week 5

Question 1

try in

Answer 1

1) verify the accuracy of the records
2) occlusal plane, appearance of anterior teeth
3) if changes are necessary, second try in may be needed

Question 2

esthetics

Answer 2

1) amount of incisal display
2) harmony of the maxillary teeth with the smile line
3) accuracy of the midline
4) angle of the occlusal plane
5) proper soft tissue profile

Question 3

CR contacts

Answer 3

1) check first, affects everything else
2) stabilize mandibular denture
3) disinfect and articulate, see if you have accurate CR when you did it the first time
4) opposing cusps shuld not penetrate

Question 4

confirm accuracy of mounting

Answer 4

1) ensure record is correct in mouth
2) teeth interdigitate when you unlock
3) if there is a lot of space, there is a discrepancy in your mounting
- remount lower cast

Question 5

OVD and interocclusal distance

Answer 5

1) 3-5 mm interocclusal distance
2) do tooth contacts during closest speaking space

Question 6

VDO alterations

Answer 6

1) may require resetting of all the teeth in at least one arch
2) extensive changes made in lab
3) height of anterior and posterior teeth must be in harmony
4) cannot change the anterior teeth

Question 7

phonetics

Answer 7

1) easier to assess
- teeth have replaced bulky rims
2) crowded tongue space can adversely affect phonetics

Question 8

lisping

Answer 8

1) not uniform overview of anterior teeth
2) diastemas between teeth
3) palatal contours
4) diamond shaped openings between incisors
5) if havent worn for a long time, or dramatic changes
- allow them to read out loud for 5-10 minutes

Question 9

sibilant sounds

Answer 9

1) S, Z, T, CH, SH
2) incisors should approach end to end relationship

Question 10

fricative sounds

Answer 10

1) F, V
2) as patient to county 50-60
3) maxillary incisal edges should just touch wet line of the lower lip

Question 11

denture base contours should be slightly concave

Answer 11

1) allwos for stability
2) comfort
3) shouldnt be able to see through them though
- 2 mm

Question 12

ask patient to comment on

Answer 12

1) comfort, ability to speak

Question 13

before case is submitted

Answer 13

1) submit base shade with patient
2) locate vibrating line intraorally and transfer to maxillary cast
3) draw and carve post dam
5) remove all blebs and defects from tissue surfaces of master casts
6) optimize trial denture occlusion on articulator, fine tune

Question 14

excursive contacts

Answer 14

1) evaluate visually and with articulating pater
2) equilibrate with medium acrylic bur
3) eliminate single tooth guidance
4) guidance should be shallow angle
5) trial dentures should remain stable on casts during excursions