Comprehensive Treatment Planning and Treatment Sequencing for the Partially Edentulous Patient - PowerPoint PPT Presentation

Loading...

PPT – Comprehensive Treatment Planning and Treatment Sequencing for the Partially Edentulous Patient PowerPoint presentation | free to view - id: 17d0b6-ZDc1Z



Loading


The Adobe Flash plugin is needed to view this content

Get the plugin now

View by Category
About This Presentation
Title:

Comprehensive Treatment Planning and Treatment Sequencing for the Partially Edentulous Patient

Description:

Comprehensive Treatment Planning and Treatment Sequencing for the Partially Edentulous Patient – PowerPoint PPT presentation

Number of Views:453
Avg rating:3.0/5.0
Slides: 175
Provided by: marily92
Category:

less

Write a Comment
User Comments (0)
Transcript and Presenter's Notes

Title: Comprehensive Treatment Planning and Treatment Sequencing for the Partially Edentulous Patient


1
  • Comprehensive Treatment Planning and Treatment
    Sequencing for the Partially Edentulous Patient

2
Ensuring Predictability
  • Occlusion
  • Esthetics

3
(No Transcript)
4
(No Transcript)
5
(No Transcript)
6
(No Transcript)
7
(No Transcript)
8
(No Transcript)
9
(No Transcript)
10
Ensuring Predictability
  • Occlusion
  • Esthetics

11
(No Transcript)
12
(No Transcript)
13
(No Transcript)
14
(No Transcript)
15
(No Transcript)
16
(No Transcript)
17
(No Transcript)
18
(No Transcript)
19
(No Transcript)
20
(No Transcript)
21
(No Transcript)
22
(No Transcript)
23
(No Transcript)
24
(No Transcript)
25
(No Transcript)
26
(No Transcript)
27
(No Transcript)
28
(No Transcript)
29
(No Transcript)
30
(No Transcript)
31
(No Transcript)
32
(No Transcript)
33
(No Transcript)
34
(No Transcript)
35
  • Comprehensive Treatment Planning and Treatment
    Sequencing for the Partially Edentulous Patient

36
(No Transcript)
37
Ensuring Predictability
  • Occlusion
  • Esthetics

38
Step 1 Observe Existing Occlusion
  • Type

39
Type
  • Mutually protected (Anterior Disclusion)

40
(No Transcript)
41
Type
  • Mutually protected (Anterior Disclusion)
  • Group Function

42
(No Transcript)
43
Type
  • Mutually protected (Anterior Disclusion)
  • Group Function
  • Bilateral Balance

44
(No Transcript)
45
Type
  • Mutually protected (Anterior Disclusion)
  • Group Function
  • Bilateral Balance
  • Mutilated

46
(No Transcript)
47
Step 1 Observe Existing Occlusion
  • Type
  • Occlusal Plane

48
Occlusal Plane
  • Is the occlusal plane appropriate
  • Extruded teeth
  • Tipped teeth

49
(No Transcript)
50
Step 1 Observe Existing Occlusion
  • Type
  • Occlusal plane
  • Vertical dimension of occlusion

51
Vertical Dimension
  • Appropriate Dimension
  • Space for Restorations

52
(No Transcript)
53
(No Transcript)
54
Step 1 Observe Existing Occlusion
  • Type
  • Occlusal plane
  • Vertical dimension of occlusion
  • Centric contacts

55
(No Transcript)
56
Step 1 Observe Existing Occlusion
  • Type
  • Occlusal plane
  • Vertical dimension of occlusion
  • Centric contacts
  • Interferences

57
(No Transcript)
58
Step 1 Observe Existing Occlusion
  • Type
  • Occlusal Plane
  • Vertical Plane
  • Centric Contacts
  • Interferences

59
Step 2 Plan Ideal Occlusion
  • Type

60
Type
  • Mutually Protected
  • (Anterior Disclusion)
  • (Cuspid Guidance)
  • Group Function
  • Bilateral Balance

61
(No Transcript)
62
Step 2 Plan Ideal Occlusion
  • Type
  • Occlusal Plane

63
Occlusal Plane
  • Change Location or Orientation
  • To make selected type of occlusion possible
  • To improve esthetics
  • Determine Treatment for Tipped or Extruded Teeth.

64
(No Transcript)
65
Step 2 Plan Ideal Occlusion
  • Type
  • Occlusal Plane
  • Vertical Dimension

66
Vertical Dimension
  • Lack of Space
  • Very rarely change vertical dimension
  • Consider crown lengthening
  • Do not use attachments
  • Probably require preprosthetic surgery prior to
    implants

67
(No Transcript)
68
Step 2 Plan Ideal Occlusion
  • Type
  • Occlusal Plane
  • Vertical Dimension
  • Centric Contacts

69
Centric Contatcs
  • Select Ideal Location for EACH Contact

70
(No Transcript)
71
Step 2 Plan Ideal Occlusion
  • Type
  • Occlusal Plane
  • Vertical Dimension
  • Centric Contacts
  • Interferences

72
Interferences
  • Determine If Interference is
  • Significant
  • On a Tooth to be Restored

73
(No Transcript)
74
Step 2 Plan Ideal Occlusion
  • Type
  • Occlusal Plane
  • Vertical Plane
  • Centric Contacts
  • Interferences

75
Step 3 Determing Treatment Options (and
Prognosis)
  • No Treatment
  • Resin Bonded Partial Denture
  • Fixed Partial Denture
  • Implant Prosthesis
  • Removable Partial Denture
  • Combinations

76
  • Treatment Options
  • Prognosis
  • Informed Consent

77
(No Transcript)
78
(No Transcript)
79
(No Transcript)
80
(No Transcript)
81
(No Transcript)
82
(No Transcript)
83
(No Transcript)
84
(No Transcript)
85
(No Transcript)
86
(No Transcript)
87
(No Transcript)
88
(No Transcript)
89
(No Transcript)
90
Step 3 Determine Treatment Options (and
Prognosis)
  • No Treatment

91
(No Transcript)
92
(No Transcript)
93
(No Transcript)
94
(No Transcript)
95
No Treatment
  • Occlusion Stable Functional
  • Esthetics Acceptable
  • Contraindications to Treatment
  • Hygiene
  • Medical
  • Psychological

96
Step 3 Determine Treatment Options (and
Prognosis)
  • No Treatment
  • Resin Bonded Partial Denture

97
(No Transcript)
98
(No Transcript)
99
(No Transcript)
100
(No Transcript)
101
Resin Bonded Partial Denture
  • Abutment Teeth Do Not Need Cast Restorations
  • Adequate Periodontal Support
  • Occlusal Clearance

102
Step 3 Determine Treatment Options (and
Prognosis)
  • No Treatment
  • Resin Bonded Partial Denture
  • Fixed Partial Denture

103
(No Transcript)
104
(No Transcript)
105
(No Transcript)
106
(No Transcript)
107
Fixed Partial Denture
  • Abutment teeth need cast restorations
  • Abutment teeth can survive preparation
  • Adequate periodontal support
  • No room for Resin Bonded Bridge

108
Step 3 Determine Treatment Options (and
Prognosis)
  • No Treatment
  • Resin Bonded Partial Denture
  • Fixed Partial Denture
  • Implant Prosthesis

109
(No Transcript)
110
(No Transcript)
111
(No Transcript)
112
(No Transcript)
113
Implant Prosthesis
  • Abutment Teeth Do NotNeed Cast Restorations
  • Lack of Periodontal Support

114
Step 3 Determine Treatment Options (and
Prognosis)
  • No Treatment
  • Resin Bonded Partial Denture
  • Fixed Partial Denture
  • Implant Prosthesis
  • Removable Partial Denture

115
Removable Partial Denture
  • Successful History of Wearing Previous RPDs
  • Lack of Periodontal Support
  • Probable Need for Future Additions
  • Soft Tissue Replacement
  • Patient Not Suitable for More Complex Treatment.

116
Step 3 Determine Treatment Options (and
Prognosis)
  • No Treatment
  • Resin Bonded Partial Denture
  • Fixed Partial Denture
  • Implant Prosthesis
  • Removable Partial Denture
  • Combinations

117
Combinations
  • Multiple Missing Teeth

118
(No Transcript)
119
(No Transcript)
120
(No Transcript)
121
(No Transcript)
122
Step 4 Design the Implant and/or Removable
Framework
  • Occlusion

123
(No Transcript)
124
Occlusion
  • Position of Rests and Minor Connectors
  • Position of Implant Screws

125
(No Transcript)
126
(No Transcript)
127
(No Transcript)
128
(No Transcript)
129
(No Transcript)
130
(No Transcript)
131
(No Transcript)
132
(No Transcript)
133
(No Transcript)
134
(No Transcript)
135
(No Transcript)
136
(No Transcript)
137
(No Transcript)
138
(No Transcript)
139
(No Transcript)
140
(No Transcript)
141
(No Transcript)
142
Step 4 Design the Implant and/or Removable
Framework
  • Occlusion
  • Esthetics

143
(No Transcript)
144
(No Transcript)
145
(No Transcript)
146
(No Transcript)
147
(No Transcript)
148
Step 4 Design the Implant and/or Removable
Framework
  • Occlusion
  • Esthetics
  • Castings

149
Castings
  • Rests
  • Ledges
  • Undercuts
  • Guide planes
  • Attachments

150
(No Transcript)
151
(No Transcript)
152
(No Transcript)
153
Step 4 Design the Implant and/or Removable
Framework
  • Occlusion
  • Esthetics
  • Castings
  • Overdenture?

154
(No Transcript)
155
(No Transcript)
156
(No Transcript)
157
Step 5 Diagnostic Set-up and Wax-Up
  • Type
  • Occlusal Plane
  • Vertical Dimension
  • Centric Contacts
  • Interferences
  • Esthetics

158
Step 5 Diagnostic Set-up and Wax-Up
  • Type
  • Occlusal Plane
  • Vertical Dimension
  • Centric Contacts
  • Interferences
  • Esthetics

159
Esthetics
  • Verification of Esthetics Before commencing
    Treatment

160
(No Transcript)
161
Step 6 Plan Treatment Sequence
  • Maintenance of Vertical Dimension of Occlusion.

162
(No Transcript)
163
Maintenance of Vertical Dimension
  • Plan sequence to preserve centric stops

164
(No Transcript)
165
Step 6 Plan Treatment Sequence
  • Maintenance of Vertical Dimension of Occlusion.
  • Assure Optimal Occlusal and Esthetic Results.

166
Occlusion and Esthetics
  • Use Diagnostic Set-up during Preparation
  • Survey Master Casts for Fixed Restorations
  • Wax-up Fixed Restorations against Set-up

167
(No Transcript)
168
(No Transcript)
169
(No Transcript)
170
(No Transcript)
171
(No Transcript)
172
(No Transcript)
173
  • Do Not Wax-Up
  • Against Air!

174
  • PLAN
  • Removable Implants
  • FIRST
About PowerShow.com