lenka.roubalikova@tiscali.czlenka.roubalikova@tiscali.cz 11 ProstheticsProsthetics I.I. RehabilitationRehabilitation ofof thethe masticatorymasticatory apparatusapparatus lenka.roubalikova@tiscali.czlenka.roubalikova@tiscali.cz 22 Damaged teeth ­ reconstruction of the crown Missing teeth - appropriate prothesis (denture) lenka.roubalikova@tiscali.czlenka.roubalikova@tiscali.cz 33 ProthesisProthesis IndividuallyIndividually mademade DiferencesDiferences inin thethe typetype ofof defectdefect,, extentextent andand locationlocation inin thethe sizesize,, shapeshape andand positionposition ofof teethteeth inin thethe qualityquality ofof hardhard andand softsoft tissuestissues ofof thethe oraloral cavitycavity inin intermaxillaryintermaxillary relationsrelations lenka.roubalikova@tiscali.czlenka.roubalikova@tiscali.cz 44 ProthesisProthesis ((denturedenture)) RehabilitationRehabilitation ofof:: FunctionFunction ComfortComfort AestheticsAesthetics FonationFonation lenka.roubalikova@tiscali.czlenka.roubalikova@tiscali.cz 55 FixedFixed denturesdentures CementedCemented onon thethe teethteeth ­­ crownscrowns,, bridgesbridges,, inlaysinlays lenka.roubalikova@tiscali.czlenka.roubalikova@tiscali.cz 66 RemovableRemovable denturesdentures PartialPartial CompleteComplete ((fullfull)) lenka.roubalikova@tiscali.czlenka.roubalikova@tiscali.cz 77 ProceduresProcedures In dentalIn dental surgerysurgery In dentalIn dental laboratorylaboratory SpecialSpecial instrumentsinstruments Basic (Basic (mainmain)) materialsmaterials (metal(metal alloysalloys,, ceramicsceramics,,polymerspolymers)) AuxilliaryAuxilliary ((accessoryaccessory)) materialsmaterials ((impressionimpression, carving,, carving, diedie,, insulatinginsulating investinginvesting,, grindinggrinding,, polishingpolishing)) lenka.roubalikova@tiscali.czlenka.roubalikova@tiscali.cz 88 ManufacturingManufacturing ofof denturesdentures ModelModel ofof gypsumgypsum ((plasterplaster)) ­­ modelmodel ofof aa denturedenture ((waxwax patternpattern).). ModelModel ofof aa denturedenture ((waxwax patternpattern)) directlydirectly inin thethe mouthmouth ­­ rarelyrarely.. DentureDenture isis formedformed withoutwithout aa waxwax patternpattern inin thethe dentaldental lablab.. lenka.roubalikova@tiscali.czlenka.roubalikova@tiscali.cz 99 ManufacturingManufacturing ofof denturesdentures ModelModel ofof gypsumgypsum ((plasterplaster)) ­­ modelmodel ofof aa denturedenture ((waxwax patternpattern).). lenka.roubalikova@tiscali.czlenka.roubalikova@tiscali.cz 1010 ImpressionsImpressions ofof thethe jawjaw -- negativnegativ TheThe impressionimpression isis filledfilled withwith a castinga casting materialmaterial ((gypsumgypsum)) ­­ pouredpoured intointo ModelModel ((variousvarious purposepurpose)) lenka.roubalikova@tiscali.czlenka.roubalikova@tiscali.cz 1111 ModelsModels WorkingWorking modelmodel ­­ thethe denturedenture isis producedproduced onon thisthis model (model (specialspecial proceduresprocedures)) OpposingOpposing model (model (antagonalantagonal)) -- necessarynecessary forfor thethe recognitionrecognition ofof intermaxillaryintermaxillary relationshiprelationship BiteBite regitrationregitration -- waxwax lenka.roubalikova@tiscali.czlenka.roubalikova@tiscali.cz 1212 ManufactoringManufactoring ofof denturesdentures TheThe denturedenture (not(not thethe denturedenture itselfitself butbut thethe modelmodel ofof thethe denturedenture)) isis producedproduced onon thethe workingworking model.model. TheThe modelmodel ofof thethe denturedenture isis mademade ofof thethe carvingcarving waxwax.. TheThe waxwax isis replacedreplaced byby thethe mainmain (base)(base) materialmaterial.. lenka.roubalikova@tiscali.czlenka.roubalikova@tiscali.cz 1313 FabricationFabrication ofof denturesdentures TheThe model (model (waxwax)) ofof thethe denturedenture isis investedinvested TheThe waxwax isis removedremoved fromfrom thethe formform andand thethe basebase materialmaterial isis placedplaced intointo thethe formform.. WaxWax removalremoval:: TheThe waxwax isis burnedburned outout ((forfor metalmetal alloysalloys)) oror removedremoved byby hothot waterwater ((forfor polymerspolymers)) lenka.roubalikova@tiscali.czlenka.roubalikova@tiscali.cz 1414 Impression material Tooth Impression lenka.roubalikova@tiscali.czlenka.roubalikova@tiscali.cz 1515 Gypsum Impression lenka.roubalikova@tiscali.czlenka.roubalikova@tiscali.cz 1616 Plaster lenka.roubalikova@tiscali.czlenka.roubalikova@tiscali.cz 1717 The model (wax pattern) lenka.roubalikova@tiscali.czlenka.roubalikova@tiscali.cz 1818 The model (wax pattern) The investing material lenka.roubalikova@tiscali.czlenka.roubalikova@tiscali.cz 1919 The form The melted alloy The investing material lenka.roubalikova@tiscali.czlenka.roubalikova@tiscali.cz 2020 The crown The melted alloy The investing material lenka.roubalikova@tiscali.czlenka.roubalikova@tiscali.cz 2121 The metal crown Plaster lenka.roubalikova@tiscali.czlenka.roubalikova@tiscali.cz 2222 ManufacturingManufacturing ofof denturesdentures TheThe methodmethod describeddescribed aboveabove == indirectindirect methodmethod lenka.roubalikova@tiscali.czlenka.roubalikova@tiscali.cz 2323 ManufacturingManufacturing ofof denturesdentures DirectDirect methodmethod lenka.roubalikova@tiscali.czlenka.roubalikova@tiscali.cz 2424 ManufacturingManufacturing ofof denturesdentures DirectDirect methodmethod NoNo impressionimpression TheThe modelmodel ofof thethe denturedenture isis mademade directlydirectly inin thethe mouthmouth ForFor inlaysinlays onlyonly lenka.roubalikova@tiscali.czlenka.roubalikova@tiscali.cz 2525 PlanningPlanning ofof thethe denturedenture ComplexComplex examinationexamination 1.1. ExtentExtent andand locationlocation ofof thethe defectdefect 2.2. DamageDamage ofof thethe involvedinvolved teethteeth ((cariescaries,, fillingsfillings atcatc.).) 3.3. PeriodontiumPeriodontium 4.4. ShapeShape,, sizesize,, positionposition ofof teethteeth,, relationhiprelationhip toto thethe neighboursneighbours 5.5. OcclusionOcclusion,, articulationarticulation ­­ relationshiprelationship toto thethe antagonistsantagonists 6.6. QualityQuality ofof thethe alveolaralveolar processprocess 7.7. TheThe levelůlevelů ofof oraloral hygienehygiene 8.8. XX--rayray examinationexamination 9.9. StudyStudy impressioonsimpressioons ­­ studystudy modelsmodels 10.10. DetailDetail evaluationevaluation ofof thethe abutmentabutment teethteeth ((pilotspilots)) ­­ mostmost impoprtantimpoprtant teethteeth ­­caninescanines,, premolarspremolars lenka.roubalikova@tiscali.czlenka.roubalikova@tiscali.cz 2626 ClassificationClassification ofof defectsdefects VoldřichVoldřich I.I. ClassClass OneOne oror moremore teethteeth areare missingmissing SmallSmall gapsgaps ­­ 11 ­­ 22 teethteeth BigBig gapsgaps 33 ­­ 44 teethteeth atat most.most. ThisThis bigbig gapsgaps mustmust bebe demarcateddemarcated by pilotby pilot ofof thethe bestbest qualityquality. (. (caninecanine, 1st, 1st oror secondsecond molarsmolars ­­ pilotspilots ofof 1st1st classclass oror theirtheir equivalentsequivalents)) lenka.roubalikova@tiscali.czlenka.roubalikova@tiscali.cz 2727 ClassificationClassification ofof defectsdefects VoldřichVoldřich II.II. ClassClass ReducedReduced dental arch,dental arch, thenlastthenlast toothtooth isis thethe secondsecond molarmolar.. WithWith gapsgaps WithoutWithout gapsgaps BilateralBilateral UnilateralUnilateral lenka.roubalikova@tiscali.czlenka.roubalikova@tiscali.cz 2828 ClassificationClassification ofof defectsdefects VoldřichVoldřich III.III. ClassClass IndividualIndividual teethteeth oror smallsmall groupsgroups ofof teethteeth lenka.roubalikova@tiscali.czlenka.roubalikova@tiscali.cz 2929 ClassificationClassification ofof defectsdefects VoldřichVoldřich IV.IV. ClassClass EdentulousEdentulous dental archdental arch lenka.roubalikova@tiscali.czlenka.roubalikova@tiscali.cz 3030 ClassificationClassification ofof pilotspilots ((abutmentabutment teethteeth)) PilotsPilots I.I. classclass CaninesCanines MolarsMolars (1st, 2nd)(1st, 2nd) lenka.roubalikova@tiscali.czlenka.roubalikova@tiscali.cz 3131 ClassificationClassification ofof pilotspilots ((abutmentabutment teethteeth)) PilotsPilots II.II. stst classclass IncisorsIncisors -- maxillarymaxillary incosorsincosors,, pemolarspemolars lenka.roubalikova@tiscali.czlenka.roubalikova@tiscali.cz 3232 ClassificationClassification ofof pilotspilots ((abutmentabutment teethteeth)) PilotsPilots III.III. classclass MandibularMandibular incisorsincisors,, thirdthird molarsmolars,, allall teetheteethe withwith badbad biologicalbiological factorfactor lenka.roubalikova@tiscali.czlenka.roubalikova@tiscali.cz 3333 BiologicalBiological factorfactor CariesCaries Pulp vitalityPulp vitality LevelLevel ofof thethe endodonticendodontic treatmenttreatment LevelLevel ofof thethe resorptionresorption ofof thethe alveolaralveolar bonebone PeriodontiumPeriodontium RelationshipRelationship toto antagonistsantagonists RelationshipRelationship toto neihgbourneihgbour teethteeth lenka.roubalikova@tiscali.czlenka.roubalikova@tiscali.cz 3434 WayWay ofof thethe transfertransfer ofof masticatorymasticatory forcesforces ToothTooth ToothTooth andand oraloral mucosamucosa OralOral mucosamucosa lenka.roubalikova@tiscali.czlenka.roubalikova@tiscali.cz 3535 lenka.roubalikova@tiscali.czlenka.roubalikova@tiscali.cz 3636 lenka.roubalikova@tiscali.czlenka.roubalikova@tiscali.cz 3737 lenka.roubalikova@tiscali.czlenka.roubalikova@tiscali.cz 3838 lenka.roubalikova@tiscali.czlenka.roubalikova@tiscali.cz 3939 lenka.roubalikova@tiscali.cz lenka.roubalikova@tiscali.czlenka.roubalikova@tiscali.cz 4040 lenka.roubalikova@tiscali.czlenka.roubalikova@tiscali.cz 4141 lenka.roubalikova@tiscali.czlenka.roubalikova@tiscali.cz 4242 lenka.roubalikova@tiscali.czlenka.roubalikova@tiscali.cz 4343 rosol=kov? lenka.roubalikova@tiscali.czlenka.roubalikova@tiscali.cz 4444 TheThe toothtooth afterafter thethe endodonticendodontic treatmenttreatment RiskRisk ofof reinfectionreinfection fracturefracture lenka.roubalikova@tiscali.czlenka.roubalikova@tiscali.cz 4545 Edelhoff et al.; Core build-up of endodontically treated teeth Scientific statement of the German Society of Dental Oral and Craniomandibular Sciences 2003 lenka.roubalikova@tiscali.czlenka.roubalikova@tiscali.cz 4646 PostPost 1/3 2/3 Schillinburg, Kessler, 1982 lenka.roubalikova@tiscali.czlenka.roubalikova@tiscali.cz 4747 Ferrrule effect Sörensen, Martinoff,1984 Wedge effect lenka.roubalikova@tiscali.czlenka.roubalikova@tiscali.cz 4848 Efekt obroučky ­ ferrule efffect lenka.roubalikova@tiscali.czlenka.roubalikova@tiscali.cz 4949 lenka.roubalikova@tiscali.czlenka.roubalikova@tiscali.cz 5050 RootRoot canalcanal inlayinlay fabricationfabrication DirectDirect methodmethod IndirectIndirect methodmethod