Lecture 7-visits 5 and 6...delivery, checks, and remounts Flashcards
QUICK! What are the 8 steps after processing? (begin with processing)
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
Objective of visit 5: To provide the patient with a complete denture prosthesis that is in physiologic ______ with the oral environment
HARMONY :)
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 _______
soap…Birex…sharp…polished
What is the internal surface of the denture called?
IN-TAG-LI-O surface
What do you have the patient bite on when checking the Pressure Indicating Paste (PIP)? For how long?
cotton rolls for 2 min
How do you remove PIP?
EtOH gauze
Which area do you actually want some pressure on the mandible?
DL undercut…major retention area
What do you use AFTER PIP to check for over extensions?
disclosing wax
What do you take the CR with when doing a clinical remount?
AluWax or ZnOE paste (zinc oxide eugenol)
Can you adjust the dentures in the patient mouth if you see a occlusal hinderance when delivering the final denture?
NO NO NO NO
What are the two appointments when you can do a clinical remount?
Visit 4-Esthetic Try-In and Visit 5-Delivery
Pt Edu: Forewarn patient about fullness sensation, excessive _______/gradually subside
SALIVATION
Pt Edu: Difficulty in _______ ESPECIALLY the “__” sounds /Reading aloud
speaking…”s”
Pt Edu: _____ tongue position (to maintain the border seal and stability)
forward
Pt Edu: Make diet recommendations and suggest to cut food in small pieces/place it ______ and chew in an up and down motion
bilaterally
Pt Edu: Soak dentures in ______ solution ( HOW MUCH? sodium hypochlorite per ____ oz. of water)
bleach…0.5 TEASPOONS of NaClO per 8 oz h2o
Pt Edu: Brush the denture w/denture brush, do not use ________, ridges and palate should be brushed w/soft toothbrush
toothpaste (leaves denture grainy/sandy)
Pt Edu: Remove CD from mouth for _______ hours during the day/at night
6-8 hours
Pt Visit #6…“The ___ hour visit”
24 hour
Visit 6-Listen to patient’s complaints and ______ check referred areas…EVEN if Pt says they are OK :)
visually
Visit 6- use ___ paste and look for _______ on the soft tissue
PIP paste….erythemia (ulcerations)
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)
6 to 24 hours
If lesions are present indicate patient to rinse his/her mouth with _______ or ______ solution (___ tsp. of it in ___ oz of warm water)
warm water OR saline…(0.5 tsp./8oz)
Visit 6- with sore spots Appoint in ___-___ hours after initial placement and reappoint in ___-___ months
48-72 hours…6-12 months
