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Selective grinding:
modification of occlusal & incisal surfaces of teeth at selected areas to correct occlusal errors & gain a balanced occlusion.
b) Wax template:
a softened wax is place between both dentures, areas of heavy contact will show thinning of wax or even a hole.
b) Working side errors: 1) both upper buccal & lower lingual cusps are long: - grind the high cusp tips of non functional 2) buccal cusps make contact but lingual dont: - grind the buccal cusp tips & alter their inclines (in) non functional cusps).
3) lingual cusps make contact but buccal dont: - grind lingual cusps & alter their inclines (of non functional cusp only). 4) upper buccal & / or lingual cusps are mesial to intercuspation position: - reduce upper mesial inclines & lower distal inclines
5) upper buccal & / or lingual cusps are distal to intercuspation position: - reduce upper distal inclines & lower mesial inclines 6) teeth on working side are out of contact: -selective grinding to balancing side
c) balancing side errors: 1) balancing side show heavy contact, and working side show no contact: - grind the inner incline of lower buccal cusp. 2) no contact on balancing side: - grind the buccal upper cusps on lower lingual cusps of cusps on working side.
d) protrusive position errors: 1) anterior teeth show heavy contacts with no posterior contact: - reduce palatal surface of upper anteriors & labial surface of lower anteriors. 2) posteriors show heavy contact with no anterior contact: - grind distal inclines of upper cusps & mesial inclines of lower cusps. Note: -You have to wipe markings every time to ensure good localization of abnormal contacts. - after finishing selective grinding, teeth are milled (polished) with pumice.
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Rebasing: is the process of making an impression in an existing denture & replacing denture base material without changing teeth relation.
Diagnosis: 1. Obvious looseness 2. General soreness 3. Inflamation 4. Loss of vertical dimensions 5. Bad esthetics 6. Disharmonious occlusion 7. Flattened rogue 8. Flabby ridge
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OBJECTIVES:
1) Improvement of retetion & stability: - A poor fit denture will make the periferal seal impossible impaired retention 2) Improvement of appearance: - Resorption of lower jaw cause a loss in vertical dimension aging. - Resorption of upper jaw doesnt affect the vertical dimension as palate is there. 3) Restoration of vertical dimensions: 4) Restoration of evenness of occlusion: 5) To alleviate pain: - The last 3 objectives can be obtained by relining
Indications:
1) Resorped alveolar ridge with poor fitting denture 2) 3 6 months following an immediate denture placement. 3) Geriatric or v. ill patients who cant withstand construction of new denture. 4) Patients cant afford cost of having new denture 5) Errors in the newly constructed denture. - For relining: 6) Presence of abused tissue - For rebasing: 7) Porous denture base 8) Dis-coloured or contaminated base 9) Use of denture for long time
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The end
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