Comprehensive Approach to Conservative and Prosthetic Dentistry
This detailed presentation covers the essential aspects of conservative and prosthetic dentistry, highlighting the importance of thorough dental investigations, patient medical and dental history, intraoral examinations, X-rays, preoperative treatments, and treatment planning. The content emphasizes the significance of a holistic approach in designing effective dental treatment plans.
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TITLE Conservative and Prosthetic Dentistry Specialty Name: Tutor: Consultant: Treatment s start and finish:
THE REASON FOR DENTAL INVESTIGATION S NEEDS
MEDICAL HISTORY Age, gender, occupation Factors which would affect the dental treatment Allergy Medication Addiction
DENTAL HISTORY Previous prostho appliances Extractions Other treatments (orthodontics etc.)
INSPECTION OF HEAD, NECK REGION, INTRAORAL INVESTIGATION Stomato-oncological examination TMJ examination Oral hygiene Bite form
2. Smile 1. Face 3. Upper-lower teeth 6. ICP 5. Lower jaw 4. Upper jaw
UPPER JAW DENTAL STATUS Photo of upper jaw / Orthopantomogram / Intraoral x-rays F bi n and Fej rdy classification 8 7 6 5 4 3 2 1 1 2 3 4 5 6 7 8
LOWER JAW DENTAL STATUS Photo of upper jaw / Orthopantomogram / Intraoral x-rays F bi n and Fej rdy classification 8 7 6 5 4 3 2 1 1 2 3 4 5 6 7 8
PREOPERATIVE TREATMENTS Preoperative treatments Prostho (study casts or study impressions) Perio Surgical Conservative
TREATMENT PLAN Conservative treatment plan Prostho treatment plan (text and drawings)
PHOTO WORK-HELP Photo after scaling and oral hygiene teratment Photo taking from salivaless/dried surfaces More pictures from the same situation, because only sharp photo is acceptable Investigated/treated tooth should be in the middle of the photo regarding the quadrant
DOKUMANTATION OF THE FULL TREATMENT Start foto, periapical X-ray Endodontic treatment: Photo from access cavity with rubber dam Photo with apex locator, X-ray for working length Control radiograph Photos from filling procedure: After cavity preparation Rubber dam, matrix, wedge in situ Finished, polished restoration Photos from inlay procedure: After cavity preparation Impressions, models Temporization Ready restoration in the model Rubber dam, matrix, wedge in situ Finished, polished restoration from occlusal view and in intercuspidation X-ray
COMPLETE DENTURE Primary impression Primary cast Outline of special tray on the cast Special tray On the cast Adjusted tray Functional impression (from mucosal side) Functional cast Occlusal rim on the cast Determination of CO Adjusted occlusal rims intraorally Adjusted occlusal rims extraorally Try-in denture Trial denture in articulator (ICP, from occlusal view) Trial denture in the mouth (ICP, from occlusal view, smile) Ready denture Final denture (polished and non-polished surface) In the mouth ((ICP, from occlusal view, smile)
FIXED PROSTHO APPLIENCE Impression for the temporary Prepared abutments Temporary restorations (ICP, from occlusal view) Precisional-situational impression Antagonistic impression Wax bite (extraorally) /occlusal rim (in the mouth, extraorally together with the antagonistic cast) Try of framework In the articulator (ICP, from occlusal view) In the mouth (ICP, from occlusal view) Sectional cast Shade selection Biscuit/matt probe In the articulator (ICP, from occlusal view) In the mouth (ICP, from occlusal view, smile) Final restoration, cementation In the articulator (ICP, from occlusal view) In the mouth (ICP, from occlusal view, smile)
RPD WITH METAL BASEPLATE Situational impression Antagonistic impression Outline the metal baseplate on the master cast Try in metal baseplate On the cast In the mouth Determination of CO/ICP In the mouth Extraorally Shade selection Try-in denture Trial denture in articulator (ICP, from occlusal view) Trial denture in the mouth (ICP, from occlusal view, smile) Ready denture Final denture (polished and non-polished surface) In the mouth (ICP, from occlusal view, smile)
TELESCOPE RETAINED OVERDENTURE I. Impression for the temporary Prepared abutments Temporary restorations (ICP, from occlusal view) (Diagnostic teeth set-up front teeth) Precisional-situational impression Antagonistic impression Primary telescopes On the cast In the mouth Special tray On the cast Mucosal surface Functional-situational impression with the primary telescopes Occlusal rim with secundary telescopes On the cast In the mouth
TELESCOPE RETAINED OVERDENTURE II. Ready primary telescopes On the cast In the mouth Determination of CO In the mouth Extraorally Shade selection Try-in denture Trial denture in articulator (ICP, from occlusal view) Trial denture in the mouth (ICP, from occlusal view, smile) Ready denture Final denture (polished and non-polished surface) and telescopes In the mouth (ICP, from occlusal view, smile)
COMPLEX CASE Fix part (see FPD) Situational impression with the fix part Try-in of RPD s metal framework with the FPD On the cast In the mouth Determination of ICP In the mouth Extraorally Try-in denture Trial denture in articulator (ICP, from occlusal view) Trial denture in the mouth (ICP, from occlusal view, smile) Ready denture In the articulator (from occlusal view, ICP) In the mouth (ICP, from occlusal view, smile) Precisious attachments, parallel milled schoulders, interlock
