugae
 Maxillary tuberosity
 Vibrating line
 Frenulum labialis
 Frenulum buccalis
 Hamular notch
 Fovea palatina
 Fornix
Mandibula:
 Frenulum labialis
 Frenulum lingualis
 Frenulum buccalis
 Retromolar pad
 Ridge
 Fornix
4. What are the tool and material in making full denture and What
are advantage and disadvantage of the materials?
Tool:
 Articulator
 Work model
 Crown mess
 wax mess
 cuvet and press
 ruber bowl and spatula
 stelonpot
 bunsen
 set polishing and finishing acrilic
 Material :
 Acrilic
Adv: strong enough,
Disadv: allergic reaction,
 Gips
 Wax
Adv: easy to get and cheap
 Valplast(
Adv: more flexible and comfortable
 Acrilic selfcure
To correct the denture
 Porcelain
5. How does the denture work and stay in the mouth?
Retention from the anatomical landmark.
Making vacuum area between baseplate and mucose and helped
by saliva as adhesion.
6. How is the treatment planning for this patient? How to make full
denture?
 Assessment*
 Making negative impression*
 Working model (positif impression)
 Design and make baseplate on working model
 Base plate tryin patient*
 Making bite rim
 Biometric occlusion*
 Fixation by double v groove (staples)*
 Put the working in the articulator
 Place the artficial teeth for anterior and posterior of
maxilla and mandibula
 Try in to the patient
  Remounting I
 Selective grinding I
 Remounting jig
 Remounting II
 Selective grinding II
 Observation

7. How is the prognosis for the patient?

Good prognosis because maxilla alveolar bone is still high.
8. How to maintain full denture?
 Remove and rinse denture after eating
 Brush the denture atleast daily
 Put in the warm water over night
 Relining every 2/3 years
9. What is the effect if the edentulous were not treated?
 Resorbtion of alveolar bone
 Loss of vertical dimention (tinggi wajah)
 Difficulty of speech
 Decrease of nutrition
10. What is the relation between angular cheilitis and complete
denture?
Because of edentulous, the patient lost the centric relation and
occlusion . The patient have difficulty in maintain saliva in the
mouth and can cause angular cheilitis on the corner of the mouth
because of the accumulation of saliva.
11. how to resolve the decreased of lower alveolar bone ?
Stability and retention of the denture?
12. how to determine vertical dimension?
 Jarak pupil ke sudut mulut = jarak hidung ke dagu
Buat gigi anterior sejajar dengan garis interpupil. Kalau
yang gigi posterior sejajar dengan garis champer( garis ala
nasi dari rotation center)
  Tinggi bite rim anterior: 12 mm
 Tinggi bite rim posterior : 10 mm
13. How to do physical examination and objective
examination ?
14. How to choose artificial tooth? (gender, color,size)
15. How to educate patient?