Personality assessment made using Houses psychological classication

Philosophicalaccepts dentists judgment and instructions, best prognosis Exactingmethodical and demanding, asks a lot of questions, good prognosis Indifferentdoesnt care about dental treatment and gives up easily Hystericalemotionally unt to wear dentures, never happy, worst prognosis

Hard palate shapes at, round, U, or V Houses palatal throat formbased on imaginary line drawn between hamular notches

DATABASE OF H IG H-YI E LD FACTS: DISC I PLI N E-BASE D COM PON E NT

Class I513 mm posterior, provides the most amount of tissue for post dam ideal Class II35 mm posterior, usually enough tissue for post dam favorable Class III35 mm anterior, not enough tissue for post dam poor

Neils lateral throat formamount of space available to extend the lingual ange of the mandibular denture

Class Ilarge favorable Class IIin between Class IIIsmall unfavorable Class Inormal favorable Class IIretracted unfavorable

Wrights tongue position

Knowing the anatomy of the edentulous ridges and the anatomical features that determine the borders of the dentures are critical in fabricating successful complete dentures. Direction of ridge resorption:

PROSTHODONTICS

Maxillasuperior and posterior Mandibleinferior and anterior

Posterior palatal seal (or post dam) is the posterior border of the maxillary complete denture that puts pressure on the displaceable tissue near the junction of the hard and soft palates aiding in retention of the prosthesis. Also compensates for the shrinkage of the acrylic resin during processing of the denture base. Vibrating line is an imaginary line demarcating the moveable and nonmoveable tissues of the soft palate under function, which is used to determine the posterior extent of the maxillary complete denture. Abused tissues need to be addressed before fabricating new dentures.

Educate the patient Removal of unacceptable dentures from the mouth for an extended period of time before impressions Reline the dentures with a tissue conditioner Massage of the tissues and warm saline rinses

Three critical factors for successful complete dentures: 1. Stabilityresistance of the denture base against lateral forces 2. Supportresistance to the forces directed against the tissues 3. Retentionresistance to dislodgement of the denture base away from the tissues

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