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2 Determination of complete denture requirements Prior to complete denture fabrication, the dental practitioner must be familiar with the patient's oral condition. This may include the number and types of missing teeth, the conditions of the opposing dentition, past dental histories, and laboratory considerations. In addition, the practitioner must evaluate the patient's health, life expectancy, and personal goals. This information allows the practitioner to determine the treatment needs of the patient. It is important to note that a thorough analysis of the oral condition is important to the success of any type of denture prosthesis, including complete dentures. The most important information obtained from this evaluation includes: 1. Conditions of the supporting tissues related to missing teeth (eg, tongue, cheek, and lower lip); 2. Conditions of the opposing dentition and past dental history; 3. Current state of health; 4. Treatment goals; 5. Dental record of the patient; 6. Laboratory considerations. The following are the steps involved in complete denture fabrication: 1. Selection of the appropriate denture framework; 2. Selection of the appropriate denture insert, if not already indicated; 3. Selection of the appropriate denture base; 4. Selection of the denture frame; 5. Selection of the denture attachments; 6. Selection of the denture wax; 7. Selection of the reline material; 8. Selection of the laboratory technician; and 9. Selection of the appropriate laboratory. The complete denture should be carefully constructed to provide adequate retention and stability for the denture, yet allow for the patient's comfort. Certain factors must be taken into consideration when fabricating a complete denture, including: 1. The physical condition of the patient's oral tissues; 2. The type of supporting tissue; 3. The number and arrangement of missing teeth; 4. The existing dentition; 5. The arch dimensions; 6. The laboratory requirements; and 7. The cost of complete denture fabrication. Selection of the complete denture framework depends on several factors, including the patient's condition and the dentist's style.
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