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PRDP, Final > 18. Insertion of the PRDP > Flashcards

18. Insertion of the PRDP Flashcards

1
Q

Adjusting your patient’s Psyche – a.k.a. Educate your Patient!
• Mechanical and ____ problems with denture wear
• Establish ____ of patient in you and prosthesis
• ____ care of RPD needed from patient

A

biological
confidence
detail

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2
Q

Educating your patient
• Done before anything else, and:
• ____ throughout your insertion visit
• Reinforces your ____ for wear and care

A

continues

instructions

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3
Q

Fitting the Denture Base
• Harmonizes bearing surface of RPD to supporting soft tissues of edentulous ridges
• Includes ____ surface and ____

A

intaglio

flanges

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4
Q

How do I Know if it’s fitting the ridge(s) properly?
• Intaglio surface of rpd:
• Use ____ (PIP) to evaluate
• “____” consistency

A

pressure indicating paste

hair gell

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5
Q

How ‘bout the Flanges?
• Evaluate the flanges using
• ____ wax
• ____ Paste

A

disclosing

sorensen’s

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6
Q

How do I use these?
• Apply ____ & ____ pressure in tissue-ward direction
• Adjust areas of pressure or overextension
• Repeat until excessive pressure areas are eliminated

A

vertical

horizontal

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7
Q

Common areas requiring adjustment - Mandible
• ____ slope of the mandibular ridge in the ____ area.
• ____ ridge.
• Border area extending into the ____ space.
• ____ border in the vicinity of the ascending ramus and the external oblique ridge.
• Any areas with underlying boney sharpness.

A 
lingual
premolar
mylohyoid
retromylohyoid
distobuccal
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8
Q

Common areas requiring adjustment – Maxilla
• Inside of the buccal flange over the ____.
• Border of the denture lying on the ____ prominence.
• Area of the denture at the ____ notch where it may impinge on the pterygomandibular raphe and pterygoid hamulus.
• Any areas with underlying boney sharpness.

A

tuberosities
malar
pterygomaxillary

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9
Q

Amount of Relief Necessary
• Depends on accuracy of ____, master cast and denture base
• Dependent on ____, integrity and morphology of supporting tissues
• Takes time!

A

impression

health

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10
Q

Up Next – Verify Seating Rest Seats and Major Connector
• Repeat process from framework ____ appointment
• Use ____ wax, spray indicator or other indicators

A

try-in

disclosing

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11
Q

Verify:
• Rests are fully ____
• Guide plates contact guide planes
• Contact of ____ / bracing components with tooth surfaces
• That major connector has ____ (not excessive)

A

seated
reciprocating
contact

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12
Q

Framework seats, Now Re- evaluate fit of Denture Base
• Why?
• The fit of the denture base may change with adjustments to ____
• After again adjusting base, ____ framework

A

framework

re-check

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13
Q 
Next Step – Correct Occlusal Discrepancies
• Can be accomplished via:
• \_\_\_\_ remount
• \_\_\_\_ remount
• \_\_\_\_ adjustmen
A

lab
clinical
intra-oral

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14
Q 
Intra-oral adjustment of the RPD
• Use:
• \_\_\_\_ paper
• \_\_\_\_ Sheets
• \_\_\_\_ Stock
A

articulating
mylar
shim

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15
Q

Adjusting the Occlusion
• First: ____ interferences
• Second: ____ interferences
• LASTLY: ____ interferences

A

framework
denture base
denture tooth

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16
Q

Framework Interferences
• Should have been correct at ____ visit
• NO framework ____ are acceptable
• Use ____ to verify

A

try-in
interferences
articulating paper

17
Q

Denture Base Interferences
• Eliminate ____ and excursive prematurities
• Eliminate excursive contacts, EXCEPT for ____
• Ensure adequate space between ____
-> avoids cheek bites!

A

centric
balancing ramps
bases

18
Q

Denture Tooth Interferences
• Easily performed intra-orally for tooth supported RPD
• ____ remount preferred for muco- periosteal and tooth supported RPD

A

clinical

19
Q

Trust but Verify.. • Occlusal Contacts:
• ____ or MIC
• ____ Contacts
• ____

A

CR
excursive
balance

20
Q

Adjust Retentive Clasps

  • Minimized through:
  • Proper ____, including:
  • Path of ____
  • Proper ____
A

design
insertion
reciprocation

21
Q

Adjust Retentive Clasps
• Correct Clincal Procedures:
• Proper ____ preparation
• Accurate ____ technique

A

rest seat

impression

22
Q 
Adjusting Retentive Clasps
• Proper Laboratory Techniques:
• \_\_\_\_
• \_\_\_\_
• \_\_\_\_/Decasting
• \_\_\_\_
A

flasking
processing
deflasking
finishing

23
Q

Lastly – Provide Home care & Insertion Instructions
• How to place/ remove
• ____ sore spots!
• Adjustment periods for phonetics, mastication & gagging
• OHI / prosthesis care
• Adhesive use?

A

expect

24
Q

Follow-up Mandatory
• Similar to CD follow- up
• Can be modified for the dentate patient
• At SDM, no ____ = no soup for you!

A

follow-up

25
Q

Remember This!!!!!!
Strive for Harmony with ____ and
____ Dentition in all ____ Positions

A

natural
artificial
manidbular

26
Q 
Denture Care
• \_\_\_\_, careful removal of biofilm
• How?
• Denture Cleaners
• Used \_\_\_\_ of mouth
• Thorough rinsing before re-insertion
A

daily

outside

27
Q

Denture Care
• ____ Ultrasonic cleaning by dentist recommended
• Good time to do edentulous recall / oral cancer screening

A

yearly

28
Q

Don’ts of denture care
• Don’t soak / place in boiling water in boiling ____
• Don’t place in ____ (sodium hypochlorite) solutions longer than ____ minutes

A

water
bleach
10

29
Q

Helpful Hints
• Dentures should be stored in ____ when not worn (avoids warping)
• ____ can improve the experience for the denture wearer

A

water

adhesives

30
Q

A word on Adhesives
• Can help seal out ____ particles (in well fitting too)
• Improve patient’s ____ of retention, adaptation and stability

A

food particles

perception

31
Q

Very important
• Avoid ____ based adhesives
• Patients requiring adhesives for more than ____ months at a time should be re- evaluated

A

zinc

six

32
Q 
More adhesives needed continuously...
• Means:
• Somethin’ ain’t right
• \_\_\_\_ loss?
• \_\_\_\_ Change?
• \_\_\_\_ Condition?
A

bone
tissue
systemic

33
Q 
Recapping the Appropriate Sequence
• Continuous \_\_\_\_ of the patient.
• \_\_\_\_ the denture base.
• \_\_\_\_ seating and fit of rest seats and major connector.
• \_\_\_\_ occlusal discrepancies.
• \_\_\_\_ retentive clasps if necessary.
• Provide home care \_\_\_\_.
A 
education
fit
verify
correct
adjust
instruction

PRDP, Final (21 decks)

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