Journal List > J Korean Acad Prosthodont > v.53(3) > 1034833

Oh, Lee, Paek, Noh, Kwon, and Pae: Approach to complicated fully edentulous case: from the diagnosis to the definitive denture

Abstract

In fully edentulous cases, which are accompanied by severe residual ridge resorption and impairment of supporting tissues of complete dentures, proper diagnosis and systemic treatment planning are required for the improvement in retention, stability, and support of prosthesis. Provisional restoration, while it is unfamiliar in complete denture restoration, can be used as a valuable tool, which makes possible to evaluate the stability of complete dentures and receive feedback from patients in complex clinical situations. In this case, a provisional denture was used to improve stability of impression, polished, and occlusal surfaces of complete denture, and to consider esthetic requirements before final denture construction. The result was clinically satisfactory in terms of functional and esthetical aspects.

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Fig. 1.
Pre-existing old denture. Problems of severe wear and under extended border were observed. (A) Maxilla, (B) Mandible.
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Fig. 2.
Initial intraoral view. (A) Maxilla, flabby tissue was observed at anterior (B) Mandible, arrow: traumatic ulceration was observed.
jkap-53-250f2.tif
Fig. 3.
Gothic arch tracing for decision of centric relation.
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Fig. 4.
The provisional denture delivery after tissue conditioner lining.
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Fig. 5.
Left tongue space invasion was observed when checked with impression material.
jkap-53-250f5.tif
Fig. 6.
Duplicated denture as individual tray.
jkap-53-250f6.tif
Fig. 7.
Check of the pressure areas in the anterior maxilla.
jkap-53-250f7.tif
Fig. 8.
Functional impression with tissue conditioner.
jkap-53-250f8.tif
Fig. 9.
Intraoral (A) and extraoral (B) photos after placement of prosthesis.
jkap-53-250f9.tif
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