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Removable Pros > Polishing, Insertion & Adjustment + Remounts > Flashcards

Polishing, Insertion & Adjustment + Remounts Flashcards

1
Q

insertion is really a how many step visit?

A

wo step

  1. adjust the intaglio surface of denture
  2. adjust occlusion through clinical remount

then re-adjust the intaglio surface of denture if needed further

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2
Q

How to adjust intaglio?

A

PIP - white and creamy

for the intaglio and is MUCOSTATIC

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3
Q

adjusting borders? Describe what material and how it is applies

A

MUCODYNAMIC soren’s paste and is applied to the borders like we are border molding – THICKLY applied with a tongue blade – done so intra-orally

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4
Q

show throughs with soren’s paste indicate what?

A

these are due to OVEREXTENSION and this could lead to a potential sore spot

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5
Q

showthorughs on psot dam?

A

do not grind them – we did this on purpose.

unless we did score paste the post dam

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6
Q

before you adjust with handpiece?

A

do it again to make sure

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7
Q

PIP placement

A

THIN WITH A BRUSH and want to be able to see strokes and the base so we can see the displacement

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8
Q

brush strokes not touched by tissue?

A

not fully seated so check for show throughs and over compressed areas to adjust

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9
Q

show through on rugae?

A

common if they are flabby

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10
Q

show through means

A

pushing too hard in that area and need to adjust – want uniform seating

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11
Q

why do we get discrepencies with seating at insertion?

A

processing errors during lab processing

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12
Q

importance of our CR record during insertion?

A

to make sure the occlusion is NOT the reason for the ill seating/ fitting of the denture

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13
Q

when is the most accurate CR record taken?

A

during the insertion appointment

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14
Q

study regarding the adjustment of occlusion in the mouth and on the articulator (using a clinical remount)

A

NO CLINICAL REMOUNT – ALL PATIENTS HAD SORE SPOTS

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15
Q

pt. calls and complaints of a sore spot on lower left side…. what should you consider before adjusting occlusion?

A

MAY NOT BE THAT SPOT – could be from over seating denture on the opposite side and the side that has the sore spot is not actually fully seated so when they bite – it is moving and pushing on the other side – do NOT IMMEDIATELY begin to grind the intaglio/adjust the intaglio of the spot where pt. is describing

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16
Q

occlusion affects what?

A

retention, stability, fit of denture, as well as health of underlying tissue

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17
Q

When should remount casts be made?

A

BEFORE clinical appointment

so should try denture in – adjust intaglio and do clinical remount to EQUILIBRATE THE OCCLUSION — then go back and check the intaglio again to make sure it is perfect for the patient

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18
Q

how is the maxillary cast re-mounted? when?

A

using the facebow PRESERVATION index and is done BEFORE the clinical appointment

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19
Q

what is major thing you have to do with patient when they come in for insertion?

A

CR record – your clinical remount should already be done

20
Q

what has to be the same before you adjust occlusoin on articulator during insertion? (part of clinical remount)

A

MAKE SURE ARTICULATOR = THE PATIENT with the CR record you made

21
Q

T/F you have different show throughs when you have occlusion or not?
implications

A

YES – so this is why you adjust intaglio first then do occlusion so each base is fitting perfectly before go into motion

22
Q

what do you adjust after using articulator paper?

A

adjust the bullseyes NOT THE SMUDGES

23
Q

In anatomical teeth what do you adjust?

A

adjusting the inclines when can to achieve the cusp- fossa relationship

24
Q

adjusting occlusion on monoplane?

A

flat plane and FLAT adjustments – do not create inclines

check the mandibular occlusal plane first (2/3 of the RMP) and if that is where it should be — correct the maxilary teeth accordingly - so make sure C is okay then adjust D if need to

25
Q

when do you do clinical remount in conventional denture? for immediate/interim denture?

A

conventional = at insertion

immediate/interim = NOT at insertion – but at subsequent visit when tissue is no longer swollen

for both @ subsequent visit when occlusion caused sore spot and occlusion is cause of patient Chief Complaint

26
Q

post insertion adjustments for conventional and immediate/interim?

A

Conventional = 48 hours – will happen by this time if sore spot is going to develop
1 week
then whenver they need

Immediate = 24 hours, 72, 1 week, 1 month – monthly for 6 months until ready for difinitive tx

27
Q

how to do post insertion adjustments - general

A

LISTEN TO THEM

ask questions and observe and inspect denture for more clues

28
Q

pt yawns and denture falls out what is likely the problem

A

distobuccal flange is too thick – put PIP on these aspects

coronoid process hitting

29
Q

indeb. pencil use?

A

place on spot pt. is complaining about and transfer to the denture to identify spot

30
Q

what are the main things done BEFORE insertion

A
  1. Lab remount (done by lab before de-casting)
  2. Polish
  3. Prepare remount casts
  4. mount the upper using FB preservation
31
Q

single sore spot on ridge is usually due to what?

A

OCCLUSION problem

32
Q

burning sensation on anterior palate or ridge?

A

anterior palatine foramen

33
Q

burning sensation on bicuspid to molar

A

posterior palatine foramen

34
Q

burning sensation on lower anterior ridge

A

mental foramen – not much we can do about these patients except send to oral surgery and get bone graft

35
Q

generalized burning sensation - not defined

A

maybe has burning mouth syndrome?

36
Q

overall tissue redness??

A

acrylic allergy - extremely rare – so you see redness on all tissues NOT JUST denture bearing tissues

37
Q

TMJ problems?

A

pain – excessive vdo

clicking – multifactorial

limitation of movement – arthritis or trauma

38
Q

instability - when not occluding

A

border is either over or under extended

loss of posterior palatal seal

tissue dehydration

39
Q

instability when incising?

A

loss of posterior palatal seal

anteriors are too labial

poor denture fit

40
Q

instability when occlusing in centric

A

malocclusion

41
Q

difficulty swallowing

A

MAX OR MAND. POSTERIOR TOO LONG OR THICK

Posteriors are too lingual

excessive VDO

Palatal portion too thick (space of donders)

42
Q

gagging cause

A

too long or thick or moving

43
Q

clicking cause

A

excessive vdo

unstable denture

44
Q

muscle fatigue cause

A

excessive vdo

45
Q

if patient has general uneasy feeling about denture?

A

probably a malocclusion problem or an incorrect VDO

46
Q

almost all complaints have what component?

A

occlusal component

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