[Full denture (complete denture base) and physiology].
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Complete denture fabrication can be an enjoyable and profitable facet of a dental practice. The key to success is a thorough diagnosis, understanding the patient's desires and expectations, and following a standardized sequence of treatment. This article describes a modified complete denture technique designed to minimize chair time but maintain sound principles of denture construction.
Complete dentures were made for 30 patients. Fifteen sets were processed by conventional compression molding and 15 sets were processed by using the SR-Ivocap injection system. Changes in vertical dimension between the waxed and processed dentures were measured at the incisal guide pin by using a dial indicator. The difference between the two methods was highly significant on the basis of t-test statistics. Whereas the processing changes noted with the conventional pack-and-press method were similar to previous studies, the injection method produced little or no pin opening. The superiority of the injection method before decasting was indisputable, and the results suggest that the laboratory remount procedure may be unnecessary when this system is used.
When fixed partial dentures are indicated in an arch opposing a complete denture, it is best to develop the occlusal surfaces of the fixed restorations at the same time that the opposing denture teeth are arranged in wax to permit greater flexibility and reduce the compromise in developing bilateral balanced occlusion. This article describes the development of bilaterally balanced occlusion between casting patterns for fixed partial dentures and a complete denture. The technique emulates the ease of arranging maxillary and mandibular denture teeth and can be used to develop fixed restorations with metal or porcelain occlusal surfaces. Porcelain occlusal surfaces are described because the use of porcelain is more technique sensitive.
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The mandibular incisor point border movement orbits of 20 patients wearing immediate complete dentures for 3 months and the same patients wearing the second complete dentures for 3 months were raced by SGG then measured and analysed.The results showed that the ranges of mandibular incisor point border movement of patients wearing immediate complete dentures for 3 months were significantly narrower than those of the same patients wearing the second complete dentures for 3 months (P<0.01).The ratio of the former to the latter was only 59.00%-69.96%.It could be concluded that the ranges of mandibular incisor point border movement of immediate complete denture wearers were limited.Thus the immediate complete dentures were transitional dentures and only used for treating purpose.The patients must have another pair of complete dentures after 3 months interim.
PURPOSE: This study investigated the relationship between the degree of mandibular alveolar ridge resorption and the number of denture adjustments after insertion of dentures in complete denture wearers. METHODS: The subjects were 77 complete denture patients (34 males, 43 females, mean age 69.1+/-8.1 years). Using bite plates of Gothic arch tracing for new denture production, the width, height, and inclination toward the tentative occlusal plane of the mandibular alveolar ridge corresponding to the canine areas (C), first premolar areas (P1), second premolar areas (P2), and first molar areas (M1) were measured bilaterally, and the relationship with the number of denture adjustment was evaluated. RESULTS: The mean of number of denture adjustments was 4.4+/-1.8 times (male 3.8 times, female 5.0 times), showing a significant difference between males and females (p<0.01). The alveolar ridge mean width was C: 9.7 mm, P1: 10.4 mm, P2: 11.5 mm, and M1: 13.0 mm respectively. The alveolar ridge mean height was C: 4.3 mm, P1: 4.6 mm, P2: 4.9 mm, and M1: 5.2 mm. The alveolar ridge mean inclination was C: 11.2 degrees, P1: 13.5 degrees, P2: 15.4 degrees, and M1: 18.8 degrees. The width and height of the mandibular alveolar ridge in C, P1, P2, and M1 were significantly larger in males than in females (p<0.05). The height of mandibular alveolar ridge was significantly lower in high number of denture adjustment than in low number of denture adjustment (p<0.05). CONCLUSION: Complete denture wearers showed a high relation between the number of denture adjustment and the mandibular alveolar ridge height.
The history of denture base materials and the accompanying development of impression techniques are traced from the earliest times to the present day (Part 1) as a prelude to a study (Part 2-4) of the various theories that have been advanced to explain retention of the base without mechanical support. These theories are critically reviewed and tabulated in chronological order. Some areas for further investigation are identified.
The history of denture base materials and the accompanying development of impression techniques are traced from the earliest times to the present day (Part 1) as a prelude to a study (Part 2-4) of the various theories that have been advanced to explain retention of the base without mechanical support. These theories are critically reviewed and tabulated in chronological order. Some areas for further investigation are identified.
The history of denture base materials and the accompanying development of impression techniques are traced from the earliest times to the present day (Part 1) as a prelude to a study (Part 2-4) of the various theories that have been advanced to explain retention of the base without mechanical support. These theories are critically reviewed and tabulated in chronological order. Some areas for further investigation are identified.
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The purpose of this study was to evaluate differences between the occlusal contacts of edentulous patients with mandibular implant-supported hybrid dentures opposing maxillary complete dentures and those of patients with conventional maxillary and mandibular complete dentures. Six parameters related to occlusion were measured in the 2 groups (n = 40 for each group) using pressure-sensitive film. The mean values generated by each test group for each parameter were compared using a t test. Pearson's correlation coefficients between occlusal force, age, and time in function were examined. Occlusal force and area in the implant denture wearers were larger than those in the conventional denture wearers. No significant difference was seen in occlusal force balance between the left and right sides. The center of occlusal load in the implant denture wearers was more anterior. The maxillary denture may become more unstable in implant denture wearers. It is suggested that the stability and retention of a maxillary denture be checked and the occlusion be adjusted more frequently in the hybrid denture wearer than in the conventional denture wearer.
Wearing complete dentures may have adverse effects on the health of both the oral and the denture-supporting tissues. This article is a review of selected literature on the sequelae of treatment with complete dentures in the specific areas of residual ridge resorption, mucosal reactions, burning mouth syndrome, temporomandibular disorders, and patient satisfaction. Recent literature found with a Medline search from 1952 to 1996 is included in this review. Residual ridge resorption is an inevitable consequence of tooth loss and denture wearing, with no dominant causative factor having been found. Mucosal reactions have a multifactorial cause, most of which can be easily treated. Most patients are satisfied with their complete dentures. Correlations between anatomic conditions and denture quality and patient satisfaction are weak. Psychologic factors seem to be extremely important in the acceptance of and adaptation to removable dentures. There are still no reliable methods to predict the outcome of complete denture treatment and there are many problems related to treatment with complete dentures. Although the prevalence of an edentulous condition is decreasing, the great number of edentulous people warrants the continuing efforts of basic and clinical research on removable partial dentures. Complete denture prosthodontics will remain an important part of dental education and practice. In addition to clinical and technical skills, insight into patient behavior and psychology and communication techniques are also necessary.
The history of denture base materials and the accompanying development of impression techniques are traced from the earliest times to the present day (Part 1) as a prelude to a study (Part 2-4) of the various theories that have been advanced to explain retention of the base without mechanical support. These theories are critically reviewed and tabulated in chronological order. Some areas for further investigation are identified.
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The purpose of this study was 1) to verify and apply a system to measure the three-dimensional (3-D) movement of the upper and lower complete dentures and the movement of the mandible with six degrees of freedom, and 2) to analyze the relationship between denture movements and the path of closure of the mandible during functions. A 3-D motion capture system with four infrared TV cameras was used for this purpose. The loci of each of three targets on the subject's head, the upper dentures, the lower dentures, and the mandible were measured three-dimensionally. The relationship between the lower dentures and the mandibular movements was analyzed in the change of the inner product of normal vectors of the denture occlusal planes and mandibular planes. The results were as follows: This system could measure the denture mobility within 3.5 x 10(- 1) mm in error. The mobility of the upper dentures had a correlation to the path of closure of the mandible regardless of the working side or nonworking side, and the lower dentures had a tendency to move toward the working side.
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