Impressions for Removable Prosthodontics Flashcards

1
Q

What do we aim to record when taking a primary impression

A

we want you to record the functional depth and acceptable width of sulci in specific areas

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2
Q

Where should the operator stand when taking a lower impression

A

From the front

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3
Q

Where should the operator stand when taking an upper impression

A

From behind the patient

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4
Q

How should patient be position when taking a lower impression

A

Patients mouth about elbow height

Patient should be upright

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5
Q

How should patient be position when taking an upper impression

A

Patients mouth about elbow height

Patient should be slightly reclined

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6
Q

List the 3 steps we follow when taking a primary impression

A
  1. Insert
  2. Postion
  3. Seat
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7
Q

How do we insert the tray to take a primary impression

A

Rotational insertion
Retract one corner of the mouth with your left hand and the other corner with the anterior part of the tray
Rotate in

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8
Q

What can we ask the patient to do when we take a Lower impression to make sure it it seated properly

A

Can ask your patient to lift the tongue as you seat the tray
Make sure you seat posterior then the anterior

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9
Q

List the step we take before taking a primary impression

A
  1. Tray selection
  2. Adaptation of the tray
  3. Alginate impressions
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10
Q

Name the 2 types of trays we can use to take primary impressions

A
  1. Box tray

2. Curved tray

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11
Q

Who are box trays used for

A

For dentate patients (patent with teeth)

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12
Q

Who are box trays used for

A

Edentulous patients

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13
Q

How do we choose the size of the tray?

A
  1. Choose the posterior width
  2. There should be 2-3 mm space buccal to the teeth/residual ridge
  3. Look at the length of the tray if the posterior width of the tray is right we alter the length
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14
Q

Which do we prefer to alter the posterior width or the length of the tray

A

Length of the tray

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15
Q

Which stage is key for making consistently good primary impressions

A

The tray adaptation stage

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16
Q

How do we adapt primary impression trays

A

By using silicone putty

17
Q

What do we mean by adaptation of tray

A

We fill large edentulous spaces with silicone putty

18
Q

Why do we need to adapt our primary impression trays

A

Wed end up with unsupported alginate in edentulous areas

This alginate would be floppy and could be easily distorted making it harder to assess the position of the sulcus depth

19
Q

How do we carry out tray adaptation

A
  1. Make silicone adhesive
  2. Put the putty into the tray
  3. Insert, position and seat the tray
  4. Border mould
20
Q

What is border moulding

A

The art of muscle trimming