By Sean McCarthy, Patrick Finbarr Allen
This name bargains with the making plans, development and assessment of whole dentures and examines the function of osseointegrated prostheses within the administration of edentulism.
Read or Download Complete Dentures: From Planning to Problem Solving (Quintessentials of Dental Practice, Volume 12; Prosthodontics, Volume 2) PDF
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Additional info for Complete Dentures: From Planning to Problem Solving (Quintessentials of Dental Practice, Volume 12; Prosthodontics, Volume 2)
In cases of severe resorption, it may be impossible to meet the patient’s aesthetic requirements and, at the same time, provide stable replacement dentures. 47 Fig 2-3 Edentulous patient without dentures. Note the approximation of the chin to the nose. Increasingly, researchers are beginning to look at wider issues of health-related quality of life. As well as effect on function, it is now recognised that tooth loss has much broader social and psychological impact. Acceptance of tooth loss and complete 48 replacement dentures is variable and subjective.
If the patient lives at a considerable distance from the surgery, can they attend for the number of visits required to make dentures? If they rely on a relative or friend to bring them to the surgery, will they be able to come for each and every visit? Examination of the Patient Following assessment of the patient, a thorough clinical examination should be undertaken, including: • extraoral examination • intraoral examination • dentures in situ • dentures out of the mouth. 52 Extraoral examination At the outset, one should assess the “biological” age of the patient in relation to the chronological age, as this is a useful prognostic indicator.
The patient regularly immersed the denture in boiling water. 64 Fig 2-13 Poor denture hygiene. Note the plaque deposits on the fitting surface of the denture. Formulation of the Treatment Plan After taking a thorough history and assessing the patient’s existing dentures, the clinician should turn their attention to the formulation of a treatment plan. This should, of course, be directed towards solving the patient’s presenting complaint. The prognosis for the treatment should be assessed and depends on factors related to the condition of the denture-bearing areas, the attitude of the patient and the ability of the patient to adapt to change.