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Aesthetic possibilities in removable prosthodontics. Part 3: Photometric tooth selection, tooth setting, try-in, fitting, reviewing and trouble-shooting

BDJ volume 224, pages 491506 (13 April 2018) | Download Citation

Subjects

Abstract

This final article in a series of three on producing complete dentures which the patient considers attractive, describes selecting the denture teeth, setting the front teeth at the chairside, the try-in visits, processing, fitting and reviewing the dentures. The role of the patient as captain of the ship, the dental nurse as the patient's support and liaison officer, and the clinician as the first technical officer is outlined. The use of immediate replay video technology in allowing a patient to see what the trial denture really looks like is described. It is vital that the patient is completely happy with its appearance in every detail before any denture is finished. Dealing with post-fitting aesthetic problems is considered.

Key points

  • Perfect imperfection – making dentures look like natural teeth and gums.

  • Being brave with tooth positioning and copying nature - selecting the right size and shape of artificial teeth using photometric calculation and assessment.

  • Patient led decision-making at rehearsal – the complete denture “try- in”.

  • Handling the delivery and review stages of complete denture provision.

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Acknowledgements

Special thanks are due to Rowan Garstang and Matt Wilde and John Wibberley for their technical advice with these three articles.

Author information

Affiliations

  1. President, The Besford Study Club

    • J. N. Besford
  2. Garstang Dental Referral Practice, Weind House, Park Hill Road, Garstang, Preston, Lancashire, PR3 1EL

    • A. F. Sutton

Authors

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Corresponding author

Correspondence to J. N. Besford.

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Publication history

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DOI

https://doi.org/10.1038/sj.bdj.2018.222