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  • Single Complete Dentures

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    Deepthi Rajesh
    43 views20 pages
    Single complete dentures are more difficult to fabricate than partial dentures due to greater forces from natural teeth that can cause displacement, fracture, or severe residual ridge resorption of dentures. Mandibular single dentures should be avoided when possible due to severe ridge resorption from forces, and stress reduction methods like denture liners or overdentures should be used. Single dentures opposed by anterior teeth alone can also cause problems like resorption, loosening, or fracture, so a removable partial denture is preferable for stress distribution.

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    Single complete dentures are more difficult to fabricate than partial dentures due to greater forces from natural teeth that can cause displacement, fracture, or severe residual ridge resorption of dentures. Mandibular single dentures should be avoided when possible due to severe ridge resorption from forces, and stress reduction methods like denture liners or overdentures should be used. Single dentures opposed by anterior teeth alone can also cause problems like resorption, loosening, or fracture, so a removable partial denture is preferable for stress distribution.

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    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd
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    43 views20 pages

    Single Complete Dentures

    Uploaded by

    Deepthi Rajesh
    Single complete dentures are more difficult to fabricate than partial dentures due to greater forces from natural teeth that can cause displacement, fracture, or severe residual ridge resorption of dentures. Mandibular single dentures should be avoided when possible due to severe ridge resorption from forces, and stress reduction methods like denture liners or overdentures should be used. Single dentures opposed by anterior teeth alone can also cause problems like resorption, loosening, or fracture, so a removable partial denture is preferable for stress distribution.

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    of 20

    Single Complete Dentures

    Page 1

    Maxillary Single Dentures

    More common Teeth usually lost before mandibular antagonists

    their
    Page 2

    Mandibular Single Dentures


    Avoid when possible Severe ridge resorption due to force Stress reduction should be used
    Processed resilient denture liner Overdenture Implant retained denture

    Page 3

    Single Dentures
    More difficult Greater force causes
    Displacement Fracture due to flexure Severe residual ridge resorption

    Page 4

    Single Dentures
    More difficult Tooth malpositions decrease stability (extrusion, tipping, rotation) Difficulty balancing

    Page 5

    Single Complete Denture


    Occlusal adjustment of natural teeth
    Reduce severe curve of Spee level supraeruptions Recontour rotated teeth to permit contacts on flat surfaces

    Page 6

    Single Complete Dentures


    Reduce cusps in shaded area, to level plane of occlusion
    Severe Curve of Spee

    Supereruption

    Mock adjustment can be performed on a diagnostic cast Page 7

    Avoid a Single Denture Against Anterior Teeth Alone


    Resorption Loosening Fracture Combination Syndrome

    Page 8

    Avoid a Single Denture Against Anterior Teeth Alone


    Fabricate a RPD for Stress Distribution Make CD & RPD at the same time
    Ensures optimal occlusion

    Page 9

    Occlusion Rims
    Use to establish OVD, NOT Incisal Display Overbite will be incorporated when anterior teeth are set, lengthening incisal edges

    Page 10

    Occlusion Rims
    Flat Surface for Opposing Teeth
    No inclines If steps in occlusal plane, provide flat areas for opposing natural teeth
    Page 11

    Maxillo-Mandibular Relations

    Occlusion Rims on RPD framework Opposes CD Rims Centric and eccentric records with Alluwax Optimizes occlusion

    Page 12

    Maxillo-Mandibular Relations

    Crowns or bridges should be waxed up against the CD tooth setup Optimizes occlusion Ensures, changes can be made
    Page 13

    Maxillo - Mandibular Relations


    Centric Registration
    CUD usually stable Extraoral hand position if opposing natural dentition (less obtrusive)

    Page 14

    Setting Anterior Teeth


    More difficult
    Setting for esthetics may produce excessive overbite with natural teeth Decreases stability Compromised position, used to balance need for esthetics & function
    Page 15

    Posterior Denture Teeth


    Requires more adjustment to obtain stable centric contacts
    Denture teeth will not normally articulate well with natural dentition Pinpoint contacts/inclines, etc.

    Page 16

    Tip:
    Increase incisal pin 1mm Set posterior teeth Let wax harden Return pin to original position Adjust occlusion until pin touches table

    Page 17

    Cast Metal Denture Base


    Use if denture fractures repeatedly Usual causes:
    Heavy forces from natural teeth Occlusal contacts on inclines Impingement on a bony midline
    flexing of the denture Page 18

    Denture Teeth Wear

    More rapid against natural teeth More frequent recalls Adjust occlusion to prevent changes in stress distribution

    Page 19

    Denture Teeth Wear More Rapidly


    Never use porcelain denture teeth
    Severe attrition of natural teeth Prefer denture teeth to wear

    Page 20

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