Verify tooth selection:

• The appearance of the denture includes the shade, mould, and size of the teeth, the orientation and level of the occlusal plane and hence, the amount of the tooth visible and the degree of lip support.

• If the shade and arrangement appear unnaturally uniform, mixing shades and moulds may be indicated.

• In some patients the upper labial flange will be visible during speech and smiling. In this case, a natural appearance will be achieved when the acrylic flange is contoured to resemble natural gum and the acrylic flange is slightly irregular or stippled to break up any reflections.

• The upper portion of the labial flange should be thin, because an actual vestibule does not usually exist at the mucobuccal fold.

Regularity of anterior teeth:

• The anterior teeth should not be placed so that the incisal edges are all at the same level.

• Some form of crowding should be usually present in the arrangement of the anterior teeth. This may be varying from minimum irregularity to marked overlapping of the teeth.

• Create the final appearance by detailed arrangement of the anterior teeth, shaping the gingival margins and, where necessary grinding the incisal edges.

Special-purpose Training Tests for study the topic level testing

1. For prosthesis of toothless jaws the following stages are used: defining the central relationship of jaws (1), obtaining functional impressions (2), verification of designs of prosthesis (3), obtaining an anatomic impression (4), models plastering in the articulator (5). Define stages sequence .

1. 4, 2, 1, 5, 3

2. 1, 2, 3, 4, 5

3. 1, 3, 4, 2, 5

4. 4, 1, 2, 3, 5

5. 3, 4, 5, 1, 2

2. Patient P. 60, has been made complete dentures for u/j and l/j. At the clinical stage of the "check of design wax prostheses reproductions " the following was revealed: papulose closure on the right, bite increase, the shift of lower dentition center to the right, a gap between the teeth on the left side from 3 to 7.What mistake was made during defining central occlusion?

1. Lower jaw shift to the left

2. Front occlusion

3. Shift of a lower basis with a roller upwards

4. Backocclusion.

5. Wax basis deformation

3. Patient, 60, on stage of correction of upper complete removable denture notes good denture fixation, its comfort and convenience, but at some point during chewing denture fixation gets broken. What is the cause of patient complaints?

1. Malfunction of functional suction.

2. Improperly installed artificial teeth.

3. Lack of adhesion.

4. Inaccurate functional impressions.

5. Inaccurate anatomical impressions.

4. Female, 70, complains of banging her teeth during the use of complete removable dentures. Objectively: lips are closed with pressure, the gap between the artificial teeth in u/j and l/j during a speech is 2 mm. What mistake was made in prosthetics?

1. Interalveolar height was increased

2. Side teeth were set not in the middle of an alveolar process

3. Smile line was identified incorrectly

4. Interalveolar height was decreased

5. Artificial teeth were set in straight

5. The patients, 83, on the stage of design examination and artificial teeth placement in the oral cavity occurs papulose contact in the side sections and sagittal cleft in the vestibular area. During using which sample for placement the lower jaw in mesiodistal position was a mistake made and which type of occlusion is fixed?

1. Sample after Kantarovych, rear occlusion

2. Balloon test, lateral occlusion

3. Finger test, front occlusion

4. Wax test , central occlusion

5. Swallowing test, right occlusion

6. Patient K.,56, addressed in clinic of prosthodontics , where he had a determination of the central relationship of the jaws in the manufacture of a complete removable plate denture on the u/j. What is the next clinical stage?

1. Fitting complete removable plate denture wax basis on u/j and artificial teeth placement check

2. Fittingwaxindividualspoonandobtainingindividualimpressionfromu/j.

3. Fittingandfixationofcompleteremovableplatedentureonu/j

4. -Fitting wax basis with occlusion rollers on u/j/ defining and fixation of central occlusion.

5. Obtaining anatomic impression.

7. What are the clinical stages is making a complete removable plastic denture?

1. Obtaining anatomical impression;individualspoonfittingandobtainingfunctionalimpression; definingandfixationofcentralocclusion; teeth placement check і complete removable denture fitting and fixation

2. Obtaining anatomical impression, teeth placement check, denture fixation.

3. Obtaining anatomical impression; definingc.o.; obtaining functionalimpression, denture fixation

4. Obtaining functionalimpression, definingandfixationofcentralocclusion; teeth placementcheck,denture fixation in the oral cavity.

5. Obtaining anatomical impression, obtaining functionalimpression, teeth placement check, definingcentralocclusion, denture fixation.

8. The patient was produced complete removable denture on the upper jaw. After denture placement patient complains of poor fixation of the prosthesis during mastication. What was the mistake on a clinical stage?- Зняття анатомічного відбитка.

1. Defining and fixation of central occlusions.

2. Obtaining of functional impression.

3. Delivery and correction.

4. Check the construction of the prosthesis

9. C. The patient, 86. Complete removable dentures on the upper and lowerjaw are made . When checking the construction of dentures you check correct teeth setting . To verify the setting on the lower jaw teeth next landmark is important:

1. +alveolar process

2. Paundtriangle

3. The angle of crossing the interalveolar line with occlusal plane

4. Maxillofacial-tongue line

5. All of the above

10. Patient I.,76, addressed complaints that during speech and wide-open mouth complete removable dentures, made a week ago, badly recorded and shifting. At what stage of manufacturing dentures was an error made by a doctor?

1. In forming prosthetic plane

2. In determining the central occlusion

3. When checking the setting of teeth

4. -When collecting history

5. When obtaining functional impression

Ministry of Health Protection of Ukraine

Kharkov National Medical University Orthopedic Dentistry Department

“APPROVED” The Head of Orthopedic Dentistry Department Kharkov National Medical University Professor MD, DDS, PhD ___________Victor P.Golik " 30 " August 2012.

Methodological instruction

to the practical class VII TERM

TOPIC № 90

(for teacher)

Module 3

«COMPLETE removable PROSTHODONTICS»

MAKE ON THE BASE OF CREDIT-MODULE SYSTEM ACADEMIC PROCESS ORGANIZATION FOR DENTAL FACULTY STUDENTS OF ΙΙΙ-IV LEVELS ACCREDITATION HIGHER EDUCATIONAL

Contents module 2

Laboratory procedures complete dentures. Impact of basis laminem dentures on tissues oral cavity.

Methodological instruction is composed

by assistant NATALIYA N. BreSLAVETS

Kharkov 2012

Topic № 90:

LABORATORY STAGES OF MAKING COMPLETE REMOVABLE DENTURES

Technological card PRACTICAL CLASSES

Stages of practical classes	Time	Equipment	Place
The organization employment and training workplaces	10	Visual slides, posters, phantoms table.	Classroom
Analysis of educational homework questions	35	Tables: "Groups of teeth, anatomy jaws" "Teeth, dentitions”. "Tests for topics control.	Classroom
Demonstration of practical skills for independent work of students	20	Phantoms jaw, phantom skull, plaster models, design prostheses. Thematic patients.	Clinical cabinet
Independent work of students with the advice of the teacher	65	Phantoms jaw, phantom skull, plaster models, design prostheses. Thematic patients.	Clinical cabinet
Summing up the results classes and give homework	5		Classroom

CURRENT TOPICS. An important consideration in the manufacture of complete removable dentures laminar spine selection of construction materials, which provided a necessary aesthetic effect, and would have no adverse effect on the patient.

GENERAL PURPOSE OF CLASSES. To study clinical and laboratory stages of manufacture of complete removable plate denture.

FOR THE FULFILL THE OVERALL OBJECTIVE STUDENT SHOULD BE ABLE

Specific objectives	Purpose of the initial level of knowledge
1. Know what materials are used to make a complete removable base plate denture.	1. Be able to list the materials for denture.
2. Know the sequence of laboratory construction stages prosthesis.	2. Be able to list the laboratory stages of manufacture of complete removable plate denture.
3.Know polymerizations plastic hot curing.	3. Able to conduct heat-cured plastic packing.
4. Know how gypsum models in the articulftor	4. To be able to model the cell plastered direct method.

Theoretical questions ON WHICH BASIS PERFORMANCE OF TARGET KINDS OF ACTIVITY IS POSSIBLE

1. Classification impressions and materials for obtaining them.

2. Devices for recreating movements of the mandible and their structure.

3. Teeth setting ways.

4. Clinical and laboratory stages of production complete removable dentures.

5. Ways of denture plastering in a flask.

Literature recommended

Main Sources:

1. Prosthetic treatment of the edentulous patient. Fourth edition. R.Basker, J.Davenport. Blackwell. 2002 – 316 p.

2. Complete Denture. Manual. Robert W. Loney, DMD, MS. 2009.- 99 p.

3. Duncan, J. P., Taylor, T. D.: Simplified complete dentures. Dent Clin North. 2004;48:625.

4. Felton, D. A., Cooper, L. F., Scurria, M. S.: Predictable impression procedures for complete dentures, In Engelmeier, R.L., ed. Complete Dentures. Dent Clin North Am. Philadelphia: W.B. Saunders, 1996;40:39-51.

5. Petropoulo.s, V. C., Rashedi, B.: Compute denture education in U.S. dental schools. J Prosthodont. 2005:14:191-7.