Single

Single Complete
Complete Dentures
Dentures
Maxillary
Maxillary Single
Single Dentures
Dentures

 More
More common
common
 Teeth
Teeth usually
usually lost
lost before
before
their
their mandibular
mandibular antagonists
antagonists
Mandibular
Mandibular Single
Single Dentures
Dentures

 Avoid
Avoid when
when possible
possible
 Severe
Severe ridge
ridge resorption
resorption due
due to
to
force
force
 Stress
Stress reduction
reduction should
should be
be used
used
–– Processed
Processedresilient
resilientdenture
dentureliner
liner
–– Overdenture
Overdenture
–– Implant
Implantretained
retaineddenture
denture
 Single
Single Dentures
Dentures
 More
More difficult
difficult
 Greater
Greater force
force causes
causes
–– Displacement
Displacement
–– Fracture
Fracturedue
dueto
toflexure
flexure
–– Severe
Severeresidual
residualridge
ridgeresorption
resorption
 Single
Single Dentures
Dentures
 More
More difficult
difficult
 Tooth
Tooth malpositions
malpositions decrease
decrease
stability
stability (extrusion,
(extrusion, tipping,
tipping,
rotation)
rotation)
 Difficulty
Difficulty balancing
balancing
 Single
Single Complete
Complete Denture
Denture
 Occlusal
Occlusal adjustment
adjustment of
of natural
natural teeth
teeth
–– Reduce
Reduce severe
severe curve
curve of
of Spee
Spee level
level
supraeruptions
supraeruptions
–– Recontour
Recontour rotated
rotated teeth
teeth
to
to permit
permit contacts
contacts on
on
flat
flat surfaces
surfaces
Single
Single Complete
Complete Dentures
Dentures
–– Reduce
Reducecusps
cuspsin
inshaded
shadedarea,
area,to
tolevel
levelplane
planeof
ofocclusion
occlusion

Severe Curve of Spee

Supereruption

Mock
Mockadjustment
adjustmentcan
canbe
be
performed
performedon
onaadiagnostic
diagnosticcast
cast
Avoid
Avoid aa Single
Single Denture
Denture Against
Against
Anterior
Anterior Teeth
Teeth Alone
Alone
 Resorption
Resorption
 Loosening
Loosening
 Fracture
Fracture
 Combination
CombinationSyndrome
Syndrome
Avoid
Avoid aa Single
Single Denture
Denture Against
Against Anterior
Anterior
Teeth
Teeth Alone
Alone

 Fabricate
Fabricate aa RPD
RPD for
for Stress
Stress
Distribution
Distribution
 Make
Make CDCD && RPD
RPD at
at the
the
same
same time
time
–– Ensures
Ensures optimal
optimal occlusion
occlusion
 Occlusion
Occlusion Rims
Rims
 Use
Use to
to establish
establish OVD,
OVD,
NOT
NOT Incisal
Incisal Display
Display
 Overbite
Overbite will
will be
be
incorporated
incorporated whenwhen
anterior
anterior teeth
teeth are
are set,
set,
lengthening
lengthening incisal
incisal
edges
edges
 Occlusion
Occlusion Rims
Rims
 Flat
Flat Surface
Surface for
Opposing
for X
X
Opposing Teeth
Teeth
–– No
No inclines
inclines
–– If
If steps
steps in
in occlusal
occlusal
plane,
plane, provide
provide flat
flat
areas
areas for
for opposing
opposing
natural
natural teeth
teeth
 Maxillo-Mandibular
Maxillo-Mandibular Relations
Relations

 Occlusion
Occlusion Rims
Rims on
on RPD
RPD
framework
framework
 Opposes
Opposes CD
CD Rims
Rims
 Centric
Centric and
and eccentric
eccentric
records
records with
with Alluwax
Alluwax
 Optimizes
Optimizes occlusion
occlusion
 Maxillo-Mandibular
Maxillo-Mandibular Relations
Relations

 Crowns
Crowns or or bridges
bridges
should
should be
be waxed
waxed upup
against
against the
the CD
CD tooth
tooth
setup
setup
 Optimizes
Optimizes occlusion
occlusion
 Ensures,
Ensures, changes
changes can
can be
be
made
made
Maxillo
Maxillo -- Mandibular
Mandibular
Relations
Relations
 Centric
Centric Registration
Registration
–– CUD
CUD usually
usually stable
stable
–– Extraoral
Extraoral handhand
position
position ifif opposing
opposing
natural
natural dentition
dentition (less
(less
obtrusive)
obtrusive)
 Setting
Setting Anterior
Anterior Teeth
Teeth
 More
More difficult
difficult
–– Setting
Setting for
for esthetics
esthetics may
may
produce
produce excessive
excessive overbite
overbite
with
with natural
natural teeth
teeth
–– Decreases
Decreases stability
stability
–– Compromised
Compromised position,
position,
used
used to
to balance
balance need
need for
for
esthetics
esthetics && function
function
Posterior
Posterior Denture
Denture Teeth
Teeth
 Requires
Requires more
more adjustment
adjustment to
to
obtain
obtain stable
stable centric
centric contacts
contacts
–– Denture
Denture teeth
teeth will
will not
not normally
normally
articulate
articulate well
well with
with natural
natural
dentition
dentition
–– Pinpoint
Pinpoint contacts/inclines,
contacts/inclines, etc.
etc.
 Tip:
Tip:
 Increase
Increase incisal
incisal pin
pin 1mm
1mm
 Set
Set posterior
posterior teeth
teeth
 Let
Let wax
wax harden
harden
 Return
Return pin
pin to
to original
original
position
position
 Adjust
Adjust occlusion
occlusion until
until pin
pin
touches
touches table
table
 Cast
Cast Metal
Metal Denture
Denture Base
Base
 Use
Use ifif denture
denture fractures
fractures
repeatedly
repeatedly
 Usual
Usual causes:
causes:
–– Heavy
Heavy forces
forces from
from natural
natural
teeth
teeth
–– Occlusal
Occlusal contacts
contacts on on inclines
inclines
–– Impingement
Impingement on on aa bony
bony
midline
midline
•• flexing
flexingof
ofthe
thedenture
denture
Denture
Denture Teeth
Teeth Wear
Wear

 More
More rapid
rapid against
against natural
natural teeth
teeth
 More
More frequent
frequent recalls
recalls
 Adjust
Adjust occlusion
occlusion toto prevent
prevent
changes
changes in
in stress
stress distribution
distribution
Denture
Denture Teeth
Teeth Wear
Wear More
More Rapidly
Rapidly

 Never
Never use
use porcelain
porcelain denture
denture
teeth
teeth
–– Severe
Severe attrition
attrition of
of natural
natural teeth
teeth
–– Prefer
Prefer denture
denture teeth
teeth to
to wear
wear