Prosthodontics 1 - lecture

Data

Official data in SubjectManager for the following academic year: 2024-2025

Topic

The student should learn the clinical and laboratory procedures and methods of making a complete denture.

Lectures

• 1. Anamnesis and examination of the edentulous patien and Cconsequences of complete edentoulism 2. - Muzsek Zsófia Katalin
• 2. Clinical anatomy of the edentulous maxilla. - Muzsek Zsófia Katalin
• 3. Parts of the complete denture and principles of functional stability. Anatomical impression and model. Individual tray. - Muzsek Zsófia Katalin
• 4. Clinical anatomy of the edentulous mandible I. - Muzsek Zsófia Katalin
• 5. Clinical anatomy of the edentulous mandible II. - Muzsek Zsófia Katalin
• 6. Making a functional impression on the edentuolus mandible and maxilla - Muzsek Zsófia Katalin
• 7. Midsemester written test - Muzsek Zsófia Katalin
• 8. Assessment of the occlusal plane, the occlusal vertical dimension and the centric relation. Intraoral gothic arch tracing registration. - Tóth Klára Kitti
• 9. Setting up of denture teeth: methods, static and dinamic occlusion. - Tóth Klára Kitti
• 10. Try-in, examination before processing the denture. Christensen's phenomenon. - Tóth Klára Kitti
• 11. Processing the denture in the dental laboratory, reocclusion, insertion, remontage. - Tóth Klára Kitti
• 12. Problems and problemsolving during the use of a complete denture. Relining, repairing, copying the denture. - Tóth Klára Kitti
• 13. Maintenance of patients with complete dentures. Oral pathology of edentulous patients. - Tóth Klára Kitti
• 14. Midsemester written test - Tóth Klára Kitti

Practices

Seminars

Reading material

Obligatory literature

G Zarb et al.: Prosthodontic Treatment for Edentulous Patients, Elsevier

Geering A, Kundert M, Kelsey CC: Complete Denture and Overdenture Prosthetics, Thieme

Literature developed by the Department

Lecture notes

Notes

Recommended literature

Conditions for acceptance of the semester

According to Code ofStudies and Examinations (CSE). Successful midterm tests.

Mid-term exams

2 mid-term tests, the avarage can’t be 1. If the student writes both tests with the result 1, can improve the second one once. If the student fails on third one as well, the semester can’t be accepted.

Making up for missed classes

Making up for missed classes

No possibility.

Exam topics/questions

Every oral exam starts with MRT  (A, B és C9 the students get 5 question, from which 3 must be correct, and the oral exam can be started only after a succesfull MRT.

On the oral exam students has to take 2 question, if they fail on one of them, they have to repeat the whole exam.

 

1.      Consequences of complete edentulousness. (early, late)

2.      History taking, patient examination, in case of complete edentulousness.

3.      Preprosthetic treatment of the patients. How do you plan the treatment?

4.      Functions of complete removable denture. Parts of the complete denture and their functions.

5.      Which factors are relevant to complete denture retention? (upper and lower jaw)

6.      Functions of myofunctional factors in lower complete denture retention. Which muscles are advantageous and which are disadvantageous in complete denture retention.

7.      Materials used for complete denture construction, what are the features of these materials? (exept: denture base, artificial teeth)

8.      Clinical anatomy and prosthetic significance of the hard palate.

9.      Clinical anatomy and prosthetic significance of the soft palate. Possibilities of posterior palatal seal/ post-dam construction. Mucosal resilience (definition, importance)

10.  Clinical anatomy and prosthetic significance of the maxillary tuberosity and the tuber-cheek split/buccal sulcus.

11.  Clinical anatomy of edentulous lower ridge. Basic forms of mandibular edentulous ridges.

12.  Clinical anatomy and prosthetic significance of the mucosa of the mandibular edentulous alveolar ridge and the vestibular and lingual mandibular mucosal reflection.

13.  Clinical anatomy and prosthetic significance of the mucosa over the maxillary edentulous alveolar ridge and the maxillary vestibular mucosal reflection.

14.  Clinical anatomy and prosthetic significance of the maxillary edentulous alveolar ridge. The displaceable flabby ridge.

15.  Clinical anatomy and prosthetic significance of retromolar pad and tubercule-masseter split/masseter groove. (borders and muscles)

16.  Clinical anatomy (borders and muscles) and prosthetic significance of the middle lingual vestibule (mylohyoid area/ paralingual area). Clinical anatomy (borders and muscles) and prosthetic significance of the anterior lingual vestibule (sublingual crescent area).

17.  Clinical anatomy (borders and muscles) and prosthetic significance of the distolingual vestibule (retromylohyoid area), Fish pocket

18.  Clinical anatomy (borders and muscles) and prosthetic significance of the buccal shelf.

19.  Borders of upper and lower complete denture base.

20.  Requirements of special tray in case of complete edentulousness, material of the special tray, methods of construction.

21.  Materials of functional impression. Their properties, processing.

22.  Steps and materials of the lower functional impression.

23.  Steps and materials of the upper functional impression.

24.  Impression taking in the case of flabby ridge (materials and methods)

25.  Preparation of the functional cast, relief areas and procedure to achieve relief.

26.  What is the significance of determining the occlusal plane during the fabrication of complete denture?

27.  Registration of occlusal vertical dimension and in case of complete upper and lower edentulousness

28.  Materials of the occlusal rim, and its fabrication.

29.  How can be determined the centric relation in case of complete edentulism with intraoral gothic arch tracing?

30.  How can be determinded the vertical dimension?

31.  Definition of prosthetic curve of Spee and its role in tooth set-up for complete denture.

32.  What are the functional and esthetic aspects of setting up the artificial teeth in complete dentures?

33.  What is an articulator, its role in setting up the teeth in complete denture?

34.  What and how do you check at the trial denture stage? Christensen phenomenon: definition, explanation, clinical impact.

35.  Processing of complete denture, laboratory steps.

36.  Bilateral balanced occlusion and ligualised occlusion

37.  Steps of upper complete denture construction with traditional method.

38.  Steps of upper complete denture construction with final base (basisplate) method. Advantages, disadvantages.

39.  Possible failures during complete denture processing. Importance and steps of reocclusion/laboratory remount.

40.  Final insertion of upper and lower complete dentures. (delivery)

41.  Importance and steps of clinical remount of complete denture (remontage).

42.  What are the reasons of complete denture sinking? Complete denture reline: clinical and technical steps (direct and indirect method)

43.  Copydenture

44.  Repair of the denture

45.  Material of the denture base plate, types, characteristics

46.  Characteristics of complete edentulousness among denture wearers and their treatment

Examiners

• Baumann Petra Henrietta
• Benke Beáta
• Marada Gyula
• Muzsek Zsófia Katalin

Instructor / tutor of practices and seminars