SHADE

Each manufacturer of teeth makes their own shade guide. Use the shade guide of the manufacturer of the teeth you are going to use. You obviously can't select teeth without the shade. You will get the size from the mounting.
Forgetting to take the shade is probably the biggest waste of time in denture construction

 The patient ultimately decides the shade but you have to guide them. Select three shades and show each to the patient. Select a shade that goes well with the skin color and the age of the patient. Don't show them the whole

shade guide.
Women usually want the lightest shade possible. If they like their old denture teeth then match them.

Write down the selection.

 Remember to keep your chair light off the teeth, because this will change the color perception. Also do not stare at the teeth.
Short glances will prevent the eyes from

accommodating.
Your fluorescent bulbs are fine for matching colors

but daylight (if it's not cloudy or night time) is considered the best.

 However if you consider that the patient is going to spend most of the time under fluorescent light then maybe artificial light is

the best. Color matching for complete dentures is not a problem

 Your occlusion rim occupies the space of the teeth. The occluso-gingival dimension is the small, medium, or large (S,M,L) on the card. There is also an extra-small (XS ). In teeth set we have such numbers as 39, 42, 45, 48. The numbers refer to the mesio-distal diameter of the

maxillary six anteriorsin millimeters. The larger the number the larger the anteriors. To get the matching mandibularanteriorsuse the same number and letter

 If you want to match the teeth of an old set of dentures compare your selection to the width of the maxillary central of the denture (or

measure the six maxillary anteriors).

Apparently the mandibular teeth in the same

mold are longer mesio-distally than the maxillary.

 In practice, plastic teeth are used most often.

If you are making a single set of dentures opposing dentures with porcelain teeth, you certainly could use porcelain.
Or you could make a complete set of

dentures with porcelain teeth.

 You want to be aware that porcelain is very abrasive. If you put porcelain opposite metal anything then the metal will wear.

If you should set porcelain teeth against natural

teeth, then expect the natural teeth will be worn clear to the pulp

ANTERIOR TEETH SETTING A-ESTHETIC B PHONEICS POSTERIOR TEETH SETTING RIDGE RESORPTION & RIDGE RELATIONSHIP COMPENSATING CURVES

 Compensating curves are artificial curves

introduced into dentures in order to facilitate the production of balanced occlusion.

They are artificial counter parts of the curve

of spee and curve of Monson found in natural dentition.

Curve of spee

Curve of wilson

 The upper anterior teeth should be set labial

to the crest of the ridge about 8-10mm line from line bisecting the incisive papilla

 Over crest of the residual ridge Occlusal plane below maximum convexity of

the tongue and half the level of the retromolar pad .

Arranging teeth at the neutral zone.

Set them in contact on the midline. Incisaledges on the occlusalplane

Labial incisal2/3rds set perpendicular to the occlusalplane

Labial tilt Parallel to midline or slight distal tilt Some overjet, no overbite.

 The neck of the lateral should be depressed in

relation to the central and canine. The laterals will also be above the plane of occlusion. Maxillary laterals will have a mesial tilt. Incisal curvature of the laterals must be within that of central.

 Long axis parallel to midline and vertical axis.

Incisal edge touches the occlusal plane Prominent neck Distal slope not visible.

1.Parallel to midline, labial tit and above occlusal plane 2.Slight mesial incline,lesser labial to no labial tilt,slightly above central; 3.Vertical axis parallel to long axis ,slight lingual tilt may be given,mesially sloping(sleeping canine) and incisal edge above lateral.

The maxillary 1st premolar: The maxillary first premolar is placed with its long axis perpendicular to the occlusal plane (vertically upright).The buccal cusps are raised 0.5mm from the occlusal plane palatal cusp touches the occlusal plane. The maxillary 2nd premolar: The long axis is perpendicular to the occlusal plane ( parallel to the vertical axis). The buccal cusp and the palatal cusp touches the occlusal plane.

The maxillary 1st molar: The long axis (viewed from side ) may slightly incline mesially. When viewed from the front the tooth slopes buccally. The mesiobuccal cusp of the first molar is raised 0.5 mm above the occlusal plane. The mesiopalatal cusp is in contact with the occlusal plane. The distobuccal cusp is raised about 1 mm above the occlusal plane.

The maxillary 2nd molar: The long axis ( viewed from side, cervical area) may slightly incline mesially. The mesiobuccal cusp of the 2nd molar is raised 1 mm above the occlusal plane. The distobuccal cusp 1.5 mm above the occlusal plane. No cusp touches the occlusal plane. When viewed from the front the tooth slopes buccaly (more than the 1st molar).

The maxillary teeth viewed from the occlusal surface should follow the following guidelines: - The distobuccal surface of the canine, the buccal surfaces of the premolars and the mesiobuccal surface of the 1st molar should follow a straight line. Buccal surfaces of the 2nd molar are slightly inwards and are placed so that all buccal surfaces of the 1st and 2nd molars follow a straight line.The posterior teeth should be placed so that the central grooves of the maxillary posterior teeth follow the line of the crest of the mandibular residual ridge.

The position of the mandibular posterior teeth:

The placement of the mandibular posterior teeth determines how well the teeth occlude. The

mandibular 1st molar is first placed in position followed by the 2nd molar, and then the two bicuspids. After placing each mandibular tooth in the correct position the incisal guide pin should be checked to insure that it is in contact with the guide table

Position of the mandibular 1st molar: The mesibuccal cusp of the maxillary 1st molar fits into the buccal groove of the mandibular 1st molar. This provides proper buccal overjet Position of the mandibular 2nd molar: The mandibular 2nd molar is placed with the mesiobuccal cusp fitting between the maxillary 1st and 2nd molars and contact with their marginal ridges. The lingual cusps of the maxillary 2nd molar fit into the central groove of the mandibular 2nd molar

Position of the mandibular 2nd premolar: The mandibular 2nd premolar is placed with the buccal cusp fitting between the maxillary 1st and 2nd premolars and in touch with their marginal ridges. The lingual cusp fits in between the palatal cusps of the maxillary bicuspids Position of the mandibular 1st premolar: The buccal cusp of the mandibular 1st premolar fits between the maxillary canine and the 1st premolar. Usually this tooth is not placed until the anterior and posterior teeth are placed. If there isnt sufficient space for the placement of this tooth it may be trimmed and made narrower to fit into the available space rather than alter the placement of anteriors

 In centric occlusion

the buccal cusps of the mandibular teeth contact the central fossae of the maxillary teeth while the lingual cusps of the maxillary teeth fit into the central fossae of the mandibular teeth

EVERY TOOTH OPPOSES TWO TEETH EXCEPT MANDIBULAR INCISOR AND MAXILLARY SECOND MOLAR

 Always mark midline from face Anterior teeth should have no opposing

contact There should be buccal/ labial overjetall around Pin always touches the incisal guide table