Denture Try In Flashcards

1
Q

what do you check before the patient arrives at try in stage

A

do you have the lab work
is correct patient
has lab work been damaged in transit
is lab work present what you expected from prescription
is mould and shade what you requested

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2
Q

what do you check before inserting the try in

A

are the try in bases stable on casts
are try in borders smooth, rounded and with no sharp edges
is border extension shaped to depth and width of the functional sulcus

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3
Q

what do you look at when the cast is on the articulator

A

is wax distorted or well adapted
check occlusion
good contacts?
pin on table?
overjet and overbite what we expected

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4
Q

what do you do if no post dam has been cut on the upper cast

A

draw on cast site with indelible pencil and ask technician to cut post dam

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5
Q

what is the try in checklist

A

retention and stability
base extensions
LIMBO
position of teeth compared with soft tissues
vertical dimension
even contact in occlusion
speech
aesthetics

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6
Q

what must you record in the records

A

patient consent to finish

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7
Q

what do you do if there is a speech problem

A

fix potential FWS problem

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8
Q

what is the problem if teeth make contact during speech

A

insufficient FWS

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9
Q

what is the problem if whistling sound is made during S sounds

A

OVD needs to be increased or anterior tooth position changed

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10
Q

what do you do if shade/mould is incorrect

A

choose again and prescribe to lab

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11
Q

what do you do if midline is incorrect

A

mark new midline and send to lab

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12
Q

what do you do if there are minor changes needed for tooth position

A

alter at chairside

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13
Q

what do you do if major changes are needed to tooth position

A

re-register and send to lab

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14
Q

what do you do if there is minor overextension

A

modify wax and mark on master cast the maximum extent of flange

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15
Q

what do you do if there is major overextension

A

go back to master impression stage

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16
Q

what do you do if there is minor underextension

A

wash impression in try in and send to lab for casting
or proceed to insertion stage but instead reline

17
Q

what do you do if there is major underextension

A

go back to master impression stage

18
Q

what do you do if the OVD is increased

A

remove teeth from one or both dentures and replace with wax rim

19
Q

what do you do if OVD is decreased

A

wax rim can be added to the teeth on one or both dentures or teeth removed from one or both dentures and replaced with bigger wax rim

20
Q

what is the first step to do when there is an occlusal error

A

check OVD and decide if correct or incorrect

21
Q

what do you do if occlusal error but OVD correct

A

if uneven contact, some teeth removed from dentures and replaced with wax rim

22
Q

what do you do if occlusal error and OVD incorrect

A

correct OVD by removing teeth from one or both dentures and replace with wax rim

23
Q

what is the BULL rule

A

buccal upper lingual lower
adjust the contacting surfaces rather than the tips of cusps