Delivery of RPD

Question 1

what is the aim of this visit

Answer 1

patient leaves the surgery with a denture that is good and accurate fit, is comfortable, they are able to insert and remove, they know how to clean

Question 2

what understanding must the patient have before leaving?

Answer 2

what to expect when wearing a new denture, what the risks are if the denture is not maintained

Question 3

what do you do whilst the denture is still on the articulator?

Answer 3

check design again is as requested, examine dentures for roughness/blebs, check it seats properly, is the pin on the table, does the occlusion look correct, are any teeth on the cast broken?

Question 4

what do you think about when removing the dentures from the casts?

Answer 4

do not use a lot of force as this should not be required and may damage components, think about path of insertion and removal

Question 5

what do you do before you insert the denture?

Answer 5

with a gloved finger feel for lumps, bumps or rough sharp areas, remove excess acrylic with acrylic bur in a straight hand piece, small localised adjustments

Question 6

what do you do after you insert the denture?

Answer 6

listen to the patient, pressure indicating paste or silicone applied to denture and ask patient to close into ICP, areas of pressure will be visible where there is no remaining paste, adjust the acrylic in these areas

Question 7

what do you check when you insert the dentures?

Answer 7

fit, retention, stability, aesthetics, speech and occlusal contacts

Question 8

what causes the initial speech alteration with a new denture?

Answer 8

excess saliva

Question 9

what do you check with the fit of the denture?

Answer 9

that it is comfortable for the and the seats fully with no rests standing proud

Question 10

what do you check with the retention?

Answer 10

the clasps are engaging the undercuts when seated

Question 11

what do you check with the stability?

Answer 11

does it rock

Question 12

what do you check with aesthetics?

Answer 12

incisal plane, shade, mould, lip support, smile

Question 13

what do you check with occlusion?

Answer 13

do teeth meet in the prescribed occlusal scheme per the wax up, use thin articulating paper between the teeth to identify premature contacts, deflective contacts

Question 14

what instructions do you give for the patient?

Answer 14

insertion/removal, coping with new dentures, pain, denture cleansing, speech, eating, refer to clinic patient information leaflet