See discussions, stats, and author profiles for this publication at: https://www.researchgate.

net/publication/260560792

Technique tips - Addition of a tooth to a denture chairside immediately after

extraction

Article  in  Dental Update · December 2013

DOI: 10.12968/denu.2013.40.10.856 · Source: PubMed

CITATION READS

1 4,890

4 authors, including:

Vanessa Creaven Aslam Alkadhimi

King's College London Barts Health NHS Trust/The Royal London Hospital/Queen Mary University of Lon…
1 PUBLICATION   1 CITATION    39 PUBLICATIONS   30 CITATIONS   

SEE PROFILE SEE PROFILE

Abdulhadi Warreth
Ajman University
28 PUBLICATIONS   127 CITATIONS   

SEE PROFILE

Some of the authors of this publication are also working on these related projects:

All-ceramics restorations. View project

Endodontics View project

All content following this page was uploaded by Aslam Alkadhimi on 17 November 2015.

The user has requested enhancement of the downloaded file.

 TechniqueTips
Technique Tips – Addition of a tooth to a denture
chairside immediately after extraction
The addition of a tooth to a denture chairside
is a practical and handy tip for the general
dental practitioner working in a busy practice.
In the current economic climate, patients
are increasingly searching for economic
alternatives to the fabrication of new dentures
and, instead, opting to add teeth to their
current dentures to reduce cost. With increased
numbers of patients retaining their teeth,
and with increased numbers of the elderly
partially rather than completely edentulous,
the addition of teeth to a denture will become
a practical necessity in the developing general
dental practice.1
In this clinical tip, a 55-year-old
partially dentate female presented with mobile
left and right maxillary canines. The patient
was anxious to get the two teeth extracted
as they were aesthetically unpleasant. Clinical
examination revealed missing maxillary central
and lateral incisors, which were replaced with
an acrylic partial denture. The first right and
left premolars were removed, as required for
orthodontic treatment, which was carried
out years ago. However, no space was found
between the second premolars and the
canines (Figure 1). The left and right maxillary
canines had grade III mobility due to severe
chronic periodontitis.
Different treatment options were
discussed with the patient. One option was to
extract the two canines and to add two acrylic
canines to the denture in the laboratory.2
Procedure
Figure 1. Pre-operative clinical photograph.
Vanessa Creaven, Fifth-year Dental Science Student, Dublin Dental University Hospital, Aslam Fadel Alkadhimi, Fourth-year Dental
Science Student, Dublin Dental University Hospital, Lisa Creaven, BDS, MFDS RCS(Ire), General Dental Practitioner, Quay Dental,
Woodquay, Galway, Ireland and Abdulhadi Warreth, BDS, MDent Sc, PhD, MFDS RCS(Ire), Clinical Supervisor in Restorative and
Periodontology Division, Dublin Dental University Hospital, Dublin, Ireland.
856 DentalUpdate December 2013
View publication stats
Figure 2. The alginate impression with denture in the
mouth. Remove impression with the denture in place from
the mouth. If the denture is quite retentive, first remove
the alginate impression material and then remove the den-
ture and replace in its position in the impression. Vaseline
was applied to the fitting surface of the denture and the
impression was then poured up with snow white plaster
– Type 2 (Kerr, Switzerland]. The shade of the maxillary left
canine was then selected.
Figure 3. The upper left canine was extracted under local
anaesthetic.
Figure 4. The upper left canine was ground down off the
cast using a scalpel and a wax knife. The selected acrylic
denture tooth was then adjusted to fit the space cre-
ated. A modelling wax (US Dental Depo, Fort Lauderdale,
FL, USA) was used to fix the selected acrylic tooth into
its proper position in the dental arch of the cast. The
denture was then lifted off the cast and then tried in the
patient to verify the position of the added tooth and to
check if readjustments were needed.
Figure 5. The denture was replaced on the cast and subse-
quently a vinyl polysiloxane putty index was made to record
the position of the left maxillary acrylic tooth in the dental
arch. The pink wax was then eliminated. Vaseline was painted
on the canine region on the plaster surface. Using the putty
index, the maxillary left canine was replaced in the arch and
fixed to the denture plate, using pink autopolymerization
acrylic (VertexR self-curing, The Netherlands). When polym-
erization was complete, the index was removed. The denture
was then replaced in the patient mouth and checked for fit,
aesthetics and occlusion and then polished. The same plaster
cast was used for addition of both canines.
Figure 6. Post-operative view.
Conclusion
Advantages
 Patient will not leave the clinic without
her denture (tooth extracted and teeth
added clinically).
 Whole procedure under clinician control
and position of added teeth verified.
Disadvantages
 More clinical time needed – more
permanent treatment may be required in
the future.
References
1. Douglass CW, Watson AJ. Future needs for
fixed and removable partial dentures in the
United States. J Prosthet Dent 2002; 87: 9–14.
2. Devlin H. Immediate addition to acrylic partial
dentures. Br Dent J 1995; 178: 309–311.