5. Lab Considerations II Flashcards

1
Q

Teeth that have recieved a crown within _ months after RCT are more likely to survive than if done later

A

4

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2
Q

T/F: Remargination die is a substitute for a working cast

A

F

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3
Q

Purpose of remargination die

A

If you have an impression but you’re unsure if it is good you can take a quad impression for a remargination die

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4
Q

What do you have to do if your case is rejected

A
  • Correct the error
  • Write down your response to indicate what corrections were done
  • Resubmit case- Don’t submit a new lab authorization page
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5
Q

Other things to include in the lab submission to provide missing information

A
  • Dx wax up
  • Cast of provisional restoration (cross mounted)
  • Custom incisal guide table
  • Clinical photos
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6
Q

Custom incisal table is made using what

A

Dx casts and GC pattern resin

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7
Q

When can you take pictures of the lateral and protrusive contacts

A
  • Before the prep

- With the provisional

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8
Q

Know what you can hand articulate, bite reg and record bases for mounting

A

ok

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9
Q

Causes for mounting errors are

A
  • Inaccurate casts
  • Using interocclusal record when not indicated
  • Using interocclusal record incorrectly
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10
Q

When is the most accurate- handarticulation, bite registration, record bases

A

hand articulation

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11
Q

Issues with casts leading to their inaccuracy includes

A
  • Positives on occlusal surfaces

- Distortion in impression

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12
Q

The decision to mount the working cast with hand articulation or interocclusal records is made when

A

After tooth is prepped

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13
Q

Hand articulation of casts indicated when

A
  • Sufficient unprepped teeth to locate treatment position (tripod)
  • Occluding surfaces are accurate
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14
Q

Bite registrations are more accurate on (prepped/unprepped) teeth

A

prepped

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15
Q

Interocclusal record indicated when

A

-Existing unprepped teeth are too few in number or are not in position to located the treatment position

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16
Q

Materials available to make an interocclusal record

A
  • Plaster
  • Wax
  • ZOE pastes
  • Polyether
  • PVS
  • Resin .
17
Q

Clinical suggestions for fabriation of interocclusal record

A
  • Rehearse with patient
  • Dry teeth
  • Use minimal material
  • Confirm accurate closure of the teeth
  • Trim record
  • Confirm complete seating on the casts (no rebound)
  • Securely fix the casts together for mounting
  • Reconfirm accuracy on articulator
18
Q

How should the interocclusal record be trimmed

A
  • Leave cusp tips and incisal edges

- Interproximal fins need to be trimmed

19
Q

Excess material to make the interocclusal record can lead to .

A
  • can cause an eccentric closure
  • Prevents confirmation of correct closure
  • Trimming is an increased challenge
20
Q

Thickness of a trimmed interocclusal record should be about

A

1-2 mm

21
Q

if you need a record base to mount the casts how many record bases must you make before submitting a case

A

2 one for the Dx casts and 1 for working cast (one for the working cast must be made on the working cast

22
Q

It is the (dentist’s/lab tech’s) responsibility to ensure accurate occlusal contacts

A

dentists

23
Q

Considerations for making record bases

A
  • Should be stable and fit passively

- Have to be made on the cast to be mounted

24
Q

How can the stability of a record base be improved

A

impression reline

25
Q

Describe the process for impression reline of a record base

A

-Acrylic base adapted to the CAST with PVS

26
Q

Advantages of impression reline

A
  • Provides more intimate fit
  • Allows minor undercut engagement
  • More stable platform