Prosthodontics
Complete dentures – assessment of the loose denture
Arek DziedzicA well-supported denture will have resistance to movement into the denture-bearing tissues..
Complete denture series part 2: tips on how to correct 10 avoidable errors
Sivakumar JayachandranForty-one percent of failing complete dentures assessed at our New Patient Clinics between October 2016 and March 2017 showed poor adaptation to the denture-bearing area. This may result in a rocking...
Prosthetic rehabilitation for a patient with systemic sclerosis and sjögren's syndrome: a clinical report and review
Funmi OluwajanaCutaneous involvement of the orofacial region causes microstomia (small oral orifice), observed in 70–80% of patients, with characteristic peri-oral furrow lines. Deposition of the collagen fibres in...
Complete denture series part 1: referrals for complete dentures – identifying the reasons
Wouter LeyssenThe clinical records of edentulous patients referred and assessed on the New Patient Clinics at Birmingham Dental Hospital (BDH) between October 2016 and March 2017 were reviewed. A total of 71...
Management of the extraction socket and alveolar ridge preservation
William AndersonDental practitioners will be aware that, following extraction, the alveolar ridge undergoes significant changes. The biological processes and dimensional changes that occur have been well studied....
The application of occlusion in clinical practice part 2: the taking of occlusal records
Shamir MehtaIn order to ensure the accuracy of the study casts, impressions should be taken using rigid impression trays such as metal rim-lock trays (Figure 1) or a custom tray (as opposed to the use of plastic...
The aesthetic prosthodontic management of periodontally involved teeth
Dominic P LavertyGingival recession has been defined as a clinical condition in which the marginal periodontal tissues are located apical to the cemento-enamel junction (CEJ), with concomitant exposure of the root...
Oral rehabilitation of a patient suffering mal-union of a fractured mandible
Graeme BryceA 62-year-old female patient presented with failing maxillary- and mandibular-fixed bridgework that prevented her from eating solid foods or smiling in public. The bridges had been placed over 20...
That first all important meeting with your patient!
Sivakumar JayachandranThe Adult Dental Health Survey 2009 reported an increase in the proportion of adults who had retained their teeth from 74% in 1978 to 86% in 2009.1 The increase has occurred mainly in the older age...
An implant-retained obturator – a case study
James PuryerThe presenting complaint of the male patient aged 76 years old (PG) was one of a loose upper obturator. He had this original obturator made 6 years previously. The patient was generally fit and well,...
Conservative prosthetic rehabilitation of medication-related osteonecrosis of the jaw (MRONJ)
Alexandra Johanna LevenAn 85-year-old female edentulous patient was referred by her GDP with exposed bone in the anterior region of the maxilla. She was treated jointly by the Oral Surgery and Restorative Dentistry...
Case study: management of a loose upper denture opposed by a shortened dental arch
Laurie PowellA 68-year-old female with an edentulous maxilla and a shortened mandibular dental arch presented complaining of a loose full upper denture. She had a 35-year history of wearing upper dentures, the...
The use of 3D metal printing (direct metal laser sintering) in removable prosthodontics
Dominic P Laverty3D printing is an additive process whereby successive layers of material are placed until the 3D object is created.1.
Managing the unstable mandibular complete denture – tooth placement and the polished surface
Peter ClarkeAccurate impression taking and jaw registration undoubtedly contribute to provision of any successful denture and even more so when the anatomy is unfavourable. In these difficult stages, if greater...
Denture stomatitis – a clinical update
James PuryerDenture stomatitis can affect both partial and complete denture wearers,2 although is commonly seen on the palatal mucosa beneath a maxillary complete denture.1,5,11 DS rarely affects the lower arch,...