Finishing and delivery of RPD

Question 1

What are the aims of a delivery visit

Answer 1

Patient leaves the surgery with a denture that:​

Is a good and accurate fit​

Is comfortable​

They are able to insert and remove​

They know how to clean

Question 2

What should be checked before the patient arrives for delivery

Answer 2

Check it is the correct patient’s lab work​

Check there is no damage to the framework following acrylic processing​

Check the acrylic for porosity or plaster inclusions​

Look for areas of undercut or where it may rub – don’t adjust yet

Check the fitting surface for rough edges or acrylic nodules and remove (use a glove or gauze swab)​

Check for acrylic flash at junction with CoCr ​

Place in Perform to disinfect

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Question 3

What things will a patient tell you about when trying in their denture

Answer 3

Denture not seating​

Painful areas​

Movement​

Dislodgement​

Problems with the bite

Question 4

What should be true of the frenal attachment

Answer 4

Thin but deep “V” shaped area of relief for labial frenum​

Check when in situ that frenum has room to move​

Make space by adjusting with handpiece

Question 5

What can be used to identify areas of rubbing when visualidentification isnt possible

Answer 5

Indicating paste

Question 6

What are the steps to using pressure indicator paste

Answer 6

Dry the denture​

Put some PiP where the patient feels it is rubbing or where you want to check​

Carefully insert the denture – don’t wipe the paste off​

In areas of excess pressure- there will be bare spots​

Relieve these areas​

Rub of old Pip and repeat​

Question 7

What tool is used to adjust clasps

Answer 7

Adams pliers

Question 8

What contacts do articulating paper identify

Answer 8

Premature contacts​

Deflective contacts

Question 9

What appearance features should be assessed

Answer 9

Centre line​

Shade​

Incisal plane​

Blending with natural teeth​

Question 10

What sound can patients say to assess amount of tooth shown

Answer 10

Say the letter ‘f’

Question 11

What is the checklist for a denture delivery visit

Answer 11

Seating​

Extension​

Retention​

Occlusion​

Appearance​

Speech​

Question 12

What instructions can you give with the new denture

Answer 12

What to expect from new dentures​

How to clean them and store them​

How to contact you if there is a problem

Question 13

What denture habits are associated with poorer oral health related quality of life

Answer 13

Frequency of denture use​
Hours of wearing
Wearing when sleeping
Frequency of cleaning

Question 14

When is a review appointment

Answer 14

1-2 weeks after delivery

Question 15

Why is a review appointment the most difficult stage

Answer 15

You are not in control and have to react to patients concerns

Question 16

What are common problems with the denture

Answer 16

Pain​

Loose​

Bite feels different​

Appearance​

Speech​

OVD