DIAGNOSIS AND TREATMENT PLAN FOR COMPLETE DENTURES
INDIAN DENTAL ACADEMY Leader in continuing dental education www.indiandentalacademy.com www.indiandentalacademy.com
CONTENTS
Objectives Evaluation of the patient Extra oral Examination Intra oral Examination Treatment plan Investigations Conclusion Bibliography www.indiandentalacademy.com
Introduction
Evaluation of pt for complete denture should be through and well documented. Check list provides better understanding of • Problems • Anatomy • Treatment goals • Improved care of patients. www.indiandentalacademy.com
OBJECTIVE S
List the requirements of a first patient visit.
Describe and discuss the effects of aging
Be familiar with various methods of rehabilitating prosthodontic patients
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EVALUATION OF THE PATIENT
Name AGE SEX OCCUPATION GENERAL HEALTH DENTAL HISTORY
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NAME ď Ž
For the purpose of communication and identification.
ď Ž
Most patients liked to be called by their name, this has a psychological effect as well.
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AGE Record chronological age whenever possible When the exact information is unobtainable, an estimate may be made and age listed as "under 40", "40 to 60 years", and "over 60 years". The significance of the age from the prosthodontist standpoint is in the ability of a patient to wear dentures successfully. Two main factors present themselves ď Ž Adaptability ď Ž Physiological Condition of Supporting Structures www.indiandentalacademy.com
SEX ď Ž ď Ž
Esthetics and of the influence of Sex hormones on the supporting structures.
Unlike men, women may regard appearance even above the efficient functioning of the replacement teeth. In the second consideration, normal physiologic change decrees that women undergo menopause, a period productive of many problems which mitigate against easy denture construction. www.indiandentalacademy.com
OCCUPATION
People generally making public appearances, such as artists, actors, salesmen, public speakers, singers, teachers, etc., are particularly concerned with the esthetics and phonetics of replacements. while tradesmen, mechanics, or laborers, etc., are concerned with functional efficiency. People like beauticians, who open bobby pins with their teeth, might place leverage on the front of the CD and cause problems of function; i.e. retention. www.indiandentalacademy.com
Address ď Ž
It is recorded for communication with the patient.
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EXAMINATION PROCEDURE
The examination must be routine, preplanned,and orderly so as not to miss something.
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MATERIALS
The materials needed are a Good light, Dental mirror, 2 X 2 gauze, Dental explorer.
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Extra oral Examination
The clinical examination of the patient should begin with a general overall evaluation of the individual. Observe the patient as she/he walks to the dental chair. This is known as Gait. Attitude may be readily ascertained as in the patient who will not make eye to eye contact and who may look the other way. This is known as Mental Attitude. The medical and dental history should be reviewed before the examination begins www.indiandentalacademy.com
PERSONALITY
According to House’s classification: Mental Attitude are of four types Philosophical Exacting Hysterical Indifferent
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Philosophical
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Exacting
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Hysterical
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Indifferent
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Chief complaint
The chief complaint is recorded in patients own words. Pt should be questioned regarding his/her cc 1. The response allows the practitioner to assess whether the pt expectations are realistic 2. The response provides information regarding the patients psychological classification As a guide, remember that without a www.indiandentalacademy.com
DENTAL HISTORY
Year of edentulous Reasons for tooth loss Denture wearing experience Pre extraction records.
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Extra oral Examination
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Face form
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Face profile
by Angle
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Muscle tone ď Ž
According to House, is classified as a)Class-I b)Class-ll c) Class--lll
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Lips 1 ď Ž
It is checked to assess for 1. Vermillion border 2. Support 3. Mobility 4. Length 5. Thickness. www.indiandentalacademy.com
Frenum According to House ď Ž In maxilla as a. High b. Medium c. Low. In mandible as a. Low b. Medium c. High. ď Ž
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Intra oral Examination
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Arch size ď Ž
ď Ž
It determines the amount of basal seat for denture foundation It can be classified as 1. Large 2. Medium 3. small
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Arch form by House
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Torus
Location Problems Treatment .
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INTERRIDGE DISTANCE
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RIDGE PARALLELISM
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RIDGE RELATIONSHIP
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SOFT PALATE
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Palatal sensitivity by House ď Ž
It is classified as 1. Normal 2. Hyposensitive 3. Hypersensitive
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LATERAL THROAT FORM
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Saliva Serous Mucous.
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Bibliography
Prosthodontic treatment for edentulous patientBoucher Syllabus of Complete DentureHartwell Essentials of complete dentureWinkler Complete Denture Prosthodonticswww.indiandentalacademy.com John J Sharry
www.indiandentalacademy.com Leader in continuing dental education
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