J Korean Acad Prosthodont.  2014 Jul;52(3):239-245. 10.4047/jkap.2014.52.3.239.

Esthetically improved complete denture by gingival shade alteration: a case report

• Yim SH
• Kim JH

• KMID: 2195436
• DOI: http://doi.org/10.4047/jkap.2014.52.3.239

Abstract

Complete denture prosthodontics includes replacement of natural teeth and associated maxillary and mandibular structures for full edentulous patients. The final objectives of prosthodontic treatment include esthetic and functional rehabilitation. Because the esthetic demand of senior patients has increased esthetic requirement should not be overlooked in denture treatment. In complete denture treatment, attempts have been made to reproduce tooth wear, arrangement, recession of cervical gingiva, staining, improved gingival shade and so on. This 61 year old female patient came to the Department of Prosthodontics with the chief complaint that dentures made 5 years ago in a local clinic were broken and did not fit well. The patient put more emphasis on fabrication of natural and esthetic dentures than recovery of masticatory function. Remake of maxillary complete denture and mandibular implant retained overdenture was planned. In order to create esthetic and natural contour, Aesthetic Color Set Easy system(R) (Candulor dental GmbH, Wangen, Germany) was used to make complete dentures reproducing various gingival shades. Patient's esthetic satisfaction was high. When complete denture prosthodontics treatment involves appropriate expression of individual characteristics in addition to proper selection of esthetic materials, treatment will give satisfaction to both dentist and patient.

Keyword

Full edentulous; Complete denture

MeSH Terms

Dentists
Denture, Complete*
Denture, Overlay
Dentures
Female
Gingiva
Humans
Prosthodontics
Rehabilitation
Tooth
Tooth Wear

Figure

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  Fig. 1. Panoramic radiograph at first visit.

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  Fig. 2. Intraoral photos after implant installation. (A) Maxilla, (B) Mandible.

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  Fig. 3. Panoramic radiograph after implant installation.

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  Fig. 4. Fabricated master casts. (A) Mandible, (B) Maxilla.

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  Fig. 5. Mounted master casts. (A) Bite registration, (B) Mounting.

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  Fig. 6. Artificial tooth arrangement in ideal position. (A) Lateral view, Right, (B) Frontal view, (C) Lateral view, Left.

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  Fig. 7. Aesthetic Color Set easy system®. (A) Shade tab, (B) Monomer, polymer, stains, (C) Gingival shade mapping.

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  Fig. 8. Gingival coloring procedure. (A) Application of marginal gingiva shade, (B) Application of attached gingiva shade.

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  Fig. 9. Trimming procedure. (A) Lateral view, Right, (B) Frontal view, (C) Lateral view, Left.

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  Fig. 10. Final prosthesis. (A) Lateral view, Right, (B) Frontal view, (C) Lateral view, Left.

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  Fig. 11. Photograph after placement of prosthesis. (A) Extraoral view, (B) Frontal view.

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