J Korean Acad Prosthodont.  2019 Jul;57(3):238-244. 10.4047/jkap.2019.57.3.238.

Functional impression technique using temporary denture for rehabilitation of severely atrophic maxillary and mandibular ridges

Affiliations
  • 1Department of Prosthodontics, Gil Medical Center, Gachon University, Incheon, Republic of Korea. bb1018@hanmail.net

Abstract

Soft liner is used to functional impression technique when dental stone is immediately poured after taking impression because of viscoelasticity. In this case, a 78-year-old male visited for new dentures. Due to severe resorption of mandibular edentulous ridge, functional impression taking by closed mouth technique was planned. First of all, making maxillary and mandibular provisional dentures was done, and lined by soft liner to rehabilitate pressured maxillary and mandibular edentulous ridge. After this, Functional impression was taken by closed mouth technique using provisional dentures which are transformed to healed maxillary and mandibular edentulous ridge, and final denture were fabricated using maxillary provisional denture as a reference of artificial teeth arrangement. Consequently, restoring a complete edentulous patient with taking functional impression using provisional dentures resulted in recovering satisfying retention and function.

Keyword

Complete denture; Provisional denture; Functional impression

MeSH Terms

Aged
Denture, Complete
Dentures*
Humans
Male
Mouth
Rehabilitation*
Tooth, Artificial

Figure

  • Fig. 1 Initial photographs. (A) Occlusal view of maxilla, (B) Right lateral view, (C) Frontal view, (D) Left lateral view, (E) Occlusal view of mandible, (F) Panoramic radiograph.

  • Fig. 2 Provisional denture intraoral view in occlusion. (A) Right lateral view, (B) Frontal view, (C) Left lateral view.

  • Fig. 3 Final impression taking using Soft liner.

  • Fig. 4 Facebow transfer using upper provisional denture.

  • Fig. 5 (A) Facebow transfer using upper provisional denture, (B) Mounting using provisional denture, (C) Jaw relation, (D) Replicate upper provisional denture and mounting with lower provisional denture, (E) Upper provisional denture mounting with mandible, (F) Denture tooth set up.

  • Fig. 6 Wax denture try in.

  • Fig. 7 Intraoral photographs of definitive prosthesis. (A) Upper occlusal view, (B) Right lateral view, (C) Frontal view, (D) Left lateral view, (E) Lower occlusal view.

  • Fig. 8 6 month follow up. (A) Internal fit of upper complete denture, (B) Internal fit of lower complete denture.


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