UDLT 106 - Removeable Prosthodontics - Complete Dentures

Prerequisite(s): DLT 101, 102 and 103, or concurrent enrollment

  

1. Describe the impacts of edentulism on the patient.
2. Describe case planning and treatment 
3. Describe base plate and occlusion rims and fitting for denture 
4. Explain transfer of patient information, articulation, and model mounting 
5. Explain strategies for selecting and arranging prosthetic teeth 
6. Describe dentist’s evaluation of trial denture 
7. Describe processing and finishing of digital dentures 
8. Explain denture repair, tooth replacement 
9. Explain denture repair, broken denture 
10. Explain denture reline and rebase 

1. Impacts of edentulism 
   1. Changes to bone structure 
   2. Changes to soft tissue 
   3. Impact on mastication and nutritional health 
   4. Impact on speech (phonetics) 
   5. Potential psychological impact 
2. Case planning and treatment 
   1. Evaluation of impression 
   2. Initial diagnosis and treatment 
   3. Preliminary models 
   4. Review of edentulous anatomical landmarks 
   5. Custom impression trays 
   6. Digital impressions 
   7. Multiple visit vs immediate dentures 
   8. Immediate dentures 
3. Base plate and occlusion rims and fitting for denture 
   1. Base plate material selection
   2. Base plate design considerations 
   3. Dentists’ application of base plate and occlusal rim in establishing parameters for denture setup, i.e., occlusal plane, midline, distal of the cuspid and facial contour  
4. Articulation and model mounting 
   1. Review of temporomandibular joint & muscles of mastication 
   2. Articulator selection 
   3. Articulator settings 
   4. Envelope of movement i.e., working, balancing protusive 
   5. Facebow mounting 
   6. Gothic arch tracing i.e., intraoral vs extraoral 
   7. Centric relation 
   8. Centric occlusion 
   9. Establishment of vertical dimension (VDO) 
   10. Digital and virtual articulation 
5. Prosthetic tooth selection and arrangement
   1. Interpretation of dentists markings on occlusion rim 
   2. Indications and selection of material 
   3. Anterior tooth selection, i.e, cusp angle, height  & length 
   4. Aesthetics and characteristics
   5. Festooning 
   6. Digital denture setup 
6. Evaluation of trial denture 
   1. Patient participation and try-in 
   2. Evaluation of fit, function and phonetics 
   3. Evaluation of aesthetics 
   4. Final approval for process and finish 
7. Processing and finishing of the analog denture 
   1. Pressing vs injecting molding 
   2. Flasking 
   3. Processing, long vs short 
   4. Recovery 
   5. Remounte and processing errors, Rule of BULL 
   6. Finish and Polish 
   7. Prep for delivery 
8. Processing and finishing of digital dentures 
   1. Milled vs printed 
   2. Recovery & post processing
   3. Prep for delivery 
9. Denture repair, tooth replacement 
   1. Tooth replacement 
   2. Matrix fabrication 
   3. Autopolymerizing denture resh manipulation 
   4. Repair finish and polish 
10. Denture repair, broken denture 
    1. Luting broken denture 
    2. Matrix fabrication 
    3. Autopolymerizing denture resh manipulation 
    4. Repair finish and polish 
11. Denture reline and rebase 
    1. Review patterns of bone loss in edentulous patients 
    2. Review dentist’s use of denture as impression tray to establish proper fit 
    3. Matrix fabrication for reline, jig vs flask 
    4. Autopolymerizing denture resin manipulation 
    5. Repair finish and polish