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1Sequellae.txt
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Does atrophy follow a pattern?
No, it is not uniform
What are teh 5 consequences of tooth loss?
1. Residual ridge resorption (RRR)
2. Various Changes in Intraoral Structures
3. Loss of Facial Support and Muscle Tonus
4. Decreased masticatory function
5. Potential psycho-social effects
What do we do at the first clinical appointment?
Preliminary impressions
Preliminary Cast Fabrication
Custom tray fabrication (in Lab)
What do we do at the second clinical appointment?
Master impressions and fabrication
Construct record bases
Make master cast (Lab)
Make record bases (Lab)
Create occlusion rim (Lab)
What do we do in the third appointment?
Transfer casts to the articulator
1)adjust occlusion rims to reflect tooth position
2)relate maxilla to the hinge axis-
facebow transfer
3) Establish VDO between the arches
4)relate mandible to the maxilla
Wax trial denture fabrication (lab)
Fourth clinical appointment
Wax trial denture try-in
1)check arch for tongue impingement
2) Check closest speaking space (VDS)
3)Check VDO
4)Prove centric relation
5)make protrusive record
6)Posterior Palatal seal final check
7) Evaluate and correct esthetics
Wax pattern is ready for investing (lab)
Fifth clinical appointment
Denture insertion appointment
Adaptation of denture base to tissue surface
Adjust tissue surface and flanges
Clinical remount
Adjust occlusion
Appointments six and seven
24 hour and 1 week post-insertion checks
Reinforce care instructions
Author
Grant32
ID
189150
Card Set
1Sequellae.txt
Description
Dentures lecture 1
Updated
2012-12-12T23:37:56Z
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