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    Support - Complete Denture

    Uploaded by

    Salim Malik
    This document discusses factors related to complete denture support. It notes that complete denture support involves resistance to vertical movement towards tissues and maintaining the established occlusal relationship. Support is achieved through accurate impression procedures and directing forces towards tissues resistant to remodeling. Key factors that affect support include the contour and quality of the residual ridge, denture base extension, impression accuracy, and occlusal load. Effective support relies on tissues that can withstand functional forces without excessive displacement or movement. Anatomic considerations like the presence of keratinized mucosa and cortical bone promote longer term support.

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    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd

    Support - Complete Denture

    Uploaded by

    Salim Malik
    835 views25 pages
    This document discusses factors related to complete denture support. It notes that complete denture support involves resistance to vertical movement towards tissues and maintaining the established occlusal relationship. Support is achieved through accurate impression procedures and directing forces towards tissues resistant to remodeling. Key factors that affect support include the contour and quality of the residual ridge, denture base extension, impression accuracy, and occlusal load. Effective support relies on tissues that can withstand functional forces without excessive displacement or movement. Anatomic considerations like the presence of keratinized mucosa and cortical bone promote longer term support.

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    prosthdontics

    Original Title

    Support - Complete denture

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    This document discusses factors related to complete denture support. It notes that complete denture support involves resistance to vertical movement towards tissues and maintaining the established occlusal relationship. Support is achieved through accurate impression procedures and directing forces towards tissues resistant to remodeling. Key factors that affect support include the contour and quality of the residual ridge, denture base extension, impression accuracy, and occlusal load. Effective support relies on tissues that can withstand functional forces without excessive displacement or movement. Anatomic considerations like the presence of keratinized mucosa and cortical bone promote longer term support.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    835 views25 pages

    Support - Complete Denture

    Uploaded by

    Salim Malik
    This document discusses factors related to complete denture support. It notes that complete denture support involves resistance to vertical movement towards tissues and maintaining the established occlusal relationship. Support is achieved through accurate impression procedures and directing forces towards tissues resistant to remodeling. Key factors that affect support include the contour and quality of the residual ridge, denture base extension, impression accuracy, and occlusal load. Effective support relies on tissues that can withstand functional forces without excessive displacement or movement. Anatomic considerations like the presence of keratinized mucosa and cortical bone promote longer term support.

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    SUPPORT

    IN
    COMPLETE DENTURES

    Complete
    denture

    INTRODUCTION

    If the dentures and their supporting tissues are to coexist


    for a reasonable length of time ,the dentist must fully
    understand the anatomy of supporting and limiting
    structures involved.

    Incorporation of certain biological and physical factors


    are necessary to ensure optimal complete denture
    support.

    COMPLETE

    DENTURE SUPPORT IS,

    Resistance to vertical movement of


    the denture base towards tissue.
    Counteracts forces towards ridges.
    Support

    relationship

    between

    denture base & tissue surface


    Maintain

    established

    occlusal

    relation ,promote optimal function,


    with minimal tissue ward movement
    & base settling.

    DEFINITION
    GPT
    The foundation area on which the denture
    prosthesis rest.

    BOUCHER
    The resistance to the vertical forces of
    mastication, occlusal forces & other forces
    applied in a direction towards the denture
    bearing area.

    TYPES OF SUPPORT
    CONSIDERED IN 2 POINTS OF VIEW;

    1.Dentures should confine to the underlying


    tissues

    so that the occlusal forces can

    correctly oppose to one another at initial


    closure & under functional loading.

    2.The denture should maintain this for a period


    of time for the longevity of the dentures

    SUPPORT IS ACHIEVED ,
    INITIALLY
    By impression procedures that provide optimal
    extension & functional loading

    of the supporting

    tissue which vary in their resiliency.


    LONG TERM

    Directing the forces of occlusal loading


    those tissue

    towards

    most resistant to remodeling &

    resorptive changes.

    FACTORS AFFECTING
    SUPPORT
    1. Contour & quality of the residual ridge .
    2. Extent of residual ridge coverage by denture
    base.

    3.Type & accuracy of the impression registration


    4. Accuracy of the fit of the denture base .
    5. Total occlusal load applied.

    EFFECTIVE SUPPORT IS REALIZED


    WHEN,

    SNOWSHOE PRINCIPLE
    Of maximal extension is that
    given a constant occlusal force,
    broader denture bearing area
    decreases the stress per unit area
    under the denture base, decreases
    tissue

    displacement

    denture base movement.

    ,reduces

    NATURE OF THE SUPPORTING


    TISSUES
    1. SOFT TISSUE
    2.HARD TISSUE

    3.BONE FACTOR

    SOFT
    TISSUES
    Supporting soft tissues must

    be

    capable

    of

    withstanding the pressure induced through normal


    function of prosthesis.

    Presence

    of

    keratinized,

    firmly

    bound

    permits the tissue to better resist stress.

    mucosa

    Presence of layer of resilient submucosa permits


    moderate

    compressibility

    without

    mechanical

    impingement of mucosa between the denture base &

    underlying bone

    The fatty & glandular mucosa acts as a hydraulic


    cushion

    HARD
    TISSUES
    Requirement of ideal support
    is the presence of tissue that
    are relatively resistant to
    remodeling and resorptive
    changes.

    In case of over denture,


    preserving teeth retains not
    only

    alveolar

    supporting

    teeth

    bone
    but

    also

    alveolar bone adjacent to


    teeth.

    BONE FACTOR

    It can be determined by studying the previous


    response of patients bone to stress.

    Such stress may be in the form of extractions,


    surgical trauma, forces generated by functioning

    prosthesis.

    Bone responds to force by remodelingWOLFS LAW


    The supporting alveolar bone may differ in its

    response to

    stress as compared to basal residual

    ridge bone.
    Response of bone to stress is related to local
    anatomic and physiologic variations within and
    between individuals
    Pressure tension concept:
    pressure stimulates resorption ; tension maintains the
    integrity or deposition

    Cortical bone more resistant to resorption


    Hence used in support of denture as recorded
    relations are maintained over longer periods of
    time.
    Muscle fiber attachments ensure tension on
    bone. This minimizes resorptive changes.

    ANATOMIC CONSIDERATION OF
    DENTURE BEARING AREA
    AS EDWARDS & BOUCHER NOTED;

    Since the success of the complete denture depends

    largely on the relation of the dentures to anatomic


    structures which support & limit them, familiarity with
    the location & character of these structures is
    essential.

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