Ranjoy Hazra

Abstract

Conventional complete denture fabrication is a traditionally multi appointment procedure which involves 5-6 steps. This creates a hassle for the geriatric clientele for the time, expense & the travelling required for the completion of the treatment. On the other hand, the specialized techniques like BPS system or Digital dentures reduce the appointment schedule and the time taken to fabricate the dentures but these systems are highly technology specific and requires special armamentarium and has a learning curve attached to it. Hence a new technique comprising of 14 clinical and laboratory steps was developed in our department to provide complete dentures to the patients who has uncomplicated intraoral conditions and has time & travel constraints in a single appointment without use of any specialized equipment.   Keywords: Single appointment CD, Single day denture, 1 day CD

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Abstract

Neuromuscular dentistry is the treatment philosophy involving all the important structures like teeth, muscles (associated nerves), temporomandibular joint and the interrelation between them. The ultimate aim of a doctor is to restore and maintain the well being of the patients’ stomatognathic system, and to have a long term favourable prognosis of the treatment provided. As the need of the hour, the treatment protocols should be evidence based and must have the approval of independent studies and researches. Relationship between occlusion, posture and TMDs has been a debatable topic in prosthodontics. Rectifying the occlusal and postural abnormalities to treat Temporomandibular disorders according to pathophysiological concepts is under extensive scrutiny. The muscles act as the driving force of the whole system which works in co-ordination with its neural stimulation. This discipline is a comprehensive concept of a dynamic stomatognathic system that are in lines with the biomedical principles governing the other organs to treat the patient. This speciality uses highly advanced instrumentation to quantify the subjective parameters of lower jaw movements and formulate a robust diagnosis and treatment plan. There exists a group of believers and non- believers who still co-exist and the philosophy is still not universally accepted. This literature reviews attempts to provide an insight on the topic.   Keywords: NMD, Neuromuscular dentistry, GNMD, Myocentric

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Abstract

Full mouth rehabilitation encompasses the execution of all the steps necessary to produce healthy, esthetic, well functioning, and self – maintaining masticatory mechanism. The aim is to restore the tooth to its natural form, function and esthetics while maintaining the physiologic integrity in harmonious relationship with the adjacent hard and soft tissues, all of which improves the oral health and quality of life of the patient. It is a complex procedure which involves multiple steps and active participation between prosthodontist, patient and technician to achieve a satisfactory treatment outcome. The apprehension and doubt associated with such procedures are usually associated with an array of available techniques and philosophies. Careful and meticulous diagnosis and formulation of treatment plan holds the key. This article reviews the various occlusal forms, schemes and philosophies associated with Full Mouth Rehabilitation in the existing literature. Keywords: Full mouth rehabilitation, Occlusal concepts/philosophies, Occlusion.

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