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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