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Esthetic evaluation
Phonetics
Occlusion
Esthetic evaluation
The shade, mould and arrangement of the artificial teeth should harmonize with the natural teeth
Esthetic evaluation
Phonetics
Although wearing a new prosthesis will likely require some speech adaptation, it is wise to perform a speech evaluation when multiple anterior teeth will be replaced ( f and v ) sounds are made by the patient, the maxillary incisors touch the wet - dry line of the lower lip As the patient makes the s sound, the maxillary and mandibular incisors should just miss contact (less than 1 mm is ideal).
Maxillary incisors contact wet dry line of lower lip when making the f sound.
In making the s sound, the maxillary and mandibular incisors are out of direct incisal contact, with generally less than 1 mm of space between incisal edges.
Occlusion
Occlusion:
Vertical dimension Centric relation ( intercuspation) Evenness of the occlusal contact
-It is the final clinical step before the periodic recall. -During processing of the acrylic bases of the pd. Some changes may occur that may affect the occlusal relationship and the fitting surface of the pd. Bases - these discrepancies should be perfectly corrected at the initial placement phase N.B. Laboratory remounting?
Adjustment of the P. D. can be considered in two points: 1- Adjustment done by the dentist to correct the surfaces of the denture and the occlusion. 2- Adjustment or accommodation by the patient, psychologically, and biologically to the presence of a foreign body in the mouth.
if every step has been carefully planned and executed with skill by the dentist the pt. is better able to accept the adjustment period as a necessary, but transient , step in learning to wear the prosthesis
Occlusal interference from denture framework Adjustment of the fitting surface of the denture base. Adjustment of occlusion to be in harmony with the opposing dentition Instructions to the patients Follow up of the case.
Pressure areas in lower Jaw are usually : 1-The mylohyoid ridge. 2- Lingual ridge slope opposite to premolar area. 3-Retromylohyoid area (lingual pouch) 4-The distobuccal area (ascending ramus area and external oblique ridge)
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Pressure areas in upper Jaw are usually: 1- Over the maxillary tuberosity. 2- Border of the denture at the malar bone prominence. 3- Pterygomaxillary notch (hamular notch). In addition to these anatomical areas there are Bony prominences, spicules, sharp edges are considered pressure areas in need to relief.
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