1st visit Flashcards
What happens when pt comes in before you get them?
initial exam
x-ray (pano)
registered to student
6 things to finish in first visit
- Complete history
- Diagnosis and Tx plan
- Denture form
- PC approval
- pros consult
- make prelim impressions
Four types of patients according to Dr House
Philisophical
Exacting
Indifferent
Hysterical
Purpose of prelim impression?
record all areas covered by impression surface of denture bases
Use what temp water with alginate?
warm
Types of alginate trays that can be used with prelim impression
Disposable plastic/nylon
Metal rim lock/perforated
Specialized edentulous
Procedure for making prelim impression
warm water with alginate, mix quickly pt upright for max, 45 degrees for mand have pt rinse, then dry Rotate tray in, border mold For max - behind pt, for mand, in front For mand, have pt lift tongue up, then border mold Rinse Check accuracy Have approved Disinfect
What is border molding?
shaping of border areas to get peripheral roll areas
What do you absolutely need to capture in max impression posteriorly?
hamular notches
What do you absolutely need in mand impression?
retromolar pads and retromylohyoid
When do impressions need to be disinfected?
before leaving dental operatory
How to disinfect impressions?
- rinse with water
- Iodophor + wrap in paper towel
- leave for 10 min
- rinse
Things that must be done before 2nd visit?
- pour prelim casts in plaster
- Trim casts
- Fabricate final edentulate custom trays