PEDIATRIC
PROSTHODONTICS
DR HIMANSHU KAPOOR
3RD YEAR
Dr. Himanshu Kapoor, Subharti Dental College, SVSU
HOW DOES TOOTH LOSE OCCUR?
Dr. Himanshu Kapoor, Subharti Dental College, SVSU
• CARIES • TRAUMA • FRACTURE • INFECTION • CLEFT LIP AND PALATE • SYSTEMIC DISORDER • PREMATURE LOSE OF TOOTH • RADIATION DAMAGE • NEOPLASIA
Dr. Himanshu Kapoor, Subharti Dental College, SVSU
WHY DO WE NEED PEDIATRIC PROSTHODONTICS?
Dr. Himanshu Kapoor, Subharti Dental College, SVSU
• ESTHETICS
• SPEECH
• MASTICATION
• INTEGRITY OF DENTAL ARCHES
• HEALTH OF SUPPORTING TISSUES
• PREVENTION OF UNDESIRABLE HABBITS
• PSYCHOLOGICAL AND MENTAL HEALTH OF PATIENT.
Dr. Himanshu Kapoor, Subharti Dental College, SVSU
PROSTHODONTIC REPLACEMENTS
Dr. Himanshu Kapoor, Subharti Dental College, SVSU
• COMPLETE DENTURE CONSTRUCTION
• REMOVABLE PARTIAL DENTURE
• IMMEDIATE DENTURE
• OVERDENTURE
• OBTURATOR
• INTRAORAL APPLIANCE FOR INFANTS
• PEDODONTIC IMPLANTS (UNDER TRIAL)
Dr. Himanshu Kapoor, Subharti Dental College, SVSU
ANATOMICAL AND PSYCHOLOGICAL
CONSIDERATION IN CHILD PATIENT.
Dr. Himanshu Kapoor, Subharti Dental College, SVSU
ORAL MUCOSA AND SKIN
• Unlike adults, denture bearing mucosa is thick and well circulated.
• Therefore less prone to trauma.
• Skin changes e.g. giving proper denture can compensate skin folds.
Dr. Himanshu Kapoor, Subharti Dental College, SVSU
Residual bone changes
• More porous more blood supply
• Faster healing
• Growth of dental arches required frequent change..
Dr. Himanshu Kapoor, Subharti Dental College, SVSU
TONGUE AND TASTE CHANGES
• Lose of tooth result in placement of tongue between edentulous area
• Unlike adults inflammation and taste bud alteration is uncommon.
Dr. Himanshu Kapoor, Subharti Dental College, SVSU
SALIVARY FLOW CHANGES
• Due to good salivary flow difficulty in wearing denture.
Dr. Himanshu Kapoor, Subharti Dental College, SVSU
PSYCHOLOGY OF PATIENTS
• May develop inferiority complex.
Dr. Himanshu Kapoor, Subharti Dental College, SVSU
CONDITION OF EDENTULOUS TEETH IN CHILD PATIENT
• Ectodermal dysplasia
• Ecc
• Trauma
• neoplasia
Dr. Himanshu Kapoor, Subharti Dental College, SVSU
COMPLETE DENTURES
1. TRAY SELECTION
2. IMPRESSION MATERIAL
3. IMPRESSION MAKING
4. PRIMARY CAST
5. SECONDARY IMPRESSION
6. OCCLUSAL RIM FABRICATION
Dr. Himanshu Kapoor, Subharti Dental College, SVSU
Difficulty in :-
• ECTODERMAL DYSPLASIA PATIENT
• CEREBRAL PALSY
• OSTEOPETROSIS PATIENT
Dr. Himanshu Kapoor, Subharti Dental College, SVSU
7. RECORDING JAW RELATION
8. TEETH SELECTION
Dr. Himanshu Kapoor, Subharti Dental College, SVSU
9. TEETH SETTING OF CHILDREN
• 2-5 YEAR OF AGE
• 6-7 YEAR
• 7-8 YEAR
• 9-10 YEAR
• 12-13 YEAR
Dr. Himanshu Kapoor, Subharti Dental College, SVSU
10 . DENTURE DELIVERY
Dr. Himanshu Kapoor, Subharti Dental College, SVSU
REMOVABLE PARTIAL DENTURE
ANY PROSTHESIS WHICH REPLACES SOME TEETH IN PARTIAL DENTAL ARCH .
Dr. Himanshu Kapoor, Subharti Dental College, SVSU
CONTRAINDICATION
• WHEN FPD IS POSSIBLE
• DISABLED PATIENT
• UNCOPERATIVE PATIENT
Dr. Himanshu Kapoor, Subharti Dental College, SVSU
COMPONENTS OF RPD
• DENTURE BASE
• RETENTIVE CLASP
• ARTIFICIOAL TEETH
Dr. Himanshu Kapoor, Subharti Dental College, SVSU
STEPS OF CONSTRUCTION
• DIAGNOSIS AND TREATMENT PLANNING
• PRIMARY IMPRESSION
• JAW RELATION IF REQUIRED
• SELECTION OF ARTIFICIAL TEETH
• TRY IN PARTIAL DENTURE
• INSERTION OF PARTIAL DENTURE
Dr. Himanshu Kapoor, Subharti Dental College, SVSU
LABORATORY STEPS
• POURING CASTE
• MAKING CUSTOM TRAY
• MAKING RECORD BASE AND OCLUSAL RIMS
• ARTICULATIOPN OF CAST
• TEETH ARANGEMENT
• ACRYLIZATION OF DENTURE
• FINISHING AND POLISHING
Dr. Himanshu Kapoor, Subharti Dental College, SVSU
INDICATION
• DISTAL EXTENSION CARIES
• COMPROMISED DENTAL SUPPORT OF REMAINING TEETH
• EXCESSIVE BONE LOSS
• ESTHETICS
• CLOSURE OF CLEFT
• CORRECTION OF SPEECH
• PREVEBTION OF HARMFUL HABBITS
• AS SPACEMAINTAINER
Dr. Himanshu Kapoor, Subharti Dental College, SVSU
OVERDENTURES
• Overdenture is complete or partial removable denture supported by retained roots and teeth to provide support ,stability, tactile and propioceptive sensation to reduce ridge resorption.
Dr. Himanshu Kapoor, Subharti Dental College, SVSU
INDICATIONS
• PATIENT WITH VERY FEW TEETH
• TEETH WITH SMALL CLINICAL CROWN
• SMALL DENTAL ARCHES WITH LITTLE LIP SUPPORT
• LARGE SPACES BETWEEN TEETH WHICH IS DIFFICULT TO TREAT ORTHODONTICALLY
• CONGENITAL MALFUNCTIONS
Dr. Himanshu Kapoor, Subharti Dental College, SVSU
CONTRAINDICATIONS
• COOPERATION OF PATIENT
• POOR ORAL HYGIENE
• PSYCHOLOGICAL FACTORS
Dr. Himanshu Kapoor, Subharti Dental College, SVSU
ADVANTAGES
• PROVES SUPERIOR TREATMENT METHOD
• CONSERVATION OF ALVEOLAR RIDGE
• REMAINING ABUTMENT CONSERVATION
• BETTER STABILITY
• BETTER RETENTION
• MINIMAL PALATAL COVERAGE
• FEWER ADJUSTMENTS ARE REQUIRED
Dr. Himanshu Kapoor, Subharti Dental College, SVSU
DISADVANTAGE
• BULKIER THAN COMPLETE DENTURE
• INCREASED RISK OF CARIES
• MORE EXPENSIVE THAN CONVENTIONAL DENTURES
Dr. Himanshu Kapoor, Subharti Dental College, SVSU
OBTURATORS
PROSTHESIS USED TO CLOSE CONGENITAL OR ACQUIRED OPENING IN THE PALATE.
Dr. Himanshu Kapoor, Subharti Dental College, SVSU
INDICATIONS
• CLEFT LIP AND PALATE
• ACQUIRED ORAL DEFECT OF MAXILLARY CARCINOMA
Dr. Himanshu Kapoor, Subharti Dental College, SVSU
ADVANTAGE
• RESTORATION OF MASTICATION DEGLUTITION SPEECH
• ESTHETICS
• PSYCOLOGY
• NORMAL DEVELOPMENT OF REMAINING ORAL STRUCTURES
Dr. Himanshu Kapoor, Subharti Dental College, SVSU
TYPE OF OBTURATORS
1. FEEDING OBTURATOR
2. SURGICAL OBTURATOR
3. INTERIOR OBTURATOR
4. HOLLOW OBTURATOR
5. METAL BASE OBTURATOR
6. PALATAL OBTURATOR:-
I. DENTAL
II. SPEECH BULB OBTURATOR.
Dr. Himanshu Kapoor, Subharti Dental College, SVSU
THANKS
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