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

Foreword ixPreface xiii1 Assessment of Edentulous Patients 1Introduction 1The Patient Interview 1Patient Interview: Age 2Patient Interview: Attitude 2Patient Interview: Expectations 2Patient Interview: Chief Complaint 3Patient Interview: General Health 3Patient Interview: Complete Denture Experience 3Patient Interview: Denture Remake Frequency 4Patient Interview: Patient Satisfaction 4Patient Interview: Photographs, Diagnostic Casts, and Radiographs 4The Facial Analysis 4Facial Analysis: Facial Tissue Tone 5Facial Analysis: Tooth and Gingival Display 6Facial Analysis: Midlines 6Facial Analysis: Lip Mobility 7Facial Analysis: Lip Dimension 7Prosthetic Factors 8Prosthetic Factors: Vertical Dimensions 8Prosthetic Factors: Existing Dentures 8Prosthetic Factor: Skeletal Relationship 9Prosthetic Factor: Saliva 9Prosthetic Factor: Oral Tolerance 10Prosthetic Factor: Temporomandibular Joints 10Prosthetic Factor: Oral Cancer Review 10Oral Characteristics 11Oral Characteristics: Palatal Throat Form 11Oral Characteristics: Arch Size 11Oral Characteristics: Maxillary Ridge Height 11Oral Characteristics: The Palate 12Oral Characteristics: Maxillary Ridge Contour 13Oral Characteristics: The Maxillary Denture Foundation 13Oral Characteristics: Mandibular Ridge Height 14Oral Characteristics: Mandibular Ridge Contour 14Oral Characteristics: Mandibular Muscle Attachments 14Oral Characteristics: Mandibular Denture Foundation 15Oral Characteristics: Maxillary Tuberosity Curve 15Oral Characteristics: Vestibule 16Oral Characteristics: Frenula Attachments 16Oral Characteristics: Pterygomandibular Raphe 16Oral Characteristics: Denture Bearing Soft Tissues 16Oral Characteristics: Retromolar Pads 17Oral Characteristics: Maxillary Ridge Crest to Resting Lip Length (Esthetic Space) 17Oral Characteristics: Mandibular Ridge Crest to Resting Lip Length (Esthetic Space) 17Oral Characteristics: Maximal Oral Opening 17Oral Characteristics: Retromylohyoid Space 18Oral Characteristics: Tongue Size 19Oral Characteristics: Tongue Position 19Oral Characteristics: The Neutral Zone 20Summary 21References­ 212 Orthopedic Resolution of Mandibular Posture 25Introduction 25Conditioning Abused Tissues and Stabilizing the Existing Prosthesis 26Materials Properties and Technique 26Technique 26Re?]establishing Orthopedic Mandibular Position 28Summary 33References 333 Definitive Impressions 35Preimpression Considerations 35Background 35Impression Fundamentals 35Impression Materials 36Edentulous Impression Trays 37Technique for Making Single Appointment Definitive Impressions for Conventional Complete Dentures 37Tray Selection and Tray Adaptation 37Fabrication of Tray Stops 38Border Molding the Impression Tray 39Final (Definitive) Impression 41Techniques for Making Single Appointment Definitive Impressions for Implant?]Assisted Complete Dentures and Immediate Dentures 43Attachment Selection 43Implant?]Retained Overdentures 43Tray Selection 43Impression Technique 44Implant?]Retained and Supported Overdentures 45Immediate Dentures 46Master Cast Production 47Summary 48References 484 Fabricating Trial Denture Bases, Occlusal Rims, and Mounting a Central Bearing Device 51Introduction 51Fabrication of Trial Denture Base and Occlusal Rims 51Fabrication of Maxillary Wax Occlusal Rim 52Fabrication of Neutral Zone Mandibular Occlusal Rim 56Technique 56Jaw Recorder Device (Central Bearing Device) 59Jaw Recorder Device Assembly 59Mounting the Jaw Recorder Device on Trial Denture Bases 59Mounting of the Jaw Recorder for Implant Overdentures 61Mounting the Jaw Recorder Device on Partially Edentulous Arches 61Procedure 62Summary 62References 645 Developing an Esthetic Blueprint 65Introduction 65Contouring and Shaping the Maxillary Occlusal Rim 65Summary 72References 726 Registering the Maxillo?]Mandibular Jaw Relationship 75Introduction 75Face?-Bow Recording 75Centric Relation Recording for the Edentulous Patient 76Centric Relation Recording for the Partially Dentate Patient 83Summary 86References 867 Neutral?-Zone Registration 89Introduction 89Recording the Physiologic Neutral Zone for Edentulous Patients 89Technique 90Recording the Physiologic Neutral Zone for a Dentate Patient 93Technique 93Summary 95References 958 Second Laboratory Procedure: Selection and Arrangement of Prosthetic Teeth 97Introduction 97Indexing the Esthetic Blueprint Record 97Indexing the Neutral?]Zone Record 98Selection of Anterior Teeth 99Maxillary Anterior Teeth Arrangement 100Mandibular Anterior Teeth Arrangement 101Selection of Posterior Teeth 103Mandibular Posterior Teeth Arrangement 104Maxillary Posterior Teeth Arrangement 106Teeth Selection and Arrangement for the Partially Dentate Patient 107Summary 109References 1099 Wax Try?]In Appointment 111Wax Try?-In 111Evaluation of Esthetics 111Evaluation of Phonetics 112Evaluation of Occlusal Vertical Dimension (OVD) 114Evaluation of Centric Contact Position 115External Impressions 116Technique 117Summary 121References 12310 Denture Placement 125Introduction 125Evaluation and Adjustment of Intaglio Surface 127Technique 127Evaluation and Adjustment of Denture Borders 129Evaluating the Cameo Surface 131Occlusal Evaluation and Correction 131Subtractive Correction Technique 133Additive Correction Technique 134Patient Education and Instructions 135Technique for Adhesive Application 136Technique for Adhesive Removal 136Home Care Instructions for Denture Patients 138Postplacement Problems with New Dentures 138Retention Problems 138Soreness 139Sore Throat 139Speech Problems 139Gagging 139Summary 140References 14011 Use of CAD/CAM Technology for Recording and Fabricating Neutral?-Zone Dentures 143Introduction 143Registering the Neutral Zone during Impression Making 143Technique 143Registering the Neutral Zone during Maxillo?-Mandibular Records 145Technique 145Registering the Neutral Zone during the Wax Try?-In 145Technique 145Summary 148References 149Index 000