REM PROS REVISION LEC CARDS Flashcards

Question

What horizontal rx do we use in wear cases and why?

Answer 1

even if someone has stable ICP, in wear cases you are increasing OVD so you are loosing stable ICP therefore we use RCP

Answer 2

Retruded Contact Point A bilateral, unstrained position of the mandible in which the condylar disc assembly(CDA) is in the most anterior superior position (ASP) within the glenoid fossa. (GF) In this position, the initial 20mm of incisal opening is a pure ”hinge” movement around the hinge axis. If natural teeth are present, RCP is the point of initial tooth contact as the jaw closes around the hinge axis.

Answer 3

For **partial dentures use natural teeth** as a guide to denture position WHERE POSSIBLE i.e. **ICP** where it is reproducible Where the vertical dimension is determined by natural teeth but there are **NOT enough inter-cuspating posteriors** to determine horizontal jaw position **RCP** is used.

Answer 4

1. Instability and Rocking: The denture may become unstable during function, causing tipping or rocking, especially when the patient occludes in RCP. 2. Premature Contacts: Premature or uneven contacts occur, often causing the denture to dislodge or create pressure points. 3. Increased Wear: Excessive friction and sliding during chewing due to the discrepancy cause accelerated wear of the artificial teeth. 4. Tissue Trauma: Uneven forces can lead to soft tissue irritation, soreness, and potential ulceration. 5. Loss of Retention: Poor occlusal harmony can cause dislodgement during function, especially in the lower denture due to its mobility. 6. Patient Discomfort: The patient may experience difficulty chewing, jaw fatigue, or pain due to muscular imbalance.

Answer 5

**Clinical Examination:** Guide the mandible gently into RCP (retruded contact) and note where the first tooth contact occurs. Ask the patient to close into their habitual bite (ICP) and observe any sliding or deviation. **Chin Point Guidance:** Apply gentle pressure at the chin point to guide the mandible into RCP and compare it with ICP. **Use of Articulating Paper:** Check for uneven marks when the patient bites in RCP versus ICP. **Check for Slide in Centric:** Identify if there is a horizontal slide or lateral deviation as the patient moves from RCP to ICP. **Remount Procedure:** Perform a remount on an articulator to accurately evaluate and correct occlusal discrepancies. **Visual and Tactile Assessment:** Observe for signs of functional imbalance, such as denture rocking or asymmetrical occlusal pressure.

Answer 6

To support casts when articulating Hand articulation not possible without rim (or interocclusal record alone not sufficient) (regardless of occlusal rims being needed we always need the intraocclusal record which relates the horizontal position between upper + lower jaws)

Answer 7

Hand articulated casts OR Facebow to articulate

Answer 8

(These casts cannot be hand articulated) Therefore to mount on an articular, you need: - occlusal rims - interocclusal record - facebow

Answer 9

provide a shape to whoever is making denture on where to set teeth + to indicate where the lip support is and incisal edges etc **+ establish the vertical dimension**

Answer 10

1. Previous dentures 2. Signs + symptoms 3. Biometric guides (draw pencil line on cast + set teeth in rx to this line) 4. Photos 5. Piezography 6. Natural teeth

Answer 11

use soft material in lower arch usually, to record space between soft tissues (tongue, cheeks, lips etc.) 1. Maxillary denture or occlusal rim (adjusted) should be in the mouth 2. Ask patient to sip and swallow cold water 3. Leave ‘Viscogel’ in mouth for at least 5 minutes Convert the Piezograph to wax to make an occlusal rim Subsequently adjust rim to record vertical and horizontal jaw

Answer 12

* is used to record the 3D rx between the upper occlusal plane and the terminal hinge axis in the patient The facebow then transfers this relationship onto the articulator This enables the articulator to simulate the patient’s jaw movements better ..any restorations made on the articulator are more likely to conform to the patient’s occlusion + be more acceptable to the patient

Answer 13

To record the relationship between upper occlusal plane + terminal hinge axis in the patient Then use facebow to transfer this onto the articulator + the upper caste is articulated

Answer 14

No guide of where pt's previous teeth were, so need occusal rims + inter-occlusal record for Jaw relationship Jaw relationship recorded in RCP Occlusal rims for e.dent pt can be made in wax, self-cure acrylic or heat- cure acrylic (Note for partially dentate pt heat-cure acrylic not used)

Answer 15

Ideally 2 - 4 mm for an edentulous patient Use a Willis gauge as a measuring tool Measure occlusal vertical dimension (OVD) w/ both dentures in Measure rest vertical dimension (RVD) w/ at least one denture out Calculate RVD- OVD = FWS

Answer 16

* Might get soreness under one/both dentures (trauma may be visible on soft tissues) * Aching jaw muscles (OVD too excessive or not enough freeway space and no room to move) * Patient wants to leave dentures out because uncomfortable to wear. Patient may say “dentures feel too big or they feel like a mouth full” * Appearance may not be unacceptable - showing too much tooth/ or patient’s lips become incompetent because mandible & maxilla are too far apart

Answer 17

Might see deep creases at the corners of the patient’s mouth (both sides usually) Might see infection/redness/soreness at corners of the mouth (possibly angular cheilitis) May also have denture stomatitis on palate (possibly same time as angular cheilitis, because both can be candida related) Patient may complain of poor appearance (i.e.. poor lip support or reduced denture tooth height) Patient may have jaw/muscle ache because they are over- closed (OVD too small) Patient may show very worn denture teeth/and also have difficulty chewing food if occlusal surfaces flat or misshapen

Answer 18

Match **denture teeth midline to midline of face** (nose and between the eyes when smiling or incisive papilla) **Incisal edges near (or 1-2 mm below) lower border of upper lip at rest.** **Lip support favourable** (approx. 90-degree angle between lower border of nose and upper lip profile looking from the side) **Match long axes of upper denture teeth with patient’s sagittal plane/midline** (symmetry and converging slightly inwards + downwards ideal) **Look at denture gingival margins + lower border of upper lip when smiling **(to see how much pink wax/acrylic is showing) Compare **denture tooth position against natural teeth** (eg. anterior overjet & overbite, or arch shape)

Answer 19

**Clasp planning** - to identify suitable undercuts on natural teeth for clasps **Blocking out** - to identify unwanted/undesirable undercuts on teeth **To identify guide planes (NGP or AGP)**

Answer 20

Yes - may need to take a jaw registration to articulate primary casts to help design denture (FOR CO-CR WE NEED TO)

Answer 21

The path of insertion is the path followed by the denture from its initial contact with the teeth until it is fully seated.

Answer 22

Guide planes are two or more parallel (axial) tooth surfaces on abutment teeth which are used to restrict the path of insertion of a partial cobalt chrome denture.

Answer 23

A natural guide plane is one that already exists on a proximal tooth surface or a restoration.

Answer 24

An artificial guide plane is one that the dentist prepares on a proximal tooth surface using a bur, or one that is incorporated into an indirect restoration (usually a crown). (Original curved contours of tooth modified to flat surfaces using parallel-sided diamond bur + fast handpiece)

Answer 25

They are only used for cobalt chrome partial dentures (not acrylic dentures). All guide planes should be drawn on a partial cobalt chrome denture design.

Answer 26

Sometimes it is not possible to have guide planes, and this just means that **the path of insertion is less controlled.**

Answer 27

Control path of insertion of a denture **Facilitate easy insertion + removal of dentures** (denture has a particular direction it moves in) **Contribute to overall retention of the denture** (undercuts more predictable/precise) **Minimise wedging stresses on abutment teeth** (forces that act laterally on natural teeth) Reduce amount of ‘blockout’ or ‘deadspace’ (space between denture + natural teeth where there are tooth undercuts) **Aid denture stability** (prevents movement during function because clasps more efficient)

Answer 28

to spread occlusal forces onto natural teeth (minimises trauma to soft tissues under the denture) Rests on teeth are designed to direct the occlusal load down the long axis of the natural tooth (rather than from the side which might tip the tooth) (Co-Cr)

Answer 29

Provide tooth support to spread occlusal forces onto natural teeth (which minimises trauma to soft tissues under the denture) Rests on teeth are designed to direct the occlusal load down the long axis of the natural tooth (rather than from the side which might tip the tooth)

Answer 30

These are for cobalt chrome partial dentures only!!! … and include 1. guide planes 2. rest seats

Answer 31

Occlusal Cingulum Incisal

Answer 32

To **provide space between the occlusal surfaces of upper and lower teeth** to allow a rest of adequate thickness to be used To provide **more suitably inclined bearing surfaces than those existing on unprepared teeth ** (ie. greater horizontal inclination)

Answer 33

1. Class I (bilateral free ended partially edentulous) 2. Class II (unilateral free ended partially edentulous) 3. Class III (unilateral bounded partially edentulous) 4. Class IV (bilateral bounded anterior partially edentulous)

Answer 34

1 Saddle 2 Denture teeth (saddle) 3 Guide plane 4 Rest seat – support 5 Retention 6 Reciprocation 7 Connector 8 Acrylic 9 (Any abutment teeth)

Answer 35

**Occlusally approaching**. This is when retentive arm approaches the tooth undercut from the occlusal direction. **The terminal third of the clasp arm is below the survey line.** But sometime more conspicuous. (most clasps approaching from occlusal and then undercut)

Answer 36

1 Occlusally approaching clasp 2 Reverse C clasp 3 Ring Clasp 4 Double arm clasp

Answer 37

Gingivally approaching clasp = the **retentive clasp arm** approaches the tooth undercut from the gingival direction. Such clasps produce a **trip action when being forced out of the undercut**. This action = MOST *effective ways of retaining the denture*

Answer 38

Y clasp T clasp Half T Ball ended

Answer 39

Palatal strap Palatal plate Palatal horseshoe Anteroposterior bar Combination of chrome + acrylic

Answer 40

Lingual bar Sublingual bar Dental bar Buccal/labial bar Lingual plate Split lingual plate

Answer 41

Stronger Less bulky Hygienic design possible with less coverage of soft tissues Provides tooth support (so less trauma to soft tissues Easier to keep cleaner (less easy to modify than acrylic though)

Answer 42

Tooth support possible so less trauma to soft tissues likely Clasps tend to be more effective if guide planes used (and if designed correctly) Better support + direct retention makes the denture more stable (moves around less during function) Less bulky so better tolerated by patient Hygienic designs possible so less gingival coverage (protects periodontal health) Less plaque retention around teeth (lower caries risk) Metal stronger so major connector can be thinner + tolerated better

Answer 43

1. Start making a partial acrylic denture around the teeth to be extracted 2. Then add extra teeth to the denture before being finished 3. Extract teeth and fit immediate denture at the same visit

Answer 44

Facilitate more accurate impressions for making dentures Special tray helps impression accuracy (because it covers all the areas needed and the impression material is fairly even in thickness + not too thick which reduces distortion).

Answer 45

(Make and fit cobalt chrome framework) Need to do this before adding denture teeth Usually, fit framework first + then add wax rims to do jaw registration rather than make separate rims

Answer 46

**Choose shape and shade of denture teeth** at the previous visit. Use previous dentures/photos as a guide. **Check all aspects of dentures are correct shape/position and make changes as necessary before next stage**

Answer 47

1) **Contraction porosity** - not enough dough in flask/ or flask not closed properly leaving spaces 2)**Gaseous porosity** - flask heated up too quickly in early stages of denture processing. Monomer turns to gas making bubbles 3) **Granular porosity** – dough mixture too dry initially/ or is left uncovered before packing into flask (monomer evaporates) 4) **Uncured chemicals** – usually uncured monomer which can be irritant/toxic (unsafe so must remake denture) 5) **Structure may be weaker if not cured properly**, or there are cracks or porosity (remake denture) 6) **Appearance may change** – decide with patient if unsatisfactory/ or needs remake or a modification 7) **Acrylic can distort** + denture may not fit well (even after adjusting).

Answer 48

Check fit surface(s) + adjust (pressure indicating paste, if needed) Adjust high spots with acrylic bur where paste is displaced (0.5mm depth at a time and blend in edges). Then recheck with paste and trim again if needed. (Beware undercuts inside saddle flanges that may cause a problem with insertion) Check and adjust occlusal surface(s) with articulating paper + acrylic bur Give denture instructions (ulcers, cleaning, review appts)

Answer 49

Only wear during the day (not at night) to avoid denture stomatitis. Don’t wear during the day if painful/cause ulcers So,just wear on the day of review appointment to avoid unnecessary pain and remind patient of sore area(s)

Answer 50

**Scrub all surfaces gently** (so does not scratch) using **soft denture brush and warm soapy water** (no harmful chemicals) **Clean over a sink/bowl of water to avoid denture fracture** if dropped on hard surface Clean twice a day and when leaving out at night (e.g. after food to remove debris that might lead to denture plaque).

Answer 51

Brush natural teeth properly, morning + before bedtime Make sure can remove dentures easily Brush dentures twice daily with soft brush + soap/denture paste Brush dentures over a sink of water in case drop it Don’t wear dentures at night to keep tissues healthy If they experience any soreness/pain associated with the denture, leave denture out and make an appointment to see the dentist to check it **Advise annual check-ups for dentures as well as natural teeth**

Answer 52

Review patient after short time (1-2weeks if poss) + then again as necessary. We often recommend a final review after a few months just to check all is fine before discharging patient

Answer 53

**Use pressure paste/spray on denture fit surfaces** (especially buccally near the tuberosities) Seat denture and apply **even pressure** both sides occlusally **Remove approx. 1⁄2 mm thickness of acrylic in the pink acrylic areas **(showing through the paste) and** blend this in with the rest of the fit surface if possible.** (This relieves high spots on the denture fit surface so that the rest of the fit surface adapts to the underlying tissues better, thus improving retention). **Do the same for the denture borders if they are too long** (overextended). This should prevent trauma to the sulcus tissues.

Answer 54

****Check the** occlusion** again in case needs further adjustment (articulating paper GHM) Remove the denture(s) and check the **health** of the soft tissues underneath **Check oral and denture hygiene**

Answer 55

Previous denture experience (poor) Degree of change (in shape) between old and new Quality of dentures Patient factors (age, oral and general health) Patient expectations (patient complaint)

Answer 56

**Denture fit surface is the wrong shape** (such as impression fault, casting fault, denture processing error at the end) **Denture fit surface is the correct shape, but the tissues underneath are more sensitive** (such as compression of mental nerve, or buried root just under mucosa, or irregular bone surface causing pain or when mucosa squashed against it under a denture) **The occlusal load transmitted through a denture is more than the mucosa can tolerate** (occlusal high spot on a denture, or denture OVD too high, or denture support lacking)

Answer 57

Dry mucosa Palpate soft tissues Apply pressure paste on tissue Place denture in the mouth Trim the denture where the paste is

Answer 58

**Examine site of pain to exclude non-denture related pathology** (typical presentation of denture trauma is redness/soreness/ulcer on mucosa). **Examine natural occlusion without dentures to establish how the patient should occlude when the dentures are in the mouth** (use articulating paper or shimstock. **Put upper denture in mouth and use articulating paper or shimstock to examine if denture teeth high**. Use a**rticulating paper to identify where the high spots are on the denture teeth.** Then remove them with an acrylic bur until the natural teeth come back into contact (adjust high tooth spot first and see if this resolves if it does not then do prophy paste step and adjust the fit surface as you would otherwise)

Answer 59

1) **Lack of clasps on teeth (or they do not work properly).** 2) **Denture fit surface incorrect shape so denture wobbles.** 3) **Uneven occlusal contact** on dentures can cause them to tip or move during function. 4) **Polished surface(s) too bulky and facial muscles or tongue displaces denture** 5) In complete dentures, **a lack of suction effect (known as ‘peripheral seal’) can cause looseness.** This is often because the denture border is not well adapted in the sulcus areas or there is no effective post dam at the back of an upper complete denture.

Answer 60

Soft tissues displace the denture (lingual undercuts + the tongue pushes off the denture during function)

Answer 61

derived from the impression and in contact with the alveolus as far as the mucosal reflection

Answer 62

that part of the denture in contact the opposing teeth either natural or artificial

Answer 63

surface of the denture which contacts the tongue, lips and cheeks and includes labial, buccal and lingual surfaces of the teeth

Answer 64

where inward pressure from the cheeks would be balanced by outward pressure from the tongue

Answer 65

to describe the space limited by the tongue, lips and cheeks + residual alveolar ridges

Answer 66

The coronoid process is against the side of the denture (need to trim denture to adjust)

Answer 67

No buccal overjet (need to create buccal overjet to prevent cheek biting)

Answer 68

Upper denture extends too far back (onto soft palate) Upper denture loose Excessive OVD Lack of tongue space

Answer 69

**What is the cause** (is it uneven occlusion + flexing of denture, or thin acrylic, or was the denture dopped)? **Is there a previous repair?** Do the **pieces fit together properly out of the mouth**, or do you need something to temporarily hold the pieces together before sending to the lab for a repair? **Do you need an opposing cast?** Take an alginate impression. **Is recurrence likely?** If yes, then consider a new denture.

Answer 70

Open flanged denture Deep frenal notch Midline diastema Alveolar resorption under denture (denture flexes in midline) Unfavourable occlusal forces (tooth wear) Thin acrylic (increases fracture chances)

Answer 71

1. Previous repairs 2. Denture inclusions (“strengtheners”) 3. Permanent soft lining in lower (reduces thickness of hard acrylic) 4. Midline palatal torus in upper (should be relieved on master cast) 5. Occlusal habits (bruxism and clenching) 6. Thinning of denture base in upper (abrasive cleaning)

Answer 72

Two possible situations, either: 1. Clean fracture (where pieces locate out of mouth). If so fix together with sticky wax and pour plaster cast and repair with cold-cure in lab 2. or, complex (need alginate ‘pick up’ impression of all or some pieces in situ so can relocate them). Can be extremely difficult ! (Remake likely instead). NB. Do you need an opposing model? and occlusal record?

Answer 73

* Adequate thickness of hard acrylic (especially when using permanent soft lining) * Strengtheners - selenese fibres or stainless steel mesh embedded in acrylic.Retain parts mechanically (some bond to acrylic which may improve strength). * Use high impact acrylic (‘flexes’) * Incorporate cobalt chrome denture base (where possible/ indicated)

Answer 74

**WHY debonds?** Denture tooth debonds if thin film of wax has been left on teeth during ‘boiling out’ * **If patient has the tooth** – needs lab repair with cold-cure resin (short-term emergency repair for an anterior tooth – can use ‘superglue’) * If the tooth is **missing** you may need an impression of the opposing arch (send to lab for addition of new tooth)

Answer 75

Reline - modifies the denture fit surface only (new acrylic resin) Purpose: to resurface the tissue side of a denture to make it fit more accurately Rebase - modifies the polished surface too Purpose: a method of refitting a denture in which the base material is more or less completely replaced

Answer 76

1. Where the fit surface “doesn’t fit” (painful, loose denture) 2. Bone resorption (recent extractions or jaw surgery) 3. ‘Quick fix’ alternative to new dentures 4. Fractures (thicker baseplate) 5. Want to add flanges 6. Want to add soft linings (permanent)

Answer 77

1. Permanent or temporary (durability) 2. Heat cured or cold cured (distortion) 3. Chairside reline or laboratory reline (time available) 4. Soft or hard materials (condition of underlying tissues)

Answer 78

* Colacryl (powder and liquid) * Poor colour match * Fairly durable (not ideal long-term) * Quick and easy to use * Use similar to ‘impression material’ * Use ‘closed mouth technique’ BEWARE GETTING STUCK IN HARD TISSUE UNDERCUTS (e.g. natural teeth)

Answer 79

* Viscogel (powder and liquid) * Poor colour match * Lasts few weeks (can replace) * Cushions mucosa (allows recovery) * Quick and easy to use * Use similar to ‘impression material’ * Use ‘closed mouth technique’

Answer 80

* EverSoft (powder and liquid) * Reasonable colour match * Lasts months or years * Cushions mucosa (reduces pain) * Quick and easy to use * Use similar to ‘impression material’ * Use ‘closed mouth technique

Answer 81

* Heat cured acrylic * Excellent colour match * Permanent * Need chair-side impression * Thin layer blue extrude * Remove undercuts beforehand * Use ‘closed mouth technique’

Answer 82

* Heat cured, flexible (‘Molloplast B’) * 3mm thickness needed * Lower dentures (not uppers) * Reasonable colour & permanent * Cushions mucosa (reduces pain) * Thin layer blue extrude * Remove undercuts beforehand * Use ‘closed mouth technique’

Answer 83

Remove undercuts Use light-bodied, flexible impression material (not Zinc Oxide paste)

Answer 84

**Increase in OVD** (use thin layer of impression material) **Occlusal errors** (can use “closed mouth technique” but beware excess material) **Damage during laboratory processing** (warn patient might not be able to wear denture)

Answer 85

Choose correct size of tray Add wax where tooth is being added to record full depth of sulcus Take over impression Take lower impression if occlusion important Write labcard

Answer 86

1. Patients’ wishes. 2. Patients’ previous experience wearing dentures. 3. Medical history. 4. Life expectancy of teeth, active disease and/or pain. 5. Patient’s ability to maintain optimal oral health. 6. The position of the poor prognosis teeth. 7. Patient attendance/number of visits available. 8. The long-term treatment plan for the patient.

Answer 87

- if a tooth is XLA'd, does pt want a denture to replace it? (might prefer a fixed option) - if pt = successfully wearing a denture currently, more likely to accept FURTHER TOOTH REPLACEMENT w/ denture. - An XLA'd anterior tooth (esp. upper) usually needs replacing for pt's appearance + wellbeing. - an XLA'd posterior tooth may NOT need replacement of space = not visible. - An XLA'd posterior tooth may not need replacing if it has nothing to OCCLUDE w/ in the apposing arch.

Answer 88

Is pt wearing a denture that can be added to? Acrylic much easier to add to than Co-Cr If no existing denture, has pt worn a denture before? How successful was it? Can they describe it? Adding denture teeth to an existing denture helps pt adapt to a new denture + loss of own teeth A new denture can be made later once all teeth XLA'd + tissues have healed A "transitional denture" is usually a partial denture w/ teeth added until it becomes a complete denture.

Answer 89

Poor healing response or resistance to infection may influence tx (endo vs XLA) Precautions needed for XLAs may influence timing If surgery poses risks to health, is it better to XLA multiple teeth at once to reduce surgical episodes? No.of teeth XLA'd at same visit sometimes depends on their location (e.g. R + L side separate visits if LA used) Poor general health or mobility may make travel or time spent in chair difficult. Shorter and/or fewer appointments better? The availability of the pt's chaperone, or interpreter, may affect timing + duration of appointments.

Answer 90

Try to **PRESERVE** natural teeth if they will improve the ability to wear a denture **BALANCE** this w/ the need to manage active disease + any pain Consider **POSTPONING** decision to XLA teeth until tried to STABILISE disease. How extensive is CARIES? Is ENDO tx possible? Has PERIO tx reduced tooth mobility? If a **natural tooth crown = UNRESTORABLE**, the root can be saved as an **over-denture abutment**. Root preserves ridge height which helps denture stability + support Over-denture abutments should always be above **gingival level**, cleansable + well maintained by the pt (can decay easily)

Answer 91

Dentures cover periodontal tissues + teeth can make disease more likely Always stabilise perio disease + improve OH before denture Pt should understand the risks + why good OH = important Plaque score 20% or less before starting dentures Marginal bleeding 10% or less Dentures need cleaning too! (Recommend appropriate methods) If a denture is made before the perio is stabilised, pt may not comply w/ perio tx. More teeth may be lost in future.

Answer 92

OVER-ERUPTED, TILTED or DRIFTED natural teeth can disrupt the OCCLUSAL PLAN. Fitting denture teeth around poorly positioned natural teeth can be tricky. May have space for denture base only. Upper complete rely on suction to stay in place or 'peripheral seal' Keeping even 1 natural tooth means NO seal possible. i.e. INDIRECT RETENTION Retaining 1 upper natural tooth each side can facilitate DIRECT RETENTION (one clasp each side = better than one side only) In lower denture, gravity helps denture stay in place. Peripheral seal less effective. Retaining lower natural teeth helps denture stability (either by clasping or preventing sliding sideways)

Answer 93

Pt needs to know how many visits needed to agree to tx. (refer to checklist of stages + include other tx) Planning tx include ST management, perio, direct + indirect restorations, XLAs (+ any healing) Then all the denture stages (6 visits including all stages)

Answer 94

is the pt having more teeth out later (acrylic denture can be added to more easily) Is the denture being worn to allow healing before a bridge is made? **Co-Cr dentures can be added to if metal extends to area.** Co-Cr dentures more expensive + time consuming to make. Make these when dental health stable so they last longer. Is a temporary acrylic partial denture being made first + then a definitive Co-Cr partial later? **WEAR CASES**need proper planning (e.g. plan any increase in OVD)

Answer 95

1. Start making a new partial acrylic denture around the teeth to be extracted (use acrylic not cobalt chrome) 2. Then add extra teeth to the denture before being finished 3. Extract teeth and fit immediate denture at the same visit

Answer 96

1. Upper & lower alginate impressions + shade + jaw reg (interocclusal record). 2. Show wax tooth try-in to patient. 3. Extract teeth and fit immediate denture at the same visit.