This is a user-friendly guide to the principles of complete denture construction. It is a practical, extensively illustrated book for the general dental practitioner, starting with the examination of the edentulous patient and progressing through the different treatments in a logical way. A range of procedures has been described in sufficient detail so that the dentist can apply the best treatment measure to the specific clinical problem. A final chapter on domiciliary treatment has been included because elderly, housebound patients often present problems such as denture retention (because of the patients' residual ridge atrophy or insufficient muscular control). Reference to original research work has been included so that the reader can explore the research evidence for himself.

1 Treatment Planning: Assessing the Task Ahead

The Examination of the Patient
History of the Patient's Complaint
Medical History
Examination of the Extraoral Tissues
Examination of the Oral Tissues
Examination of the Dentures
Examination of the Hard Tissues
Examination of the Soft Tissues: Denture Stomatitis
Other Soft Tissue Abnormalities
Prognosis of Treatment
References
2 Impression Taking and Mucosal Loading
Anatomy of Mucosal Tissues
How Does Oral Mucosa Behave in Function?
The Principles of Impression Procedures
Impression Taking Procedures
Disinfection Procedures
The Impression in the Maxillary Region
The Mandibular Impression
Selective-pressure Impression for the Lower Ridge
The Upper Selective-pressure Impression Technique
Occlusal Considerations with a Fibrous Ridge
Should Load Be Deliberately Applied to the Tissues During Impression Procedures?
The Gagging Patient: Are Impression Procedures Possible?
References
3 Determining the Jaw Relationship
How Does the Temporomandibular Joint Move During Function?
Clinical Determination of the Jaw Relationship
Laboratory Construction of Occlusal Rims
Adjusting the Upper Occlusal Rim in the CHnic
Determining the Angulation of the Occlusal Plane
High Lip Line, Canine Lines, and Centre Lines
Recording the Mandibular Rest Position
Recording the Horizontal Jaw Relationship
Methods of Selecting the Anterior Teeth
Positioning the Anterior Teeth Correctly
Arranging the Mandibular Anterior Teeth
Positioning the Posterior Teeth
Anatomical Guides to Positioning the Posterior Teeth
Alternative Occlusal Arrangements of Posterior Tooth
The Morphology of the Denture Space
Clinical Physiology Studies
Impression Techniques to Record the Muscular Environment
Modifying the Buccal Surface of the Denture
Other Muscle Activity in Denture Retention
References
4 The Trial Denture
Retention and Stability in the Patient's Mouth
Anterior Tooth Position
Horizontal and Vertical Jaw Relationship
Developing Balanced Articulation with Anatomical Teeth
Simple Hinge Articulators
Average Value Articulators
Adjustable Articulators
The Closest Speaking Distance
Colouring the Labial Flange
Postdam
Undercuts
Providing Tin-Foil Relief
Liaison with the Laboratory
The Complete Upper Denture
The Complete Lower Denture
References
5 Fitting the Processed Denture
Remounting Procedures
Denture Retention
Aesthetic Appearance
Patient's Instruction Leaflet
Denture Fixative
References
6 The Review Appointment
History of the Complaint
The Painful Denture
Persistent Pain
Other Causes of Persistent Pain
Defective Speech
"Unable to Chew Food Properly"
Vague Symptoms
Summary
References
7 Domiciliary Treatment
Scope of Domiciliary Treatment
Denture Cleaning
Denture Marking
Domiciliary Prosthetic Treatment
Denture Looseness
Template Dentures
Repair of Dentures
Other Causes of Fractured Dentures
References.