Dentaltown August 2019 - 52

message board

a. Process the denture with undercuts blocked out.
4. Deliver with Hydro-Cast in the denture.
5. Adjust as needed. When all adjustments and problems are worked out, reline the denture
or reline with soft liner. ■
5/23/2019

DDS555
Member Since: 10/24/13
Post: 23 of 45

sweet tooth dentures
Member Since: 10/27/11
Post: 24 of 45

What are your thoughts on zero-degree teeth? ■
5/23/2019

I don't do a lot of zero-degree teeth. I like 10-degree. They are easier to set.
I set them in centric and adjust them into lingualized occlusion. I set in centric because patients
think lingualized set-up is ugly, they don't recognize it, so they complain. No problem. Set in centric
adjust into lingualized. I like the lingual cusp to reseat the lower denture every time the patient
closes or swallows. ■
5/23/2019

cynosurer
Member Since: 02/12/02
Post: 29 of 45

You might consider a metal base (à la the Shipmon Technique). Often the extra weight helps
make it more stable. Barring the metal base, I have "implanted" metal ingots in such situations
to supply the extra weight, which also leaves the soft-liner option available. ■
6/1/2019

vomer6
Member Since: 10/15/03
Post: 31 of 45

nareg
Member Since: 04/20/07
Post: 33 of 45

My gut says that I like to share you with my prosthodontist. ■
6/1/2019

If implants are not an option, and she is used to wearing dentures, you can try extending the
lingual posterior part of the denture (retromylohyoid space). This could give some stability-just
enough to make it bearable for her.
I just made one recently, very similar. The lingual extensions were so much that the denture
had to be inserted from the posterior to the anterior for my 92-year-old patients. That was just
enough retention to be OK without getting implants. ■
6/1/2019

almunk
Member Since: 12/17/05
Post: 37 of 45

To capture deep lingual extensions, you first need a good alginate impression, with some
border wax on rim of the tray. Then a custom tray with compound (border molding) on the rim
of the tray. And even after all that, you won't know if the patient will tolerate these extensions
until after you make the denture. ■
6/4/2019

nareg
Member Since: 04/20/07
Post: 38 of 45

When border molding, you have to make sure the tongue doesn't bend the border molding
material out of the way, and you can delicately insert it between the tongue and the retromolar
pad! Check out Slide #46.
[Editor's note: To view this link, view this message board online.] ■
6/4/2019

almunk
Member Since: 12/17/05
Post: 39 of 45

And if the patient has a power tongue, and you get a nice clean alginate impression of that
sublingual space, I would be tempted to make the denture off the alginate model. It is very
challenging to border mold this area if the patient has a power tongue pushing your compound out
of the way. All it means is a little more border adjusting on the denture insertion appointment. ■
6/4/2019

AUGUST 2019 // dentaltown.com

http://www.dentaltown.com

Dentaltown August 2019

Table of Contents for the Digital Edition of Dentaltown August 2019