SETTING UP TEETH ON COMPLETE DENTURE BASES

DR FAZAL GHANI

BSc, BDS (Pesh), MSc, PhD (London), FDSRCPSGlasg

DEPARTMENT OF PROSTHODONTICS KHYBER COLLEGE OF DENTISTRY PESHAWAR

Place reference marks on the occlusion rims to aid in tooth selection and placement Reference Marks for Selecting Anterior Teeth: -Technician sets teeth without seeing patient. -Wax rim contours aid selection and setting:

- Occlusal vertical dimension. - Angulation of facial rims affects lip support. - Overjet.

Deciding & Marking Midline on Wax

Mark mouth corners at rest to indicate position of distal aspects of the canines.

 Measure circumference between marks. Size of

6 anterior teeth read off ruler (mm or by letter code A, B, etc.)

High Lip Line

Corner of Mouth

Angulation is as important as midline

 Highest point of upper lip when smiling Cervical necks lie at or above this line If shorter teeth are selected, esthetics
compromised

Re f e r e nce Lin e s on M a xilla r y Occlusa l Rim

 Through middle of incisive papilla & midpalatal raphe extend onto land area. Check for symmetry. If not symmetrical, adjust rim

Natural Dentition

Line passing through distal of

incisive papilla & perpendicular to the palatal midline intersects cusp tips of the canines

 Provides verification & tooth size

selection. Use to verify the symmetry of Wax Rim. On average, facial of central incisors

M a n d ib u la r Re f e r e n ce Lin e s
C e n te o f r id g e r P o s te r io r 1 /2 w a y u p re t ro m o l a r M a n d ib u la r C ast L a n d re a A O c c lu sio n r im C e n teo f r id g e r A n te r io r

Occlusal plane intersections If occlusal plane is too low - tongue biting. If too high - strain as tongue struggles to replace the food bolus.

Ton g u e st r a ine d Be ca u se of H ig h Occlusa l Pla n e

Maxillary lingual cusps should be centered over this line: - This ensures denture stability. - Reduces fulcruming forces during

If anterior teeth are too facial to center of ridge, fulcruming tilting and dislodging occur

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