Clinical RPD Treatment, Clinical Forms Flashcards
Prior to removable prosthetic clinical treatment, students complete:
- comprehensive exam and oral diagnosis
- all necessary consults (medical and dental)
- develop comprehensive treatment plan
- survey articulated diagnostic casts
- draw RPD design on diagnostic casts and have faculty approval
what is done at the patients first appointment
- medical and dental history
- panoramic and periapical radiographs of potential abutment teeth- must be within previous year
- complete periodontal and restorative charting
- diagnostic casts
- pulpal evaluations of potential abutment teeth
what is done at the patients second appointment
- review radiographs
- any additional radiographs are taken
- identify any additional teeth requiring extraction
- pulp test potential abutments, if not previously done
- identify teeth requiring endo tx
- need for perio therapy already determined
what restorations might need to be done before RPD
- amalgams, composites
- single crowns, FPDs, RPDs , complete denture
- survey crowns: abutment
when are survey crowns done
- with large amalgams
- extensive caries
- inappropriate contours: not determined until diagnostic cast surveyed
what parts of the patients dentition needs to be evaluated at second appointment
- soft tissue, residual ridge support
- vertical space: patient in occlusion, diagnostic cast
- bony interferences: tuberosity
- supra erupted teeth
what is a pier abutment
stand alone tooth with edentulous spaces on either side
pier abutments should not be:
clasped
what should you do to pier abutments
use a FPD to close modification space
what is the RPD tx plan
- consultation with pros faculty
- survey diagnostic cast
- quality assurance worksheet
- consultation with pros faculty
what should be done prior to consult with pros faculty
mounted preliminary casts
how do you survey the cast
- determine potential path of insertion: potential guide planes, retentive undercut of indicated abutments
- mark survey line of abutments: measure and mark retentive undercut
- tripod sides of the cast
- indicate modification areas
what does the quality assurance worksheet require
pros faculty signature
what parts of the tx should be entered in axium
- indicate types and order of necessary treatment by appointment
- begin with disease control procedures first
- periodontic, surgical, endodontic treatment
- restorative prior to RPD tx: amalgams, composites, FPD, surveyed crowns
RPD guide plane preparations ______ the crown prep
may precede
what is the completete clinical RPD treatment form
- RPD mouth preparation
- impression for master cast
- framework try in
- occlusal record appointment
- denture tooth try in
- final wax up
- delivery
- 24 and 72 hour adjustment
what is the ideal circumference of ferrule
2mm
what is the ideal abutment height
at least 4mm
what pocket depth needs more serious perio tx before you move onto RPD
greater than 3mm pocket depth
what are the lab steps that coincide with the preliminary impression and interocclusal record
- diagnostic casts
- mounting
- surveying diagnostic casts
- finalizing RPD design
- drawing design on diagnostic cast
what are the lab steps that coincide with mouth preps, final impression, inter occlusal record
- master casts
- mounting
- surveying master casts
- waxing and casting RPD framework
- finishing and polishing
what are the lab steps that coincide with framework try in, altered cast impression
altered cast
what lab steps coincide with jaw relation records
arrangement of teeth
what lab steps coincide with wax try in
processing/finishing and polishing
