Abstract
Proper denture treatment for edentulous patients—provision of retention of mandibular complete denture in particular—requires long clinical experience. The authors believe that it is important to include maxillary and mandibular landmarks in the impression, determine mandibular position based on anatomical and physiological grounds, and then arrange the prosthetic teeth and gingival shape with consideration for occlusion, speaking ability, esthetics, and preservation of tongue space. In order to properly take functional impression, irrespective of clinical experience, dynamic impression is taken with a duplicate denture fabricated based on the old mandibular denture and relevant landmarks. The vertical dimension is determined with interocclusal distance, facial features, speech function while the horizontal position—in other words centric relation—is determined based on Gothic arch tracing; and the artificial teeth were arranged with consideration of incisive papillae and external appearance for the anterior region while those in the molar region were arranged in accordance with the Poundʼs and Payneʼs line.
