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pROsTHETic sEcTiOn

Fig 48 Fig 49
Fig 47-49: The final set-up modeled in function
MY TAKE
Dr. Ali Tunkiwala

“The passion a Clinician brings into
his field can be gauged by the way he
makes complete dentures.”
This wonderful article is heavily
loaded with tips and suggestions to
make the mundane process of teeth
setting more dynamic and exciting.
Frush and Fischer in the middle
of the last century published the
dentogenic concept of teeth setting where the teeth shape and
arrangement can be modified based on the age, sex and person-
ality of the patient.
Fig 50: The prosthetics in wax have an aspect very natural thank you to A young lady with a robust persona will receive a stron-
the individualization of teeth and of gums ger arrangement while an old man with a soft personality may
receive more delicate settings and shapes. The relevance of this
write up is not only restricted to complete dentures but may be
Selective milling applied to all aspects of implant and esthetic work where indirect
restorations will be fabricated. A great contribution by the author
When the wax has cooled, the teeth can be finished. The motto is: here to allow us to revisit this crucial lab step with great clinical
aesthetics is created by function. During functional movements, the significance.
contacts of the anteriors, the surfaces of abrasion and those of the study
models are compared (Figures 41 and 42) and I adjust the assembly Dr. Ali Tunkiwala has a Masters Degree in Prosthetic Dentistry
accordingly (Figure 43). from Mumbai University. He maintains a Dental Practice focusing
Now the back teeth are also being functionally fine-tuned to on Implants, Aesthetic Dentistry and Full Mouth Rehabilitation at
optimize contacts on the working side and on the balancing side Khar (West) in Mumbai since 1996.
(Figure 44). The selective milling and grinding is shown in Figures 45
and 46. Finally the centric occlusion and function of the mounting is
checked and refined (Figures 47 to 49). Now the prosthetic dentures in ABOUT THE AUTHOR
wax are ready for in situ try-in (Figure 50).
markus Stang is a highly experienced
concluSion speaker in the field of ceramic
Despite the individual configuration, the function of the prosthesis restorations with aesthetic demands. He
passes. With a few little tricks, it is possible to restore the patient’s deals with innovative design and CAD/
CAM structures. He is the winner of the
natural appearance. Not everyone wants straight front teeth like Willi Geller prize for aesthetics. Today, he
soldiers - in shade A2 - most patients are very happy with a little spreads his knowledge in the field of full
individuality and a natural appearance. dentures.

28 Dental Practice i July-August 2023 i Vol 19 No 4