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DaDaDaDentures > Lecture 7-visits 5 and 6...delivery, checks, and remounts > Flashcards

Lecture 7-visits 5 and 6...delivery, checks, and remounts Flashcards

1
Q

QUICK! What are the 8 steps after processing? (begin with processing)

A

1.processing 2.LAB remount 3.VDO 4.Facebow Jig 5.Separate from master casts 6.polish 7.make remount casts 8.articulate the maxillary remount cast using jigq

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2
Q

Objective of visit 5: To provide the patient with a complete denture prosthesis that is in physiologic ______ with the oral environment

A

HARMONY :)

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3
Q

Before seating CD
• Wash the prosthesis w/____ and water
• Disinfect the prosthesis (_____ for 10 minutes)
• Check for any _____ projections, blebs or rough areas that would injure the patient
• Check over/under extension and thickness
• External surfaces should be smooth and _______

A

soap…Birex…sharp…polished

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4
Q

What is the internal surface of the denture called?

A

IN-TAG-LI-O surface

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5
Q

What do you have the patient bite on when checking the Pressure Indicating Paste (PIP)? For how long?

A

cotton rolls for 2 min

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6
Q

How do you remove PIP?

A

EtOH gauze

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7
Q

Which area do you actually want some pressure on the mandible?

A

DL undercut…major retention area

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8
Q

What do you use AFTER PIP to check for over extensions?

A

disclosing wax

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9
Q

What do you take the CR with when doing a clinical remount?

A

AluWax or ZnOE paste (zinc oxide eugenol)

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10
Q

Can you adjust the dentures in the patient mouth if you see a occlusal hinderance when delivering the final denture?

A

NO NO NO NO

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11
Q

What are the two appointments when you can do a clinical remount?

A

Visit 4-Esthetic Try-In and Visit 5-Delivery

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12
Q

Pt Edu: Forewarn patient about fullness sensation, excessive _______/gradually subside

A

SALIVATION

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13
Q

Pt Edu: Difficulty in _______ ESPECIALLY the “__” sounds /Reading aloud

A

speaking…”s”

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14
Q

Pt Edu: _____ tongue position (to maintain the border seal and stability)

A

forward

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15
Q

Pt Edu: Make diet recommendations and suggest to cut food in small pieces/place it ______ and chew in an up and down motion

A

bilaterally

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16
Q

Pt Edu: Soak dentures in ______ solution ( HOW MUCH? sodium hypochlorite per ____ oz. of water)

A

bleach…0.5 TEASPOONS of NaClO per 8 oz h2o

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17
Q

Pt Edu: Brush the denture w/denture brush, do not use ________, ridges and palate should be brushed w/soft toothbrush

A

toothpaste (leaves denture grainy/sandy)

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18
Q

Pt Edu: Remove CD from mouth for _______ hours during the day/at night

A

6-8 hours

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19
Q

Pt Visit #6…“The ___ hour visit”

A

24 hour

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20
Q

Visit 6-Listen to patient’s complaints and ______ check referred areas…EVEN if Pt says they are OK :)

A

visually

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21
Q

Visit 6- use ___ paste and look for _______ on the soft tissue

A

PIP paste….erythemia (ulcerations)

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22
Q

If there are lots of hang ups on Visit 6- Instruct patient not to use denture(s) for ___ to ___ hours depending on severity of lesion(s)

A

6 to 24 hours

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23
Q

If lesions are present indicate patient to rinse his/her mouth with _______ or ______ solution (___ tsp. of it in ___ oz of warm water)

A

warm water OR saline…(0.5 tsp./8oz)

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24
Q

Visit 6- with sore spots Appoint in ___-___ hours after initial placement and reappoint in ___-___ months

A

48-72 hours…6-12 months

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25
Q

Is DEAFNESS a possible complication in Visit 6?

A

YES! WTF??

26
Q

IMMEDIATE DENTURES!!! how long do you wait after EXT of posterior teeth?

27
Q

Immediate Denture Challenges Increased ________ of clinical procedures

A

complexity

28
Q

Immediate Denture Challenges Limited ________ of trial denture

A

evaluation

29
Q

Immediate Denture Challenges ________ patient DISCOMFORT

30
Q

Immediate Denture Challenges ________ denture maintenanc

31
Q

Immediate Denture Challenges _________ treatment cost

32
Q

Immediate Denture Advantages Promotes better _______ and _______ form

A

healing and ridge form

33
Q

Immediate Denture Advantages Prevents _______ of facial musculature

34
Q

Immediate Denture Advantages _______ patient adaptation to dentures

35
Q

Immediate Denture Advantages ________ patient embarrassment

36
Q

Immediate Denture Advantages ________ patient health

37
Q

Immediate Denture Advantages Provides a guide for optimal individualized patient _______

38
Q

Immediate Denture Advantages Provides a guide for _____

39
Q

Immediate Denture Treatment Sequence 1st Clinical Appointment

A

Exam & preliminary impressions..Lab procedures - custom tray fabrication

40
Q

Immediate Denture Treatment Sequence 2nd Clinical Appointment

A

Master impressions…Lab procedures - master cast, record base & occlusion rim fabrication if indicated

41
Q

Immediate Denture Treatment Sequence 3rd Clinical Appointment

A

Maxillomandibular relation records, and tooth selection…Lab procedures - wax trial denture fabrication if indicated

42
Q

Immediate Denture Treatment Sequence 4th Clinical Appointment

A

Wax trial denture try- in (confirm mounting & esthetics) if indicated…..Lab procedures - process dentures

43
Q

Immediate Denture Treatment Sequence 5th Clinical Appointment

A

Extractions & denture insertion, adjust tissue surface &
flanges, adjust occlusion & care instructions

44
Q

Immediate Denture Treatment Sequence 6th Clinical Appointments

A

24 hour post-insertion checks, adjust dentures & reinforce care instructions

45
Q

Immediate Denture Treatment Sequence 7th and 8th clinical appt..

A

72 hr and 1 week post-insertion checks, adjust dentures, clinical remount and reinforce care instructions

46
Q

What is the key for making the custom tray around present teeth when doing immediate dentures?

A

2 layers of wax over the present teeth will give room in the tray for them

47
Q

Why is it important to remove all the wax from your custom tray after fabrication?

A

the impression material will not adhere to it and will distort!

48
Q

How long before the master impression do you make the custom trays?

49
Q

What is the most commonly used final impression material combination for immediate dentures?

A

modeling compound and rubber base

50
Q

How can we make sure the impression doesnt pull the patient’s teeth during the final impression?

A

put wax in the embrasures!

51
Q

BOXING-mark the impression __-__mm above the peripheral roll

52
Q

WHAT IMPRESSION MATERIAL DO YOU USE when there is CONSIDERABLE tooth misalignment and mobility?

A

ALGINATE!!

53
Q

What do you need to do to the tray when taking your final impression with alginate?

A

Punch hella holes in that bitch

54
Q

What are the two PRECAUTIONS when using alginate for your final impression?

A

1.requires more VIGEROUS border movements 2.pour immediately

55
Q

If the Pt has Inadequate teeth to support the bite registration material ________ and _______ is necessary for CR record

A

Record base and wax rim

56
Q

Correction of lower anterior ________ involves marking a reasonable incisal position on the stone teeth.

A

supra eruption!

57
Q

What do we make if the EXTs or tori need to be relieved by O.S.?

A

A surgical guide…

58
Q

Do we need to clean the teeth before the immediate denture delivery?

A

YES…get rid of inflammation!

59
Q

Do you need to do a clinical remount at the immediate denture delivery appt?

A

NO…can do this at 72/1wk check!!

60
Q

Immediate denture instructions: Keep denture in for __hrs and ____ your patient in the evening!

A

24…call!!

61
Q

When do you do a clinical remount of an immediate denture?

A

72hr-1wk appt

62
Q

How long does soft liner last? How much space is needed?

A

2-4 weeks…1-2mm

DaDaDaDentures (8 decks)

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