Full-Arch Rehabilitations: How to Create Complete Dentures—From Basics to Current Standards

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Full-Arch Rehabilitations: How to Create Complete Dentures—From Basics to Current Standards

LINO CALVANI, M.D., D.D.S., M.SC., C.D.T., F.A.C.P., F.I.C.D. Diplomate, American Board of Prosthodontics; Adjunct Associate Professor, Department of Prosthodontics and Operative Dentistry, Division of Graduate and Postgraduate Prosthodontics, Tufts University School of Dental Medicine.

This course will review the knowledge and procedures necessary to create proper complete dentures, from the first visit to delivery. Particular attention will be paid to the literature, the clini­cal and technical passages, and to the functional and aesthetic rehabilitating possibilities of these prostheses.

Course Program

First Visit: Importance of the extra-oral and intra-oral examination; radiographic exams; study and evaluation of macroscopic and microscopic oral structures important in C.D.; preliminary impres­sions.

Phase Two: Custom trays, final impressions, and border molding: how and why; master casts; creation and use of the ideal bases and wax rims: concepts of support, stability, and retention.

Phase Three: Bases and wax rims clinical use; evalu­ation of the proper vertical dimension of occlusion and of the maxillo/mandibular relationship; how and why to mount the bases and related master casts on the articulator; how to choose and correctly position the proper anterior teeth.

Phase Four: Clinical aesthetic and phonetic evalu­ations; how to choose and correctly position the posterior teeth; how to set the condilar guidance on the articulator; different types of occlusion, eden­tulism vs. aging changes and limitations; how to mimic nature carving the bases flanges; evaluations of the possibilities to improve and correct the oral and facial aesthetics; C.D. processing, flasking and deflasking; in-lab remounting on the articulator for the fi rst occlusal check; polishing and character­izing; second clinical occlusal check.

C.D. Delivery: Clinical adaptation and integration evaluations.

This course will also cover:

  • Immediate dentures: importance and limitations
  • Over-dentures possibilities: natural teeth vs. implants
  • Complete denture importance in rehabilitating patients with full-arch implant–supported fixed restorations
  • Future computer-based possibilities to create complete denture prostheses.

Learning objectives:

Upon successful completion of this course, partici­pants will be able to:

  • Clinically evaluate an edentulous patient
  • Plan the prosthetic rehabilitation of an edentulous patient
  • Understand the different clinical and technical steps which can lead to a complete denture reha­bilitation
  • Be familiar with a large number of scientific articles and research outcomes necessary to justify all clinical and technical steps to be performed to create a complete denture prosthetic dentition.