Step 1 Key word : Fraktur ellis klas III anterior Temporary denture Immediate denture

Terminology - Pulpitis irreversibel : - Fleksibel denture

Problem : - He need anterior denture immediately - The immediate implant - Immediate implant and immediate denture

Step 2 Immediate denture 1. What is immediate denture? 2. Indication and contra indication? 3. What the advantage and disadvantage? 4. Classification of immediate denture? 5. How the process of immediate denture pre and post extraction?

6. What is complication of immediate denture? 7. What it the instruction for patient? 8. How many visit for immediate denture? 9. How long it will be survive?

Immediate implant 1. What is immediate implant? 2. Indication and contra indication? 3. What the advantage and disadvantage? 4. Classification of immediate implant? 5. How the process of immediate implant pre and post extraction? 6. What is complication of immediate implant? 7. What it the instruction for patient? 8. How many visit for immediate implant?

Step 3 Immediate denture 1. What is immediate denture? - A complete denture or removable partial denture fabricated for placement immediately after the removal of natural teeth

- A denture is made to advance before the extraction of teeth and insert after extraction.

2. Indication and contra indication? Indication : - Anterior teeth with severe caries - Teeth with the periodontal disease - Discoloritation teeth is caused by intrinsic and extrinsic - Malposition teeth - The anterior and posterior missing teeth

Contraindication - Acute periodontal or periapical abcess - There are a dental cyst - Poor OH - Patient not cooperative - Patient with systemic disease, ex : DM, heart disease - Crooked root, which is too difficult to be extracted - Patient with neck and head radiotherapy - Patient with severe bone lost

3. What the advantage and disadvantage? Advantage : - Maintenance of the patient appearance - Adaptation easier - Easier to duplicate like a natural teeth

Disadvantage : - Expensive - Need relining to make new denture

4. Classification of immediate denture? a. Interim immediate denture For esthetic, and short time b. Conventional immediate denture For the patient that the all teeth were extracted

5. How the process of immediate denture pre and post extraction? Pre : - Make a mold of the teeth

Make a study and working model teeth that will be extracted

remove the

- Make an immediate denture, using artificial teeth - Extraction

Post : - Insertion

6. What is complication of immediate denture? - Uncomfortable to the patient - There are space between immediate denture and the gum - Inflamation if patient doesnt keep OH

7. What it the instruction for patient? - Suggestion for patient to use a partial denture with duration for 48 hours - Suggestion to eat soft diet

8. How many visit for immediate denture? 3 visit 1 make mold 2 extraction and insertion of denture

3 control

9. How long it will be survive? Factor instrinsic : healing process, bone resorbsion, muccosa adaptation Factor extrinsic : food, traumatic injury

Immediate implant 9. What is immediate implant? The treatment to handle the case with immediate profesionalise resin composite

10.

Indikasi and kontra indikasi?

Indication 11. 12. What the advantage and disadvantage? Classification of immediate implant?

13. How the process of immediate implant pre and post extraction? 14. What is complication of immediate implant? 15. 16. What it the instruction for patient? How many visit for immediate implant?

Step 4

Anterior Fracture

Treatment

Labial Vveener

PSA

Pasa k

Extractio n

Indication Contra Indication The things that must be considered complicati on

Procedur e

Material Advantage and Disadvant age