18. Insertion of the PRDP Flashcards by J L

Adjusting your patient’s Psyche – a.k.a. Educate your Patient!
• Mechanical and ____ problems with denture wear
• Establish ____ of patient in you and prosthesis
• ____ care of RPD needed from patient

biological
confidence
detail

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Educating your patient
• Done before anything else, and:
• ____ throughout your insertion visit
• Reinforces your ____ for wear and care

continues

instructions

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Fitting the Denture Base
• Harmonizes bearing surface of RPD to supporting soft tissues of edentulous ridges
• Includes ____ surface and ____

intaglio

flanges

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How do I Know if it’s fitting the ridge(s) properly?
• Intaglio surface of rpd:
• Use ____ (PIP) to evaluate
• “____” consistency

pressure indicating paste

hair gell

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How ‘bout the Flanges?
• Evaluate the flanges using
• ____ wax
• ____ Paste

disclosing

sorensen’s

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How do I use these?
• Apply ____ & ____ pressure in tissue-ward direction
• Adjust areas of pressure or overextension
• Repeat until excessive pressure areas are eliminated

vertical

horizontal

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Common areas requiring adjustment - Mandible
• ____ slope of the mandibular ridge in the ____ area.
• ____ ridge.
• Border area extending into the ____ space.
• ____ border in the vicinity of the ascending ramus and the external oblique ridge.
• Any areas with underlying boney sharpness.

lingual
premolar
mylohyoid
retromylohyoid
distobuccal

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Common areas requiring adjustment – Maxilla
• Inside of the buccal flange over the ____.
• Border of the denture lying on the ____ prominence.
• Area of the denture at the ____ notch where it may impinge on the pterygomandibular raphe and pterygoid hamulus.
• Any areas with underlying boney sharpness.

tuberosities
malar
pterygomaxillary

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Amount of Relief Necessary
• Depends on accuracy of ____, master cast and denture base
• Dependent on ____, integrity and morphology of supporting tissues
• Takes time!

impression

health

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Up Next – Verify Seating Rest Seats and Major Connector
• Repeat process from framework ____ appointment
• Use ____ wax, spray indicator or other indicators

try-in

disclosing

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Verify:
• Rests are fully ____
• Guide plates contact guide planes
• Contact of ____ / bracing components with tooth surfaces
• That major connector has ____ (not excessive)

seated
reciprocating
contact

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Framework seats, Now Re- evaluate fit of Denture Base
• Why?
• The fit of the denture base may change with adjustments to ____
• After again adjusting base, ____ framework

framework

re-check

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Next Step – Correct Occlusal Discrepancies
• Can be accomplished via:
• \_\_\_\_ remount
• \_\_\_\_ remount
• \_\_\_\_ adjustmen

lab
clinical
intra-oral

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Intra-oral adjustment of the RPD
• Use:
• \_\_\_\_ paper
• \_\_\_\_ Sheets
• \_\_\_\_ Stock

articulating
mylar
shim

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Adjusting the Occlusion
• First: ____ interferences
• Second: ____ interferences
• LASTLY: ____ interferences

framework
denture base
denture tooth

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Framework Interferences
• Should have been correct at ____ visit
• NO framework ____ are acceptable
• Use ____ to verify

try-in
interferences
articulating paper

Denture Base Interferences
• Eliminate ____ and excursive prematurities
• Eliminate excursive contacts, EXCEPT for ____
• Ensure adequate space between ____
-> avoids cheek bites!

centric
balancing ramps
bases

Denture Tooth Interferences
• Easily performed intra-orally for tooth supported RPD
• ____ remount preferred for muco- periosteal and tooth supported RPD

clinical

Trust but Verify.. • Occlusal Contacts:
• ____ or MIC
• ____ Contacts
• ____

CR
excursive
balance

Adjust Retentive Clasps

Minimized through:
Proper ____, including:
Path of ____
Proper ____

design
insertion
reciprocation

Adjust Retentive Clasps
• Correct Clincal Procedures:
• Proper ____ preparation
• Accurate ____ technique

rest seat

impression

Adjusting Retentive Clasps
• Proper Laboratory Techniques:
• \_\_\_\_
• \_\_\_\_
• \_\_\_\_/Decasting
• \_\_\_\_

flasking
processing
deflasking
finishing

Lastly – Provide Home care & Insertion Instructions
• How to place/ remove
• ____ sore spots!
• Adjustment periods for phonetics, mastication & gagging
• OHI / prosthesis care
• Adhesive use?

expect

Follow-up Mandatory
• Similar to CD follow- up
• Can be modified for the dentate patient
• At SDM, no ____ = no soup for you!

follow-up

Remember This!!!!!! Strive for Harmony with ____ and ____ Dentition in all ____ Positions

natural artificial manidbular

``` Denture Care • ____, careful removal of biofilm • How? • Denture Cleaners • Used ____ of mouth • Thorough rinsing before re-insertion ```

daily | outside

Denture Care • ____ Ultrasonic cleaning by dentist recommended • Good time to do edentulous recall / oral cancer screening

yearly

Don’ts of denture care • Don’t soak / place in boiling water in boiling ____ • Don’t place in ____ (sodium hypochlorite) solutions longer than ____ minutes

water bleach 10

Helpful Hints • Dentures should be stored in ____ when not worn (avoids warping) • ____ can improve the experience for the denture wearer

water | adhesives

A word on Adhesives • Can help seal out ____ particles (in well fitting too) • Improve patient’s ____ of retention, adaptation and stability

food particles | perception

Very important • Avoid ____ based adhesives • Patients requiring adhesives for more than ____ months at a time should be re- evaluated

zinc | six

``` More adhesives needed continuously... • Means: • Somethin’ ain’t right • ____ loss? • ____ Change? • ____ Condition? ```

bone tissue systemic

``` Recapping the Appropriate Sequence • Continuous ____ of the patient. • ____ the denture base. • ____ seating and fit of rest seats and major connector. • ____ occlusal discrepancies. • ____ retentive clasps if necessary. • Provide home care ____. ```

``` education fit verify correct adjust instruction ```