This course is designed for teaching a refined concept in complete denture prosthetics. There are three basic differences from the standard complete denture technique as taught in our schools. The establishing of anterior components and posterior occlusion are unique and lend to simplicity in denture success. Probably the most important difference is the branching technique, whereby experimental dentures are constructed and approved by patient and dentist before the final dentures are constructed. It is a protective philosophy for both patient and dentist. It is a “try it before you buy it” philosophy. This is not a quickie mass production technique, but designed for dentists who want the ultimate in full denture service for their patients. However, there is a way that our basic technique can be incorporated into a short denture procedure. The development of osseointegrated root form implant systems has taught us one thing about patients who are dental cripples – they are willing to invest large amounts if the profession has something better to offer. Most denture patients know as well as the dentist the old impression, jaw relation, try-in and delivery system and they know all too often multi post-operative adjustments that lead to dissatisfaction. The Branching Technique is generally readily accepted by the patients.
- Arrange maxillary and mandibular teeth to esthetics using anatomical harmony and phonetics with no chance of restriction of the anterior envelope of function
- Achieving a balanced occlusion in centric relation using several procedures. Occlusion is the single most important principle in removable prosthetics.
- Delivery of the treatment denture and achievement of perfect patient generated functional impressions.
- Lingualized occlusion as well as when to use cross bite
- Treating Class I, II and III cases using the same basic principles.
- Finalization procedures to go from the treatment denture to the final denture that require few if no post insertion adjustments.
- Occlusal refinement using a central bearing point and functional analysis of the envelope of function.
- Use of the treatment denture to make a surgical stint and for the prosthetic guide if implants are part of the treatment options.
- The special techniques of the maxillary denture that opposes mandibular natural teeth or when there are all or just a few mandibular teeth.
- Custom gold occlusal surfaces in removable appliances and why they are necessary.
- Why sometimes the use of plastic teeth can cause problems for the patient in the future.
- Basic partial denture design principles. Keeping attachments simple. Post insertion reline of the free end saddle partial to assure success.