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Tim's Cards > Denture Napoleon Dynamite Part III > Flashcards

Denture Napoleon Dynamite Part III Flashcards

1
Q

Exam, Preliminary Impression, Preliminary Cast, Custom Tray:

A

Visit 1

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2
Q

How long does it take to make a denture?

A

5-6 weeks

*avg

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3
Q

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

A

Visit 2

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4
Q

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

A

Visit 3

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5
Q

Mount the Mx cast using…

Mount the Mn cast using…

A

Facebow

CR

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6
Q

The smile line of the teeth mirrors what?

A

Lower lip line

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7
Q

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

A

Visit 4

*esthetic Try In

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8
Q

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

A

distance

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9
Q

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

A

straight or reverse curve smile line

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10
Q

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

A

Fricative

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11
Q

S and Z called ____ sounds

A

Sibilant

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12
Q

What are the 5 steps to Visit 4?

A

Esthetics/Phonetics

VDO/VDR

CR

Protrusive Record

Posterior Palatal Seal

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13
Q

VDR - VDO =

A

2-3mm

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14
Q

Physiologic rest position
Phonetics and esthetics
Swallowing
Comparison with old denture

Are all methods of assessing…

A

VDO

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15
Q

Closest Speaking Space determines if a pt can say…

A

S

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16
Q

How to take CR:

A

AluWax

pt puts tongue on roof of mouth

when 1st contact = CR

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17
Q

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

A

1 mm

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18
Q

T/F

Use the bimanual technique for the CR

A

True

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19
Q

T/F

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

A

True

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20
Q

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

A

CR

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21
Q

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

Never…

A

Articulator

In the Mouth

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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

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23
Q

2 things the Posterior Palatal Seal compensates for:

A

Polymerization Shrinkage

Minor denture base movements during function

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24
Q

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

A

Blow through nose

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25
Q

The junction of the mobile and non-mobile portion of the Soft Palate:

A

Vibrating Line

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26
Q

3 effects if Palatal Seal is too far back:

A

Gag

Dislodge

Soreness

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27
Q

Mark the Vibrating Line with what?

A

Indelible Marking Stick

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28
Q

Posterior extent of the Mx denture baxe ends at or just _______ to the Vibrating Line

A

Anterior

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29
Q

Once Vibrating Line determined, transfer it where?

Then where?

A

Record Base

Master Cast

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30
Q

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

A

Elevation (positive)

negative

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31
Q

The attached gingiva should be finished to look like and “orange peel.” This is called…

A

Stippling

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32
Q

The interdental paplilla must be _____

A

Convex

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33
Q

Mx Cuspid eminence raises the _____ and corner of the ____

A

lip

mouth

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34
Q

Mb cuspid supports lip and gives contour

A

True

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35
Q

Proper contours will minimize biting of the lips and cheeks

A

True

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36
Q

What is in the periphery of the denture in the posterior region?

Along with Gingival Role, does what?

A

Slight Concavity

Displaces buccal mucosa away from the biting zone

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37
Q

What prevents tongue biting on the Lingual side of the Mn denture?

A

Lingual Concavity

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38
Q

Flanges help hold denture in place between boundaries of force from tongue = force from cheeks/lips =

A

Neutral Zone

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39
Q

The Palate of a denture is smooth and ___ mm thick

Because promotes proper speech and prevents ____

A

3 mm

gagging

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40
Q

Final Step to Try-In appointment:

A

Pt Approval/Acceptance

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41
Q

Denture Wax Ups are sealed to the periphery after festooning and ____ is separated

Next step:

A

cast/mounting

flasking

42
Q

3 Reasons for a Lab ReMount:

A

Occlusion

VDO

Balanced occlusion

43
Q

If contacts are premature, adjust:

Cusps tip to tip:

Upper teeth too buccal:

A

Fossae deepened (not Tips!)

shorten

Broaden fossae of lower and move

*Only shorten tips in tip-tip cases

44
Q

When is a Lab ReMount done?

A

After Flasking

*done AFTER separating master cast

45
Q

Fabrication of the ______ is necessary prior to Denture Delivery

A

Facebow Remount Jig

46
Q

Prior to the insertion appointment the old dentures must be left out of the mouth for ______

A

24 hours

47
Q

The Facebow jig only includes the occlusal/incisal surfaces

A

True

48
Q

Take the final Facebow Record ____ the ReMount

A

after

49
Q

Deflask, Remount, Fb jig

A

True

50
Q

5 steps in preparing dentures for Deliver:

A

Fb jig

remove dentures from Master Casts

Finish/Polish

Fabrication of Clinical ReMount Casts

Mount Mx Remount, preserve Fb record

51
Q

T/F

Do not overpolish the denture

A

True

52
Q

Prior to delivery the finished dentures must be soaked in water for _______

A

72 hours

53
Q

Flask Mx/Mn Wax rims:

DeFlask

Lab Remount:

Fb remount Jig

Finish/Polish

Remount Cast:

Mount Mx

Mount Mn

A

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
Q

3 steps to Visit 5:

A

Denture Placement

Clinical Procedures

Pt education

55
Q

2 steps to Visit 6:

A

Post-placement Examination

Post placemnt probs/solutions

56
Q

Prior to seating the CD (Visit 5: delivery), 2 steps to clean:

A

Wash soap/water

Disinfect w/ Birex for 10 minuets

57
Q

Wash CD w/ soap/water and disinfect w/ Birex for ____ minutes

A

10

58
Q

4 Clinical Steps (evaluations) when Placing Dentures (Visit 5: initial placement)

A

PIP - pressure indicating paste

border extension

esthetic/phonetic

vertical, horizontal, occlusion

59
Q

PIP should be painted on the intaglio and pt should close mouth for ____ minutes

*Visit 5: Delivery

A

2

60
Q

Check the Border Extension w/ paste stuff (?) for ____

*Visit 5: Delivery

A

1 minute

61
Q

Cheek and tongue biting caused by

A

lack of overlap

62
Q

Upon Deliver (Visit 5), if 1st touch is the same as MIP…

If slide…

A

done

ReMount

63
Q

If you need a Clinical Remount at Delivery (Visit 5), you have to…

A

Grind teeth

*can’t move the teeth

64
Q

If you need a Clinical Remount at Delivery (Visit 5) you should 1st do…

A

CR

*AluWax

65
Q

Occlusal Refinement is done when?

A

Visit 5

*delivery

66
Q

2 Times a Clinical ReMount can be done:

Lab ReMount done when?

A

Esthetic Try-In, Delivery (whenever Occlusion off)

After De-Flasking (lab step Visit 4)

67
Q

OI for CD delivery: fullness, difficulty speaking/ reading aloud for ____

chew food bilaterally and keep tongue _____

A

2 weeks

forward

68
Q

Daily care of CD: soak in bleach, use soft brush with _______

remove for several (____) hours at night

A

No Toothpaste

8 hrs

69
Q

If can’t swallow, ____ might be too long

A

VDO

70
Q

Examine the pt ___ hours after initial placement of CD

A

24 hours

71
Q

At Visit 6 (Post-Placement Exam), if you polish, you must…

If Lesion, pt shouldn’t use denture for ___ hours

A

disinfect

6-24

72
Q

Visit 6 happens ____ hrs after initial placement: \

Reappoint in ____ months

A

48-72 hours

6-12 months

73
Q

CD should get a hard re-line after ______

Replace denture after…

A

2 years

5-7 years

74
Q

4 advantages of Immediate Denture:

*also prevents embarrassment, promotes health, provides guide for esthetics, VDO

A

Better healing

better ridge form

prevents facial mm. collapse

hastens adaptation

75
Q

Before the 1st Clinical Appointment in an Immediate Denture, you must…

A

Remove Posterior Teeth, preserve 1 PM

*wait 6-8 weeks before clinical appt

76
Q

1st Clinical appointment Immediate Dentures:

2nd:

3rd:

A

Exam/prelim impressions

Master impressions (MC, record base, wax rim)

Mx/Mn relation records, tooth selection

77
Q

4th Clinical appointment Immediate Dentures:

5th:

6th:

A

Try-In (Lab processes dentures)

Extraction/Denture insertion

24 hr Post insertion

78
Q

6th Clinical appointment Immediate Dentures:

7th:

8th:

A

24 hr Post insertion

72 hr

1 week

79
Q

Where should you not put Border Molding on a Preliminary Cast (immediate dentures)?

Why?

A

Anteriors

Custom Trays will ge stuck

80
Q

Custom Trays (immediates) should be ___ mm short of the vestibules

Cover the retromolar pads and _____

Provide extra clearance for any _______

A

2-3 mm

tuberosities

frenum

81
Q

What requires Extra Relief in a Custom Tray (Immediates)?

A

Tooth portion

*allows easy insertion/removal

82
Q

Final Impression (on the custom tray) for an Immediate Denture is done with ______ and ______

*most commonly used

A

Modeling compound

Rubber Base

83
Q

T/F

The Interdental Embrasures should be blocked with wax for a Final Impression (Immediates)

A

True

84
Q

(Immediates) When boxing, place the wax _____ mm above the peripheral roll

*mark there and apply sticky wax - then box

A

3-4 mm

85
Q

What material can be used for a Final Impression (Immediates) if there is considerable tooth misalignment or great mobility present?

A

Alginate

86
Q

2 reasons to use Alginate in a Final Impression (Immediates)

A

Tooth misalignment severe

Mobility

*alginate must be poured right away

87
Q

Why would an Alginate never be used for a CD procedure (final impression)?

A

pushes tissues

88
Q

Perforate the custom tray for ________ retention of Alginate

(Immediate Final Impressions - if Tooth Misalignment/Mobility)

A

mechanical

89
Q

If using Alginate as a Final Impression material (Immediates), it requires more vigorous __________

And must be poured immediately

A

Border Movements

*pushes tissues

90
Q

(Immediates) in In 3rd Appointment, if natural tooth arrangement is not esthetic, re-establish the correct _____ position, dental midline and esthetically ideal tooth alignment

A

Incisal Edge

91
Q

When is the Surgical Guide for Immediate Denture made (appointment?)?

A

4th Appointment

*5th is extraction

92
Q

4 procedures that must be done before the Surgical Appointment (5th clinical)

A

Scaling

Hydrate dentures

Clear Surgical Stent

Diagnostic Cast

93
Q

After the teeth are removed (5th Appointment, Immediates), what must you do when delivering Denture?

A

PIP

  • pressure indicating paste
  • adjustments
94
Q

5th Appointment (immediates) after surgical extraction, any hint of wide or long dentures requires analysis with _________

A

Disclosing Wax

95
Q

T/F

You can ReMount at the 5th (surgical extraction) Appointment for Immediate Dentures

A

False

96
Q

When is the only time you would tell a patient to keep the Denture in overnight?

A

After extractions

*will reduce swelling

97
Q

T/F

Check Occlusion and Adjust Immediate Denture the day of delivery (surgical/5th appt)

A

False

98
Q

How long should you wait before adjusting an Immediate Denture after delivery? (5th appt)

A

1 week

99
Q

After 1 week Delivery of Immediate Denture, we can do a ______ and ________-

A

Clinical REmount

Occlusal Equilibration

100
Q

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

A 
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
Q

At 72 hr to 1 week check for Immediate Dentures, use _________ to improve the fit of the dentures before the extraction healing is completed

A

Tissue Conditioning

102
Q

Tissue Conditioning, done 72hrs to 1 week post-extraction/delivery of Immediate Denture is ____ mm space and requires replacement every ____ weeks

A

2 mm

2-4 weeks

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