Читать книгу Removable Prosthodontics at a Glance - James Field - Страница 5
ОглавлениеCONTENTS
1 Cover
3 1 Introduction Communication and expectations The clinical process
4 2 The function of removable prostheses Function Restoring vs improving Quality of life Risks of removable prostheses
5 3 Stability and retention Stability Retention Stability vs retention The gag reflex
6 4 Patient assessment for complete dentures The patient and the rationale for treatment Prosthodontic history Clinical examination Ridge assessment Assessment of existing prostheses
7 5 Edentulous ridge presentations Upper edentulous ridges Lower edentulous ridges
8 6 Patient assessment for partial dentures The patient and the rationale for treatment Prosthodontic history Clinical examination Ridge assessment Partial denture classification Assessment of existing prostheses Radiographic assessment
9 7 Factors complicating success Prognosis and justification Risk factors
10 8 Accessibility and operator position Posture and operating position Move yourself, and the patient Upper arches Lower arches Control of the prostheses and trays Other considerations
11 9 Pre-prosthetic treatment Extraoral assessment Edentulous patients Partially dentate patients Periodontal disease and caries Implants
12 10 Revisiting the anatomy Upper arch Lower arch
13 11 Making a primary impression – complete dentures Choice of tray Material Lower arches
14 12 Making a primary impression – partial dentures Choice of tray Material
15 13 Special trays Materials Tray spacers and tissue stops Handles Material retention and support Full seating
16 14 Compound and putty materials – handling and manipulation Compound and greenstick Putty
17 15 Recording an upper functional impression Checking the special tray Important functional anatomy Posterior border Partial dentures
18 16 Recording a lower functional impression Checking the special tray Important functional anatomy Labial sulcus Posterior and disto-lingual anatomy Partial dentures
19 17 Managing fibrous ridges Mucostatic Mucocompressive
20 18 Denture bases Types of denture base Alternative denture base materials
21 19 Recording the maxillo-mandibular relationship The denture bases Natural tooth contacts in partially dentate patients The registration material A passive process The process Checking the registration
22 20 Prescribing the upper wax contour Using the previous denture as a guide Lip support Incisal level and the alar–tragal plane Buccal corridors Other useful markers Tongue space and assessing speech
23 21 Prescribing the lower wax contour The tongue Lip support Incisal level and plane Buccal relationship Vertical dimensions, tongue space and speech
24 22 Tooth selection and arrangement Biological markers Tooth shapes Tooth sizes Tooth shade and characterisation Other considerations
25 23 Occlusal dimensions and occlusal schemes Conform or reorganise? Occlusal schemes Complete denture occlusal schemes Facebows
26 24 Respecting the neutral zone Diagnosis Managing the neutral zone The formal neutral zone impression Effects of respecting the neutral zone
27 25 Assessing trial prostheses What should be checked at try-in? Managing occlusal discrepancies
28 26 Fitting and reviewing finished prostheses Returning on casts Checking the fitting surface Checking occlusal contacts Reviewing the prostheses
29 27 Copying features from existing prostheses Tooth arrangements Fitting surface Full denture contour Modifying prostheses prior to copying How to create modified copy dentures
30 28 Classifying partial prostheses and material choices Kennedy Classification Applegate Classification Potential difficulties with each class Material choice
31 29 Designing partial prostheses Preliminary registration Other necessary information A system of design
32 30 Saddles, rests and clasps Saddles Rests Direct retention – clasps Indirect retention
33 31 Connectors and bracing Bracing Major and minor connectors
34 32 Surveying and preparing guide planes Should I survey for acrylic dentures? Path of natural displacement Path of insertion Guide planes Modifying the dentition
35 33 Designing frameworks – case examples Example 1 – Upper Kennedy Class I, modification I Example 2 – Lower Kennedy Class III, modification I Example 3 – Upper Kennedy Class III, modification I Example 4 – Upper Kennedy Class III, modification I Example 5 – Upper Kennedy Class III, modification I Example 6 – Lower Kennedy Class II
36 34 Precision attachments – the fixed–removable interface Classifying precision attachments Semi-precision rests
37 35 Dealing with frameworks and substructures Try-in of the framework Alloy teeth Accounting for additions Protecting small anterior saddles Altering clasps
38 36 The altered cast technique and the RPI system The altered cast technique The RPI system
39 37 Swing-lock prostheses What is a swing-lock prosthesis? Indications Contraindications Assessing the periodontal condition The latch assembly Retentive elements Connector design
40 38 Gingival veneers Contraindications Veneering materials Indirect technique Retention Silicone vs acrylic Shade taking
41 39 Immediate and training prostheses Complete immediate dentures Partial immediate dentures Training prostheses
42 40 Occlusal splints Splint types Occlusal coverage Records for construction
43 41 Implant-supported mandibular overdentures Planning Construction Maintenance
44 42 Principles of restoring maxillary defects Primary impressions Major impressions Framework designs Obturator bungs
45 43 Tissue conditioners, liners and re-basing Tissue conditioners Soft liners Degradation Re-basing
46 44 Maintaining adequate oral hygiene The impact of partial prostheses Complicating factors Cleaning partial and complete prostheses Fixed prostheses
47 45 Troubleshooting loose or painful dentures Loss of retention and displacement Pain underneath denture bases Other causes of pain
48 46 Gagging, other difficulties and making a referral Managing the gagging patient Tongue spread and lip activity Speech problems Referral process
49 47 Summary of procedural stages Prescribing the placement of teeth and recording jaw relations Partial denture design Partial denture provision Complete denture provision Modified copy denture provision Implant-supported mandibular overdenture provision
50 Appendices Appendix 1: Complete denture assessment proforma Appendix 2: Restorative assessment proforma Appendix 3: Referral letters Appendix 4: Partial denture design sheet Recommended and supplementary reading
51 Index
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