Application of the Neutral Zone in Prosthodontics

Application of the Neutral Zone in Prosthodontics offers a step–by–step guide to successfully designing and placing complete and implant–retained dentures using neutral zone concepts. Illustrates every technique described with more than 300 color photos Covers all phases of complete denture therapy Presents a step–by–step assessment and examination protocol Details the importance of accurate diagnosis and prognosis prior to committing to treatment Describes an alternative to traditional impressioning procedures that can be accomplished in a single appointment Includes access to a companion website with video clips and student handouts, with teaching PowerPoints available for instructors   INDICE: Foreword ix .Preface xiii .1 Assessment of Edentulous Patients 1 .Introduction 1 .The Patient Interview 1 .Patient Interview: Age 2 .Patient Interview: Attitude 2 .Patient Interview: Expectations 2 .Patient Interview: Chief Complaint 3 .Patient Interview: General Health 3 .Patient Interview: Complete Denture Experience 3 .Patient Interview: Denture Remake Frequency 4 .Patient Interview: Patient Satisfaction 4 .Patient Interview: Photographs, Diagnostic Casts, and Radiographs 4 .The Facial Analysis 4 .Facial Analysis: Facial Tissue Tone 5 .Facial Analysis: Tooth and Gingival Display 6 .Facial Analysis: Midlines 6 .Facial Analysis: Lip Mobility 7 .Facial Analysis: Lip Dimension 7 .Prosthetic Factors 8 .Prosthetic Factors: Vertical Dimensions 8 .Prosthetic Factors: Existing Dentures 8 .Prosthetic Factor: Skeletal Relationship 9 .Prosthetic Factor: Saliva 9 .Prosthetic Factor: Oral Tolerance 10 .Prosthetic Factor: Temporomandibular Joints 10 .Prosthetic Factor: Oral Cancer Review 10 .Oral Characteristics 11 .Oral Characteristics: Palatal Throat Form 11 .Oral Characteristics: Arch Size 11 .Oral Characteristics: Maxillary Ridge Height 11 .Oral Characteristics: The Palate 12 .Oral Characteristics: Maxillary Ridge Contour 13 .Oral Characteristics: The Maxillary Denture Foundation 13 .Oral Characteristics: Mandibular Ridge Height 14 .Oral Characteristics: Mandibular Ridge Contour 14 .Oral Characteristics: Mandibular Muscle Attachments 14 .Oral Characteristics: Mandibular Denture Foundation 15 .Oral Characteristics: Maxillary Tuberosity Curve 15 .Oral Characteristics: Vestibule 16 .Oral Characteristics: Frenula Attachments 16 .Oral Characteristics: Pterygomandibular Raphe 16 .Oral Characteristics: Denture Bearing Soft Tissues 16 .Oral Characteristics: Retromolar Pads 17 .Oral Characteristics: Maxillary Ridge Crest  to Resting Lip Length (Esthetic Space) 17 .Oral Characteristics: Mandibular Ridge Crest  to Resting Lip Length (Esthetic Space) 17 .Oral Characteristics: Maximal Oral Opening 17 .Oral Characteristics: Retromylohyoid Space 18 .Oral Characteristics: Tongue Size 19 .Oral Characteristics: Tongue Position 19 .Oral Characteristics: The Neutral Zone 20 .Summary 21 .References­ 21 .2 Orthopedic Resolution of Mandibular Posture 25 .Introduction 25 .Conditioning Abused Tissues and Stabilizing the Existing Prosthesis 26 .Materials Properties and Technique 26 .Technique 26 .Re ]establishing Orthopedic Mandibular Position 28 .Summary 33 .References 33 .3 Definitive Impressions 35 .Preimpression Considerations 35 .Background 35 .Impression Fundamentals 35 .Impression Materials 36 .Edentulous Impression Trays 37 .Technique for Making Single Appointment Definitive Impressions for Conventional Complete Dentures 37 .Tray Selection and Tray Adaptation 37 .Fabrication of Tray Stops 38 .Border Molding the Impression Tray 39 .Final (Definitive) Impression 41 .Techniques for Making Single Appointment Definitive Impressions for Implant ]Assisted Complete Dentures and Immediate Dentures 43 .Attachment Selection 43 .Implant ]Retained Overdentures 43 .Tray Selection 43 .Impression Technique 44 .Implant ]Retained and Supported Overdentures 45 .Immediate Dentures 46 .Master Cast Production 47 .Summary 48 .References 48 .4 Fabricating Trial Denture Bases, Occlusal Rims, and Mounting a Central Bearing Device 51 .Introduction 51 .Fabrication of Trial Denture Base and Occlusal Rims 51 .Fabrication of Maxillary Wax Occlusal Rim 52 .Fabrication of Neutral Zone Mandibular Occlusal Rim 56 .Technique 56 .Jaw Recorder Device (Central Bearing Device) 59 .Jaw Recorder Device Assembly 59 .Mounting the Jaw Recorder Device on Trial Denture Bases 59 .Mounting of the Jaw Recorder for Implant Overdentures 61 .Mounting the Jaw Recorder Device on Partially Edentulous Arches 61 .Procedure 62 .Summary 62 .References 64 .5 Developing an Esthetic Blueprint 65 .Introduction 65 .Contouring and Shaping the Maxillary Occlusal Rim 65 .Summary 72 .References 72 .6 Registering the Maxillo ]Mandibular Jaw Relationship 75 .Introduction 75 .Face –Bow Recording 75 .Centric Relation Recording for the Edentulous Patient 76 .Centric Relation Recording for the Partially Dentate Patient 83 .Summary 86 .References 86 .7 Neutral –Zone Registration 89 .Introduction 89 .Recording the Physiologic Neutral Zone for Edentulous Patients 89 .Technique 90 .Recording the Physiologic Neutral Zone for a Dentate Patient 93 .Technique 93 .Summary 95 .References 95 .8 Second Laboratory Procedure: Selection and Arrangement of Prosthetic Teeth 97 .Introduction 97 .Indexing the Esthetic Blueprint Record 97 .Indexing the Neutral ]Zone Record 98 .Selection of Anterior Teeth 99 .Maxillary Anterior Teeth Arrangement 100 .Mandibular Anterior Teeth Arrangement 101 .Selection of Posterior Teeth 103 .Mandibular Posterior Teeth Arrangement 104 .Maxillary Posterior Teeth Arrangement 106 .Teeth Selection and Arrangement for the Partially Dentate Patient 107 .Summary 109 .References 109 .9 Wax Try ]In Appointment 111 .Wax Try –In 111 .Evaluation of Esthetics 111 .Evaluation of Phonetics 112 .Evaluation of Occlusal Vertical Dimension (OVD) 114 .Evaluation of Centric Contact Position 115 .External Impressions 116 .Technique 117 .Summary 121 .References 123 .10 Denture Placement 125 .Introduction 125 .Evaluation and Adjustment of Intaglio Surface 127 .Technique 127 .Evaluation and Adjustment of Denture Borders 129 .Evaluating the Cameo Surface 131 .Occlusal Evaluation and Correction 131 .Subtractive Correction Technique 133 .Additive Correction Technique 134 .Patient Education and Instructions 135 .Technique for Adhesive Application 136 .Technique for Adhesive Removal 136 .Home Care Instructions for Denture Patients 138 .Postplacement Problems with New Dentures 138 .Retention Problems 138 .Soreness 139 .Sore Throat 139 .Speech Problems 139 .Gagging 139 .Summary 140 .References 140 .11 Use of CAD/CAM Technology for Recording and Fabricating Neutral –Zone Dentures 143 .Introduction 143 .Registering the Neutral Zone during Impression Making 143 .Technique 143 .Registering the Neutral Zone during Maxillo –Mandibular Records 145 .Technique 145 .Registering the Neutral Zone during the Wax Try –In 145 .Technique 145 .Summary 148 .References 149 .Index 000

• ISBN: 978-1-119-15814-1
• Editorial: Wiley–Blackwell
• Encuadernacion: Cartoné
• Páginas: 176
• Fecha Publicación: 15/08/2017
• Nº Volúmenes: 1
• Idioma: Inglés