COMPLETE DENTURE

CASE RECORD
PATIENT’S NAME :
O.P.D NO. :
 DIAGNOSTIC DATA
NAME:

AGE : SEX:

OPD NO.:

OCCUPATION:

ADDRESS:

CONTACT NO.:

CHIEF COMPLAINT :

MEDICAL HISTORY:

ALLERGY:

DENTAL HISTORY:

DURATION OF EDENTULOUSNESS:

REASON FOR TEETH LOSS:

SEQUENCE OF TEETH LOSS :

COMPLAINT ABOUT OLD DENTURE:

PRE - EXTRACTION RECORDS :

NUMBER & TYPE OF PREVIOUS DENTURE :

a) RPD
b) CD

TYPE MAXILLARY MANDIBULAR DURATION

RPD

CD
PERSONAL HISTORY
HABIT:

DIET :

PATIENT’S ATTITUDE :
PATIENT’S EXPECTATIONS :

CLINICAL EXAMINATION
EXTRA-ORAL EXAMINATION :

FACIAL FORM :

FACIAL PROFILE :

LIPS

● CONTOUR:
● MOBILITY:
● THICKNESS:
● LENGTH:
● SUPPORT:
● COMMISURE:

SKIN COLOUR:

EYE COLOUR:

HAIR COLOUR:

MOUTH OPENING:

MOVEMENT OF MANDIBLE:

TMJ:

MUSCLE TONE:

NEURO-MUSCULAR CONTROL:
INTRA-ORAL EXAMINATION
ARCH SIZE:

ARCH SIZE:

RIDGE FORM

● MAXILLARY
● MANDIBULAR

MAXILLARY TUBEROSITY:

RIDGE RELATION:

RIDGE PARALLELISM(HOUSE CLASSIFICATION):

INTERARCH SPACE :

TONGUE SIZE: POSITION:

ORAL MUCOSA:

FRENAL ATTACHMENT
RT. BUCCAL LABIAL LEFT BUCCAL

UPPER

LOWER

LATERAL THROAT FORM:

PALATAL THROAT FORM:

PALATAL SENSTIVITY:

FLOOR OF MOUTH:

MYLOHYOID RIDGE:
VESTIBULAR DEPTH :
ARCH RIGHT LEFT LABIAL RIGHT LEFT
LABIAL BUCCAL BUCCAL

UPPER

LOWER

RETAINED TOOTH:

TORUS:

SALIVA:

● QUALITY
● QUANTITY:

EXAMINATION OF OLD DENTURE:

1. Tooth shade/Mold/Material…………
2. Esthetic : Good/Fair/Poor………..
3. Phonetics: Good/Fair/Poor………..
4. Retention: Good/Fair/Poor………..
5. Stability: Good/Fair/Poor……….
6. Extensions: Good/Fair/Poor………..
7. Contour : Good/Fair/Poor………..
8. Centric Relation : Acceptable / Unacceptable
9. Vertical Dimension at occlusion : Acceptable/Inadequate/Excessive
10. Occlusal Plane Orientation : Dessired / Reverse smile line
11. Palatal Form : Desired / Not desired
12. Post palatal seal : Acceptable / Unacceptable
13. Base adaptatiom : Acceptable / Unacceptable
14. Midline : Acceptable/Unacceptable

15. Buccal Vestibules :

16. Characterization :

17. Comfort : Acceptable / Unacceptable

18. Hygiene : Good / Fair / Poor

19. Wear : Minimal / Moderate / Severe

Radiographic Records :

1. OPG:
2. Lateral cephalometric radiograph :

Radiographic findings :

Routine blood investigations :

Diagnosis:

Prognosis:
TREATMENT PLAN:
 CLINICAL STEPS
S.NO STEPS DATE SIGN

1. PRIMARY IMPRESSION

TRAY SIZE AND TYPE , MATERIAL , TECHNIQUE

USED

● MAXILLARY
● MANDIBULAR

2. BORDER MOULDING

MATERIAL USED

● MAXILLARY:
● MANDIBULAR

3. SECONDARY IMPRESSION

MATERIAL USED TECHNIQUE USED

● MAXILLARY
● MANDIBULAR

4. JAW RELATION

● ORIENTATION JAW RELATION

● VERTICAL jAW RELATION

➢ VERTICAL RELATION AT REST :
➢ VERTICAL RELATION AT OCCLUSION

● CENTRIC JAW RELATION :

● METHOD OF DEALING:

5. TRY IN

● ANTERIOR
● POSTERIOR

7. DENTURE INSERTION

8. POST-INSERTION APPOINTENT
 LABORATORY STEPS
S.NO STEPS DATE SIGN

1. PRIMARY CAST

MATERIAL USED :

2. SPECIAL TRAY

MATERIAL USED:

TECHNIQUE USED :

3. SECONDARY / MASTER CAST

MATERIAL USED :

4. TEMPORARY DENTURE BASE

MATERIAL USED :

TECHNIQUE USED :

5. ARTICULATION

TYPE OF ARTICULATOR:

CONDYLAR GUIDANCE :

INCISAL GUIDANCE :

6. TEETH SELECTION

● SHADE:
● SIZE:

7. TEETH ARRANGEMENT

8. FLASKING

TECHNIQUE USED :

9. DEWAXING
10. PACKING

MATERIAL USED :

11. BENCH CURING

12. CURING

13. SELECTIVE GRINDING:

14. FINISHING & POLISHING:

POST INSERTION INSTRUCTIONS GIVEN TO PATIENT -

● Do not wear denture at night.

● Keep the denture immersed in water when not wearing .
● Keep the denture clean

PATIENT’S COMMENTS ( To be recorded in front of any staff

member )

Staff Signature Patient’s Signature