Académique Documents
Professionnel Documents
Culture Documents
SDS 421
An attempt to equalize the support gained from the teeth and the ridge
by altered cast impression, will minimize denture rotation
preservation of the alveolar ridge.
Impression
Maximum tissue surface coverage is
essential.
Special impression technique for
recording the impression of flabby
ridge without displacement.
Maxillo-mandibular relations
The basic principles of recording vertical and centric jaw relations for
edentulous patients must be followed. Following two difficulties can
be met with while constructing a single complete denture,
1. An error may be made while recording the OVD if the upper wax rim
is trimmed to represent the incisal level below the upper lip and
parallel to the ala tragal line.
The labio-lingual thickness of the wax rim
may have to be reduced to accommodate
the lower natural teeth behind the upper
wax rim.
Occlusal Adjustment
1st Method
This curved template when positioned on the cast will guide the
operator for determining the areas and the amount of occlusal
grinding needed on all the teeth (natural and artificial, if present).
The cast tooth surfaces are painted with a spray paint before grinding
the altered areas become unpainted after grinding and serve as a
guide for intra oral adjustment. The template is then sterilized and
used as a guide in the oral procedures.
Occlusal Adjustment
2nd Method
This method is time consuming but accurate and enables one
(specially the beginner) to appreciate why these adjustments are
necessary. It also gives immediate picture of the improvements
made.
1. Proceed to the stage of recording CR record and mount the casts.
2. Start the set up of the artificial teeth as the interferences in the natural
occlusion become apparent, they are adjusted on the cast and marked with
a pencil for future reference.
3. Once a favorable occlusion has been achieved on the articulator, similar
adjustments are carried out on the natural teeth intra-orally using markings
on the cast and the denture set up as a guide.
The setting of the posterior teeth must ensure that the opposing
inclined planes do not contact as the jaw closes into CO. Only those
surfaces of opposing teeth should contact which transmit occlusal
forces vertically.