1. Selection of artificial teeth 2.

GOALS FOR THE SELECTION OF ARTIFICIAL TEETH Construct a denture to : Function well Allow pt: speak normally Esthetically pleasing Will not abuse the natural tissues 3. TOOTH SELECTION STAGES ANTERIOR TEETH SELECTION(ATS) POSTERIOR TEETH SELECTIO N 4. ANTERIOR TEETH SELETION (ATS) SELETION CRITERIA: Selection of tooth size Sele ction of tooth shape (Form) Selection of tooth colour ( shade) Selection of toot h material 5. Selection of tooth size Size has three dimensions: Mesio - distal width Occlu so - gingival height Facio - lingual thickness 6. GUIDES FOR THE SELECTION OF ANTERIOR TEETH SIZE Pre Extraction guides Post Extraction guides 7. PRE-EXTRACTION GUIDES FOR THE SELECTION OF TOOTH SIZE Diagnostic casts: most reliable guide Helps to duplicate pt: original teeth shape, size & positional ar rangement . Especially useful in immediate dentures. 8. PRE-EXTRACTION GUIDES FOR THE SELECTION OF TOOTH SIZE Photographs: Provide in formation on width & form of teeth (rarely on color). Usefulness depends on the extent of teeth visibility Human size photographs are more valuable Digitization of images make computer assisted vision possible. 9. PRE-EXTRACTION GUIDES FOR THE SELECTION OF TOOTH SIZE 3 . RADIOGRAPHS: helps in size & form selection Need compensation for magnification Distortion of radio graphic image is an inherent problem. 4. EXTRACTED TEETH: Excellent guide for to oth size & form selection. Not a good guide to select shade of teeth. 5. Previou s Dentures: 10. POST-EXTRACTION GUIDES FOR THE SELECTION OF TOOTH SIZE GUIDES TO DETERMINE T HE TOOTH WIDTH Size of the face: Anthropometric Measurements Bi-zygomatic width Cranial circumference Ratio of cranial circumference to the combined upper anter ior six teeth width is 10:1. 11. GUIDES TO DETERMINE THE TOOTH WIDTH 3 . CORNER OF THE MOUTH: Line drops over the max: rim from corner of the mouth at rest, corresponds to the distal surfac e of the canine. 4. ALA OF THE NOSE: A vertical line dropping from the ala of th e nose usually passes along through middle of canine. 12. GUIDES TO DETERMINE THE TOOTH OCCLUSO-GINGIVAL HEIGHT HIGH LIP LINE: 2 . INT ER-ARCH SPACE: 13. GUIDES TO DETERMINE THE TOOTH FACIO- LINGUAL THICKNESS Thicker teeth should be prefer. Can be rotated & space out to give more realistic appearance. Allow m ore depth while setting the teeth. 14. SELECTION OF TOOTH FORM Shape/form of artificial teeth is three dimensional. Therefore teeth has got three important forms, FACIAL FORM LATERAL /PROXIMAL FO RM AN INCISAL FORM 15. FACIAL FORM Leon Williams Theory: Face form corresponds to facial form of in verted Central incisor. Similarly, Face form corresponds to arch form. Face form can be categorized into three primary forms; Square form Tapering form Ovoid fo rm 16. LATERAL /PROXIMAL FORM & AN INCISAL FORM Lateral face form determine the lat eral form of the artificial teeth Lateral face form can be categorized into; Str aight convex 17. Selection of tooth colour ( shade) Colour of an object is recognized when a light of a particular wavelength is reflected off an object & then falls on the retina of the eye 18. Properties of colour Colour has got the three important qualities: HUE: Part icular variety of colour(red, green,etc) Determined by the wavelength of reflect ed light. Shorter the wavelength, the closer the hue is to the violet portion. l onger the wavelength, the closer the hue is to the red portion. 19. Properties of colour CHROMA: Amount of colour. Canine is more saturated then other anterior teeth. VALUE: Represent amount of black or white. The brightness depends on the amount of light energy reflects/transmits by an object. TRANSLUC ENCY: Represents the amount of light transmits through an object. Predominant in the area of incisal edges &/or proximal surfaces

20. FACTORS EFFECTS THE COLOUR OF NATURAL TEETH AGE: As age progresses teeth bec ome more opaque . WEAR: Teeth looks more glossy, smooth & prone to stain. GENDER : Females have more whiter teeth. DEMINERALIZATION: teeth gets more prone to sta ining. STAINS: Both extrinsic & intrinsic stains effects the actual shade of the natural standing teeth . POSITION OF TEETH IN DENTAL ARCH: Canine is having mor e saturation of a specific hue . 21. SHADE REPLICATION Process of replicating the colour of adjacent teeth in an artificial prosthesis, having following steps: SHADE MATCHING PHASE: a) visual s hade matching b) Instrumental colour analysis. 2. SHADE DUPLICATION PHASE: 22. FACTORS INFLUENCE THE APPERANT COLOUR OF AN OBJECT Physical properties of an object. Nature of the light. Subjective assessment of an observer. 23. SHADE SELECTION FOR EDENTULOUS PATIENT PRE_EXTRACTION GUIDES: Not particular ly helpful for shade selection, Photographs Extracted teeth 24. SHADE SELECTION FOR EDENTULOUS PATIENT POST-EXTRACTION GUIDES: COLOUR OF THE EYES & HAIRS Little correlation exist (Hallarman). Hair colour is unreliable. B lack eye individuals have darker teeth shade SKIN COLOUR: Fair skinned individua ls can be given with lighter shades. Lighter shades on Darker skinned individual look more conspicuous. 25. POST-EXTRACTION GUIDES: DENTOGENIC CONCEPT: Concept proposed by FRUSH & FISH ER. Has got the great impact on selection of teeth. Teeth selected according to this concept consider the following factors in the given order. GENDER: FEMALES HAVE, Delicate look accorded by rounding the point angles & avoiding the sharp a ngles in the contour of the teeth. Select the small lateral incisors Set the lat eral incisor at higher level than centrals. 26. DENTOGENIC CONCEPT: 2 . PERSONALITY: Patient can have VIGOROUS or DELICATE p ersonality Vigorous look can be given by, Selecting wider centrals Wearing the c entrals & canine Selecting the darker shade Sharp line & point angles Delicate p ersonality can be created by , More paler teeth Rounded contours. 27. DENTOGENIC CONCEPT: AGE: Aged appearance can be given by, Wearing the incisa l edges. Proximal wear can also be incorporated. More of the cervical portion vi sible to give gingival recession appearance. Select darker shade. Age characteri zed molds are also available. 28. Posterior tooth selection 29. CONSIDERATIONS FOR THE SELECTION OF TEETH Masticatory function Preservation of ridge Denture stability Soft tissue health Esthetics 30. SELECTION CRITERIA FOR POSTERIOR TEETH Colour Mesiodistal width Buccolingual width Occlusogingival length Cuspal inclination Material selection 31. SELECTION CRITERIA FOR POSTERIOR TEETH COLOUR SELECTION: The upper premolars & mesiobuccal half of the 1 st molar are usually visible during smile. Canine a re the darkest teeth Premolars & molars should be slightly lighter in shade than canine. The difference should not be too much obvious. 32. SELECTION CRITERIA FOR POSTERIOR TEETH 2. Mesio-Distal width selection: Mesi o-distal width is dictated by the length of mand: residual ridge from the distal of the canine to retro-molar pad. Arrangement of three post: teeth is more ofte n the norm & will reduce the potential for the placement of the 2 nd molar too f ar posteriorly. Max: post: teeth that extends too close to the post: border of m ax: denture may cause cheek biting. 33. SELECTION CRITERIA FOR POSTERIOR TEETH 3. BUCCO-LINGUAL WIDTH SELECTION: Sho uld be less than the width of natural teeth. Narrow occlusal table reduces the l evel of forces needed to masticate. Narrow occlusal table allows the development of correct form of polished surfaces by allowing the buccal & lingual denture f langes to slope away from occlusal surface. Correct polished surface form assist cheeks & tongue in maintaining the denture in position. 34. SELECTION CRITERIA FOR POSTERIOR TEETH 4. OCCLUSO- GINGIVAL LENGTH SELECTION : Vertical height should correspond to the available Interarch space. Max: 1 st Premolar length should be compatible with the max: canine. Longer teeth can be s elected for a pt: where there is more interarch space &/or older pt: to mimic gi ngival recession. 35. SELECTION CRITERIA FOR POSTERIOR TEETH 5. CUSPAL MORPHOLOGY SELECTION: Based on cuspal morphology posterior teeth can be classified into: Non-anatomical tee

th Anatomical teeth Combination of anatomic & non-anatomic teeth 36. CUSPAL MORPHOLOGY SELECTION: NONANATOMICAL TEETH Also known as Flat or Monopl ane or Cuspless or Zero degree teeth. Historically, HALL ( 1929) was the 1 st pe rson to design cuspless teeth called INVERTED CUSP TEETH. TRUE-KUSP design by Myers on in 1929. CHOPING BLOCK by Nelson in 1934. NON-LOCK by Swenson in 1939. VITALLI UM OCCLUSAL by Hardy in 1946. Introduced in order to reduce lateral forces acting on the denture. Balanced occlusion Can be obtained by introducing Balancing ramp s. . 37. NONANATOMICAL TEETH INDICATIONS: Flat ridge cases Abnormal jaw relation case Where difficulty is faced in recording the centric relation. Where balanced occl usion is not planed. 38. NONANATOMICAL TEETH ADVANTAGES: Freedom of occlusal movements from centric to eccentric jaw positions. Elimination of lateral forces that can destabilized th e denture. When denture settling take place due to denture abuse no cuspal inter ference occur. DISADVANTAGES: Not esthetically pleasing. Difficult to balance Re duced masticatory efficiency 39. ANATOMICAL TEETH Can be classified on the bases of cuspal inclines. Cuspal i nclines vary from 20 degree to 45 degree. INDICATIONS: Good ridge form with suff icient retention & support. Where balanced occlusion is planed. Where possible t o record & transfer the centric relation with accuracy. 40. ANATOMICAL TEETH ADVANTAGES: Easier to balance Better masticatory efficiency Reduced chewing cycles Better esthetics 41. COMBINATION OF ANATOMIC & NON-ANATOMIC TEETH This concept was proposed by pa yne in 1941, called LINGUALIZED OCCLUSION. Lingualized scheme use upper anatomica l & lower either semi or nonanatomical teeth molds. The max: lingual cusp set in to the lower central fossa ( MOTAR & PESTLE) The mand: buccal cusp kept out of t he max: central fossa. Occlusion can be balanced by introducing the compensating curves. 42. EXAMPLES OF LINGUALIZED INTEGRATION MOLDS Mayerson Lingualized Integration( MLI). Gysis cross bite posterior.( 1927) Frenchs Modified posteriors.(1935) Max Pl easure Scheme.(1937) Vita Linguoform. 43. LINGUALIZED OCCLUSION ADVANTAGES: This concept provides maximum intercuspati on. Absence of deflective contacts. Adequate cuspal height for selective grindin g. Natural & pleasing appearance. Can be used in pt: where recording the CR is u ncertain. Occlusion can be balanced . 44. 1. Acrylic resin teeth INDICATIONS: When there is opposing natural dentition . When opposing dentition has got the gold crowns or inlays. Where there is redu ced interarch space. Where occlusal adjustment is required. 45. MATERIAL SELECTION FOR ARTIFICIAL TEETH 1. Acrylic resin teeth 2. Porcelain teeth 46. 1. Acrylic resin teeth INDICATIONS: When there is opposing natural dentition . When opposing dentition has got the gold crowns or inlays. Where there is redu ced interarch space. Where occlusal adjustment is required. 47. Acrylic resin teeth ADVANTAGES: Inexpensive Easy to grind & adjust Absorb th e occlusal stresses Does not wear the opposing natural teeth. Bond chemically to denture base. Self adjusting & polishing. Softer impact sound DISADVANTAGES: We ar easily Loss of VD because of wear. Stains with time. Shearing efficiency with time.