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Complete Removable Prosthodontics > Immediate Complete Dentures > Flashcards

Immediate Complete Dentures Flashcards

1
Q

Inflammatory papillary hyperplasia

“IPH”

A

A reactive tissue growth usually developing under a denture

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2
Q

Inflammatory papillary hyperplasia

“IPH” Occurs on

A

hard palate beneath denture base

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3
Q

what does IPH look like

A

Asymptomatic red or pink nodules on mucosa of hard palate and
occasionally the residual ridge

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4
Q

IPH

Directly related to (2)

A

constant wearing of ill-fitting denture and poor oral

hygiene

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5
Q

IPH

— Syndrome

A

Combination

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6
Q

IPH

— frequently present

A

Candida

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7
Q

Immediate dentures- 2 popular protocols

A

Conventional

Interim / transitional

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8
Q

Conventional

A

reline the immediate denture after

healing and ridge stable (6 months) ONE denture

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9
Q

Interim / transitional –

A

aim is to use for short
period, then it is replaced by the definitive
prosthesis when healing is complete TWO dentures

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10
Q

Immediate Dentures

Fabricated prior to

A

extracting natural teeth

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11
Q

conventional/classic immediate denture

— is done

A

relining/refitting

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12
Q

interim/transitional/nontraditional immediate denture

A

new CD is made

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13
Q

Immediate Complete Dentures

Advantages (3)

A

Prevent patient embarrassment
Provide guide for optimal esthetics
Provide guide for OVD

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14
Q 
Immediate Complete Dentures
More Advantages (7)
A

maintenance of a patients appearance
circumoral support, muscle tone, vertical dimension of occlusion, jaw relationship, and face height can be maintained. the tongue will not spread out as a result of tooth loss
less postoperative pain as extraction sites are protected
easier to duplicate (if desired) the natural tooth shape and position
adaptation easier. speech and mastication are rarely compromised, and nutrition can be maintained
availability of tissue conditioning material
patients psychological and social well being is preserved

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15
Q

Immediate Dentures

Disadvantages (4)

A

Increased complexity –impressions, CJR
Lack of clinical evaluation of trial denture-anterior esthetics
Increased maintenance
Greater # visits = more cost

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16
Q 
Immediate Dentures
More Disadvantages (5)
A

immediate dentures are more challenging
the anterior ridge undercut (by the presence of the remaining teeth) may interfere with the impression procedures
the presence of different numbers of remaining teeth in various locations frequently leads to recording incorrectly the centric relation position
no denture tooth try in in precludes knowing what the denture will actually look like on the day of insertion
more chair time, additional appointments, and therefore increased costs

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17
Q

explanation to the patient concerning immediate dentures (4)

A

do not fit as well as normal CD
the pain of the extractions, in addition to the sore spots caused by the immediate denture will make the first week or two after insertion difficult
it will be difficult to eat and speak initially
the esthetics may be unpredictable because an anterior try in is not possible

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18
Q

immediate dentures (7) steps

A 
exam/diagnosis/tx plan
preliminary impressions 
secondary impressions
max-mand relationship records 
posterior trial placement 
extractions-insertion
post insertion care
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19
Q

Exam & Diagnosis (3)

A

Tori
Tuberosities
Frenal attachments

20
Q

Exception: An existing esthetic
RPD
Maintain

A

RPD abutment teeth

21
Q

Exception: An existing esthetic
RPD
Maintain RPD abutment teeth
two phase surgical regimen:

A

1: remove posterior teeth, alveoloplasty, tuberosity reduction
fabricate denture
2: extract anterior teeth at denture insertion appointment

22
Q

Phase 1 Surgery (3)

A

Removal of posterior teeth
Surgical correction of tuberosities, etc
Wait 6 –8 weeks, begin fabricating the immediate denture

23
Q

Phase 2 Surgery at denture insertion (2)

A

Extract anterior teeth

Labial frenectomy, if needed

24
Q

Benefits of 2-phase surgery (3)

A

Simplifies clinical procedures
Reduces post-placement care
Improves denture comfort & retention

25
Q

Preliminary impressions

May need to customize

A

tray borders

26
Q

Diagnosis

A

Determine patient’s expectations
Educate patient about limitations of complete dentures and his/her role
in successful outcome

27
Q

Secondary impression

techniques (4)

A

Stock tray
Custom impression tray
Combination
Campagna technique

28
Q

Border-molded custom tray

Presence of — makes border molding more difficult

A

teeth

29
Q

Max. –Mand. registrations (2)

A

Presence of anterior teeth may make OVD determination easier
Malposed, drifted, mobile teeth would make CJR registrations more
difficult

30
Q

Posterior trial placement

Confirm (2)

A

Confirm correct mounting of casts

Confirm OVD is correct

31
Q

Posterior trial placement

Midline and incisal plane location-

A

mark the cast for reference

32
Q

Set Anterior teeth (3)

A

Midline and incisal plane marked
Alternate tooth arrangement –set every other tooth
Minimal alveolar ridge modification

33
Q

Surgical template
Required if
Fabricated at

A

any alveoloplasty or bone smoothing is anticipated

wax elimination stage of processing

34
Q

Don’t schedule the

surgery/insertion on a

A

Friday or

day before a holiday or vacation!

35
Q

Extraction of remaining teeth (2)

A

Simple extractions, hopefully

Alveoloplasty, frenectomy in anterior, if needed

36
Q

Denture insertion (3)

A

PIP
Relieve any pressure areas
Bilateral occlusal contacts

37
Q

Immediate Overdenture ?

Reduce — and place — prior to extractions

A

abutments

amalgam

38
Q

immediate dentures must be work for the first — hours without being removed by the patient. if they are removed, they may not be able to be reinserted for 3-4 days. the dentist will remove them at the 24 hour visit

A

24

39
Q

immediate dentures will “—” during healing, tissue conditioners will be required

A

loosen

40
Q

6-9 mo after insertion at least a — will need to be done, possibly a remake. the patient is responsible for fees

A

reline

41
Q

Patient instructions (4)

A

Soft diet
Some bleeding to be expected
May have swelling for 3 –4 days
Return to clinic the next day; 24-hour post-op.

42
Q

Post-Insertion care

at 24-hr appnt (3)

A

Remove and rinse denture
Relieve any obvious pressure areas
Evaluate retention and occlusion

43
Q

Post –Insertion Care

at 72 hr appnt (2)

A

Evaluate extraction sites

Evaluate tissue, denture retention, oral hygiene

44
Q

As tissue shrinks from denture contact, — will usually decrease and
require tissue conditioner

A

retention

45
Q

Occlusal correction –remount –done when

A

patient is comfortable (2 –

3 weeks)

46
Q

— — changed as needed

A

Tissue conditioner

47
Q

Decision to reline/rebase/remake is made after — months

A

4-6

Complete Removable Prosthodontics (20 decks)

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