indications¶
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A full arch of missing teeth
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Dental implants that have been deemed inappropriate by patient and/or doctor because of financial constraints, a medically compromised status that contraindicates surgery, or inevitable damage to vital structures such as maxillary sinuses, nerves, and vessels
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Intraoral cancer that has caused a loss of gross intraoral tissue, resulting in an edentulous dental arch; the complete denture prosthesis would then not only replace teeth but also fill in the portion of missing tissue (eg, nasopharynx, hard palate)
Complete deture¶
Contraindications¶
The following conditions can affect the prognosis of a com- plete denture: • Pemphigus,an autoimmune disease present with bullae formation,which may be exacerbated. • Patients with partial anodontia will have to go through multiple denture therapies until their growth period ends. • Allergies to acrylic occurs in about 1.3%of patients.Such patients can be treated with a metallic denture base. • Patients with bone necrosis cannot be advised for a com- plete denture treatment until the bone is completely healed. • Patients withtumors involving thejawsand surrounding structures are not recommended with dentures. However, they can undergo denture treatment after complete resolution of the tumor.
Dental history¶
Existing denture
Extraoral Examination¶
The patient's head and neck region should be examined for any pathological condition. Facial color,tone, hair color and texture, symmetry and neuromuscular activity are noted.It includes
- facial examination
- examination of muscle
- tone and development
- lip examination
- TMJ examination
- neuromuscular examination
Intraoral Examination - Existing Teeth - Mucosa - Mucosal Displaceability - Saliva - Residual Alveolar Ridge