RP - immediate dentures Flashcards

1
Q

Explain the clinical stages for an immediate denture

A

exam and assess - teeth to be removed are assessed clinically and radiographically if required
impressions - accurate, fully extended (alginate in stock trays)
occlusion - index teeth may be present
design - usually simple acrylic plate
second imps - special trays
try in - limited to those teeth already missing
check extensions, occlusion, shade
xLA and finish

*must check denture before xLA

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2
Q

What are the advantages of immediate replacement dentures?

A

maintain pre-extraction information
continuity of denture wearing - ensuring maintenance of skills and familiarity of denture wearing to be maintained
maintenance of vertical and horizontal jaw relationship
denture covering extraction socket may protect initial bloodclot

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3
Q

what type of extractions may an immediate denture replace?

A

simple not surgicals

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4
Q

what must you always advise pt of when giving them an IR?

A

denture will become loose and will require replacement (financial implication)

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5
Q

what must be considered when providing a pt with an IR?

A

take molars out first and allow healing
number of teeth to be replaced - risk of haemorrhage, post xLA swelling, how much LA you have to administer
healed areas

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6
Q

3 types of IR designs?

A

flanged
part flanged - if bone too bulky
open face (teeth sit directly above ridge of denture) - bone very bulky, undercut in buccal sulcus

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7
Q

what design of IR should be used after xLA and bone removal (septal or radical alveolectomy)?

A

flanged

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8
Q

what are the advantages of a flanged IR?

A

retention
undercuts
aesthetics

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9
Q

when would you consider an open face IR?

A

bulky anterior alveolar ridge
cannot utilise undercuts for retention as too deep
flange would give too much support to upper lip (fat lip)

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10
Q

what instructions are given to the lab when requesting an IR?

A

which teeth are to be extracted
arrangement
shade
flange type
material
date for insertion/ extractions

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11
Q

what are the aftercare instructions for IRs?

A

dentures to be kept in for 24hours
review appt ideally on day after insertion if feasible
remove dentures - examine mouth for healthy clots, identify areas of inflammation and ease denture
after 24hours - warm saline mouthwash and remove denture after mealtimes to rinse mouth and clean denture
if 24 hours review not possible - ensure pt has post op instructions

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12
Q

how should dentures be cleaned?

A

soft toothbrush soap and water

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13
Q

when do you review IRs?

A

1 week - further adjustment if required
1 month - assess adaptation
6 month recalls

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14
Q

when would you do a one stage immediate denture?

A

to replace one or two anterior teeth in an otherwise intact arch

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15
Q

explain the process of a one stage immediate denture

A

upper and lower imps recorded
wax squash bite if required to confirm occlusion
choose shade
lab prescription including design
xLA and insertion at next visit

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