Complete dentures Flashcards

1
Q

What material is used to pour casts of primary impression?

A

Plaster

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2
Q

What material is used to make special trays?

A

Light cure material acrylic

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3
Q

When would you use a close fitting tray instead of a one with 2-3mm spacer and what material would you use to take the impression?

A
  • in resorbed ridges
  • medium or light body silicone , or impression paste (ZOE)
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4
Q

What is this?

A

Post dam ( on vibrating line) which is marked with a pencil

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5
Q

How would you modify this if you have a retching patient?

A

Mark a second post dam anterior to this , to modify the denture later if needed but cutting a second post dam

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6
Q

What two materials can you enforce the record blocks with?

A
  • Shellac base
  • Heat cured acrylic baseplate
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7
Q

Which line helps with getting the anterior occlusal plane during jaw registration?

A
  • interpupillary line
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8
Q

Which line helps with getting the posterior occlusal plane?

A

Ala-tragus line

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9
Q

What would you use to helps adjust the record blocks?

A
  • Fox’s occlusal plane
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10
Q

What is the first line that you will mark in the record block?

A

Centreline

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11
Q

How would you ensure you get the correct horizontal component of the occlusion in the jaw registration stage?

A

Get the patient mandible in a retruded position

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12
Q

What will you use to aid measuring the freeway space?

A
  • dividers
  • willi’s bite gauge
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13
Q

How would you seal the upper and lower record blocks?

A

Cut notches and seal with registration paste

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14
Q

What would you tell the lab to do after taking the jaw reg?

A
  • mount the casts on an articulator and set up the teeth
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15
Q

Other than registering the occlusion, what else would you do in the jaw reg stage?

A
  • Choose shade of teeth
  • Setting of teeth
  • Mould of teeth
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16
Q

When will consider using cuspless teeth?

A
  • When the patient struggles to get into retruded contact position (resorbed ridges)
17
Q

How would the lab set the teeth on the wax trial?

A
  • upper anteriors then posteriors then upper to lower
18
Q

What 6 things would you check in try in stage?

A
  • Vertical dimension of occlusion
  • Even contacts in RCP
  • Lip support
  • Occlusal planes
  • Lower teeth over ridge
  • Speech
  • Retention and stability
  • Appearance
  • Base extensions
19
Q

When would you review the patient after delivering the denture?

A

1-2 weeks

20
Q

What 6 things would check when inserting the denture?

A
  • Vertical dimension of occlusion
  • Even contacts in RCP
  • Speech
  • Retention and stability
  • Base extensions
  • Appearance
  • Comfort
21
Q

What would you give the patient before they leave? and under which legislations is that stated?

A
  • Statement of manufacture - Give them a copy of the laboratory prescription
  • Medical devices regulations 2019
22
Q

What 5 things would you review at review stage?

A
  • Pain, redness , ulceration
  • Function
  • Speech
  • Aesthetics
  • Recheck occlusion and vertical dimension
23
Q

A patient comes back at review appointment and is complaining of pain, what would you do?

A
  • Put PIP on fitting surface
  • fit in and adjust high spots (using acrylic bur and straight handpiece)
24
Q

What are 3 advantages of replica dentures over conventional dentures?

A
  • Easier to adapt as same design
  • Maintain current aesthetics
  • 1 less clinical stage ( only one impression in the mouth)
25
Q

What is the disadvantage of replica dentures?

A

Major modifications is difficult

26
Q

When would you use a conventional denture over a replica? 2

A
  • if no previous denture
  • previous denture is poor or unsuccessful
27
Q

What is the advantage of conventional over replica?

A

Can make major modifications on it and correct faults more easily

28
Q

What is a disadvantage of conventional compared to replica?

A
  • Takes longer
  • Changes appearance significantly and patient needs time to adapt