Complete Denture Insertion

Question 1

patient should leave out old dentures for at least — prior to appointment

Answer 1

24 hr

Question 2

before appointment, inspect dentures, put in denture cup/h2o (3)

Answer 2

no imperfections on surfaces
borders are round/ no sharp angles
cameo surfaces are smooth

Question 3

reexamine the tissue side of the dentures carefully remove any — present with a kingsley scraper or other sharp instrument

Answer 3

bubbles

Question 4

prior to delivery the dentures must be

Answer 4

soaked in water for 72 hours

Question 5

Before Insertion appointment (2)

Answer 5

Accurate maxillary remount cast already attached to articulator
Mandibular remount cast is prepared for clinical remount

Question 6

Intaglio surface

Pressure Indicator Paste (2)

Answer 6

Undercut areas

Accuracy of tissue contact

Question 7

zinc oxide paste is used as a

Answer 7

pressure indicating paste (PIP)

Question 8

PIP detects

Answer 8

improper adaptation

Question 9

pip spray

Answer 9

used for patients with xerostomia in order to prevent the pip from sticking to the mucosa

Question 10

pip sequence (5)

Answer 10

dry denture surface
brush a thin even layer of pip into the surface of the denture
seat the denture with pressure in the first molar region
remove immediately
inspect and adjust bearing surface as necessary

Question 11

Pressure Indicator Paste
Brush on — coat
Brush strokes —

Answer 11

thin

visible

Question 12

Remove — in the

sea of white

Answer 12

islands of pink

Question 13

Ensure that displaced paste reflects a pressure area before

Answer 13

relieving the

denture base. Mark again, if not sure.

Question 14

Are dentures stable during

Answer 14

speech and swallowing?

Question 15

Are borders and contours compatible with

Answer 15

available space in vestibules?

Question 16

Borders properly relieved at

Answer 16

frenal attachments?

Question 17

adjusting denture borders (2)

Answer 17

carefully adjust the denture flange as necessary

reapply, border mold and adjust until areas of overextension are eliminated

Question 18

problems with phonetics (4)

Answer 18

check the thickness of the maxillary palatal portion. a common problem is excessive thickness
reevaluate the position of the maxillary anterior teeth
if everything appears normal it may be a matter of time for the patient to adapt
open vertical dimension of occlusion

Question 19

gagging (3)

Answer 19

palate excessively thick
palatal extension too long
lack of tongue space (teeth set too far to the lingual)

Question 20

Sources of Occlusion errors (7)

Answer 20

Resin shrinkage when processed
Ill-fitting temporary record bases
Change of OVD on the articulator
Inaccurate max-mand. records by dentist
Incorrect arrangement of teeth
Overheated when polished
Water absorption (expands 1-3%)

Question 21

Since numerous sources of occ. errors exist, dentist should assume

Answer 21

error

exists and work to find it

Question 22

Technique to check is not difficult, but it requires a

Answer 22

willingness to see

the error.

Question 23

Simply telling patient to close their jaws, and observing contacts —→

Answer 23

errors are unlikely to be detected.

Question 24

Occlusal harmony (3)

Answer 24

Patient comfort
“Efficient” function (20% of natural teeth)
Preserve supporting tissues

Question 25

Look for posterior --- contacts | beyond tooth contacts

Answer 25

flange

Question 26

prior to making the record | seat the posterior palatal seal

Answer 26

place 2 cotton rolls between the posterior teeth and have the patient bite down for 5 min

Question 27

Clinical Remount (3)

Answer 27

Make interocclusal record Remount dentures on articulator Refine occlusion on articulator

Question 28

Clinical remount & Occ. refinement | (2)

Answer 28

Done before final delivery of the dentures Occlusal errors will deform the supporting tissues & conceal the errors if postponed

Question 29

Intraoral Occlusal | “adjustment” (2)

Answer 29

Resiliency of tissues allows dentures to move | Misleading articulating paper markings result

Question 30

Saliva on teeth interferes with

Answer 30

paper markings

Question 31

Intraoral Occlusal “adjustment” Requires --- patient cooperation

Answer 31

repeated Some can cooperate. Some cannot.

Question 32

Intraoral Occlusal “adjustment” Use --- for extra security during this procedure

Answer 32

denture adhesive powder

Question 33

Clinical Remount | Advantages (7)

Answer 33

Reduces patient participation Dentist sees better what to do Stable working foundation; bases not shifting on resilient tissues. Absence of saliva = more accurate marks with articulating paper. Grinding may be done away from patient. This prevents patient objections to “mutilating my new teeth.”

Question 34

Occlusion desired (3)

Answer 34

Simultaneous contact of all posterior teeth in retruded mand. position Absence of contact on anterior teeth Absence of deflective interferences in eccentric movements

Question 35

``` Evaluate the cameo surface acrylic thickness (4) ```

Answer 35

Observe intraorally and extraorally Use pressure indicator paste Make measurements Seek patient feedback

Question 36

the difference between and explanation and an excuse is the

Answer 36

time they are provided

Question 37

before the problem=

Answer 37

explanation

Question 38

after the problem=

Answer 38

excuse

Question 39

explain the limitations of dentures as

Answer 39

mechanical substitutes for living tissues

Question 40

instructions to patients | oral and written (2)

Answer 40

strange feelings of fullness in lips and cheeks for a few days mandibular denture more difficult to use than maxillary CD

Question 41

instructions to patient expect speaking

Answer 41

expect increased flow of saliva first few days speaking improves with practice. read aloud the daily newspaper, etc

Question 42

Learning to chew normally takes about

Answer 42

2 months

Question 43

Begin with

Answer 43

softer foods that are cut into small pieces

Question 44

Control of the dentures is accomplished by manipulation with the (3)

Answer 44

tongue, lips, and cheeks

Question 45

Teach the patient to position the tip of their tongue next to the

Answer 45

lingual | surfaces mandibular anterior teeth (have the patient say “e”)

Question 46

Use --- for extra security , as needed, during the | first month

Answer 46

denture adhesive powder

Question 47

Expect --- during “break-in period”

Answer 47

sore spots

Question 48

Return to --- for adjustments. Do not adjust dentures at home.

Answer 48

clinic

Question 49

Remove dentures at night and store in ---.

Answer 49

water

Question 50

Care of the prosthesis-

Answer 50

brushing (over a sink with water or a washcloth | in it), soaking in a container, remove any adhesive

Question 51

Care of the mouth-

Answer 51

gingival massage, tongue brushing with a soft | toothbrush

Question 52

provide --- as well as verbal instructions

Answer 52

printed