Planning the treatment of the complex prosthodontic case

An approach to planning the treatment of a complete maxillary denture opposing an imperfect mandibular dentition has been described. Maxillary supporting tissues under complete dentures that oppose natural dentitions are often overstressed during function. Generally, as the damage to dentition increases, so do the forces causing thrusting and rotation of the denture. Every effort should be made to develop an occlusal table at the optimal level and in harmony with the patient's condylar guidance and a minimal incisal guidance in the attempt to enhance the stability and retention of the denture and the preservation of the dentition and supporting tissues that remain.