Diagnostic Casts and Mounting * Flashcards

1
Q

Trays used for primary impressions:

A

Rim-lock and Stock Trays

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2
Q

Amount of space that should surround arch with tray:

A

6mm

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3
Q

Which impression trays require alginate adhesive?

A

Stock Trays

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4
Q

How many scoops of alginate for 1 arch?

A

1

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5
Q

Maxillary details that should be visible in impression:

A

Frenum, full roll, palate, rugae, hamuler notch

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6
Q

Mandibular details that should be visible in impression:

A

Frenum (labial), full roll, retromolar pad

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7
Q

Name of Bite Registration we are using:

A

Virtual Bite Registration (orange label) 3 sections (not touching), 1 per sextant (trim with scalpel blade)

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8
Q

Type of stone used for diagnostic casts:

A

microstone, type III dental stone

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9
Q

Expansion of microstone:

A

about 0.12%

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10
Q

Amount of stone to water with microstone:

A

140 mg to 40mL

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11
Q

How wide should the land area be for diagnostic casts?

A

1-2 mm, dense smooth surface with no positive nodules/ no voids

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12
Q

Thickness of posterior part of diagnostic cast:

A

10-15mm

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13
Q

Why is the width of the posterior portion of the diagnostic cast different than that in the manual?

A

mounting plates

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14
Q

What are we using in place of our facebow?

A

mounting jig

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15
Q

What do we use to make 3 divits in our diagnostic cast?

A

stone cutter or arbor band

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16
Q

Into what machine are the stone cutter and arbor band attached?

A

lathe

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17
Q

Angle of Hannau Articulator:

A

30 degrees

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18
Q

Expansion of mounting stone:

A

0.08%

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19
Q

Amount of stone to water for microstone(?) (mounting?):

A

100g to 26mL water

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20
Q

Mounting maxillary cast:

A

Make X on top, small glob on either side, let dry, use second batch for the rest, hot glue man to maxillary upside down using the bite registration

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21
Q

Are the extra impressions we keep for the patient records supposed to be mounted with stone as well?

A

Yes

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22
Q

Name of the scanner we are using:

A

Planmeca/ E4D

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23
Q

If you have to disconnect the white thunderbolt:

A

disconnect the red-white connector (scanner), exit software, click eject media icon in the lower right corner of desktop, choose “Eject IEEE I394 Controller”

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24
Q

What should you do if the scanner is not being used for a long time?

A

disconnect the scanner (otherwise, fan will continue running)

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25
Q

What do you do with the cord after the connector is disconnected from the thuderbolt?

A

untwist the cord and wrap it around the cradle holder

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26
Q

After clicking “add patient” what do you fill in for the fields “person id”, “first name” and “second name?”

A

person id: Project Name-Typodont Number (i.e. CCC30A-965), first name: TRM, Last name: 965, save patient, click CADCAM button, click scan, click prep, space bar to start scan, “Go to CADCAM” ,double click new scan?

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27
Q

The tip of the scanner is ALWAYS place toward:

A

the distal of the arch

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28
Q

Start scanning here:

A

occlusal of prep, long part of the head touching the occlusal surface

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29
Q

Scanning pattern:

A

Occlusal of preparation, head on occlusal surface with long part of head touching occlusal surface, then mesial, tilt head toward lingual, scan all 3, occlusal of tooth distal to preparation, rotate tip toward the buccal and continue scanning form distal to mesial (all 3 teeth), scan the lingual proximal surface using fish tail movements

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30
Q

What do you do after scanning the 3 teeth?

A

Go to home page by clicking on upper left tooth icon, file, export, export CADCAM case, allow it to be saved, highlight the file, save to desktop (saves as zipped with date and time), click export, create a folder on the desktop “965 - Project number (CCC 30),” open folder, find “prep” folder and copy the content of “prep” folder into the created folder, find folder for typodont 965 under shared folder move “Digital 2019” and move the created folder under your folder, delete unzipped from desktop, open Compare

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31
Q

True or False? Compare software can read zipped files.

A

F

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32
Q

After opening Compare:

A

Load Master: CCC 30- Standard Preparation, Load Sample: Your Scan

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33
Q

Which portion of the preparation does the tip of the Chamfer Bur - Compare Software create?

A

the margin - tip

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34
Q

Which portion of the preparation does the side of the Chamfer Bur - Compare Software create?

A

axial wall base - side

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35
Q

Margin in Compare Software:

A

Finishline in dentistry

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36
Q

Axial Wall Base in compare Software:

A

the most gingival portion of the axial wall and the most internal portion of the finishline

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37
Q

occlusal in compare software:

A

outline of functional cusp bevel and occlusal table

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38
Q

Set occlusal angle:

A

position direction of yellow cylinder in order to have proper path of insertion

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39
Q

What do you take to the scanning room? (B28K?)

A

cleaned prepared tooth, screw, and screw driver

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40
Q

Clock posiitons for R handed clinician:

A

12-8

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41
Q

Patient position, mandibular arch:

A

mandibular occlusal surface 45 degrees to floor

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42
Q

Position of patient while working in maxillary arch:

A

maxillary occlusal surface perpendicular to the floor

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43
Q

Position of clinician for mandibular anterior sextant:

A

8-9 o’clock

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44
Q

Position of clinician for maxillary anterior sextant:

A

12 o’clock

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45
Q

Position of clinician for mandibular right posterior buccal and mandibular left posterior lingual:

A

9 o’clock

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46
Q

Position of clinician for maxillary right posterior buccal and maxillary left posterior lingual:

A

9 o’clock

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47
Q

Position of clinician for mandibular left posterior buccal and mandibular right posterior lingual:

A

10 -11 o’clock

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48
Q

Position of clinician for maxillary left posterior buccal and maxillary right posterior lingual:

A

10-11 o’clock

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49
Q

Position of clinician for occlusal of maxillary posterior:

A

12 o’clock

50
Q

Position of clinician for occlusal of mandibular posterior:

A

8-9 o’clock

51
Q

Position of clinician for anterior surface toward my non dominant hand:

A

8-9 o’clock

52
Q

Position of clinician for anterior surface away from my non dominant hand:

A

12 o’clock

53
Q

Position of clinician for posterior aspects facing toward me (right facial and left lingual)

A

9 o’clock

54
Q

Position of clinician for posterior aspects facing away from me (right lingual and left facial):

A

10-11 o’clock

55
Q

When working in these areas the patients head should be slightly toward with chin down:

A

Any mandibular anterior AND mandibular posterior, away from me (right lingual and left facial)

56
Q

When working in these areas the patients head should be slightly toward with chin up:

A

Any maxillary anterior surface AND maxillary posterior, away from me (right lingual and left facial)

57
Q

When working in these areas the patients head should be slightly away with chin down:

A

Mandibular, posterior, toward me (right facial and left lingual)

58
Q

When working in these areas the patients head should be slightly away with chin up:

A

maxillary, posterior, toward me (right facial an left lingual)

59
Q

Musculoskeletal injury =

A

force, repetition, position, no rest

60
Q

What causes carpal tunnel syndrome?

A

compression of the median nerve in tunnel: poor posture, bending the hand repeatedly in any direction and continuously pinch-gripping an instrument without resting muscles

61
Q

8 musculoskeletal disorders seen in dental healthcare providers:

A

carpal tunnel, ulnar nerve entrapment, pronator syndrome, tendinitis, tenosynovitis, extensor wad strain, thoracic outlet syndrome, rotator cuff tendinitis

62
Q

What causes ulnar nerve entrapment?

A

compression of the ulnar nerve as it passes through the wrist: bending of the hand in any direction and holding the little finger full span away from the hand

63
Q

What causes pronator syndrome?

A

compress median nerve between heads of pronator teres: holding the lower arm away from the body

64
Q

What other syndrome has symptoms similar to carpal tunnel?

A

Pronator syndrome, both involve median nerve

65
Q

What causes tendinitis?

A

strain: repeatedly extending the hand up or down at the wrist (pain at outer edges of hand, not center of wrist)

66
Q

What causes tenosynovitis?

A

inflammation of the tendons on the side of the wrist and at the base of the thumb: hand twisting, forceful gripping, bending the hand back or to the side

67
Q

What causes extensor wad strain?

A

extensor muscles of thumb and fingers: extending fingers independently of each other

68
Q

What causes thoracic outlet syndrome?

A

compress brachial plexus and assoc vessels: titling the head forward, hunching the shoulders forward, and continuously reaching overhead

69
Q

What causes rotator cuff syndrome:

A

elbows above waist and upper arm away from body

70
Q

Neutral seated position:

A

forearms and thighs parallel to the floor, weight evenly balanced, hip angle 90 degrees, heels of feet on floor

71
Q

Neutral neck position:

A

Head tilt 0-15 degrees, line form eyes to treatment area as near to vertical as possible (?)

72
Q

neutral back position:

A

slightly forward, 0 - 20 degrees

73
Q

neutral shoulder position:

A

horizontal line, weight evenly balanced when seated

74
Q

Neutral arm position:

A

upper arms parallel total long axis of torso, elbows at waist level held slightly away from body (within 20 degrees of body)

75
Q

Neutral forearm position:

A

parallel to floor, raised or lowered, if necessary, by pivoting at the elbow joint from 60-100 degrees

76
Q

Neutral hand position:

A

Little finger-side of palm slightly lower than thumb side of palm, wrist aligned with forearm

77
Q

Supine position:

A

patient horizontal, chair back nearly parallel with floor, heels just above tip of nose (blood flow, less likely to faint), chair can be slightly up for mandibular work, top of head even with upper edge of head, adjust head rest so patients neck and head are aligned with the torso

78
Q

True or False? Patients should tilt their head up when working in the mandibular areas.

A

F. down

79
Q

True or False? The chin-up position is when the head is in a neutral position.

A

T. used for maxillary work

80
Q

Define ergonomics:

A

adjusting the design of tools, equipment, tasks, and environments for safe, comfortable, and effective human use

81
Q

Why should you limit the time spent in the 8 o’clock position?

A

difficult to maintain neutral arm position

82
Q

Forearm position in 9 o’clock position:

A

alignment with patients shoulder (approximate)

83
Q

Your left hand and wrist should be here in the 9 o’clock position:

A

over patients right eye

84
Q

Position of right and left hands in the 10-11 o’clock position:

A

left hand and wrist above the patients nose and forehead, right directly across the corner of the patients mouth

85
Q

Position of wrists and hands in the 12 o’clock position:

A

above patients ears and cheeks

86
Q

Anterior surfaces toward my non-dominant hand are:

A

mesial surfaces to left of midline and distal to right of midline

87
Q

Posterior aspects facing toward me:

A

right facial, left lingual

88
Q

Posterior aspects facing away from me:

A

right lingual, left facial

89
Q

Patient positioning mnemonic:

A

Me, Patient, Light, Nondominant, Dominant

90
Q

True or False? The anterior surface are away from my non dominant hand when positioned to work in the anterior sextant.

A

F. toward my non dominant hand

91
Q

Chin position of patient when working in the 8 to 9 o’clock position on the mandibular teeth:

A

toward, chin down

92
Q

Chin position of patient when working in the 8 to 9 o’clock position on the maxillary teeth:

A

toward, chin up

93
Q

When working in the 12 o’clock position the chin should be down for this arch and up for this arch:

A

mandibular, maxillary

94
Q

Should you ask the patient to turn toward or away from you when working on the mandibular posterior right buccal surfaces? chin up or down?

A

away, chin down

95
Q

Should you ask the patient to turn toward or away from you when working on the mandibular posterior left lingual surfaces? chin up or down?

A

away, chin down

96
Q

Should you ask the patient to turn toward or away from you when working on the maxillary posterior right buccal surfaces? chin up or down?

A

away, chin up

97
Q

Should you ask the patient to turn toward or away from you when working on the maxillary posterior left lingual surfaces? chin up or down?

A

away, chin up

98
Q

Should you ask the patient to turn toward or away from you when working on the mandibular posterior left buccal surfaces? chin up or down?

A

toward, chin down

99
Q

Should you ask the patient to turn toward or away from you when working on the mandibular posterior right lingual surfaces? chin up or down?

A

toward, chin down

100
Q

Should you ask the patient to turn toward or away from you when working on the maxillary posterior left buccal surfaces? chin up or down?

A

toward, chin up

101
Q

Should you ask the patient to turn toward or away from you when working on the maxillary posterior right lingual surfaces? chin up or down?

A

toward, chin up

102
Q

type of material we use for interocclusal record:

A

PVS (polyvinyl siloxane) registration material. Apply virtual registration

103
Q

How to trim the interocclusal registration:

A

just leave the tips of cusps, thin orange piece

104
Q

Type of stone for the maxillary arch:

A

cast stone (microstore), vibrate to remove bubbles

105
Q

Bottom part of the cast should be:

A

parallel to the occlusal surface

106
Q

What needs to be done to the cast before mounting?

A

Pindex the bottom ( 3: CI’s and one at either corner)

107
Q

Articulator condylar angulation should be set at:

A

30 degrees

108
Q

Angulation of anterior table:

A

zero angulation

109
Q

Why do we wet the maxillary cast after scratching it?

A

ask

110
Q

Type of stone to mount cast to articulator:

A

plaster stone (mounting)

111
Q

Always scan under:

A

prep

112
Q

What color should you see on the occlusal surface to continue scanning:

A

green/ yellow

113
Q

What will happen if you scan too quickly with Scan /ED4?

A

won’t scan, L and R image won’t move together on screen

114
Q

Always go to the buccal/ lingual first when scanning:

A

lingual

115
Q

True or False? Hydrocholoid material requires a larger tray than PVS material when taking impressions.

A

T

116
Q

Why do we NEED to trim our interocclusal record?

A

proper interdigitation

117
Q

The cast must be __ before the sticky wax or hot glue will stick.

A

Dry

118
Q

When maxillary and mandibular casts can be switched and properly interdigitated together:

A

Crossmounting

119
Q

What will happen if you soak a cast in plain water and not slurry water?

A

leach out, lose stone from cast

120
Q

Pour up a cast within:

A

15 minutes