Dr Sravan Chunduru - Adelaide Prosthodontist

28/03/2026

Management of overseas placed implants.
Still gotta follow good Removable Prosthodontic principles.

28/06/2025

29/05/2025

22/10/2023

Immediate Dentures (Long span or Complete dentures)

I'm fastidiuous with the design and manufacturing of all my dentures, to the point sometimes I'm in my lab refining and adjusting them before delivering them to my patients.

Immediate dentures are a bit different for two reasons:

1. We cannot predict the final post-extraction and post-healing countours from the beginning. Ridge and tissue morphology will change over time and what I find more important is monitoring and altering the dentures during the healing process. In my mind, this is a process and monitoring issue which cannot be completely accounted for in the manufacture of the immediate denture.

2. We have tools to alter the shape and adaptation of the dentures during the healing process, we have both soft and hard temporary lining materials. Some of which can even be used at the time of extractions. These tools can be used throughout the healing process multiple times, until the patient and the tissues are ready to move on with a laboratory hard reline, new denture or even more complex reconstructions such as implants.

To discuss the example in the above photos.
- Immediate denture extensions was determined by myself on the master casts (either digital or analog)
- Immediate denture was refined and adjusted based on the tissue contours present in the patients mouth.
- Immediate denture was relined with a tissue conditioner 3 days after the extractions because of generalised sore spots and reduced retention
- Occlusion of the immediate denture was refined for better stability
- Why the scalpel? The projections into the extraction sockets (created by the reline) was trimmed off to the level of the ridge crest. We don't want tissues here to have impeded healing due to a foreign object.
- I review patients every 4-6 weeks and modify accordingly until ready to proceed to the next stage.

Do you use tissue conditioners or direct reliners during the healing processes? What is your protocol after inserting your immediate dentures?
Please drop a comment, and don't forget to like, follow and share!

11/09/2023

"Don't mind me, I'm just guarding my dinner.... I mean our chickens"

17/08/2023

Something a little more implanty from my page. Please don't worry I'll get back on the denture horse soon!.

The patient presented with a broken fixed bridge on two implants on the posteriors. The abutment is still there on the distal (right), but the abutment is broken within the implant on the mesial one (left).

Surgical access was required and specialised tools were used to retrieve the broken abutment from the mesial implant (second photo).

The distal implant abutment was also removed to ready these implants for restoration.

This is not a procedure that you can 'wing it' and often requires discussions with the rep to ensure you're equipped with the appropriate tooling. It runs the very real risk of damaging the implant internals and rendering them unrestorable if done incorrectly. What's also important is having sufficient lighting, magnification and retraction/suction.

Fractured screws and/or abutments are a very real risk to dental implant treatment and the severity can complicate retrieval and reuse of the implants for future use. It's imperative that these risks are discussed with any patient planning to undergo dental implant treatment.

As usual, please like and share and please comment on your thoughts. Do you also discuss prosthetic complications with your patients?

05/08/2023

Some choice pics from the Resonate exhibit at the Botanic Gardens, part of Adelaide's Illuminate festival! Will definitely do this again next year!

08/04/2023

Croc hunting with the kids at Crocasaurus Cove earlier this year. First time for both to see these creatures in real life!

This was on our recent trip to Darwin in February. Thank you ADA NT for inviting me to present about Removable Prosthodontics for their annual Bombing of Darwin Memorial lecture. I hope all the dental professionals who attended enjoyed it and took away lots from my presentations.

We had a good time in Darwin and hope to be back again one day.

06/04/2023

Following on from the previous post of the pickup of frame in Secondary Impression!

Here's a comparison post between the printed cast, which is where the CoCr frame was fabricated on. Next to it is the stone master cast from the secondary impressions. I hope it's clear which if these models has the superior sulcus depth and morphology. In my opinion the 3D scans cannot replicate what a tray and impression material can achieve.

Feel free to comment and ask questions!

19/01/2023

I'm honoured to be asked to present to our esteemed colleagues from the NT in February:

https://www.facebook.com/100057503025819/posts/641603214433107/?mibextid=Nif5oz

EARLY BIRD TICKETS - ENDING SUNDAY

ADA NT are proud to present our annual Bombing of Darwin event:

Demystifying the Dark Arts of Dentures in General Practice: Tips from planning to ex*****on
Dr Sravan Chunduru DClinDent (Pros), BDS (Adel), MRACDS (Pros)

Date: Saturday 18th February
Time: 8:30am Registration for 9am start
Location: Vibe Hotel Darwin Waterfront

https://BOD2023.eventbrite.com.au

12/11/2022

My clinic was asked a few times if I do all types of prosthodontics or just dentures? I guess if you look at my social media, you may think removable dentures is all I do! My practice does consist of a variety of cases including fixed prosthodontics, implant prosthodontics and one of my favourite topics:

Resin Bonded Bridgework

Let's start with a case that has had a 12 month review recently. Which tooth is a resin bonded bridge?

This lady had issues with previous surgical procedures and was reluctant to undergo further surgery due to her medical co-morbidities and was struggling with her parial denture.

This restoration was done with Zirconia with labial layering for aesthetics.

Shade selection with the eLab photographic protocols
Intraoral scan with Dentsply Sirona Primescan
Resin Bonding Protocol as per APC protocol described by Prof Makus Blatz

As to the why? Is this a suitable case? What are the factors used to assess suitability of different restorative methods? How do you resin bond with zirconia? Should I be doing three-unit bridges or implants instead?

There's a lot more the resin bonded bridgework then prep and impression. What factors are important? Comment below! Perhaps there should be a course to discuss these topics, right Dr Michael Frazis ?