Denture Deliveryand Follow Up.ppt

Denture Delivery and Follow Up Dr. Cecilia E. Aragón Evaluations From the Dentist From the Patient From Family/Friends Treatment at the Time of Denture Insertion Inspection of dentures. Elimination of basal surface errors. Dentures to be seated in healthy tissues. Elimination of Intaglio Surface Errors Pressure Indicator Paste PIP to be used for every new denture!! Check occlusion Occlusion may seem okay, but… Errors in Occlusion Possible causes of error: inaccurate MMR records or transfer of these, failure to use face bow, incorrect teeth arrangement, denture processing errors, changes in denture base material. Checking for occlusion errors Best done in the articulator: REMOUNT Remounting Procedure Ask patient to bite on cotton rolls for 10 min. Guide mandible into CR several times. Aluwax is placed on the post. Teeth of the mandibular denture. Place both dentures in the patient’s mandible is guided in a hinge movement. Obtain interocclusal record of CR. Mount upper denture using remounting jig. Mount lower denture Selective spot grinding Eliminating occlusal records in anatomic teeth Re-establishment of CO. Correction of working side occlusal errors. Correction of balancing-side errors. Correction of protrusive relation. Basic Tooth Positions After the CO re-establishment…. DO NOT: Reduce maxillary lingual cusps. Reduce mandibular buccal cusps. Deepen the fossae. Correction of working side occlusal errors. Reduce lingual inclines of buccal cusps of maxillary teeth. Reduce buccal inclines of lingual cusps of mandibular teeth. ON WORKING SIDE ONLY!!! Correction of working side occlusal errors. Correction of balancing-side errors. Reduce lingual inclines of mandibular buccal cusps; or Decide which supporting cusp maintains CO and reduce its opponent. Correction of balancing-side errors. Correction of protrusive relation. Eliminating occlusal errors in nonanatomic teeth Interocclusal CR record is made. Dentures mounted and gross premature contacts ar