GNT506 Debate

Acrylic vs Co-Cr Denture

Nafij Jamayet
Introduction
Introduction

● Edentulousness is the state in which loss of teeth causes adverse aesthetic and
biomechanical squeal
● For the rehabilitation of the partially edentulous state to replace the missing teeth
various type of prosthetic options are available including removable partial denture
(RPD), tooth supported fixed partial denture, implant supported partial denture,
flexible denture
● How well these prostheses restores and maintain the functions of natural teeth
depends on a large extent on the numbers and location of the missing teeth
 Indications &
Contraindications
ACRYLIC DENTURES
INDICATIONS CONTRAINDICATIONS

1. To replace several teeth 1. A lack of suitable teeth in the arch of support,

2. As a temporary replacement of teeth in stabilise and retain the removable partial
children denture
3. To replace missing teeth for patient doesn’t 2. Rampant caries or severe periodontal
want fixed prosthodontics condition that threaten the remaining teeth in
4. For those who find it easier to maintain good arch
oral hygiene 3. A lack of patient’s acceptance for aesthetic
5. To serve as a splint to support periodontal reasons
involved teeth 4. Chronic poor oral hygiene
5. Allergic to acrylic
6. Presence of large torus palatinus or torus
mandibularis
Cobalt chrome
Indications Contraindications

1) To replace partially edentulous arch 1) Poor periodontal status

2) Good periodontal status 2) High aesthetic demand from patient
3) Patient’s demand of more comfortable denture 3) Low economic status due to more expensice
4) Good economic status cobalt chrome compared to acrylic
5) Must have distribution of abutment teeth 4) Allergic to the material ; cobalt and chromium
which have good bone support.
Advantages & Disadvantages
ACRYLIC DENTURES
ADVANTAGES DISADVANTAGES

1. Aesthetic appeal as it can be characterized 1. More strength in bulk, so space for artificial
especially in the anterior region teeth may be reduced. Cannot be used when
2. Articial teeth can be placed at their original interarch space is less
position regardless of the amount of ridge 2. Less fatigue and abrasion resistant so may
resorption, thus restoring the normal contours break with use
of the ridge 3. Can distort due to internal strain release
3. Can re-establish the normal contours of lips 4. More plaque accumulation
and cheek 5. Can irritate soft tissues
4. Can be relined 6. Poor thermal conductivity
CO-CR DENTURES
ADVANTAGES DISADVANTAGES

1. Metal-based framework are used in thin 1. More expensive

sections ; less bulky 2. Difficult to polish and repair
2. Provide high strength and thickness 3. Esthetic issues with metal display
3. Conduct heat and cold for a more natural 4. Some changes may be difficult to do (such as
experience adding teeth) as this depends on the designs
4. Enable designs that minimize the covering of
gingival margins
5. Stable denture base
6. Resistant to corrosion
CASE 1
CASE 1..cont
CASE 2
47 years old male teacher come to request for replacement of his front tooth. Patient has chronic periodontitis and
under treatment with mobile grade 2 on 21.
CASE 2 (cont’d)
CASE 3
45 years old malay female with no underlying medical illness come request for denture to aid her in mastication.
CASE 3 (cont’d)