J Korean Acad Prosthodont.  2015 Jul;53(3):250-255. 10.4047/jkap.2015.53.3.250.

Approach to complicated fully edentulous case: from the diagnosis to the definitive denture

• Oh J
• Lee H
• Paek J
• Noh K
• Kwon KR
• Pae A

• KMID: 2195256
• DOI: http://doi.org/10.4047/jkap.2015.53.3.250

Abstract

In fully edentulous cases, which are accompanied by severe residual ridge resorption and impairment of supporting tissues of complete dentures, proper diagnosis and systemic treatment planning are required for the improvement in retention, stability, and support of prosthesis. Provisional restoration, while it is unfamiliar in complete denture restoration, can be used as a valuable tool, which makes possible to evaluate the stability of complete dentures and receive feedback from patients in complex clinical situations. In this case, a provisional denture was used to improve stability of impression, polished, and occlusal surfaces of complete denture, and to consider esthetic requirements before final denture construction. The result was clinically satisfactory in terms of functional and esthetical aspects.

Keyword

Edentulous mouths; Complete denture

MeSH Terms

Denture, Complete
Dentures*
Diagnosis*
Humans
Mouth, Edentulous
Prostheses and Implants

Figure

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  Fig. 1. Pre-existing old denture. Problems of severe wear and under extended border were observed. (A) Maxilla, (B) Mandible.

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  Fig. 2. Initial intraoral view. (A) Maxilla, flabby tissue was observed at anterior (B) Mandible, arrow: traumatic ulceration was observed.

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  Fig. 3. Gothic arch tracing for decision of centric relation.

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  Fig. 4. The provisional denture delivery after tissue conditioner lining.

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  Fig. 5. Left tongue space invasion was observed when checked with impression material.

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  Fig. 6. Duplicated denture as individual tray.

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  Fig. 7. Check of the pressure areas in the anterior maxilla.

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  Fig. 8. Functional impression with tissue conditioner.

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  Fig. 9. Intraoral (A) and extraoral (B) photos after placement of prosthesis.

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