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Complete Removable Prosthodontics > Complete Denture Insertion > Flashcards

Complete Denture Insertion Flashcards

1
Q

patient should leave out old dentures for at least — prior to appointment

A

24 hr

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2
Q

before appointment, inspect dentures, put in denture cup/h2o (3)

A

no imperfections on surfaces
borders are round/ no sharp angles
cameo surfaces are smooth

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3
Q

reexamine the tissue side of the dentures carefully remove any — present with a kingsley scraper or other sharp instrument

A

bubbles

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4
Q

prior to delivery the dentures must be

A

soaked in water for 72 hours

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5
Q

Before Insertion appointment (2)

A

Accurate maxillary remount cast already attached to articulator
Mandibular remount cast is prepared for clinical remount

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6
Q

Intaglio surface

Pressure Indicator Paste (2)

A

Undercut areas

Accuracy of tissue contact

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7
Q

zinc oxide paste is used as a

A

pressure indicating paste (PIP)

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8
Q

PIP detects

A

improper adaptation

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9
Q

pip spray

A

used for patients with xerostomia in order to prevent the pip from sticking to the mucosa

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10
Q

pip sequence (5)

A

dry denture surface
brush a thin even layer of pip into the surface of the denture
seat the denture with pressure in the first molar region
remove immediately
inspect and adjust bearing surface as necessary

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11
Q

Pressure Indicator Paste
Brush on — coat
Brush strokes —

A

thin

visible

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12
Q

Remove — in the

sea of white

A

islands of pink

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13
Q

Ensure that displaced paste reflects a pressure area before

A

relieving the

denture base. Mark again, if not sure.

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14
Q

Are dentures stable during

A

speech and swallowing?

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15
Q

Are borders and contours compatible with

A

available space in vestibules?

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16
Q

Borders properly relieved at

A

frenal attachments?

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17
Q

adjusting denture borders (2)

A

carefully adjust the denture flange as necessary

reapply, border mold and adjust until areas of overextension are eliminated

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18
Q

problems with phonetics (4)

A

check the thickness of the maxillary palatal portion. a common problem is excessive thickness
reevaluate the position of the maxillary anterior teeth
if everything appears normal it may be a matter of time for the patient to adapt
open vertical dimension of occlusion

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19
Q

gagging (3)

A

palate excessively thick
palatal extension too long
lack of tongue space (teeth set too far to the lingual)

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20
Q

Sources of Occlusion errors (7)

A 
Resin shrinkage when processed
Ill-fitting temporary record bases
Change of OVD on the articulator
Inaccurate max-mand. records by dentist
Incorrect arrangement of teeth
Overheated when polished
Water absorption (expands 1-3%)
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21
Q

Since numerous sources of occ. errors exist, dentist should assume

A

error

exists and work to find it

22
Q

Technique to check is not difficult, but it requires a

A

willingness to see

the error.

23
Q

Simply telling patient to close their jaws, and observing contacts —→

A

errors are unlikely to be detected.

24
Q

Occlusal harmony (3)

A

Patient comfort
“Efficient” function (20% of natural teeth)
Preserve supporting tissues

25
Q

Look for posterior — contacts

beyond tooth contacts

A

flange

26
Q

prior to making the record

seat the posterior palatal seal

A

place 2 cotton rolls between the posterior teeth and have the patient bite down for 5 min

27
Q

Clinical Remount (3)

A

Make interocclusal record
Remount dentures on articulator
Refine occlusion on articulator

28
Q

Clinical remount & Occ. refinement

(2)

A

Done before final delivery of the dentures
Occlusal errors will deform the supporting tissues & conceal the errors if
postponed

29
Q

Intraoral Occlusal

“adjustment” (2)

A

Resiliency of tissues allows dentures to move

Misleading articulating paper markings result

30
Q

Saliva on teeth interferes with

A

paper markings

31
Q

Intraoral Occlusal
“adjustment”
Requires — patient cooperation

A

repeated

Some can cooperate. Some cannot.

32
Q

Intraoral Occlusal
“adjustment”
Use — for extra security during this procedure

A

denture adhesive powder

33
Q

Clinical Remount

Advantages (7)

A

Reduces patient participation
Dentist sees better what to do
Stable working foundation; bases not shifting on resilient tissues.
Absence of saliva = more accurate marks with articulating paper.
Grinding may be done away from patient. This prevents patient
objections to “mutilating my new teeth.”

34
Q

Occlusion desired (3)

A

Simultaneous contact of all posterior teeth in retruded mand. position
Absence of contact on anterior teeth
Absence of deflective interferences in eccentric movements

35
Q 
Evaluate the cameo surface 
acrylic thickness (4)
A

Observe intraorally and extraorally
Use pressure indicator paste
Make measurements
Seek patient feedback

36
Q

the difference between and explanation and an excuse is the

A

time they are provided

37
Q

before the problem=

A

explanation

38
Q

after the problem=

A

excuse

39
Q

explain the limitations of dentures as

A

mechanical substitutes for living tissues

40
Q

instructions to patients

oral and written (2)

A

strange feelings of fullness in lips and cheeks for a few days
mandibular denture more difficult to use than maxillary CD

41
Q

instructions to patient
expect
speaking

A

expect increased flow of saliva first few days

speaking improves with practice. read aloud the daily newspaper, etc

42
Q

Learning to chew normally takes about

A

2 months

43
Q

Begin with

A

softer foods that are cut into small pieces

44
Q

Control of the dentures is accomplished by manipulation with the (3)

A

tongue, lips, and cheeks

45
Q

Teach the patient to position the tip of their tongue next to the

A

lingual

surfaces mandibular anterior teeth (have the patient say “e”)

46
Q

Use — for extra security , as needed, during the

first month

A

denture adhesive powder

47
Q

Expect — during “break-in period”

A

sore spots

48
Q

Return to — for adjustments. Do not adjust dentures at home.

A

clinic

49
Q

Remove dentures at night and store in —.

A

water

50
Q

Care of the prosthesis-

A

brushing (over a sink with water or a washcloth

in it), soaking in a container, remove any adhesive

51
Q

Care of the mouth-

A

gingival massage, tongue brushing with a soft

toothbrush

52
Q

provide — as well as verbal instructions

A

printed

Complete Removable Prosthodontics (20 decks)

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