Denture Napoleon Dynamite Part III Flashcards

1
Q

Exam, Preliminary Impression, Preliminary Cast, Custom Tray:

A

Visit 1

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

How long does it take to make a denture?

A

5-6 weeks

*avg

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Border molding, final impression master casts, record base and wax rims:

A

Visit 2

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Adjust wax rims, Facebow, VDR, VDO, CR, Mount

A

Visit 3

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Mount the Mx cast using…

Mount the Mn cast using…

A

Facebow

CR

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

The smile line of the teeth mirrors what?

A

Lower lip line

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Evaluate Esthetics/phonetics, check VDO/VDR, confirm CR, Protrusive Record, Posterior Palatal Seal:

A

Visit 4

*esthetic Try In

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Looking at the articulator from a frontal view and a gradually rising occlusal plane gives the impression of…

A

distance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

If teeth set too buccally it can give the appearance of…

A

straight or reverse curve smile line

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

F and V are made at the incisal edge to wet/dry line called…

A

Fricative

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

S and Z called ____ sounds

A

Sibilant

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What are the 5 steps to Visit 4?

A

Esthetics/Phonetics

VDO/VDR

CR

Protrusive Record

Posterior Palatal Seal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

VDR - VDO =

A

2-3mm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Physiologic rest position
Phonetics and esthetics
Swallowing
Comparison with old denture

Are all methods of assessing…

A

VDO

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Closest Speaking Space determines if a pt can say…

A

S

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

How to take CR:

A

AluWax

pt puts tongue on roof of mouth

when 1st contact = CR

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

If there is a ___mm discrepancy between the CR and the MI you need to ReMount

A

1 mm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

T/F

Use the bimanual technique for the CR

A

True

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

T/F

Rehearse and have the pt Gently close onto the compound just short of tooth contact for CR

A

True

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

CR record is taken and put into Articulator, if closes the _____ was correct originally

A

CR

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Where do you re-set the patient’s teeth (if needed)?

Never…

A

Articulator

In the Mouth

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

If the pts teeth fit in the Articulator but NOT in the mouth, what 2 things might have happened?

A

CR taken incorrectly

Mounting in Lab was wrong

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

2 things the Posterior Palatal Seal compensates for:

A

Polymerization Shrinkage

Minor denture base movements during function

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

If “ah” doesn’t work to find the Vibrating Line, pinch pts nose and have them…

A

Blow through nose

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
The junction of the mobile and non-mobile portion of the Soft Palate:
Vibrating Line
26
3 effects if Palatal Seal is too far back:
Gag Dislodge Soreness
27
Mark the Vibrating Line with what?
Indelible Marking Stick
28
Posterior extent of the Mx denture baxe ends at or just _______ to the Vibrating Line
Anterior
29
Once Vibrating Line determined, transfer it where? Then where?
Record Base Master Cast
30
Posterior Palatal Seal will be represented as a ______ on the palatal portion of the denture base. This is represented as ____ space on the Master Cast
Elevation (positive) negative
31
The attached gingiva should be finished to look like and "orange peel." This is called...
Stippling
32
The interdental paplilla must be _____
Convex
33
Mx Cuspid eminence raises the _____ and corner of the ____
lip mouth
34
Mb cuspid supports lip and gives contour
True
35
Proper contours will minimize biting of the lips and cheeks
True
36
What is in the periphery of the denture in the posterior region? Along with Gingival Role, does what?
Slight Concavity Displaces buccal mucosa away from the biting zone
37
What prevents tongue biting on the Lingual side of the Mn denture?
Lingual Concavity
38
Flanges help hold denture in place between boundaries of force from tongue = force from cheeks/lips =
Neutral Zone
39
The Palate of a denture is smooth and ___ mm thick Because promotes proper speech and prevents ____
3 mm gagging
40
Final Step to Try-In appointment:
Pt Approval/Acceptance
41
Denture Wax Ups are sealed to the periphery after festooning and ____ is separated Next step:
cast/mounting flasking
42
3 Reasons for a Lab ReMount:
Occlusion VDO Balanced occlusion
43
If contacts are premature, adjust: Cusps tip to tip: Upper teeth too buccal:
Fossae deepened (not Tips!) shorten Broaden fossae of lower and move *Only shorten tips in tip-tip cases
44
When is a Lab ReMount done?
After Flasking *done AFTER separating master cast
45
Fabrication of the ______ is necessary prior to Denture Delivery
Facebow Remount Jig
46
Prior to the insertion appointment the old dentures must be left out of the mouth for ______
24 hours
47
The Facebow jig only includes the occlusal/incisal surfaces
True
48
Take the final Facebow Record ____ the ReMount
after
49
Deflask, Remount, Fb jig
True
50
5 steps in preparing dentures for Deliver:
Fb jig remove dentures from Master Casts Finish/Polish Fabrication of Clinical ReMount Casts Mount Mx Remount, preserve Fb record
51
T/F | Do not overpolish the denture
True
52
Prior to delivery the finished dentures must be soaked in water for _______
72 hours
53
Flask Mx/Mn Wax rims: DeFlask Lab Remount: Fb remount Jig Finish/Polish Remount Cast: Mount Mx Mount Mn
gets you MC, impressions, teeth 8-10 min. on articulator plaster, close, incisal edge block undercuts Upper/Lower Use Fb jig Pt must come in for CR
54
3 steps to Visit 5:
Denture Placement Clinical Procedures Pt education
55
2 steps to Visit 6:
Post-placement Examination Post placemnt probs/solutions
56
Prior to seating the CD (Visit 5: delivery), 2 steps to clean:
Wash soap/water Disinfect w/ Birex for 10 minuets
57
Wash CD w/ soap/water and disinfect w/ Birex for ____ minutes
10
58
4 Clinical Steps (evaluations) when Placing Dentures (Visit 5: initial placement)
PIP - pressure indicating paste border extension esthetic/phonetic vertical, horizontal, occlusion
59
PIP should be painted on the intaglio and pt should close mouth for ____ minutes *Visit 5: Delivery
2
60
Check the Border Extension w/ paste stuff (?) for ____ *Visit 5: Delivery
1 minute
61
Cheek and tongue biting caused by
lack of overlap
62
Upon Deliver (Visit 5), if 1st touch is the same as MIP... If slide...
done ReMount
63
If you need a Clinical Remount at Delivery (Visit 5), you have to...
Grind teeth *can't move the teeth
64
If you need a Clinical Remount at Delivery (Visit 5) you should 1st do...
CR *AluWax
65
Occlusal Refinement is done when?
Visit 5 *delivery
66
2 Times a Clinical ReMount can be done: Lab ReMount done when?
Esthetic Try-In, Delivery (whenever Occlusion off) After De-Flasking (lab step Visit 4)
67
OI for CD delivery: fullness, difficulty speaking/ reading aloud for ____ chew food bilaterally and keep tongue _____
2 weeks forward
68
Daily care of CD: soak in bleach, use soft brush with _______ remove for several (____) hours at night
No Toothpaste 8 hrs
69
If can't swallow, ____ might be too long
VDO
70
Examine the pt ___ hours after initial placement of CD
24 hours
71
At Visit 6 (Post-Placement Exam), if you polish, you must... If Lesion, pt shouldn't use denture for ___ hours
disinfect 6-24
72
Visit 6 happens ____ hrs after initial placement: \ Reappoint in ____ months
48-72 hours 6-12 months
73
CD should get a hard re-line after ______ Replace denture after...
2 years 5-7 years
74
4 advantages of Immediate Denture: *also prevents embarrassment, promotes health, provides guide for esthetics, VDO
Better healing better ridge form prevents facial mm. collapse hastens adaptation
75
Before the 1st Clinical Appointment in an Immediate Denture, you must...
Remove Posterior Teeth, preserve 1 PM *wait 6-8 weeks before clinical appt
76
1st Clinical appointment Immediate Dentures: 2nd: 3rd:
Exam/prelim impressions Master impressions (MC, record base, wax rim) Mx/Mn relation records, tooth selection
77
4th Clinical appointment Immediate Dentures: 5th: 6th:
Try-In (Lab processes dentures) Extraction/Denture insertion 24 hr Post insertion
78
6th Clinical appointment Immediate Dentures: 7th: 8th:
24 hr Post insertion 72 hr 1 week
79
Where should you not put Border Molding on a Preliminary Cast (immediate dentures)? Why?
Anteriors Custom Trays will ge stuck
80
Custom Trays (immediates) should be ___ mm short of the vestibules Cover the retromolar pads and _____ Provide extra clearance for any _______
2-3 mm tuberosities frenum
81
What requires Extra Relief in a Custom Tray (Immediates)?
Tooth portion *allows easy insertion/removal
82
Final Impression (on the custom tray) for an Immediate Denture is done with ______ and ______ *most commonly used
Modeling compound Rubber Base
83
T/F | The Interdental Embrasures should be blocked with wax for a Final Impression (Immediates)
True
84
(Immediates) When boxing, place the wax _____ mm above the peripheral roll *mark there and apply sticky wax - then box
3-4 mm
85
What material can be used for a Final Impression (Immediates) if there is considerable tooth misalignment or great mobility present?
Alginate
86
2 reasons to use Alginate in a Final Impression (Immediates)
Tooth misalignment severe Mobility *alginate must be poured right away
87
Why would an Alginate never be used for a CD procedure (final impression)?
pushes tissues
88
Perforate the custom tray for ________ retention of Alginate (Immediate Final Impressions - if Tooth Misalignment/Mobility)
mechanical
89
If using Alginate as a Final Impression material (Immediates), it requires more vigorous __________ And must be poured immediately
Border Movements *pushes tissues
90
(Immediates) in In 3rd Appointment, if natural tooth arrangement is not esthetic, re-establish the correct _____ position, dental midline and esthetically ideal tooth alignment
Incisal Edge
91
When is the Surgical Guide for Immediate Denture made (appointment?)?
4th Appointment *5th is extraction
92
4 procedures that must be done before the Surgical Appointment (5th clinical)
Scaling Hydrate dentures Clear Surgical Stent Diagnostic Cast
93
After the teeth are removed (5th Appointment, Immediates), what must you do when delivering Denture?
PIP * pressure indicating paste * adjustments
94
5th Appointment (immediates) after surgical extraction, any hint of wide or long dentures requires analysis with _________
Disclosing Wax
95
T/F | You can ReMount at the 5th (surgical extraction) Appointment for Immediate Dentures
False
96
When is the only time you would tell a patient to keep the Denture in overnight?
After extractions *will reduce swelling
97
T/F | Check Occlusion and Adjust Immediate Denture the day of delivery (surgical/5th appt)
False
98
How long should you wait before adjusting an Immediate Denture after delivery? (5th appt)
1 week
99
After 1 week Delivery of Immediate Denture, we can do a ______ and ________-
Clinical REmount Occlusal Equilibration
100
Overview Immediate Denture Remove Posterior teeth, wait ___ weeks 1. Take _____ impression and make _______ 2. Use light body PVS or _____ for final impression Box, Pour, and Fabricate _______ 3. Adjust wax rims and do the ________ Then do the Facebow and ______ Before the 4th appointment you must set teeth, starting at the _______ 4. Esthetic Try-In, check Occlusal, ____, color Lab fabricates the Denture and the _______ using a Putty cast of the inside of the Denture 5. Surgery: before remove _______ then try on the Surgical Guide, if there is _____ on the soft tissue then do a _________ If surgical guide fits, suture and insert At this point you have to use _____ on denture Keep denture in for _____ hrs Do not adjust _____ on this day
``` 6-8 weeks Final Impression, Custom Tray Alginate Record Bases Bite Reg. CR Posterior VDO Surgical Guide calculus Pressure, Alveoplasty Denture PIP 24 Occlusion ```
101
At 72 hr to 1 week check for Immediate Dentures, use _________ to improve the fit of the dentures before the extraction healing is completed
Tissue Conditioning
102
Tissue Conditioning, done 72hrs to 1 week post-extraction/delivery of Immediate Denture is ____ mm space and requires replacement every ____ weeks
2 mm 2-4 weeks