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How to Fine-Tune Form and Function During Complete Denture Fabrication

Removable Complete Dentures as a Diagnostic Tool for Future Implant-Supported Prostheses
Launch Course

Course Objectives (1 CE Credit)

Siamak Abai, DDS, MMedSc

Complete dentures provide a viable solution for edentulous patients, even though today practitioners have access to many implant-supported treatment options. To serve the population who otherwise cannot receive implant-supported prostheses due to financial or anatomical restraints, it is paramount that clinicians maintain their ability to deliver complete dentures. A predictable outcome can be achieved when the clinician has a full understanding of the desired result, accurately captures the stabilizing areas, and successfully communicates the anatomical information to the dental laboratory. Topics include:

  • A simplified complete denture protocol
  • Tray selection for edentulous cases
  • Border molding custom impression trays
  • Obtaining final impressions in the edentulous patient
  • Establishing the occlusal plane
  • Capturing the interocclusal relationship with wax try-ins
  • Centric relation registration technique

Summary

Conventional complete dentures continue to serve as a viable option to rehabilitate patients and restore everyday oral functions and esthetics. For edentulous patients who choose to pursue implant treatment, a well-made set of conventional dentures can serve as a prototype for the implant-supported prostheses, providing information such as tooth position, tooth location, vertical dimension, interocclusal space, esthetics and phonetics.

CAUTION: When viewing the techniques, procedures, theories and materials presented, you must make your own decisions about specific treatment for patients and exercise professional judgment regarding the need for further clinical testing or education and your own clinical expertise before trying to implement new procedures.


References

  1. Zarb G, Hobkirk JA, Eckert SE, Jacob RF. Prosthodontic Treatment for Edentulous Patients. 13th ed. St. Louis: Mosby; 2013.
  2. Hashemzadeh S, Yilmaz B, Zugaro F, McGlumphy E. An alternative conversion technique for fabricating an interim fixed implant-supported complete arch prosthesis. J Prosthet Dent. 2016 Nov;116(5):647-51.
  3. Kulkarni RS, Pawar RS. Fabrication of complete dentures in three visits using existing prosthesis-a simplified technique for geriatric patients. Spec Care Dentist. 2017 Mar;37(2):99-101.
  4. Dakhilalian M, Rismanchian M, Fazel A, et al. Conventional versus implant-retained overlay dentures: a pilot study of masseter and anterior temporalis electromyography. J Oral Implantol. 2014 Aug;40(4):418-24.
  5. Turkyilmaz I, Company AM, McGlumphy EA. Should edentulous patients be constrained to removable complete dentures? The use of dental implants to improve the quality of life for edentulous patients. Gerodontology. 2010 Mar;27(1):3-10.
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