This document discusses the process for creating and fitting a complete denture. [1] It begins by outlining indications for complete dentures, such as extensive bone loss or being edentulous. [2] It then describes the series of appointments involved, including history taking and examinations, primary and final impressions, jaw relationship recording, a try-in, delivery, and follow-ups. [3] Each appointment covers multiple steps to properly create and fit the dentures.

1. Complete Denture
Presented by:
Dr. Shady A. M. Negm
Bachelor's Degree School of Dentistry, Pharos University.
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2. Indications for a Complete Denture
• Extensive bone loss and periodontal
disease
• Gross decay or abscesses
• Edentulous patient
• Lack of financial resources for alternative
treatments
• Patient refused partial dentures
• Gross decay or abscesses
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3. Appointments for a Complete Denture
History Taking & Examination Try – in
Primary impression Denture delivery
Final impression First follow-up
Jaw relationship Adjustments
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4. History Taking, Examination & recording the
Information
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5. History Taking, Examination & recording
the Information
• 1. Main Complaint(s)
• 2. History of the main complaint
• 3. Social History
• 4. Dental History
• 5. Medical History
• 6. Habits
• 7. Radiographic examination
• 8. Extra-oral & Intra-oral examination
• 9. Treatment Plan
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6. Primary impression
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7. Primary impression
• Step 1: Selection of trays
• Step 2: Modification the trays
• Step 3: Impression taking
• Step 4: Evaluation of the impressions
• Step 5: Disinfection
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8. Final Impressions
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9. Final Impressions
• Step 1: Evaluation of special tray
• Step 2: Adjusting the tray
• Step 3: Impression taking
• Step 4: Evaluation of the impressions
• Step 5: Disinfection
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10. Jaw Relationship
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11. Jaw Relationship
• Step 1: Seating the patient
• Step 2: Evaluating the laboratory work
• Step 3: Posterior palatal seal (post dam)
• Step 4: Tissue support
• Step 5: Vertical dimensions
• Step 6: Assess the recording
• Step 7: Disinfection
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12. Try-in Appointment
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13. Try-in Appointment
• Step 1: Trial denture evaluation
• Step 2: Assessment on the articulator
• Step 3: Assessment in the mouth
• Step 4: Jaw relationship
• Step 5: Phonetics
• Step 6: Appearance
• Step 7: Disinfection
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14. Delivery Appointment
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15. Delivery Appointment
• Step 1: Evaluating the laboratory work
• Step 2: Evaluation of the fitting
surfaces
• Step 3: Evaluation of the occlusion
• Step 4: Correction of the occlusion
• Step 5: Re-evaluation of aesthetics
• Step 6: Final polishing
• Step 7: Patient instructions
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16. First follow-up
• Step 1: Assessment of the patient
• Step 2: Extra-oral assessment
• Step 3: Intra-oral assessment
• Step 4: Adjustment
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17. Denture Complaints
• 1. Pain
• 2. Appearance
• 3. Inefficient chewing
• 4. Poor retention (maxillary denture)
• 5. Instability (mandibular denture)
• 6. Clicking teeth
• 7. Nausea, gagging or retching
• 8. Discomfort
• 9. Altered speech
• 10. Biting cheek & tongue
• 11. Food under the denture
• 12. Lower denture cannot be worn
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18. Adjustments
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19. Denture Relines, Adjustments, and
Repairs
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