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Full Description
This is a user-friendly guide to the principles of complete denture construction. It is a practical, extensively illustrated book for the general dental practitioner, starting with the examination of the edentulous patient and progressing through the different treatments in a logical way. A range of procedures has been described in sufficient detail so that the dentist can apply the best treatment measure to the specific clinical problem. A final chapter on domiciliary treatment has been included because elderly, housebound patients often present problems such as denture retention (because of the patients' residual ridge atrophy or insufficient muscular control). Reference to original research work has been included so that the reader can explore the research evidence for himself.
Contents
1 Treatment Planning: Assessing the Task Ahead.- The Examination of the Patient.- History of the Patient's Complaint.- The Gagging Patient.- Medical History.- Examination of the Extraoral Tissues.- Examination of the Oral Tissues.- Examination of the Dentures.- Denture Retention.- Denture Stability.- Denture Occlusion.- Examination of the Hard Tissues.- Examination of the Soft Tissues: Denture Stomatitis.- Treatment of Denture Stomatitis.- Adjusting the Occlusion in Patients with Denture Stomatitis.- Cleaning the Dentures in Patients with Denture Stomatitis.- Improving Tissue Adaptation in Patients with Denture Stomatitis: Technique for Chairside Reline.- Resilient Lining Materials.- Other Soft Tissue Abnormalities.- Prognosis of Treatment.- References.- 2 Impression Taking and Mucosal Loading.- Anatomy of Mucosal Tissues.- How Does Oral Mucosa Behave in Function?.- The Principles of Impression Procedures.- Impression Taking Procedures.- The Mucostatic Impression Technique.- The Mucocompressive Impression Technique.- The Selective Mucocompressive Impression Technique.- Disinfection Procedures.- The Impression in the Maxillary Region.- The Primary Compound Impression.- The Secondary Alginate Maxillary Impression.- The Mandibular Impression.- The Lower Compound Primary Impression.- The Lower Special Tray Impression Using Zinc Oxide/Eugenol Paste.- Selective-pressure Impression for the Lower Ridge.- The Upper Selective-pressure Impression Technique.- Occlusal Considerations with a Fibrous Ridge.- Should Load Be Deliberately Applied to the Tissues During Impression Procedures?.- The Gagging Patient: Are Impression Procedures Possible?.- References.- 3 Determining the Jaw Relationship.- How Does the Temporomandibular Joint Move During Function?.- Clinical Determination of the Jaw Relationship.- Laboratory Construction of Occlusal Rims.- Adjusting the Upper Occlusal Rim in the CHnic.- Determining the Angulation of the Occlusal Plane.- The Residual Ridge.- Alar-Tragal Plane (or Camper's plane).- The Parotid Papilla.- Other Methods Available to Obtain the Occlusal Plane Orientation.- High Lip Line, Canine Lines, and Centre Lines.- Recording the Mandibular Rest Position.- Alternative Techniques that Use the Swallowing Reflex.- Recording the Horizontal Jaw Relationship.- Alternative Techniques that Use Graphical Methods.- Methods of Selecting the Anterior Teeth.- Positioning the Anterior Teeth Correctly.- The Upper Central Incisor Teeth.- The Maxillary Lateral Incisor.- The Maxillary Canines.- Arranging the Mandibular Anterior Teeth.- Positioning the Posterior Teeth.- The Maxillary Premolar Teeth.- The Maxillary Molar Teeth.- The Mandibular Posterior Teeth.- Anatomical Guides to Positioning the Posterior Teeth.- Biometrie Guidelines.- Width of the Maxillary Arch.- The Inter-Ridge Space.- Alternative Occlusal Arrangements of Posterior Tooth.- Occlusal Pivot Appliances.- Nonanatomical Teeth Set on a Flat Occlusal Plane.- Plaster-Pumice Occlusal Rims.- Metal Template Guides.- Lingualized Occlusion.- The Morphology of the Denture Space.- Clinical Physiology Studies.- Impression Techniques to Record the Muscular Environment.- Clinical Methodology for Recording the Denture Space.- Research Studies.- Modifying the Buccal Surface of the Denture.- Other Muscle Activity in Denture Retention.- References.- 4 The Trial Denture.- Retention and Stability in the Patient's Mouth.- Anterior Tooth Position.- Horizontal and Vertical Jaw Relationship.- Developing Balanced Articulation with Anatomical Teeth.- Articulation with Cuspless Posterior Teeth.- Articulation in Lingualized Occlusion.- Simple Hinge Articulators.- Average Value Articulators.- The Facebow.- Adjustable Articulators.- The Closest Speaking Distance.- Colouring the Labial Flange.- Postdam.- Undercuts.- Providing Tin-Foil Relief.- Liaison with the Laboratory.- The Complete Upper Denture.- The Complete Lower Denture.- References.- 5 Fitting the Processed Denture.- Remounting Procedures.- Occlusal Adjustment Using an Average Value Articulator.- Occlusal Adjustment Using a Facebow Registration and Articulator.- Denture Retention.- Aesthetic Appearance.- Patient's Instruction Leaflet.- Denture Fixative.- References.- 6 The Review Appointment.- History of the Complaint.- The Painful Denture.- Persistent Pain.- Occlusal Loading of the Oral Tissues and Resilient Lining Materials.- Properties of the Different Types of Resilient Lining Materials.- Other Causes of Persistent Pain.- Defective Speech.- "Unable to Chew Food Properly".- Vague Symptoms.- Burning Mouth Syndrome.- Summary.- References.- 7 Domiciliary Treatment.- Scope of Domiciliary Treatment.- Denture Cleaning.- Denture Marking.- Clinical Technique.- Domiciliary Prosthetic Treatment.- Denture Looseness.- Technique for Relining Upper and Lower Dentures.- Template Dentures.- Repair of Dentures.- Stages Involved in Denture Repair.- Other Causes of Fractured Dentures.- References.
