Application of the Neutral Zone in Prosthodontics

Application of the Neutral Zone in Prosthodontics offers a step-by-step guide to successfully designing and placing complete and implant-retained dentures using neutral zone concepts.

• Illustrates every technique described with more than 300 color photos

• Covers all phases of complete denture therapy

• Presents a step-by-step assessment and examination protocol

• Details the importance of accurate diagnosis and prognosis prior to committing to treatment

• Describes an alternative to traditional impressioning procedures that can be accomplished in a single appointment

• Includes access to a companion website with video clips and student handouts, with teaching PowerPoints available for instructors

Auteur

**The authors
Joseph J. Massad, DDS, is Associate Professor in the Department of Prosthodontics at the University of Tennessee Health Center, School of Dentistry in Memphis, Tennessee, USA; Adjunct Associate Professor in the Department of Prosthodontics and Operative Dentistry at Tufts University School of Dental Medicine in Boston, Massachusetts, USA; Adjunct Associate Professor in the Department of Comprehensive Dentistry at the University of Texas Health Science Center, School of Dentistry in San Antonio, Texas, USA; Adjunct Associate Professor in the Department of Restorative Dentistry at Loma Linda University School of Dentistry, in Loma Linda, California, USA; Clinical Assistant Professor at the University of Oklahoma College of Dentistry in Oklahoma City, Oklahoma, USA; and Private Practice in Tulsa, Oklahoma, USA. David R. Cagna, DMD, MS, is a Professor in the Department of Prosthodontics, Associate Dean of Postgraduate Affairs & Director of Advanced Prosthodontics at the University of Tennessee Health Science Center, College of Dentistry, Memphis, Tennessee, USA; Diplomate & Director of the American Board of Prosthodontics; and Fellow of the American College of Prosthodontists. Charles J. Goodacre, DDS, MSD, is Distinguished Professor in the Department of Restorative Dentistry at Loma Linda University School of Dentistry in Loma Linda, California, USA; and Diplomate and Past-President of the American Board of Prosthodontics. Russell A. Wicks, DDS, MS, is Professor and Chairman in the Department of Prosthodontics at the University of Tennessee Health Science Center, College of Dentistry in Memphis, Tennessee, USA. Swati A. Ahuja, BDS, MDS, is Adjunct Assistant Professor in the Department of Prosthodontics at the University of Tennessee Health Science Center, College of Dentistry in Memphis, Tennessee, USA; and Prosthodontic Consultant at Lutheran Medical Center in New York City, New York, USA.

Texte du rabat
Understanding the importance of the neutral zone is key to successful prosthodontic treatment. In Application of the Neutral Zone in Prosthodontics, Dr. Joseph Massad and his colleagues present methods and techniques for constructing predictable complete, implant-supported, and implant-retained prostheses. In addition to the incorporation of the neutral zone technique, the authors have included the inter-arch tracer and external surface impressions into the denture fabrication process. All the steps of denture fabrication, including patient examination, impression making, occlusal, esthetic, and neutral zone records, try-in, and placement, have been described in detail, including the laboratory procedures. Successful denture therapy can be challenging for less experienced practitioners. As a consequence, many dentists opt to not offer complete dentures as part of their practices. This book addresses the most common problems with dentures and provides time-tested techniques for successful clinical outcomes.

• Illustrates every technique described with more than 300 color photos
• Covers all phases of complete denture therapy
• Presents a step-by-step assessment and examination protocol
• Details the importance of accurate diagnosis and prognosis prior to committing to treatment
• Describes an alternative to traditional impressioning procedures that can be accomplished in a single appointment
• Includes access to a companion website with video clips and student handouts, with teaching PowerPoints available for instructors
  An ideal guide for dental students and prosthodontic and advanced general dentistry residents, Application of the Neutral Zone in Prosthodontics also has much to offer experienced general practitioners and prosthodontists at every stage of their careers.

Résumé
Application of the Neutral Zone in Prosthodontics offers a step-by-step guide to successfully designing and placing complete and implant-retained dentures using neutral zone concepts.

• Illustrates every technique described with more than 300 color photos
• Covers all phases of complete denture therapy
• Presents a step-by-step assessment and examination protocol
• Details the importance of accurate diagnosis and prognosis prior to committing to treatment
• Describes an alternative to traditional impressioning procedures that can be accomplished in a single appointment
• Includes access to a companion website with video clips and student handouts, with teaching PowerPoints available for instructors

Contenu

Foreword ix

Preface xi

About the Companion Website xiii

1 Assessment of Edentulous Patients 1

Introduction 1

The Patient Interview 1

Patient Interview: Age 2

Patient Interview: Attitude 2

Patient Interview: Expectations 2

Patient Interview: Chief Complaint 3

Patient Interview: General Health 3

Patient Interview: Complete Denture Experience 3

Patient Interview: Denture Remake Frequency 4

Patient Interview: Patient Satisfaction 4

Patient Interview: Photographs, Diagnostic Casts, and Radiographs 4

The Facial Analysis 4

Facial Analysis: Facial Tissue Tone 5

Facial Analysis: Tooth and Denture Base Display 6

Facial Analysis: Midlines 6

Facial Analysis: Lip Mobility 7

Facial Analysis: Lip Dimension 7

Prosthetic Factors 8

Prosthetic Factors: Vertical Dimensions 8

Prosthetic Factors: Existing Dentures 8

Prosthetic Factors: Skeletal Relationship 9

Prosthetic Factors: Saliva 9

Prosthetic Factors: Oral Tolerance 10

Prosthetic Factors: Temporomandibular Joints 10

Prosthetic Factors: Oral Cancer Review 10

Oral Characteristics 11

Oral Characteristics: Palatal Throat Form 11

Oral Characteristics: Arch Size 11

Oral Characteristics: Maxillary Ridge Height 11

Oral Characteristics: The Palate 12

Oral Characteristics: Maxillary Ridge Contour 13

Oral Characteristics: The Maxillary Denture Foundation 13

Oral Characteristics: Mandibular Ridge Height 14

Oral Characteristics: Mandibular Ridge Contour 14

Oral Characteristics: Mandibular Muscle Attachments 14

Oral Characteristics: Mandibular Denture Foundation 15

Oral Characteristics: Maxillary Tuberosity Curve 15

Oral Characteristics: Vestibule 16

Oral Characteristics: Frenula Attachments 16

Oral Characteristics: Pterygomandibular Raphe 16

Oral Characteristics: Denture Bearing Soft Tissues 16

Oral Characteristics: Retromolar Pads 17

Oral Characteristics: Maxillary Ridge Crest to Resting Lip Length (Esthetic Space) 17

Oral Characteristics: Mandibular Ridge Crest to Resting Lip Length (Esthetic Space) 17

Oral Characteristics: Maximal Oral Opening 17

Oral Characteristics: Retromylohyoid Space 18

Oral Characteristics: Tongue Size 19

Oral Characteristics: Tongue Position 19

Oral Characteristics: The Neutral Zone 20

Summary 21

References 21

2 Orthopedic Resolution of Mandibular Posture 25

Introduction 25

Conditioning Abused Tissues and Stabilizing the Existing Prosthesis 26

Materials Properties and Technique 26

Technique 26

Re?-establishing Orthopedic Mandibular Position 28

Summary 33 …