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DR:H.

ABUZGYAIA
Dr. Hussein M. Abuzgyaia
BDS 1985 Benghazi - Libya
MSC 1994 Glasgow - Scotland (UK)

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Esthetic Dentistry of Royalty

Ninth Century Mayan Skull

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Replacing Missing Teeth

This prosthesis dates between the fifth


and fourth centuries BC.

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Ancient Bridge

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PROSTHESIS

• An artificial replacement of an absent


part of the human body.

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Prosthetics

• The art and science of supplying artificial


replacement for missing parts of the human
body.

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PROSTHODONTICS
(Prosthetic dentistry)

• The branch of dentistry that deals with the


replacement of missing dental and oral and
craniofacial structures.

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Prosthodontics
Restoration or replacement
of missing teeth & contiguous
tissues

Fixed Removable Maxillofacial


Congenital Conditions
Complete Cleft palate
Crowns, Onlays Dentures
Fixed Partial Acquired Conditions
Removable Partial - Injuries
Dentures Dentures
(Bridges) - Cancer
- Conventional
- Attachment Facial & Intraoral
Prostheses

Implants
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MAXILLOFACIAL
PROSTHODONTICS

• The branch of prosthodontics concerned with the


restoration and / or replacement of the
stomatognetic & craniofacial structures with
prosthesis.

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Dentulous
A condition in which complete set of natural
teeth are present in the mouth.

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Edentulous A condition in which the

mouth is without teeth.

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Partially edentulous
A condition in which some natural teeth are

present.

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Denture An artificial substitute for
missing natural teeth and adjacent
tissues.

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Complete denture
A removable dental prosthesis that replaces the
entire dentition and associated structures of
the maxillae or mandible.

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Partial denture
A dental prosthesis that restores one
or more but not all of the natural teeth and or
associated structures.

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Removable partial denture
A partial denture that can be removed
and replaced from the mouth.

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Fixed partial denture
A partial denture that is cemented to
natural teeth or tooth roots and / or dental
implant.

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Immediate denture
A complete or partial denture
fabricated for replacement immediately
following the removable of natural teeth.

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Single complete denture
It is a complete denture (upper or lower)
that occludes against some or all of the natural
teeth, fixed restoration.

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Over denture A removable complete
or partial denture that covers and rests on
one or more reaming natural teeth, roots, and /
or dental implant.

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Implant prosthesis
Any prosthesis (fixed or removable or
maxillofacial) that utilizes dental implants in part
or whole for retention, support, and stability.

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Dental implant
A prosthetic device of allopathic material
implanted into the oral
tissues beneath the mucosal and / or periosteal
layer and / or within the bone to provide
retention and support of a fixed or removable
prosthesis.

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Obturator A prosthesis used to close a
congenital or acquired tissue opening,
primarily of the hard palate and / or contiguous
alveolar structures.

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WHAT ARE DIFFERENCES
BETWEEN NATURAL AND
ARTIFICIAL TEETH?

1. Retention of the teeth.


2. Stability of teeth.
3. Blood Nerve supply of the teeth.

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RETENTION

The quality inherent in the prosthesis acting to


resist the forces of dislodgment along the path
of placement.

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STABILITY

The quality of a prosthesis acting to firm,


steady, or constant, to resist displacement by
functional horizontal or rotation stresses.

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SUPPORT

The foundation area on which a dental


prosthesis rests.

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OBJECTIVES OF COMPLETE
DENTURE.
I. Restoration of masticatory efficiency.
II. Restoration of facial contours and
appearance.
III. Preservation of the remaining tissues.
IV. Patient satisfaction and comfort.
V. Correction of speech defects due to the
loss of natural teeth.
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I. Restoration of masticatory efficiency.

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II. Restoration of facial contours and appearance.

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III. Preservation of the remaining tissues.

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IV. Patient satisfaction and comfort.

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V. Correction of speech defects due to the loss of
natural teeth.
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Complete denture consists

1.Denture base.
a. Retention and stability of denture.
b. Carry and support the teeth.
c. Represent the gingiva.
d. Supporting the cheeks and lips.

2. Artificial teeth.
a. Assist in preparing food for deglution.
b. Providing the pleasing appearance.
c. Assist in speech.
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DENTURE BASE

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ARTIFICAL TEETH

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Complete denture has 3 surfaces

A) Fitting surface.

B) Polishing surface.

C) Occlusal surface.

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FITTING
SU RACE

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A CE
R F
SU
I NG
OSH
PL

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OCC
L US
AL S
URF
ACE

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DENTURE BORDERS

The margins of the denture base at the


junction of the polished and impression
surface .

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BORDERS

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DENTURDE FLANGE

Is the vertical extension of the denture base


that extends from the cervices of the teeth
to the borders of the denture flanges and
they are named according to location :

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FLANGES
1

2
4

1. LABIAL FLANGE(U) .
2. BUCCAL FLANGE (U).
3. BUCCAL FLANGE (L). DR:H.ABUZGYAIA
4. LINGUAL FLANGE (L)
A) Labial Flange :
The portion of the flange that occupies the
labial vestibule.

B) Buccal Flang :
The portion of the flange that occupies the
buccal vestibule.

C) Lingual Flange :
The portion of the flange of the mandibular
denture that occupies the alveoligual sulcus .

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STEPS OF COMPLETE DEURE
CONSTRUCTION

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1. EXAMINATION OF PATIENT.

HISTORY

EXAMINATION ( INTRA, EXTRA ORAL ).

TREATMENT PLANNING.
IMPRESSION ( PRELIMINARY )

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UPPER IMPRESSION

LOWER IMPRESSION

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POURING THE IMPRESSION &
STUDY CAST (PLASTER).
CUSTOM TRAY CONSTRUCTION .

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2. FINAL IMPRESSION.

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A. POURING FINAL IMPRESSION&
MASTER CAST(STONE).
B. RECORD BLOCKS CONSTRUCTION.

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3. JAWRELATION RECORD AND
SELECTION OF TEETH .

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Jaw relation recording.

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Selection of teeth

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A. MOUNTING THE CASTS ON
THE ARTICULATOR.

B. TEETH SETTING.

C. WAX CONTOURING

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4. TRY – IN THE DENTURE.

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FLASKING .
WAX ELIMINATION .
PACKING OF ACRYLIC RESIN .
CURING.
LABORATORY REMOUNT .
FINISHING & POLISHING

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FLASKING

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WAX ELIMINATION

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PACKING OF ACRYLIC RESIN

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LABORATORY REMOUNT

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FINISHING & POLISHING

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DENTURE DELIVERY .

CLINICAL REMOUNTING.

INSTRUCTION TO THE
PATIENT.

POST INSERTION CARE.

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Thank you for your DR:H.ABUZGYAIA
attention !

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