LECTURE 17: INITIAL PLACEMENT, ADJUSTMENT, AND SERVICING Flashcards by Love Dog | Brainscape

Q

→ fifth of six essential phases in removable partial denture service

→ should be a scheduled appointment, not a quick-hand off with instructions to return if issues arise

A

INITIAL PLACEMENT

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Q

bases should be adjusted to prevent discomfort and ensure a proper fit

A. PRE-DELIVERY ADJUSTMENTS
B. PATIENT ADAPTION
C. FINISHING DENTURE BASES AND OCCLUSION

A

A

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Q

Eliminate Occlusal Discrepancies- necessary adjustments made to prevent functional issues

A. PRE-DELIVERY ADJUSTMENTS
B. PATIENT ADAPTION
C. FINISHING DENTURE BASES AND OCCLUSION

A

A

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Q

Continued Patient Education-
patient must understand care, use, and adjustments required for the prosthesis

A. PRE-DELIVERY ADJUSTMENTS
B. PATIENT ADAPTION
C. FINISHING DENTURE BASES AND OCCLUSION

A

A

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Q

Accommodation Period-
adjustment period is needed for comfort, function, and confidence in the prosthesis

A. PRE-DELIVERY ADJUSTMENTS
B. PATIENT ADAPTION
C. FINISHING DENTURE BASES AND OCCLUSION

A

B

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Q

Patient Confidence
knowing the process was carefully executed builds trust in both dentist and prosthesis quality

A. PRE-DELIVERY ADJUSTMENTS
B. PATIENT ADAPTION
C. FINISHING DENTURE BASES AND OCCLUSION

A

B

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Q

T/f

initial placement and post-insertion adjustments are crucial for treatment success

A

T

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Q

adjust denture bearing and occlusal surfaces during initial placement and subsequent visits

A. Dentist’s Adjustments
B. Patient’s Adaptation

A

A

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Q

psychological and biological accommodation to the new prosthesis

A. Dentist’s Adjustments
B. Patient’s Adaptation

A

B

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Q

adjust occlusion after resin base processing and before separating dentures from casts

A. Post-Processing
B. Perfected Contours
C. Final Mouth Adjustment

A

A

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Q

finish denture bases for optimal function and aesthetics, compensating for casting limitations

A. Post-Processing
B. Perfected Contours
C. Final Mouth Adjustment

A

B

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Q

necessary for proper fit to oral tissue, ensuring comfort and stability

A. Post-Processing
B. Perfected Contours
C. Final Mouth Adjustment

A

C

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Q

Bearing Surface Adjustment
denture bases should align with supporting soft tissues

A. PRE-DELIVERY ADJUSTMENTS
B. PATIENT ADAPTION
C. FINISHING DENTURE BASES AND OCCLUSION
D. FINAL ADJUSTMENTS FOR OPTIMAL FIT

A

D

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Q

Occlusal Adjustment
ensure metal parts (occlusal rests, etc.) accommodate natural occlusion

A. PRE-DELIVERY ADJUSTMENTS
B. PATIENT ADAPTION
C. FINISHING DENTURE BASES AND OCCLUSION
D. FINAL ADJUSTMENTS FOR OPTIMAL FIT

A

D

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Q

Harmonizing
align artificial dentition with natural occlusion

A. PRE-DELIVERY ADJUSTMENTS
B. PATIENT ADAPTION
C. FINISHING DENTURE BASES AND OCCLUSION
D. FINAL ADJUSTMENTS FOR OPTIMAL FIT

A

D

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Q

Occlusion
in all mandibular positions for seamless function

A. PRE-DELIVERY ADJUSTMENTS
B. PATIENT ADAPTION
C. FINISHING DENTURE BASES AND OCCLUSION
D. FINAL ADJUSTMENTS FOR OPTIMAL FIT

A

D

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Q

→ should be easily displaced by tissue contact
→ should not adhere to mouth

A. PRE-DELIVERY ADJUSTMENTS
B. PATIENT ADAPTION
C. FINISHING DENTURE BASES AND OCCLUSION
D. FINAL ADJUSTMENTS FOR OPTIMAL FIT
E. INDICATOR PASTE

A

E

Q

vegetable shortening and USP zinc oxide powder

A. PRE-DELIVERY ADJUSTMENTS
B. PATIENT ADAPTION
C. FINISHING DENTURE BASES AND OCCLUSION
D. FINAL ADJUSTMENTS FOR OPTIMAL FIT
E. INDICATOR PASTE

A

E

Q

→ remove denture and inspect for areas with displaced paste, indicating pressure points
→ relieve pressure areas and reapply paste as needed until fit is optimized

A. PRE-DELIVERY ADJUSTMENTS
B. PATIENT ADAPTION
C. FINISHING DENTURE BASES AND OCCLUSION
D. FINAL ADJUSTMENTS FOR OPTIMAL FIT
E. INDICATOR PASTE
F. INSPECTION AND ADJUSTMENT

A

F

Q

for patients with xerostomia, carefully distinguish genuine pressure areas from areas where paste adhered due to dryness

A. PRE-DELIVERY ADJUSTMENTS
B. PATIENT ADAPTION
C. FINISHING DENTURE BASES AND OCCLUSION
D. FINAL ADJUSTMENTS FOR OPTIMAL FIT
E. INDICATOR PASTE
F. INSPECTION AND ADJUSTMENT

A

F

Q

T/f

primary denture-bearing areas should show more contact than secondary or non-supportive areas

A

T

Q

essential to detect and correct discrepancies before placing stress on oral tissues

A. PRE-DELIVERY ADJUSTMENTS
B. PATIENT ADAPTION
C. FINISHING DENTURE BASES AND OCCLUSION
D. IMPORTANCE OF TRAUMA MINIMIZATION
E. INDICATOR PASTE
F. INSPECTION AND ADJUSTMENT

A

D

Q

T/f

IMPORTANCE OF TRAUMA MINIMIZATION

to prevent paste from sticking, the denture can be dipped in cold water before seating, and the patient bites on cotton rolls or the dentist applies pressure to simulate function

→ repeated applications may be necessary to ensure proper fit, with particular attention to any areas showing excessive pressure, such as near the retromolar pad

A

T

Q

T/f

TIMING OF INTERFERENCE ELIMINATION

→ occlusal interference from rests or other framework parts should be removed before or during occlusal relation establishment
→ framework should be tested in the mouth before final jaw
relations are set to detect and remove interference

A

T

Q

T/f

expectation at initial placement:

o occlusal interference from the framework should not require
adjustments when the finished denture is initially placed

A

T

Q

adjust better intraorally; distal-extension dentures are best adjusted using an articulator

A. Tooth-Supported
B. Tissue-Supported

A

A

Q

distal-extension bases may need non-pressure interocclusal records to correct occlusion due to base movement

A. Tooth-Supported
B. Tissue-Supported

A

B

Q

T/f

PROCESS FOR OPPOSING PARTIAL DENTURES

→ adjust one arch (typically the maxillary) as intact and fit the opposing denture to it

A

T

Q

use indicators like ___ and occlusal wax to detect excessive contacts

A

articulation paper

Q

T/f

different colors of paper mark centric and eccentric contacts; wax helps pinpoint heavy contact areas

A

T

Q

T /f

FINAL RESTORATION OF ANATOMY

→ sharpen cusps and restore grooves to prevent food trapping and reduce stress on the denture

→ follow-up adjustments every ____ months are advised to maintain proper fit and avoid tissue trauma

A

T

6

Q

if a removable partial denture is removed at night, ensure the opposing complete denture is also removed to avoid damaging the alveolar ridge

T/f

A

T

Q

T/f

DENTURE ROCKING OR LOOSENESS
→ looseness may indicate a change in the supporting ridges, rather than clasp retention

→ this can be addressed by ___ or _____ the denture

→ loss of ridge support is gradual and should be monitored by the
dentist

A

T

relining or rebasing

Q

occlusal contact tests (wax or ___) to check base support

A

Mylar strips

Q

T/f

INITIAL DISCOMFORT AND ADJUSTMENTS
→ advise that some discomfort may occur initially, often due to the bulk of the prosthesis
→ soreness may develop; reassure that adjustments can be made if needed, but avoid guaranteeing comfor

A

T

Q

T/f

gagging is rare, but avoid bulky contours and adjust the denture for comfort

A

T

Q

clean dentures after meals and before bed; brush with a small, soft-bristle brush and use nonabrasive ___

A

dentifrice

Q

soak dentures daily in a cleaning solution (avoid _____ for metal frameworks)

A

hypochlorite

Q

T/f

wearing dentures at night may be considered for bruxism, but an individual mouth guard should be used for this purpose

A

T

Q

schedule a follow-up appointment ___ hours after initial placement to evaluate comfort and make any necessary adjustments

A

24

Q

T/f

→ regular follow-up visits are essential for evaluating the denture and oral health
→ support for prostheses (especially Kennedy Class I and II) may change over time
→ limited success may occur if the patient doesn’t return for periodic evaluations

A

T