Textbook of

Complete Denture
PROSTHODONTICS
 Textbook of
Complete Denture
PROSTHODONTICS
Sarandha D.L. MDS
Reader
Department of Prosthodontics
Hasanamba Dental College and Hospital
Hassan (Karnataka)

Contributing authors
Zakir Hussain MDS
Department of Prosthodontics
Sibar Institute of Dental Sciences
Guntur (Andhra Pradesh)

Uthkarsh (Oral and Maxillofacial Surgery)

MDS
Reader
Department of Oral and Maxillofacial Surgery
Hasanamba Dental College
Hassan (Karnataka)

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Textbook of Complete Denture Prosthodontics
© 2007, Sarandha DL
All rights reserved. No part of this publication should be reproduced, stored in a retrieval system, or transmitted in any form or by any
means: electronic, mechanical, photocopying, recording, or otherwise, without the prior written permission of the authors and the
publisher.
This book has been published in good faith that the material provided by authors is original. Every effort is made to ensure accuracy
of material, but the publisher, printer and authors will not be held responsible for any inadvertent error(s). In case of any dispute, all
legal matters are to be settled under Delhi jurisdiction only.

First Edition: 2007

ISBN 81-8448-089-X
Typeset at JPBMP typesetting unit
Printed at Gopsons Papers Ltd, Sector 60, Noida
 To
My beloved parents
D.K Lakshman Gowda
Seetha Lakshman
 Foreword

I have carefully gone through the text, arrangement of the illustrations and the language
in the text and feel that this book entitled Textbook of Complete Denture Prosthodontics
would prove to be a trendsetter in Prosthodontics for reasons of clarity of basic sciences,
which constitute biological foundation. It is truly heartening to observe that the living
character of the foundation has received major consideration in treatment approach.
Topic wise arrangement of the text and inclusion of treatment approach to miscellaneous
atypical conditions has been done thoughtfully. I feel that this book will be of great use to
both undergraduate and postgraduate students in Prosthodontics. In addition,
consideration for inclusion of laboratory procedures in Prosthodontics will definitely aid
organization of mind for planning treatment.

Dr. S.M. JOSHI MDS

Prosthodontist
Director, Health Sciences
Sinhgad Dental College and Hospital
Pune
 Preface

I have made this humble effort of writing this book Textbook of Complete Denture Prosthodontics with an aim to
provide the basic knowledge of complete denture prosthodontics to the learners of the art and science of
prosthodontics. This accomplishment of mine also attempts at avoiding the dependence of learners on foreign
books taking the cost factor into consideration. However, I have avoided compromising on the quality by providing
the scientific basis of complete denture treatment with emphasis on laboratory procedures, which is very essential
for the success of the treatment. A number of photographs and illustrations have been included so that not much
is left to the fate of imagination. As with all textbooks, even this attempt of mine may have shortcomings, which I
would like to overcome in the subsequent editions through your valuable suggestions.

Sarandha D.L
 Acknowledgements

I invoke God, the almighty, and bow down in reverence to my Alma Mater “Sri Manjunatheshwara College
of Dental Sciences and Hospital”, Dharwad.
My heart felt gratitude to my parents for all my achievements. I appreciate the moral support, encouragement
and prayers of my parents and sister Nathali.
I am highly indebted to Dr Sri Veerendra Heggade, Dharmadhikari of Dharmasthala and Chairman of Sri
Dharmasthala Manjunatheshwara College of Dental Sciences and Hospital, Dharwad for providing me an
opportunity to study in his esteemed institution.
My sincere gratitude to my teacher, guide and professional idol Dr Subhash M Joshi MDS for teaching me the
finest art of Prosthodontic treatment based on biologic principles rather than a mechanical approach. His encouraging
attitude, an eye to see the positive aspect of my work before a healthy criticism and faith in my ability has helped
me inculcate confidence in my academic career. I immensely thank him for taking personal interest in this endeavor
in spite of his other professional commitments.
I take this opportunity to thank all my teachers at SDM College of Dental Sciences, Dharwad for laying
a strong foundation to my professional achievements with a special note of thanks to my Principal, Dr C. Bhasker
Rao MDS, and postgraduate teachers Dr Narendra P Patil MDS , Dr Ramesh Nadiger MDS, Dr Jagdeesh MDS,
Dr Sunil Kumar MDS and Dr Lekha MDS. Dr Sunil Kumar’s thoughtfulness to correct the chapter on Implants is
sincerely appreciated.
A very special note of appreciation and gratitude to Dr Zakir Hussain MDS for his contribution towards this task
and helping me in every stage during the preparation of this book.
A note of appreciation to Dr Uthkarsh MDS (Oral and Maxillofacial Surgery) for his generous contribution
towards the chapter ‘Preprosthetic surgery’.
The invaluable assistance of my colleagues and friends Dr Prafulla Thumati, Moumita, Jayanti,
Dr Ghanshyam Jinka, Dr Umapathi, Dr Bharath Shetty, Dr Sajjad Salam, Dr Wilma Fernandez,
Dr Deepti Sinha, Dr Jatin Agarwal, Dr Sathyabodh Guttal and Dr Sudhindra Kulkarni are sincerely
appreciated.
This task would not have been possible without the sincere efforts of Mr. Srinath of Guru Communications.
His patience and timely help is sincerely appreciated.
A very special note of thanks to all my students for being my source of inspiration and my patients for being
the source of my practical experience.
Sincere gratitude to Jaypee Brothers Medical Publishers (P) Ltd, New Delhi for considering publishing
this book. A very special note of thanks to Mr Manjunath Hegde for being the coordinator on behalf of the
publisher and for his valuable suggestions.
Last but not the least, I thank all those who have contributed through their prayers and good wishes.
 Contents

1. Human Masticatory Apparatus: Transition from Dentulous to Edentulous State -------------------- 1

2. Anatomical Landmarks of Significance in Complete Denture Treatment ----------------------------- 5
3. Residual Ridge Resorption ----------------------------------------------------------------------------------------------14
4. Evaluation of the Patient, Diagnosis, Treatment Plan and Prognosis for Complete
Denture Treatment ----------------------------------------------------------------------------------------------------------21
5. Preprosthetic Surgery -----------------------------------------------------------------------------------------------------34
6. Impression Techniques and Procedures in Complete Denture Treatment ---------------------------- 47
7. Retention, Stability and Support in Complete Denture Treatment --------------------------------------58
8. Principles and Concepts of Occlusion in Complete Denture Service ----------------------------------64
9. Maxillomandibular Relation: A Biological and Mechanical Contemplation ------------------------74
10. Articulators or Simulators in Complete Denture Prosthodontics ----------------------------------------94
11. Selection and Modification of Teeth for Aesthetics and Function ------------------------------------- 103
12. Principles of Arrangement of Teeth -------------------------------------------------------------------------------- 112
13. Try-in Procedure in Complete Denture Treatment ----------------------------------------------------------- 119
14. Laboratory Procedures Following Try-in Procedure --------------------------------------------------------- 124
15. Denture Insertion and Patient Education ------------------------------------------------------------------------- 131
16. Sequelae of Ill Fitting Dentures ------------------------------------------------------------------------------------- 135
17. Gagging -----------------------------------------------------------------------------------------------------------------------139
18. Immediate Complete Denture ---------------------------------------------------------------------------------------144
19. Overdenture ----------------------------------------------------------------------------------------------------------------- 149
20. Single Complete Denture ---------------------------------------------------------------------------------------------- 155
21. Relining, Rebasing and Repair of Complete Dentures ----------------------------------------------------- 160
22. Osseointegrated Implants in Complete Denture Prosthodontics ---------------------------------------165
23. Maxillofacial Prosthodontics Related to Complete Edentulous Foundation -----------------------181

Index -------------------------------------------------------------------------------------------------------------------------- 191