10/29: Insertion Flashcards
what are the 4 objectives for the insertion appointment?
fit
correct
adjust
instruct
what is used to see the adjust points?
PIP
what areas usually have PIP markings?
undercuts buccally in the mandibular premolars
maxillary tuberosities
mylohyoid area
where should PIP be placed?
intaglio
should you put PIP in great amounts?
false, small
should PIP be put in brush strokes?
yes
denture base flange length contributes to
resistance to horizontal displacement
vertical support
what RPDs can be evaluated intra-orally?
tooth supported (3 and 4)
what RPDs require a clinical remounting?
tooth-tissue (1,2, long-span 4)
it is important that teeth which contact WITHOUT the prosthesis in place continue to
to do so WITH the prosthesis
when doing selective grinding, what should you remove?
cusp inclines, not cusp tips
what should be used to adjust a half-round, circumferential clasp?
139
clasps should only adjust in
small increments
what are the home instructions to clean RPD?
soap and denture brush
the prosthesis should be soaked how long each day?
8 hours to prevent distortion
can the RPD be soaked in chroline (bleach)?
no
when should the patient be seen for adjustments?
24 hours and 1 week
during adjustment appointments, the prosthesis should be inserted
4-5 hours prior to see problem sites
you get a phonetic problem with
improper placement that affects anterior palate or anterior teeth
if positioned too far lingually,
tongue may be limited
if positioned too far buccaly, what happens?
whistling or slurring
this is caused by insuffiecient horizontal overlap between maxillary and mandibular teeth
cheek biting
cheek biting is caused by
insufficient horizontal overlap
bucally-tipped mandibular teeth
this is caused by teeth being positioned too far lingually and a decrease in tongue space
tongue biting
if patients have missing teeth for years, they have lost the __________, but can it be returned?
neuromuscular skills to chew
will return at some point
gagging occurs due to
decreased/increased VDO
faulty impression
overextension
laceration or ulceration can be produced by a
overextended denture base
this is caused by roughness of the denture base or rubbing movement of the denture
erythrema
aside from rubbing, what else can cause erythrema?
occlusal discrepancies or prematurities
