2907 Complete Dentures Questions

SYLLABUS
COURSE:
SEMESTER:
CREDIT HOUR:
DEPF 2907 Complete Dentures

Fall
2.0
REVISED:
REPRINTED:
2004
2005
COURSE DIRECTOR:
Robert L. Engelmeier, B.S., D.M.D., M.S.
Copyright 2004 by The University of Texas Dental Branch at Houston
GOAL
The purpose of this course is to introduce the student to the basic principles and techniques of Complete
Denture prosthodontics. Detailed presentations are made of both the clinical and laboratory steps
involved in complete denture therapy. These are followed by laboratory exercises covering each step in
the process.
It is extremely important during this course for the student to gain a fundamental background in the
following areas of complete denture therapy:
1.
2.
3.
4.
5.
6.
7.
8.
Anatomy of the edentulous mouth; the supporting and limiting structures.

Comprehensive diagnosis and treatment planning for the edentulous patient
Complete Denture Materials and their Properties
Esthetics for the edentulous patient.
Principles of occlusion for complete dentures.
Processing and finishing complete dentures
Delivery of Complete Dentures
Repair and Maintenance of Complete Dentures
Fall Semester 2005
OBJECTIVES
The Edentulous Patient

I.
PRELIMINARY IMPRESSIONS AND CUSTOM IMPRESSION TRAYS

1.
Trace the anticipated extent of the maxillary and mandibular denture borders with a black
pencil. Trace the borders of the maxillary and mandibular custom impression tray
borders with a blue pencil. And, finally, outline all blockout and relief areas with a red
pencil.
2.
Describe the technique for custom tray fabrication.
3.
Describe the purpose of preliminary impressions and the associated critical landmarks.
4.
Identify these anatomic landmarks on the edentulous study cast of the maxilla:
4.1
4.2
4.3
4.4
4.5
4.6
4.7
4.8
4.9
4.10
5.
Identify these anatomic landmarks on the edentulous study cast on the mandible:
5.1
5.2
5.3
5.4
5.5
5.6
5.7
II.
maxillary tuberosity
hamular notch
fovea palatini
rugae
median palatal raphe
maxillary labial frenum
labial vestibule
incisive papilla
buccal frenum
buccal vestibule
labial vestibule
buccal frenum
buccal vestibule
lingual vestibule
buccal shelf
lingual frenum
retromolar pad
6.
Define the terms, "support", "stability" and "retention" as related to prosthodontics.
7.
Identify the primary and secondary stress bearing areas which require relief to be
provided in the custom impression tray.
ANATOMY FOR COMPLETE DENTURES.

1.
Define the muscles of mastication and related muscles:

1.1
1.2
1.3
1.4
1.5
1.6
temporalis
masseter
medial pterygoid
lateral pterygoid
suprahyoids including mylohyoid
buccinator
Fall Semester 2005
2.
Describe TMJ anatomy, rotational vs. translatory mandibular movements and the
muscular involvement in mandibular movement.
3.
Describe the role of each of the following intra-oral anatomical structures as it relates to
fabrication of a complete denture prostheses:
3.1
Areas Related to Support for Maxillary Dentures

3.1.1
3.1.2
3.1.3
3.1.4
3.1.5
3.1.6
3.2
Limiting Structures of the Maxilla

3.2.1
3.2.2
3.2.3
3.2.4
3.2.5
3.2.6
3.2.7
labial frenum
orbicularis oris muscle
buccal frenum
buccal vestibule
hamular notch
fovea palatin
vibratin line (one-blow line)
3.3
Muscles of soft palate, pharynx, and tongue.
3.4
Supporting structures for Mandibular Dentures

3.4.1
3.4.2
3.4.3
3.4.4
3.4.5
3.4.6
3.5
crest of residual ridge

buccal flange area (and buccal shelf)
bone of Basal seat
mylohyoid ridge
mental foramen area
torus mandibularis
Limiting Structure of the Mandible

3.5.1
3.5.2
3.5.3
3.5.4
3.5.5
3.5.6
3.5.7
3.5.8
3.5.9
3.5.10
3.5.11
3.5.12
3.5.13
III.
residual ridge
incisive Papilla
posterior palatine area
zygomatic process
maxillary tuberosity
torus palatinus
labial borders
buccal borders and vestibule
buccal flange and external oblique ridge
masseter muscle region
distal extension area
retromolar region and pad
lingual border anatomy
floor of mouth
mylohyoid muscle and mylohyoid ridge
sublingual gland region
alveolingual sulcus
lingual frenum and lingual notch
lingual flange
FINAL IMPRESSIONS AND MASTER CASTS

1.
Describe the purpose and rationale for making final impressions.
Fall Semester 2005
IV.
V.
2.
Describe how the custom impression tray is utilized in making a final impression.
3.
Describe the rationale for border molding of the custom impression tray.
4.
Describe how to box the final impression and make the master casts.
FABRICATION OF RECORD BASES

1.
Define the term "record base".
2.
Describe the function of the record base in complete denture prosthesis.
3.
Describe the correct procedure for the fabrication of record bases.
MAXILLOMANDIBULAR RELATIONS - FACEBOW TRANSFER AND CENTRIC RELATION

1.
Define the following terms:

1.1
1.2
1.3
1.4
1.5
1.6
centric Relation
centric Occlusion/Maximum Intercuspation
physiologic rest position
interocclusal distance (freeway space)
vertical dimension of rest
vertical dimension of occlusion
2.
Describe differences in the application of the above terms to the dentulous and
edentulous patients.
3.
Describe the following methods for determining the vertical relations:

3.1
3.2
3.3
3.4
3.5
facial measurement
physiologic rest position
phonetics
swallowing
muscular proprioception
4.
Describe the possible side effects of excessive vertical dimension of occlusion.
5.
Describe the possible side effects of insufficient vertical dimension of occlusion.
6.
Discuss the significance of the muscles of the head and neck, and their relationship to
posture and indirectly to the physiologic rest position of the mandible.
7.
List the requirements that always must be fulfilled when a centric jaw relation record is
made.
8.
List the prerequisites that must be fulfilled prior to making a centric jaw relation record.
9.
List the important reasons for registering centric relation.
10.
Discuss the methods of recording centric relation.
11.
Discuss the methods of recording eccentric jaw relation.
12.
Discuss the transfer of these recordings to the articulator.
Fall Semester 2005
VI.
13.
Define the term "facebow".
14.
Describe the purpose of using the facebow.
15.
Describe the purpose of the anterior point of reference on a facebow.
16.
List the conditions where it is essential to use the facebow.
SELECTION AND ARRANGEMENT OF ANTERIOR ARTIFICIAL TEETH FOR EDENTULOUS

PATIENTS
1.
Describe the following:

1.1
1.2
1.3
2.
selection of tooth shade

selection of size and mold
material selection
List the types of occlusal forms available and discuss the methods for arrangement
relating to the following:
2.1
2.2
2.3
2.4
esthetics
masticatory efficiency
preservation of the remaining oral tissues
east of utilization
3.
List the pre-extraction guides for tooth selection.
4.
Describe methods to determine the size of anterior teeth.
5.
Describe methods for determining the shape of anterior teeth.
6.
Describe how stock teeth can be made to look more natural for an individual patient.
7.
Explain the dentogenic concept in selecting artificial teeth.
8.
Describe the four qualities of color.
9.
Explain how changes in age affect color of teeth.
10.
Explain the purpose of the carved wax occlusion rim.
11.
Explain the relation of the artificial teeth to the residual ridge.
12.
Explain the relation of the anterior teeth to the incisive papilla.
13.
List the guides to replacement of the anterior teeth.
14.
List the average dimensions of the maxillary and mandibular wax occlusal rims and
record bases.
15.
List the muscles that are supported by the anterior teeth.
16.
Describe the order of setting the anterior teeth.
17.
Describe the effects of inadequate lip support by the anterior teeth.
Fall Semester 2005
18.
VII.
VIII.
Describe the inclinations of the maxillary and mandibular anterior teeth.
POSTERIOR OCCLUSION PART I: (TOOTH SELECTION AND MANAGEMENT AND

ARRANGEMENT)
1.
Define the term "occlusion".
2.
Explain the difference between occlusion and balanced gliding (articulation.)
3.
Define the term "tooth arrangement."
4.
Explain Hanaus Quint.
5.
Describe the aids used to position the posterior teeth antero-posteriorly.
6.
Describe the aids used to position the posterior teeth buccolingually.
7.
Describe the aids used to position the posterior teeth vertically.
8.
Explain how the antero-posteriorly length of the posterior teeth is determined.
9.
Describe how the buccolingual width of posterior teeth is determined.
10.
Explain how the gingivo-occlusal height of the posterior teeth is determined.
11.
Explain how the number of posterior teeth used in tooth arrangement is determined.
12.
Explain how the shade of the posterior teeth is determined.
13.
Explain on what basis the form of the posterior teeth used in tooth arrangement is
selected.
POSTERIOR OCCLUSION PART II

1.
Define the term condyle path.
2.
List the six factors that govern the establishment of a gliding balanced occlusion.
3.
Define the term condylar guidance inclination.
4.
Discuss the factors that determine the shape of the condyle path.
5.
Describe the configuration of the condyle path.
6.
Discuss the methods of registering the condyle path.
7.
Explain why condylar guidance is not under the control of the dentist.
8.
Identity the three controlling factors or guides on an articulator.
9.
Define the term "incisal guidance."
10.
Describe what factors determine the steepness of the incisal guide angle.
11.
Explain why the incisal guide angle should be kept as flat as possible in complete denture
construction.
Fall Semester 2005
IX.
12.
Define the term plane of occlusion. (Plane of orientation or occlusal plane.)
13.
Describe how the plane of occlusion is determined.
14.
Explain the difference between the plane of occlusion and plane of reference.
15.
Explain how the inclination of the plane of occlusion is measured.
16.
Explain how the plane of occlusion is located vertically.
17.
Describe how the pitch of the occlusal pane both buccolingually antero-posteriorly can be
altered to better control the forces of occlusion in complete denture construction.
18.
Define the term "compensating curve".
19.
Describe the difference between the compensating curve and the curve of Spee.
20.
Explain why the antero-posterior curve of the compensating curve is developed when
arranging the artificial teeth in a balanced occlusion.
21.
Define the term "Curve of Spee.
22.
Define the term "Curve of Wilson.
23.
Define Christiansons Phenomenon.
24.
Explain why the lateral curve of the compensating curve is developed when arranging the
artificial teeth in a balanced occlusion.
25.
Define the term "reverse curve".
26.
Define the term "cusp height".
27.
Define the term "cusp angle".
28.
Explain how cusp height is determined when arranging artificial posterior teeth.
POSTERIOR OCCLUSION PART III: DETERMINANTS OF OCCLUSION

1.
Define the term "Bennett Movement".
2.
List the five principle factors or "Laws of Articulation" that govern balancing the occlusion
during protrusive movement.
3.
Discuss how each of the five principle factors are related to a balanced gliding occlusion
during protrusive movement and which ones may be modified or altered in order to
produce a balanced gliding occlusion of the artificial teeth.
4.
Describe the influence that a high and low incisal guidance inclination has on the cuspal
inclination of the teeth.
5.
Write the formula for determining the degree of cuspal inclination of any individual tooth
to produce a balanced occlusion in either protrusion, or on the working or balancing side.
6.
Explain what the Hanau Quint is.
Fall Semester 2005
7.
X.
Discuss the purpose and meaning of the Hanau Quint.
COMPLETE DENTURE OCCLUSION

1.
Define the term anatomic teeth".
2.
Discuss briefly the history and development of anatomic teeth.
3.
List advantages and disadvantages of anatomic teeth.
4.
List the indications and contraindications for using anatomic posterior tooth forms.
5.
Define the term "non-anatomic teeth."
6.
Discuss briefly the history and development of non-anatomic tooth forms.
7.
List advantages and disadvantages of non-anatomic teeth.
8.
List indications for the use of non-anatomic teeth.
9.
Identify the most important contraindication for the use of non-anatomic teeth.
10.
Name the two categories to which all concepts of occlusion for complete dentures can be
divided.
11.
Discuss the definition of balanced occlusion as defined in the Glossary of Prosthodontic

Terms.
12.
List purposes of developing a balanced occlusion in complete denture construction.
13.
Discuss the concepts of balanced occlusion which use anatomic tooth forms.
14.
Discuss the concepts of non-balanced occlusion that use anatomic tooth forms.
15.
Discuss the concepts of balanced occlusion which use non-anatomic teeth.
16.
Discuss the concepts of non-balanced occlusion which use non-anatomic teeth.
17.
Describe the principles upon which the "neutrocentric" concept of occlusion is based.
18.
Describe advantages and disadvantages of the "Lingualized" posterior scheme.
19.
Identify indications for "Lingualized" posterior occlusal scheme.
20.
Identify the functional elements of "Lingualized" scheme.
21.
Describe different philosophies of occlusion and their application to the "Lingualized"

scheme.
22.
List three advantages and disadvantages of porcelain teeth.
23.
Discuss the indications and contraindications and for the use of porcelain teeth.
24.
List advantages and disadvantages of plastic teeth.
Fall Semester 2005
XI.
XII.
XIII.
WAX/ ESTHETIC TRY-IN FOR COMPLETE DENTURES

1.
Understand how to test clinically for esthetics, lip support, vertical relation and phonetics.
2.
Understand how to evaluate the occlusion of the trial denture.
3.
Understand how to make a protrusive record, finalize the occlusion and perform the final
wax-up of the dentures.
WAXING AND CARVING THE DENTURE BASE

1.
Describe the proper wax form of the maxillary and mandibular denture bases including
labial and buccal borders, palatal form, lingual flanges, and interproximal area.
2.
Describe the proper technique for waxing and carving denture bases.
3.
Relate denture detail and contours to natural mucosal contours.
DENTURE PROCESSING
1.
Describe the compression molding process on process variables which adversely affect
the mechanical and physical properties of the denture.
2.
Describe the correct sequence of steps in processing compete dentures with heat curing
acrylic resin.
3.
Describe the correct sequence of steps in recovery of the prostheses from the gypsum
molds.
4.
Describe the major causes of error in the above steps.

4.1
4.2
4.3
4.4
4.5
XIV.
porosity in acrylic.
change in vertical dimension.
change in occlusion.
lost or missing teeth.
broken denture bases.
DENTURE BASE CHEMISTRY

1.
Describe the major requirements of a denture resin.
2.
Describe the characteristic of auto, heat, and light-cured acrylic.
3.
Describe the "forms' of each "resin system" (auto, heat and light curing), and the
chemical composition and function of each component.
4.
Compare the three types of polymerization processes (auto, heat and light curing) with
respect to:
4.1
4.2
4.3
5.
physical properties
mechanical properties
dimensional accuracy.
Describe other types of polymers (other than acrylic) used to construct dentures.
5.1
polycarbonates
10
Fall Semester 2005
5.2
5.3
6.
Describe the hazards associated with the use of methylmethacrylate monomer.
7.
The student will be able to discuss structure property relationships related to

polymerization heterogeneities:
7.1
7.2
7.3
7.4
8.
XV.
XVI.
epoxies
polyvinyl
crosslinking
residual monomer
radiopacifiers
plasticizers.
Describe the effect of water on the properties of denture acrylics.
IMMEDIATE DENTURES
1.
Define the term "immediate dentures.
2.
List indications and contra-indications for immediate dentures.
3.
Describe advantages of immediate dentures.
4.
Describe disadvantages of immediate dentures.
5.
Explain the importance of patient education in the treatment planning, treatment, and
follow-up care.
6.
List the sequence of appointments for treatment for the immediate denture patient.
OVERDENTURES
1.
Explain how oral examination procedures are used or modified for overdenture patients.
2.
List the indications and contraindications for overdenture treatment.
3.
Describe advantages and disadvantages of overdenture treatment.
4.
Explain the relation of periodontics, endodontics, and restorative dentistry to formulation

of a treatment plan.
5.
Explain the rationale for chronology of a treatment plan leading to overdenture treatment.
6.
Explain the importance of patient counseling on expectation of overdenture treatment.
7.
Describe the impression techniques for immediate overdentures and when to apply them.
8.
Explain the influence of retaining premolars on impress techniques for immediate

overdentures.
9.
Describe variations in waxing and flasking procedures for immediate overdentures.
10.
Describe the procedures of inserting overdentures and instructing the patient.
11.
Explain the rationale of relating overdenture abutments and when and how to alter the
denture in the indicated area.
11
Fall Semester 2005
XVII.
XVIII.
12.
Explain the relationship of follow up maintenance to the prognosis of overdentures.
13.
Explain the significance of designating overdentures as transitional until a patient has

achieved a degree of success with overdenture treatment.
14.
Define the term precision attachment.
15.
List indications and contra-indications for precision attachment overdentures.
16.
List advantages and disadvantages for precision attachment overdentures.
17.
List the sequence of treatment for precision attachment overdentures.
THE PROBLEM DENTURE PATIENT

1.
Describe methods to classify and identify the problem denture patient before initiating
treatment.
2.
List patterns and tendencies of problem denture patient.
3.
Describe influencing factors that affect and determine their attitudes and behavior.
4.
Describe some psychological tools to aid in the management of these people.
DEFLASKING AND OCCLUSAL CORRECTION OF DISCREPANCIES DUE TO PROCESSING

COMPLETE DENTURES
1.
Describe how, by using articulating paper, occlusal grinding and other appropriate
methods, to:
1.1
1.2
1.3
1.4
1.5
XIX.
2.
Discuss the finishing and polishing procedures utilized in complete denture construction.
3.
Demonstrate the finishing and polishing of complete dentures.
THE DENTURE INSERTION APPOINTMENT

1.
Describe the following:

1.1
1.2
1.3
1.4
1.5
XX.
Restore the correct vertical dimension.

Establish a widely dispersed series of even centric occlusion contacts.
Provide for smooth and balanced lateral movements.
Mill in minor discrepancies.
Polish the occluding surfaces.
evaluation and correction of the tissue surface.

evaluation and correction of the borders.
evaluation and correction of occlusal errors.
instructions given to patients regarding expectations, care and use of the
prosthesis.
a "clinical remount" is and its rationale.
DENTURE REPAIRS, RELINES AND REBASES

1.
Describe current practices for repair of dentures.
12
Fall Semester 2005
XXI.
2.
Describe the materials used for denture repairs.
3.
Describe the clinical and laboratory procedures for relines and rebases.
EVALUATION OF EXISTING DENTURES

1.
Describe how to evaluate the adequacy of existing dentures.
2.
Describe when additional diagnostic information is needed.
3.
Describe and document when a case is too complex for treatment or has a poor
prognosis.
4.
Describe the importance of proper informed consent.
5.
Describe how to educate the patient concerning unrealistic expectations.
13
Fall Semester 2005
RESOURCES
I.
Media Resources
1.
Course Manual
Engelmeier, RL
Complete Denture Prosthodontics
Preclinical Manual
UTDB, 2004
II.
Human Resources
Robert Engelmeier D.M.D., M.S.
Room 429C, Phone: 713-500-4165;
Email: [email protected]
Course Director
Maria Gonzalez, D.D.S.

Room 435, Phone: 713-500-4138;
Ed Starcke, D.D.S
Room 429B, Phone: 713-500-4337;
Sam Adkisson, D.D.S
Room 408, Phone: 713-500-4140
Rodney Beetar, DDS
Room 409, Phone: 713-400-4343
Raymond G. Koeppen, DDS, MS
Room 442, Phone: 713-500-4274
[email protected]
Graduate Prosthodontic Residents
Chad Taylor, D.D.S.
Room 429, Phone: 713-500-4152
Grace Lee, D.D.S.
Room 429, Phone: 713-500-4152
14
Fall Semester 2005
STUDY PLAN AND REQUIREMENTS
DEPF 2907 Complete Dentures is an introductory Complete Denture course. The didactic portion of the
course consists of lectures that cover fundamental principles associated with the laboratory exercises that
follow. In order to complete all laboratory projects on time and pass the course, the student must attend
all lectures and complete all reading assignments.
All daily laboratory projects must be completed by the stated deadline and receive a passing grade, for
the student to pass this course.
The average student is expected to devote one hour of out-of-class reading for each scheduled, four-hour
session. The estimated out-of-class- study time for this course is:
Reading:
Laboratory Practice:
22 hours (Course manual, and handouts)

10 hours
15
Fall Semester 2005
DEPF 2907 COMPLETE DENTURES

2005 Fall Semester Lecture Schedule
Lectures: Friday, 8:00 8:50 am; Labs: Friday, 9:00 11:50 am
Proj Sess
1
Date
Session
Instructor
Aug 19
Lecture 1:
Lecture 2:
Lab:
Introduction, Diagnosis, & Treatment Planning

Preliminary Impressions and Custom Trays
Fabrication of Maxillary and Mandibular
Edentulous Custom Trays
Reading Assign: Complete Denture Manual, Project#1,
Appendix #1 & 2
Engelmeier
Aug 26
Lecture 3:
Lab:
Complete Denture Anatomy

Reading Assign: Complete Denture Manual, Appendix #3
Engelmeier
Sep 2
Lecture 4:
Lab:
Engelmeier
Sep 9
Lecture 5:
Lab:
Record Bases and Maxillo/Mandibular Relations

Record Bases. Project #2 Due
Reading Assign: Complete Denture Manual, Project #2,
Appendix #5
Gonzalez
Sep 16
Lecture 6:
Gonzalez
Sep 23
Lecture 7: Selection of Anterior Teeth and Complete

Denture
Esthetics
Lab:
Set Anterior Teeth. Project #3 Due
Appendix #6
Engelmeier
Sep 30
Lecture 8:
Lab:
Arrangement of Anterior Teeth

Set Anterior Teeth
Engelmeier
Oct 7
Lecture 9: Arrangement of Posterior Teeth

Lab:
Set Posterior Teeth. Project #4 Due
Appendix #7
Engelmeier
Oct 14
Lecture 10: Overview of Complete Denture Occlusion

Lab:
Set Posterior Teeth
Engelmeier
10
Oct 21
Lecture 11: Wax try-in/Festooning and Final Wax-up

Lecture 12: Denture Processing
Lab:
Practical Examination-Fabrication of
Maxillary and Mandibular
Reading Assign: Complete Denture Manual
Project #6, Appendix 8 & 9
Engelmeier
Final Impressions and Master Casts

Maxillary and Mandibular Final Impressions, Box
and pour, and Master Casts. Project #1 Due
Reading Assign: Complete Denture Manual, Appendix #4
Maxillo/Mandibular Relations and Mounting

Technique
Lab:
Fabrication of Maxillary and Mandibular Record
Bases and Mounting of Maxillary and Mandibular
Master Casts.
Reading Assignment: Complete Denture Manual, Project #3
16
Fall Semester 2005
11
12
13
7
&
8
14
Engelmeier
Oct 28
Two Hour Mid-Term Examination

Lab:
Set Posterior Teeth
Nov 4
Lecture 13 Denture Base Materials

Lab:
Final Wax-up. Project #5 due
Reading Assign: Complete Denture Manual Project 7 & 8
Nov 11
Lecture 14: Deflasking and Laboratory Remount

Lecture 15: Trimming and Polishing
Lab:
Investment
Reading Assign: Complete Denture Manual Project #9,
Appendix 10 & 11
Engelmeier
Nov 11
thru
Nov 17
To complete project #7 & 8 the students must observe the

wax elimination and packing of their respective cases
Laboratory
Technicians
Nov 18
Course Evaluation
Rooms 132/446
Powers
Project #6 due. Reading Assignment: Project #7 & #8

Engelmeier
Lecture 16: Denture Delivery

Lab:
Deflasking and Laboratory Remount,
Project #7&8 due
Reading Assign: Complete Denture Manual
15
Nov 25
Thanksgiving Holiday
Dec 2
Lecture 17: Evaluation of Existing Dentures

Lecture 18: Management of the Problem Denture Patient
Lab:
Trimming and Polishing. Project #9 Due
Reading Assignment: CD Manual, Project 10 & 11,
Appendix 15 & 16
10
&
11
Dec 12
Two-hour Final Examination
1-2:50 pm Room 207
Engelmeier
Engelmeier
Project 10 & 11 due
17
Fall Semester 2005
EVALUATION METHODS
A.
Professional Policy: As a courtesy to the instructors and class, the following disruptions are not
tolerated during the lectures:
1.
2.
3.
4.
5.
6.
7.
8.
Audible signals emitting from pagers or cellular phones

Talking on cellular phones during class.
Leaving class after the presenter has started or before he/she has concluded.
Eating in class except when class is scheduled during lunchtime.
Engaging in audible conversation with colleagues during the presentation.
Failure to adhere to the dress code as defined in The Student Guide to Academic Studies.
Unprofessional behavior or language directed at any instructor, colleague, or staff member.
Intentional physical destruction of equipment or building facility.
Students who do not follow this policy are asked to leave the class immediately.
B.
Grading Summary:
1. All students must achieve a passing grade (70% minimum) for each component of the course
(i.e.):
70% Complete Denture didactic portion
70% Complete Denture laboratory portion
Students who fail to meet this requirement are given an IU grade for the course and are
referred to the Second Year Evaluation and Promotion Committee.
2. All written examinations consist of both fixed and removable questions. In addition each
examination covers all prosthodontic material presented up until that time. This includes
material from DEPS 1901 Basic Occlusal Concepts.
3. Unexcused absence from a written examination is scored as a O. Make-up examinations
for excused absences must be taken within three (3) days of the students return to the
school. If a student is not passing the course, all grades are forwarded to the Second Year
Evaluation and Promotion Committee for their recommendation. There is no didactic
remediation or re-examination given during the semester. This is only done at the end of
the semester and only upon the recommendation of the Evaluation and Promotion
Committee.
4. Grade Summary
Mid-Term Examination (Fixed and Removable)
Final Examination (Fixed and Removable)
Removable Practical Examination
40%
40%
20%
5. Laboratory Projects: All laboratory projects must be completed on time with a pass grade in
order for a student to move on to the next project, take a practical examination, or pass the
course.
a. Removable laboratory Projects
1.
Custom impression trays
2.
Box and pour master casts
3.
Record bases, wax rims, and mounting technique
4.
Arrangement of Anterior teeth
5.
Arrangement of Posterior teeth
18
Fall Semester 2005
6.
7.
8.
9.
10.
11.
Final wax-up and festooning

Investment
Wax elimination and processing
Laboratory remount and equilibration
Finished Denture
Denture repair
6. Practical Examination
a. Complete dentures:
Custom tray fabrication
19
Fall Semester 2005

Laboratory Instructor Schedule
Laboratory Instructors
1.
2.
3.
4.
5.
6.
Dr. Beetar
Dr. Starcke
Dr. Hurst
Dr. Ridall
Dr. Adkisson
Dr. Chang
Lab Instructor Schedule

Instructor
1
2
3
4
5
6
Student Group
1
2
3
4
5
6
Project II: Master Impression

and Cast:
1
2
3
4
5
6
2
3
4
5
6
1
3.
Project III: Record Bases/

Mount Master Casts
1
2
3
4
5
6
3
4
5
6
1
2
4.
Project IV: Arrange Anterior
1
2
3
4
5
6
4
5
6
1
2
3
5.
Project V: Arrange Posterior

Teeth
1
2
3
4
5
6
5
6
1
2
3
4
6.
Project VI: Complete Wax-up &

Festooning
1
2
3
4
5
6
6
1
2
3
4
5
1.
Project I: Custom Trays
2.
20
Fall Semester 2005
7.
Project VII Investment:
1
2
3
4
5
6
1
2
3
4
5
6
8.
Project VIII: Wax Elimination,

Packing and Processing.
(by observation)
1
2
3
4
5
6
1
2
3
4
5
6
9.
Project IX: Deflask and

Occlusal Correction
1
2
3
4
5
6
1
2
3
4
5
6
10.
Project X: Finish and Polish
1
2
3
4
5
6
2
3
4
5
6
1
11.
Project XI: Repair
1
2
3
4
5
6
3
4
5
6
1
2
21
Fall Semester 2005

2907 Complete Dentures Questions

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2907 Complete Dentures Questions

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What are the goals of the Complete Dentures course?

What are the goals of the Complete Dentures course?

What are the main anatomical structures discussed in relation to complete dentures?

What are the main anatomical structures discussed in relation to complete dentures?

SYLLABUS

DEPF 2907 Complete Dentures

Robert L. Engelmeier, B.S., D.M.D., M.S.

Copyright 2004 by The University of Texas Dental Branch at Houston

Anatomy of the edentulous mouth; the supporting and limiting structures.

DEPF 2907 Complete Dentures

Fall Semester 2005

The Edentulous Patient

PRELIMINARY IMPRESSIONS AND CUSTOM IMPRESSION TRAYS

Describe the technique for custom tray fabrication.

Define the terms, "support", "stability" and "retention" as related to prosthodontics.

ANATOMY FOR COMPLETE DENTURES.

Define the muscles of mastication and related muscles:

DEPF 2907 Complete Dentures

Fall Semester 2005

Areas Related to Support for Maxillary Dentures

Limiting Structures of the Maxilla

Muscles of soft palate, pharynx, and tongue.

Supporting structures for Mandibular Dentures

crest of residual ridge

Limiting Structure of the Mandible

FINAL IMPRESSIONS AND MASTER CASTS

Describe the purpose and rationale for making final impressions.

DEPF 2907 Complete Dentures

Fall Semester 2005

FABRICATION OF RECORD BASES

Define the term "record base".

Describe the function of the record base in complete denture prosthesis.

Describe the correct procedure for the fabrication of record bases.

MAXILLOMANDIBULAR RELATIONS - FACEBOW TRANSFER AND CENTRIC RELATION

Define the following terms:

Describe the following methods for determining the vertical relations:

Describe the possible side effects of excessive vertical dimension of occlusion.

Describe the possible side effects of insufficient vertical dimension of occlusion.

List the important reasons for registering centric relation.

Discuss the methods of recording centric relation.

Discuss the methods of recording eccentric jaw relation.

Discuss the transfer of these recordings to the articulator.

DEPF 2907 Complete Dentures

Fall Semester 2005

Define the term "facebow".

Describe the purpose of using the facebow.

Describe the purpose of the anterior point of reference on a facebow.

List the conditions where it is essential to use the facebow.

SELECTION AND ARRANGEMENT OF ANTERIOR ARTIFICIAL TEETH FOR EDENTULOUS

Describe the following:

selection of tooth shade

List the pre-extraction guides for tooth selection.

Describe methods to determine the size of anterior teeth.

Describe methods for determining the shape of anterior teeth.

Explain the dentogenic concept in selecting artificial teeth.

Describe the four qualities of color.

Explain how changes in age affect color of teeth.

Explain the purpose of the carved wax occlusion rim.

Explain the relation of the artificial teeth to the residual ridge.

Explain the relation of the anterior teeth to the incisive papilla.