NMDA Journal Summer 2018

17 nmdental.org Bibliography Becker, C., Swoope, C., Guckes, A. (1977). Lingualized occlusion for removable prosthodontics. J Prosthet Dent, 38(6): 601–8. Brewer, A.A., Reibel, P. R., Nassif, N.J. (1967). Comparison of zero degree teeth and anatomic teeth on complete dentures. J Prosthet Dent. 17(1): 28–35. Feine, J. S., Carlsson, G. E., Awad, M. A., et al. (2002). McGill Consensus Statement on Overdentures. Int J Oral Maxillofac Implants. 17(4): 601–602. Gysi, A. (1927). Special teeth for cross-bite cases. Dent Dig. 33: 167–171. Jeganathan, S., Payne, J. A. (1993). Common faults in complete dentures: a review. Quintessence Int. 24(7): 483–487. Murrell, G. A. (1974). The management of difficult lower dentures. J Prosthet Dent 32(3): 243–250. Ortman, H.R. (1971). The role of occlusion in preservation and prevention in completed denture prosthodontics. J Prosthet Dent, 25(2):121–138. Payne, S. H. (1941). A posterior set-up to meet individual requirements. Dent Dig. 47: 20–22. Phoenix, R. D., Engelmeier, R. L. (2018). The contributions of Dr. Alfred Gysi. J Prosthet. 27(3): 276–283. Phoenix, R. D., Engelmeier, R. L. (2010). Linqualized occlusion revisited. J Prosthet Dent. 104: 342–346. Pound, E., Murrell, G. A. (1971). An introduction to denture simplification. J Prosthet Dent. 26(6): 570–80. Pound, E. (1973). Personalized Denture Procedures, Dentist's Manual, Anaheim, Calif., Denar Corp. Pound, E. (1970). Utilizing speech to simplify a personalized denture service. J Prosthet Dent. 24(6): 586–600. Sears, V. H. (1951). Chewing members, J Prosthet Dent. 1: 761–763. Waliszewski, M. (2005). Restoring dentate appearance: a literature review for modern complete denture esthetics. J Prosthet Dent. 94(4): 407. when the upper lip is reposed. An intra-oral device, such as a papillameter (Fig 7), can also be used to predict the anterior length of the maxillary wax rim. Once the incisal length of the maxillary wax rim is determined, the horizontal planes are verified by comparing to the interpupillary line anteriorly and the ala-tragus line (Camper’s plane) posteriorly using an instrument such as a Fox plane. Fig 7—(left) Papillameter. (right) The papillameter is used to measure the vertical distance from the incisal papilla to the inferior border of the upper lip. The technique we have adopted in our office is to then have the patient close slowly on a mandibular wax rim with softened wax while instructing the patient to place the tip of their tongue to the roof of their mouth. This positional measurement can be verified with a vertical measurement between a point on the tip of the nose to a point on the chin after the patient has been instructed to swallow. Two to three millimeters are subtracted from this distance to allow for the freeway space (inter-incisal distance at rest). The softened wax is chilled in cold water so that it does not become distorted. The wax rims are reintroduced into the mouth. A fast-setting bite registration material is placed between the rims, and the patient is instructed to close fully into the pre-established position. This safeguards the case being mounted to the proper vertical dimension on an articulator. Conclusion It is our hope that by suggesting these “nuggets,” based upon a cumulative total of over 100 years of clinical practice in fabricating denture prostheses, that a more satisfactory experience results when delivering, servicing, or maintaining dentures in your clinical settings. After all, in spite of all the latest promising technologies in denture-making, we maintain the adage that with better judgment comes better results.