Article7 13 4 PDF
Article7 13 4 PDF
Article7 13 4 PDF
Patients requesting replacement complete dentures have often worn the same set of dentures, successfully for many
years. They have become accustomed with the fitting, polished and occlusal surfaces of their dentures. Patients
should be provided with prosthesis which optimize esthetics, phonetics and function along with preserving the health
of existing oral structures. Physical and mental adaptability of patients is of utmost importance in achieving success
in complete denture therapy. This case report presents a method of complete denture fabrication along with its
clinical and laboratory steps, which involve replicating the desired features of the prosthesis, along with improvements
in esthetic, occlusion and stability, utilizing a three visit copy denture technique.
KEY WORDS: Copy denture, Existing dentures Replacing Techique Geriatric patiant.
HOW TO CITE: Vohra FA, Habib SR. Copy denture, Existing dentures Replacing Techique Geriatric patiant.
J Pak Dent Assoc 2013;
dentures. Initially, the occlusal and polished surfaces dimensions were made. This was followed by registering
of the dentures were embedded in the alginate mix, the retruded position of the mandible and the face bow
once complete set was achieved; grooves were cut transfer record. Before the original dentures were
returned to the patient, shade of the existing denture
teeth were recorded and the patient was discharged for
the day.
Using the new maxilla-mandibular records, the
replica dentures were mounted in the articulator with
the face bow record and inter-occlusal centric relation
record in wax (wax wafer) as recorded earlier
(Figure 5). Arrangement of teeth was then carried out
was then completed in the laboratory. After finishing Lab Construct copy templates with self cure
acrylic resin.
and polishing the dentures were ready for insertion
(Figures 8 & 9). Clinical Record Maxillo-mandibular relation
using replica denture
In the third and final visit the dentures were fitted
intra-orally after minor adjustments. The patient was
Mounting of the Copy Templates. It is important to
Lab Arrangement of teeth for trial dentures. remove/grind only one or
two teeth from the
templates at a time so that
the remainder acts as
effective guides to
accurate positioning of
the new teeth.
Figure 9. Impression surfaces of new dentures. 3. Clinical Denture insertion Selective spot grinding
of the new teeth
called for review and follow up visit at 24 hours post- intraorally.
Patient put on review /
operative and after 1 week. During the follow up visits recall
the patient was found to be satisfied with the function,
equipment commonly available in almost all dental to history of previous failed attempts and existing
surgeries20. denture problems like, discoloration, flat occlusal
The various clinical and technical stages of a copy surfaces and unstable dentures. All of these issues led
denture technique are summarized in Table-I. It is to the indication of new replacement complete dentures
possible to undertake more than one clinical stage at with copy technique. This technique helped to reduce
the same appointment. the patient's clinical chair-side time as well as the
reduction in appointments. With the new teeth there
DISCUSSION was improvement in the esthetics as well as chewing
efficiency, and reduced OVD was improved with the
Provision of replacement complete dentures for an new jaw relation record. Finally, well fitting new
increasingly elderly population presents problems for complete dentures was a direct result of the new
the prosthodontist. This is due to reduced adaptability impression surfaces.
to new prosthesis because of decreased neuromuscular The clinical value of a copy denture method
skills in geriatric patients22. The existing denture that enabling reproduction of selected features of old dentures
needs to be replaced due to wear, tooth loss, compared to fabrication of new complete dentures in
discoloration, chipped and cracked bases provides the replacements is no longer in doubt26. The success of the
dentist with many useful information in planning new present and earlier methods using copy technique in
dentures. It is therefore helpful to reproduce familiar overcoming problems arising from disparities between
features of a patient's old prosthesis, especially if these new and old dentures constitutes a powerful argument
have been used successfully for some years23-26. With for more widespread application of such a method as
replacement dentures, copying of suitable features using first line of treatment for appropriate indications22-26.
a copy denture technique is indicated 24. The existing
denture provides superior trays and registration of CONCLUSION
maxilla-mandibular relations are easy and more
predicable in terms of accuracy. With copy dentures For elderly and frail patients who have used their
information available in the patients existing dentures old dentures successfully for a significant period of
is used to simplify and quicken the procedure of making time, provision of replacement complete dentures by
new dentures 23-24. A local publication of a case report copy denture technique is a simple and cost effective
has described the benefits of the copy dentures and a procedure. The replacement dentures will have better
technique of using copy denture flask specifically adaptability with reduced chair-side and laboratory time.
designed for duplicating existing dentures 24 . This REFERENCES
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