Steps Of Complete Denture Construction

CLINICAL LABORATORY

1-History taking and mouth

1 examination.

2-Preliminary impression.

3-Casting of the preliminary impression.

1
4-Construction of special trays

2 5-Final impression.

6-Boxing-in and casting of the final impression

2
7-Construction of record blocks.

8-Recording of jaws relationships

3
and selection of artificial teeth.

9-Mounting of the models on an articulator.

3
10-Setting -up of teeth and waxing up.

4 11-Tryin-in of the waxed-up dentures

12-Flasking

• Wax elimination

• Packing

• Curing 4

• Deflasking.

• Laboratory remounting.

• Finishing and polishing.

13-Delivery, patient’s instructions

5
and review of the dentures.
 Anatomy In Relation To Complete Dentures
A-Extraoral landmarks

Interpupillary line

Ala-tragus line
(Camper’s plane)

Becomes deeper by aging and loss of natural teeth

The construction of complete denture with the proper
 Vertical dimension,
Nasolabial sulcus  Tooth position and
 Thickness of the denture flanges
will reduce the depth of this sulcus.

Mentolabial sulcus Becomes deeper by aging

Philtrum  With the loss of the teeth it becomes flattened.

 Proper tooth placement will restore a good
curvature of the philtrum.

Vermillion border • With the loss of teeth and resorption of alveolar

bone the lip is folded inward
• Proper denture flange thickness and anterior teeth
position can improve appearance.
Angle of the mouth  Lack of support to the angle of the mouth by the
(commisures) denture as in reduced vertical dimension may cause
angular cheilitis.

Modiolus • It is located at the meeting point of buccinator

and other facial muscles.
• With the loss of teeth it drops giving the
characteristic sunken cheeks.

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Classes Of Jaw Relationship

Angle Class I Normal Ridge Relation The sulcus shows a gentle curvature
with obtuse angle

Angle Class II Retruded Mandibular Relation The sulcus forms

an acute angle

Angle Class III Protruded mandibular relation The sulcus forms

an angle of almost 180°.