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Title. Conservative and Pros t hetic Dentistry Specialty Name : Tutor : Consultant : Treatment’s start and finish :. THE REASON FOR DENTAL INVESTIGATION’S NEEDS. MEDICAL HISTORY. Age , gender , occupation Factors which would affect the dental treatment Allergy Medication

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  1. Title Conservative and Prosthetic DentistrySpecialty Name: Tutor: Consultant: Treatment’s start and finish:

  2. THE REASON FOR DENTAL INVESTIGATION’S NEEDS

  3. MEDICAL HISTORY • Age, gender, occupation • Factorswhich would affect the dental treatment • Allergy • Medication • Addiction

  4. Dentalhistory • Previousprosthoappliances • Extractions • Othertreatments (orthodonticsetc.)

  5. INSPECTION OF HEAD, NECK REGION, INTRAORAL INVESTIGATION • Stomato-oncological examination • TMJ examination • Oralhygiene • Biteform

  6. PHOTO DOCUMENTATION

  7. 2. Smile 1. Face 3. Upper-lowerteeth 6. ICP 5. Lowerjaw 4. Upperjaw

  8. X-Ray

  9. UpperJaw – Dental Status Photo of upperjaw / Orthopantomogram / Intraoral x-rays • Fábián and Fejérdyclassification

  10. LowerJaw – Dental Status Photo of upperjaw / Orthopantomogram / Intraoral x-rays • Fábián and Fejérdyclassification

  11. PREoperativetreatments • Preoperativetreatments • Prostho (studycastsorstudyimpressions) • Perio • Surgical • Conservative

  12. Treatmentplan • Conservativetreatmentplan • Prosthotreatmentplan (text and drawings)

  13. Photo work-help • Photo afterscaling and oralhygieneteratment • Photo takingfromsalivaless/driedsurfaces • More picturesfromthesamesituation, becauseonlysharpphoto is acceptable • Investigated/treatedtoothshould be inthemiddle of thephotoregardingthequadrant

  14. Dokumantation of thefulltreatment • Start foto, periapicalX-ray • Endodontictreatment: • Photo fromaccesscavitywithrubberdam • Photo withapexlocator, X-rayforworkinglength • Controlradiograph • Photosfromfillingprocedure: • Aftercavitypreparation • Rubberdam, matrix, wedgein situ • Finished, polishedrestoration • Photosfrominlayprocedure: • Aftercavitypreparation • Impressions, models • Temporization • Readyrestorationinthemodel • Rubberdam, matrix, wedgein situ • Finished, polishedrestorationfromocclusalview and inintercuspidation • X-ray

  15. Completedenture • Primaryimpression • Primarycast • Outline of specialtrayonthecast • Specialtray • Onthecast • Adjustedtray • Functionalimpression (frommucosalside) • Functionalcast • Occlusalrimonthecast • Determination of CO • Adjustedocclusalrimsintraorally • Adjustedocclusalrimsextraorally • Try-indenture • Trialdenture in articulator (ICP, fromocclusalview) • Trialdenture in themouth (ICP, fromocclusalview, smile) • Readydenture • Finaldenture (polished and non-polishedsurface) • In themouth ((ICP, fromocclusalview, smile)

  16. Fixed prosthoapplience • Impressionforthetemporary • Preparedabutments • Temporaryrestorations (ICP, fromocclusalview) • Precisional-situationalimpression • Antagonisticimpression • Waxbite (extraorally) /occlusalrim (in themouth, extraorallytogetherwiththeantagonisticcast) • Try of framework • In the articulator (ICP, fromocclusalview) • In themouth (ICP, fromocclusalview) • Sectionalcast • Shadeselection • Biscuit/matt probe • In the articulator (ICP, fromocclusalview) • In themouth (ICP, fromocclusalview, smile) • Finalrestoration, cementation • In the articulator (ICP, fromocclusalview) • In themouth (ICP, fromocclusalview, smile)

  17. RPD with metal baseplate • Situationalimpression • Antagonisticimpression • Outline the metal baseplateonthemastercast • Try in metal baseplate • Onthecast • In themouth • Determination of CO/ICP • In themouth • Extraorally • Shadeselection • Try-indenture • Trialdenture in articulator (ICP, fromocclusalview) • Trialdenture in themouth (ICP, fromocclusalview, smile) • Readydenture • Finaldenture (polished and non-polishedsurface) • In themouth(ICP, fromocclusalview, smile)

  18. Telescoperetainedoverdenture I. • Impressionforthetemporary • Preparedabutments • Temporaryrestorations (ICP, fromocclusalview) • (Diagnosticteethset-up – front teeth) • Precisional-situationalimpression • Antagonisticimpression • Primarytelescopes • Onthecast • Inthemouth • Specialtray • Onthecast • Mucosalsurface • Functional-situationalimpressionwiththeprimarytelescopes • Occlusalrimwithsecundarytelescopes • Onthecast • Inthemouth

  19. TelescoperetainedoverdentureII. • Readyprimarytelescopes • Onthecast • Inthemouth • Determination of CO • Inthemouth • Extraorally • Shadeselection • Try-indenture • Trialdentureinarticulator (ICP, fromocclusalview) • Trialdentureinthemouth (ICP, fromocclusalview, smile) • Readydenture • Finaldenture (polished and non-polishedsurface) andtelescopes • Inthemouth(ICP, fromocclusalview, smile)

  20. Complexcase • Fix part (see FPD) • Situationalimpressionwiththe fix part • Try-in of RPD’s metal frameworkwiththe FPD • Onthecast • Inthemouth • Determination of ICP • Inthemouth • Extraorally • Try-indenture • Trialdentureinarticulator (ICP, fromocclusalview) • Trialdentureinthemouth (ICP, fromocclusalview, smile) • Readydenture • Inthearticulator (fromocclusalview, ICP) • Inthemouth(ICP, fromocclusalview, smile) • Precisiousattachments, parallel milledschoulders, interlock

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