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“A complete denture or removable partial denture fabricated for the placement immediately after the removal of natural teeth”
(GPT 2005)
DEFINITION
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A. Based on the Number of Prosthesis:a) Conventional/ classic ID:
b) Interim/ transitional ID:
B. Based on extant of surgical intervention:a) ID with Alveoloplasty
b) ID with septal Alveolectomy
c) ID with radical Alveolectomy
C. Based on extant of labial flange:
d) ID with labial flange:
e) ID with part labial flange
f) ID without labial flange( Gum fit dentures):
TYPES
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1. Pt; with few remaining ant: or/& post: teeth are indicated for extraction.
2. Physically & mentally stable pt:
3. Social personality
4. Economically affordable
INDICATIONS
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1. Pt; with poor general health
2. Terminally ill pt:
3. Post-irradiate jaws
4. Blood disorders
5. Psychological disorders
6. Uncooperative pt:
CONTRAINDICATIONS
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1. Serve as a splint i:e reduces pain, control bleeding, protect the healing socket from trauma.
2. Psychological advantage( pt: is spared from inconvenience & stress of edentulousness).
3. Pt: regains function faster e.g: speech & mastication.
4. More compatibility with oral surroundings as tissues have not yet changed position.
5. Less change in facial appearance
6. Natural teeth aid in vertical relation positioning & selecting artificial teeth.
7. Less TMJ disturbances.
8. Easy to refit by relining.
ADVANTAGES
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1. The technique is precise & time consuming.
2. Additional appointments
3. Additional cost.
4. No try- in for ant: teeth.
DISADVANTAGES