Edentulous exam
working backwards strategy
problem solving strategy used to use dentures to envision and provide
treatment - use dentures to envision final product and work backwards
function of denture
occlusion
speech
mastication
esthetics
affect of tooth loss
following tooth loss, residual ridge resorption occurs
maxillary ridge loss vs mandibular ridge loss
maxillary loss is in vertical/palatal direction
mandibular loss is vertical/oriented along cross sectional shape of mandible
(almost always buccal)
resorptive changes shift each denture in which direction
maxillary: superior and posterior
, mandibular: inferior and anterior
bone resorption is more aggressive in which part of jaw
mandibular bone resorption is 4x that of maxillary
The following aspects often reduce as we age
Denture support area
Neuromuscular control
Chewing force
Salivary flow due to medication(s)
Healing capacity
Quality of denture bearing tissues
primary stress bearing area on maxillary palate
tuberosity, residual ridge, hard palate formed by two maxillary processes that
join at mid palatine suture
areas that require relief from maxillary denture or will cause discomfort
labial frenum, buccal frenum, incisive papilla
working backwards strategy
problem solving strategy used to use dentures to envision and provide
treatment - use dentures to envision final product and work backwards
function of denture
occlusion
speech
mastication
esthetics
affect of tooth loss
following tooth loss, residual ridge resorption occurs
maxillary ridge loss vs mandibular ridge loss
maxillary loss is in vertical/palatal direction
mandibular loss is vertical/oriented along cross sectional shape of mandible
(almost always buccal)
resorptive changes shift each denture in which direction
maxillary: superior and posterior
, mandibular: inferior and anterior
bone resorption is more aggressive in which part of jaw
mandibular bone resorption is 4x that of maxillary
The following aspects often reduce as we age
Denture support area
Neuromuscular control
Chewing force
Salivary flow due to medication(s)
Healing capacity
Quality of denture bearing tissues
primary stress bearing area on maxillary palate
tuberosity, residual ridge, hard palate formed by two maxillary processes that
join at mid palatine suture
areas that require relief from maxillary denture or will cause discomfort
labial frenum, buccal frenum, incisive papilla
