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BDS3 Complete Removable Pros > Treatment Planning > Flashcards

Treatment Planning Flashcards

1
Q

Histories required for completes

A

Pt complaints
Denture history
Dental history
Med history
Social history

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2
Q

Pt complaints

A

Appearance, eating, pain, looseness, retching, speech
Dislike wearing denture?

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3
Q

Denture history

A

Age of dentures
How many sets
Most recent set
Success or failure

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4
Q

Dental history

A

When teeth lost
Why teeth lost
Any retained roots, pain, swelling
Anxiety?

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5
Q

Medical history

A

Neuromuscular problems
Tremor e.g. Parkinson’s
Stroke
Dementia
Dry mouth (poly pharmacy)
Sjogrens
Radiotherapy

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6
Q

Social history

A

Mobility
Barriers to treatment
Alcohol/smoking
Capacity

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7
Q

O/E

A

E/O: TMJ dysfunction, facial pathology, appearance
I/O: Mucosal health, overdenture abutments, PA status, caries

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8
Q

Primary/secondary support areas in upper jaw

A

Primary- hard palate
Secondary- ridge crest
N.b. Midline suture and incisive papilla may require relief

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9
Q

Primary and secondary support areas in lower jaw

A

Primary- buccal shelf and pear-shaped pad
Secondary- ridge crest and genial tubercles

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10
Q

Why use RCP

A

Most reproducible position
Definition- guided occlusal relationship occurring at most retruded position of condoles in joint cavities

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11
Q

What can be used to get tissues healthy prior to constructing replacement prostheses

A

Use of tissue conditioners -> REASSESMENT

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12
Q

Reasons for primary imps

A

Tx planning
Construction of special trays

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13
Q

What needs to be captured in both upper and lower primary imps

A

Clinically relevant landmarks -> areas of primary and secondary support areas

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14
Q

What can be used for modification of stock trays

A

Extension using soft red wax, Green stick, putty
Can reduce extension using straight hand piece and acrylic bur

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15
Q

Putty

A

Expensive and long setting time

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16
Q

Soft red wax

A

Cheap
Easy manipulation
Poor dimensional stability

17
Q

Red composition

A

Cheap
Requires boiling water
Short working time
Heat in water, add to tray, take imp without alginate

18
Q

Green stick

A

Cheap
Requires intense heat
Runny, most commonly used for small extensions on special trays

19
Q

What to use if retching patient

A

Red composition material in fitting surface of stock tray, RAPID working time

20
Q

Ideal space between tray and and denture bearing area

A

4mm

21
Q

What to remember when taking lower imp

A

Stick tongue out and border moulding

22
Q

Advantages of special trays

A

Accurate peripheral; extension
Uniform thickness of material
Less discomfort for pt
Records denture bearing area more accurately

23
Q

Disinfection

A

Rinse
Disinfect 10 mins in perform
Rinse
In bag with wet paper towel and lab

BDS3 Complete Removable Pros (4 decks)

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