Upper / Lower Complete Denture Prosthesis Case 1: Preliminary Casts

Upper and Lower Preliminary Casts with outline
Upper Preliminary Cast and Lower Preliminary Cast with outline for the fabrication of Custom Trays.
Posts Tagged ‘ maxillary ’

Upper and Lower Preliminary Casts with outline
Upper Preliminary Cast and Lower Preliminary Cast with outline for the fabrication of Custom Trays.
An Upper Complete Denture, fabricated with valplast as Denture Base. This denture was made for a 64 years old female patient. The denture teeth used is Cosmo.

Valplast Upper Complete Denture - occlusal

Causes of Injury in Tooth Prep
Considerable heat is generated by friction between a rotary instrument and the surface being prepared. Excessive pressure, higher rotational speeds, and the type, shape and condition of cutting instrument. Feather light touch and water spray should be used.
Chemical Action
The chemical action of some dental materials (bases, restorative resins, solvents and luting agents) can caused pulpal damage.
Bacterial Action
Pulpal damage under restorations has been attributed to bacteria that either were left behind or gained access to the dentin because of microleakage. Antimicrobial agent after tooth preparation and before cementation should be used.
There should be no clicking sound when a Removable Partial Denture metal framework is being seated inside the patient’s mouth. Clicking sound is a sign of excessive force applied on the abutments. The clasps should engage the abutments passively. There should be no pressure or force to the abutments especially when there’s no dislodging forces applied to the Removable Partial Denture. Below is a simple procedure to adjust a casted upper Removable Partial Denture framework.

Correction fluid is used to check pressure points or areas on the framework.

Removable Partial Denture with Cobalt Chromium Framework with premature contact on the occlusal and cingulum rests.
Tooth preparation for endodontically treated teeth for Fixed Partial Denture

Preop Periapical X Ray Showing Endo Treated Central and Lateral Incisor
Root canal
Remove only minimal tooth structure. Overenlargement can perforate or weaken the root. The thickness of the remaining dentin is the prime variable in fracture resistance of the root.
Coronal
As much of the coronal tooth structure should be conserved as possible.

Provisional Dental Crowns
Procedure
Tooth preparation for endodontically treated teeth is a 3 stage operation
1. Removal of the root canal filling material to the appropriate depth.
2. Enlargement of the canal.
3. Preparation of the coronal tooth structure.
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Cobalt Chromium Framework for Upper and Lower Removable Partial Dentures
Temporary / Provisional Dental Crown is usually made of acrylic resin. It is cemented on tooth 11 (upper right central incisor), after tooth preparation to protect the tooth while the final / permanent dental crown is being fabricated. The final restoration for this case is all-ceramic dental crown.

Provisional Crown for Tooth 11
All Porcelain Fixed Partial Denture to replace two missing Central Incisors. This is a 4 unit Alumina Crown and Bridge fabricated for a 21 year old female patient.

All Ceramic Fixed Partial Denture