Case-based dentistry resource details the art of crafting basic to complex dental prosthodontics

Case Guides to Complete and Partial Denture Prosthodontics by prosthodontist and educator Robin Wilding is designed to take dental students on a progressive journey through a sequence of case guides that are based on actual patient scenarios. This comprehensive resource presents clinical challenges in stepwise increments, starting with a one-tooth partial denture and concluding with an implant-supported mandibular overdentures. By mastering less complicated prosthetics first, students are able to gain the necessary skills and confidence to manage more advanced cases.

Key Highlights

Eleven clinical scenarios reflect those a student or general dentist will likely encounter in daily practice
Basic science content offered in separate appendices provides relevant scientific background for each case, while keeping the focus on clinical skills
Highly-rated appendices cover practice management topics, including patient FAQs
Videos provide step-by-step guidance on performing specific procedures, from duplicating and placing a denture to solving the problems of an unstable mandibular complete denture

This guide is an essential learning resource for dental students and an excellent teaching tool for dental school instructors.

Video Cases ix
Preface x
Acknowledgments xii
About the Author xiii
Part I Case Guides

Case Guide 1 The Acrylic-Based RPD Replacing Anterior Teeth
2 (9)
1.1 Assessment of Patient Needs, Examination, and Informed Consent
2 (1)
1.1.1 Patient Assessment
2 (1)
1.1.2 Patient Examination
3 (1)
1.1.3 Informed Consent
3 (1)
1.2 Making Preliminary Impression for Study Casts
3 (2)
1.3 Planning the RPD
5 (2)
1.4 Making the RPD Final Impressions
7 (1)
1.5 Selecting a Tooth Shade
7 (1)
1.6 Writing a Laboratory Request
7 (1)
1.7 Assessing the Trial RPD
7 (2)
1.8 Placement of the Acrylic-Based RPD
9 (1)
1.9 Immediate Replacement Dentures
10 (1)
Case Guide 2 The Acrylic-Based RPD Replacing Posterior Teeth
11 (6)
2.1 Assessment of Patient Needs, Examination, and Informed Consent
11 (1)
2.2 Making Preliminary Impressions of the Edentulous Ridge and Natural Dentition
12 (1)
2.3 Planning the RPD
13 (1)
2.4 Making the Final Impressions
14 (1)
2.5 Making a Jaw Registration
14 (1)
2.6 Assessing the Trial Denture
15 (1)
2.7 Denture Placement
15 (2)
Case Guide 3 Duplicating an Existing Complete Denture
17 (8)
3.1 Diagnosis and Evaluation of Complete Dentures
17 (2)
3.1.1 History
17 (1)
3.1.2 Denture Examination
17 (2)
3.1.3 Patient Examination
19 (1)
3.1.4 Treatment Planning
19 (1)
3.2 Making Impressions to Duplicate a Denture
19 (2)
3.2.1 Laboratory Request
20 (1)
3.3 Protocol for Assessing a Complete Trial Denture
21 (1)
3.4 Using a Denture as an Individualized Tray
21 (1)
3.5 Making an Interocclusal Record
22 (1)
3.5.1 Laboratory Request
22 (1)
3.6 Placement of the Finished Denture
22 (3)
Case Guide 4 Complete Maxillary and Mandibular Dentures
25 (8)
4.1 Diagnosis and Evaluation of Complete Dentures
25 (1)
4.2 Use of Edentulous Stock Trays and Wax Stops
26 (1)
4.3 Making Final Impressions Using Individualized Trays
27 (1)
4.4 Constructing Occlusal Rims
28 (1)
4.5 Modifying Occlusal Rims
28 (1)
4.6 Making the Jaw Registration
29 (2)
4.7 Assessing the Trial Denture
31 (2)
Case Guide 5 The Single Complete Denture Opposed by a Natural Dentition
33 (3)
5.1 Making a Jaw Registration for the Single Denture
33 (1)
5.2 Making a Face Bow Record
34 (1)
5.3 Making a Protrusive Jaw Registration
35 (1)
Case Guide 6 Metal Framework Support for an RPD
36 (4)
6.1 Case Selection Criteria for RPD on Metal Framework
36 (1)
6.2 Principles of Metal Framework Design
37 (1)
6.3 Drawing a Design for a Metal Framework
38 (1)
6.4 Trying in and Adjusting the Metal Framework
38 (2)
Case Guide 7 Special Needs of the Elderly Denture Patient
40 (12)
7.1 The Special Needs of Elderly Patients
40 (1)
7.2 Managing the Expectations of Relatives
41 (1)
7.3 Repairing, Relining, and Rebasing Dentures
42 (3)
7.3.1 Denture Repair
42 (1)
7.3.2 Chairside Reline
42 (2)
7.3.3 Laboratory Reline and Rebase
44 (1)
7.4 Diagnosis of Denture Pain
45 (3)
7.5 Management of Denture Pain
48 (2)
7.5.1 Consent
48 (1)
7.5.2 Clinical Procedures
48 (1)
7.5.3 Advice
49 (1)
7.6 Chronic Mucosal Lesions
50 (2)
7.6.1 Fibrous Epulis
50 (1)
7.6.2 Denture Stomatitis
50 (1)
7.6.3 Burning Mouth Syndrome
51 (1)
Case Guide 8 The Alveolar Ridge with Advanced Resorption
52 (3)
8.1 Impression Techniques for the Resorbed Ridge
52 (1)
8.2 Balanced Occlusion and the Resorbed Ridge
53 (1)
8.3 Posterior Tooth Forms for the Resorbed Ridge
54 (1)
Case Guide 9 Complete Dentures with Arch Size Discrepancy
55 (4)
9.1 Recognizing Class II and Class III Skeletal Relationships
55 (2)
9.2 Making the jaw Registration for Class II Cases
57 (1)
9.3 Making the Jaw Registration for Class III Cases
58 (1)
Case Guide 10 Capturing the Essence of a Natural Smile
59 (7)
10.1 Key Properties of Aesthetic Tooth Arrangements
59 (2)
10.2 The Value of Pre-extraction Records
61 (1)
10.3 Immediate Dentures
62 (1)
10.4 Adjusting the Teeth of a Trial Denture
62 (2)
10.5 Achieving Patient and Family Approval
64 (2)
Case Guide 11 Implant-Supported Mandibular Overdentures
66 (6)
11.1 Treatment Planning for Implant Overdentures
66 (1)
11.2 Attaching the Denture to Implant Abutments
67 (5)
Part II Appendices

Appendix A
72 (7)
A.1 The Psychology of Tooth Los
72 (1)
A.2 The Biological Price of Partial Dentures
72 (1)
A.3 Informed Consent
72 (1)
A.4 Management of Undercut
73 (1)
A.5 Dental Materials Summaries
73 (3)
A.5.1 Alginate Impression Materials
74 (1)
A.5.2 Dental Plaster
74 (1)
A.5.3 Dental Stone
75 (1)
A.5.4 Elastomeric Impression Materials
75 (1)
A.5.5 Acrylic Denture Base
75 (1)
A.5.6 Nylon Denture Base
75 (1)
A.5.7 Acrylic Denture Teeth
75 (1)
A.5.8 Color in Denture Teeth
76 (1)
A.5.9 Denture Fixatives
76 (1)
A.6 Cleaning Dentures
76 (2)
A.7 Resin Bonded Bridge
78 (1)
Appendix B
79 (10)
B.1 Impact of RPDs on Chewing Function
79 (1)
B.2 Anatomy of the Residual Alveolar Ridge
79 (2)
B.2.1 Mucosal Types
79 (1)
B.2.2 Clinical Features
80 (1)
B.3 Tooth-Supported RPDs
81 (2)
B.4 Retention of RPDs
83 (2)
B.5 The Physical Properties of Clasp Materials
85 (1)
B.5.1 Stainless Steel
85 (1)
B.5.2 Cold Wire
85 (1)
B.5.3 Fiber Reinforced Composite
85 (1)
B.5.4 Cast Cobalt-Chrome Clasps
86 (1)
B.6 Adding Occlusal Units Which Conform to Existing Tooth Contacts
86 (1)
B.7 Principles of Static Occlusion
86 (1)
B.7.1 Arch and Tooth Relationships
86 (1)
B.8 Centric Occlusion and Centric Relation
87 (2)
Appendix C
89 (4)
C.1 Retention and Stability in Complete Dentures
89 (2)
C.1.1 Denture Retention
89 (1)
C.1.2 Denture Stability
90 (1)
C.2 The Materials and Occlusal Patterns of Acrylic Denture Teeth
91 (1)
C.3 Laboratory Changes during Denture Processing
91 (1)
C.4 Properties of Occlusal Indicators
91 (2)
Appendix D
93 (7)
D.1 Troubleshooting Denture Complaints
93 (3)
D.1.1 Complaints of Denture Looseness
93 (1)
D.1.2 Complaints of Poor Chewing Ability
94 (1)
D.1.3 Complaints of Painful Dentures
95 (1)
D.1.4 Complaints of Poor Appearance
95 (1)
D.2 Using the Residual Ridges as Guides to Setting Denture Teeth
96 (2)
D.2.1 Anterior Tooth Position
96 (1)
D.2.2 Posterior Teeth
97 (1)
D.3 Restoring Centric Occlusion in Centric Relation
98 (2)
Appendix E
100 (5)
E.1 Tooth Contacts during Function
100 (1)
E.2 The Clinical Limitations of Not Using a Face Bow
101 (1)
E.3 Semiadjustable Articulators
101 (1)
E.4 Avoiding Interference in Lateral Excursions
102 (1)
E.5 Avoiding Interference in Protrusive Excursions
102 (1)
E.6 Setting the Condylar Guide Angles
103 (2)
Appendix F
105 (5)
F.1 Clasp Design and Undercut Zones
105 (1)
F.2 Major Connectors
106 (1)
F.3 Design and Tissue Preservation
107 (1)
F.4 RPD Attachments
107 (3)
Appendix G
110 (3)
G.1 Denture Repair
110 (1)
G.2 Interim Resilient Reline Materials
110 (1)
G.3 Semipermanent Resilient Reline Materials
110 (1)
G.4 The Susceptibility of Oral Mucosa to Denture Pain
111 (2)
G.4.1 Variation in Type and Resilience
111 (1)
G.4.2 Reduced Area of Support for Functional Forces
111 (1)
G.4.3 The Vascular Supply of the Residual Oral Mucosa
111 (1)
G.4.4 Response of the Oral Mucosa to Loading
111 (2)
Appendix H
113 (6)
H.1 Tissue-Displacing Impression Techniques
113 (1)
H.2 Occlusion Designed to Achieve Denture Stability
114 (5)
H.2.1 Occlusal Curves in the Natural Dentition
114 (2)
H.2.2 Occlusal Curves in Dentures
116 (2)
H.2.3 Posterior Teeth with Reduced Cusp Angles
118 (1)
Appendix I
119 (2)
I.1 The Neutral Zone Concept
119 (1)
I.2 Characteristics of the Class II Dentition
119 (1)
I.3 Characteristics of the Class III Dentition
120 (1)
Appendix J
121 (3)
J.1 The Emotional Importance of Teeth
121 (1)
J.2 How Important Is Denture Aesthetics?
121 (1)
J.3 Reestablishing the Patient's Body Image
122 (2)
Appendix K
124 (2)
K.1 Implant-Supported Overdentures and the Standard of Care
124 (1)
K.2 Response of Bone to Dentures and Implants
124 (2)
Appendix L Management of the Denture Patient
126 (6)
L.1 Booking Appointments
126 (1)
L.2 Payment Planning
126 (1)
L.3 Patient Information
127 (1)
L.4 Building Patient Confidence
128 (1)
L.5 The Patient with Difficulties
129 (1)
L.6 The Difficult Patient
129 (3)
Your New Dentures: Frequently Asked Questions 132 (3)
Index 135