1 Assessment of Edentulous Patients

Introduction 

The Patient Interview

Patient Interview: Age

Patient Interview: Attitude

Patient Interview: Expectations

Patient Interview: Chief Complaint

Patient Interview: General Health

Patient Interview: Complete Denture Experience

Patient Interview: Denture Remake Frequency

Patient Interview: Patient Satisfaction

Patient Interview: Photographs, Diagnostic Casts, and Radiographs

The Facial Analysis 

Facial Analysis: Facial Tissue Tone 

Facial Analysis: Tooth and Denture Base Display 

Facial Analysis: Midlines

Facial Analysis: Lip Mobility

Facial Analysis: Lip Dimension 

Prosthetic Factors

Prosthetic Factors: Vertical Dimensions

Prosthetic Factors: Existing Dentures

Prosthetic Factors: Skeletal Relationship

Prosthetic Factors: Saliva

Prosthetic Factors: Oral Tolerance

Prosthetic Factors: Temporomandibular Joints

Prosthetic Factors: Oral Cancer Review

Oral Characteristics

Oral Characteristics: Palatal Throat Form

Oral Characteristics: Arch Size

Oral Characteristics: Maxillary Ridge Height

Oral Characteristics: The Palate

Oral Characteristics: Maxillary Ridge Contour

Oral Characteristics: The Maxillary Denture Foundation

Oral Characteristics: Mandibular Ridge Height

Oral Characteristics: Mandibular Ridge Contour

Oral Characteristics: Mandibular Muscle Attachments

Oral Characteristics: Mandibular Denture Foundation 

Oral Characteristics: Maxillary Tuberosity Curve

Oral Characteristics: Vestibule

Oral Characteristics: Frenula Attachments

Oral Characteristics: Pterygomandibular Raphe

Oral Characteristics: Denture Bearing Soft Tissues

Oral Characteristics: Retromolar Pads

Oral Characteristics: Maxillary Ridge Crest to Resting Lip Length (Esthetic Space)

Oral Characteristics: Mandibular Ridge Crest to Resting Lip Length (Esthetic Space)

Oral Characteristics: Maximal Oral Opening

Oral Characteristics: Retromylohyoid Space

Oral Characteristics: Tongue Size

Oral Characteristics: Tongue Position

Oral Characteristics: The Neutral Zone

Summary 

References 

2 Orthopedic Resolution of Mandibular Posture

Introduction

Conditioning Abused Tissues and Stabilizing the Existing Prosthesis

Materials Properties and Technique

Technique

Re-establishing Orthopedic Mandibular Position

Summary 

References 

3 Definitive Impressions

Preimpression Considerations

Background 

Impression Fundamentals

Impression Materials

Edentulous Impression Trays

Technique for Making Single Appointment Definitive Impressions for Conventional Complete Dentures

Tray Selection and Tray Adaptation

Fabrication of Tray Stops

Border Molding the Impression Tray

Final (Definitive) Impression 

Techniques for Making Single Appointment Definitive Impressions for Implant-Assisted Complete Dentures and Immediate Dentures 

Attachment Selection

Implant-Retained Overdentures

Tray Selection

Impression Technique

Implant-Retained and Supported Overdentures

Immediate Dentures

Master Cast Production

Summary 

References 

4 Fabricating Record Bases, Occlusal Rims, and Mounting a Central Bearing Device

Introduction

Fabrication of Record Base and Occlusal Rims

Fabrication of Maxillary Wax Occlusal Rim

Fabrication of Neutral Zone Mandibular Occlusal Rim

Technique

Jaw Recorder Device (Central Bearing Device)

Jaw Recorder Device Assembly 

Mounting the Jaw Recorder Device on Record Bases

Mounting of the Jaw Recorder for Implant Overdentures

Mounting the Jaw Recorder Device on Partially Edentulous Arches

Procedure

Summary 

References 

5 Developing an Esthetic Blueprint 

Introduction

Contouring and Shaping the Maxillary Occlusal Rim

Summary 

References 

6 Registering the Maxillo-Mandibular Jaw Relationship

Introduction

Facebow Recording 

Centric Relation Recording for the Edentulous Patient

Centric Relation Recording for the Partially Dentate Patient

Summary

References 

7 Neutral-Zone Registration 

Introduction

Recording the Physiologic Neutral Zone for Edentulous Patients

Technique

Recording the Physiologic Neutral Zone for a Dentate Patient

Technique

Summary 

References 

8 Second Laboratory Procedure: Selection and Arrangement of Prosthetic Teeth

Introduction

Indexing the Esthetic Blueprint Record

Indexing the Neutral Zone Record

Selection of Anterior Teeth

Maxillary Anterior Teeth Arrangement

Mandibular Anterior Teeth Arrangement 

Selection of Posterior Teeth

Mandibular Posterior Teeth Arrangement

Maxillary Posterior Tooth Arrangement

Tooth Selection and Arrangement for the Partially Edentulous Patient

Summary 

References

9 Trial Placement Appointment

Trial Placement

Evaluation of Esthetics 

Evaluation of Phonetics

Evaluation of Occlusal Vertical Dimension (OVD) 

Evaluation of Centric Contact Position

External Impressions

Technique

Summary 

References

10 Denture Placement

Introduction

Placement of Immediate Dentures

Placement Procedures

Evaluation and Adjustment of Intaglio Surface

Technique

Evaluation and Adjustment of Denture Borders

Evaluating the Cameo Surface

Occlusal Evaluation and Correction

Subtractive Correction Technique

Additive Correction Technique

Patient Education and Instructions

Technique for Adhesive Application

Technique for Adhesive Removal

Home Care Instructions for Denture Patients

Postplacement Problems with New Dentures

Retention Problems

Soreness

Sore Throat

Speech Problems

Gagging

Summary 

References

11 Use of CAD/CAM Technology for Recording and Fabricating Neutral-Zone Dentures 

Introduction

Registering the Neutral Zone during Impression Making

Technique

Registering the Neutral Zone during Maxillo-Mandibular Records

Technique

Registering the Neutral Zone during the Trial Placement

Technique

Summary 

References