Denture Napoleon Dynamite Part III Flashcards Preview

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Flashcards in Denture Napoleon Dynamite Part III Deck (102):
1

Exam, Preliminary Impression, Preliminary Cast, Custom Tray:

Visit 1

2

How long does it take to make a denture?

5-6 weeks

*avg

3

Border molding, final impression master casts, record base and wax rims:

Visit 2

4

Adjust wax rims, Facebow, VDR, VDO, CR, Mount

Visit 3

5

Mount the Mx cast using...

Mount the Mn cast using...

Facebow

CR

6

The smile line of the teeth mirrors what?

Lower lip line

7

Evaluate Esthetics/phonetics, check VDO/VDR, confirm CR, Protrusive Record, Posterior Palatal Seal:

Visit 4

*esthetic Try In

8

Looking at the articulator from a frontal view and a gradually rising occlusal plane gives the impression of...

distance

9

If teeth set too buccally it can give the appearance of...

straight or reverse curve smile line

10

F and V are made at the incisal edge to wet/dry line called...

Fricative

11

S and Z called ____ sounds

Sibilant

12

What are the 5 steps to Visit 4?

Esthetics/Phonetics

VDO/VDR

CR

Protrusive Record

Posterior Palatal Seal

13

VDR - VDO =

2-3mm

14

Physiologic rest position
Phonetics and esthetics
Swallowing
Comparison with old denture

Are all methods of assessing...

VDO

15

Closest Speaking Space determines if a pt can say...

S

16

How to take CR:

AluWax

pt puts tongue on roof of mouth

when 1st contact = CR

17

If there is a ___mm discrepancy between the CR and the MI you need to ReMount

1 mm

18

T/F
Use the bimanual technique for the CR

True

19

T/F
Rehearse and have the pt Gently close onto the compound just short of tooth contact for CR

True

20

CR record is taken and put into Articulator, if closes the _____ was correct originally

CR

21

Where do you re-set the patient's teeth (if needed)?

Never...

Articulator

In the Mouth

22

If the pts teeth fit in the Articulator but NOT in the mouth, what 2 things might have happened?

CR taken incorrectly

Mounting in Lab was wrong

23

2 things the Posterior Palatal Seal compensates for:

Polymerization Shrinkage

Minor denture base movements during function

24

If "ah" doesn't work to find the Vibrating Line, pinch pts nose and have them...

Blow through nose

25

The junction of the mobile and non-mobile portion of the Soft Palate:

Vibrating Line

26

3 effects if Palatal Seal is too far back:

Gag

Dislodge

Soreness

27

Mark the Vibrating Line with what?

Indelible Marking Stick

28

Posterior extent of the Mx denture baxe ends at or just _______ to the Vibrating Line

Anterior

29

Once Vibrating Line determined, transfer it where?

Then where?

Record Base

Master Cast

30

Posterior Palatal Seal will be represented as a ______ on the palatal portion of the denture base.

This is represented as ____ space on the Master Cast

Elevation (positive)

negative

31

The attached gingiva should be finished to look like and "orange peel." This is called...

Stippling

32

The interdental paplilla must be _____

Convex

33

Mx Cuspid eminence raises the _____ and corner of the ____

lip

mouth

34

Mb cuspid supports lip and gives contour

True

35

Proper contours will minimize biting of the lips and cheeks

True

36

What is in the periphery of the denture in the posterior region?

Along with Gingival Role, does what?

Slight Concavity

Displaces buccal mucosa away from the biting zone

37

What prevents tongue biting on the Lingual side of the Mn denture?

Lingual Concavity

38

Flanges help hold denture in place between boundaries of force from tongue = force from cheeks/lips =

Neutral Zone

39

The Palate of a denture is smooth and ___ mm thick

Because promotes proper speech and prevents ____

3 mm

gagging

40

Final Step to Try-In appointment:

Pt Approval/Acceptance

41

Denture Wax Ups are sealed to the periphery after festooning and ____ is separated

Next step:

cast/mounting

flasking

42

3 Reasons for a Lab ReMount:

Occlusion

VDO

Balanced occlusion

43

If contacts are premature, adjust:

Cusps tip to tip:

Upper teeth too buccal:

Fossae deepened (not Tips!)

shorten

Broaden fossae of lower and move


*Only shorten tips in tip-tip cases

44

When is a Lab ReMount done?

After Flasking

*done AFTER separating master cast

45

Fabrication of the ______ is necessary prior to Denture Delivery

Facebow Remount Jig

46

Prior to the insertion appointment the old dentures must be left out of the mouth for ______

24 hours

47

The Facebow jig only includes the occlusal/incisal surfaces

True

48

Take the final Facebow Record ____ the ReMount

after

49

Deflask, Remount, Fb jig

True

50

5 steps in preparing dentures for Deliver:

Fb jig

remove dentures from Master Casts

Finish/Polish

Fabrication of Clinical ReMount Casts

Mount Mx Remount, preserve Fb record

51

T/F
Do not overpolish the denture

True

52

Prior to delivery the finished dentures must be soaked in water for _______

72 hours

53

Flask Mx/Mn Wax rims:

DeFlask

Lab Remount:

Fb remount Jig

Finish/Polish

Remount Cast:

Mount Mx

Mount Mn

gets you MC, impressions, teeth

8-10 min.

on articulator

plaster, close, incisal edge

block undercuts

Upper/Lower

Use Fb jig

Pt must come in for CR

54

3 steps to Visit 5:

Denture Placement

Clinical Procedures

Pt education

55

2 steps to Visit 6:

Post-placement Examination

Post placemnt probs/solutions

56

Prior to seating the CD (Visit 5: delivery), 2 steps to clean:

Wash soap/water

Disinfect w/ Birex for 10 minuets

57

Wash CD w/ soap/water and disinfect w/ Birex for ____ minutes

10

58

4 Clinical Steps (evaluations) when Placing Dentures (Visit 5: initial placement)

PIP - pressure indicating paste

border extension

esthetic/phonetic

vertical, horizontal, occlusion

59

PIP should be painted on the intaglio and pt should close mouth for ____ minutes

*Visit 5: Delivery

2

60

Check the Border Extension w/ paste stuff (?) for ____

*Visit 5: Delivery

1 minute

61

Cheek and tongue biting caused by

lack of overlap

62

Upon Deliver (Visit 5), if 1st touch is the same as MIP...

If slide...

done

ReMount

63

If you need a Clinical Remount at Delivery (Visit 5), you have to...

Grind teeth

*can't move the teeth

64

If you need a Clinical Remount at Delivery (Visit 5) you should 1st do...

CR

*AluWax

65

Occlusal Refinement is done when?

Visit 5

*delivery

66

2 Times a Clinical ReMount can be done:

Lab ReMount done when?

Esthetic Try-In, Delivery (whenever Occlusion off)

After De-Flasking (lab step Visit 4)

67

OI for CD delivery: fullness, difficulty speaking/ reading aloud for ____

chew food bilaterally and keep tongue _____

2 weeks

forward

68

Daily care of CD: soak in bleach, use soft brush with _______

remove for several (____) hours at night

No Toothpaste

8 hrs

69

If can't swallow, ____ might be too long

VDO

70

Examine the pt ___ hours after initial placement of CD

24 hours

71

At Visit 6 (Post-Placement Exam), if you polish, you must...

If Lesion, pt shouldn't use denture for ___ hours

disinfect

6-24

72

Visit 6 happens ____ hrs after initial placement: \

Reappoint in ____ months

48-72 hours

6-12 months

73

CD should get a hard re-line after ______

Replace denture after...

2 years

5-7 years

74

4 advantages of Immediate Denture:

*also prevents embarrassment, promotes health, provides guide for esthetics, VDO

Better healing

better ridge form

prevents facial mm. collapse

hastens adaptation

75

Before the 1st Clinical Appointment in an Immediate Denture, you must...

Remove Posterior Teeth, preserve 1 PM

*wait 6-8 weeks before clinical appt

76

1st Clinical appointment Immediate Dentures:

2nd:

3rd:

Exam/prelim impressions

Master impressions (MC, record base, wax rim)

Mx/Mn relation records, tooth selection

77

4th Clinical appointment Immediate Dentures:

5th:

6th:

Try-In (Lab processes dentures)

Extraction/Denture insertion

24 hr Post insertion

78

6th Clinical appointment Immediate Dentures:

7th:

8th:

24 hr Post insertion

72 hr

1 week

79

Where should you not put Border Molding on a Preliminary Cast (immediate dentures)?

Why?

Anteriors

Custom Trays will ge stuck

80

Custom Trays (immediates) should be ___ mm short of the vestibules

Cover the retromolar pads and _____

Provide extra clearance for any _______

2-3 mm

tuberosities

frenum

81

What requires Extra Relief in a Custom Tray (Immediates)?

Tooth portion

*allows easy insertion/removal

82

Final Impression (on the custom tray) for an Immediate Denture is done with ______ and ______

*most commonly used

Modeling compound

Rubber Base

83

T/F
The Interdental Embrasures should be blocked with wax for a Final Impression (Immediates)

True

84

(Immediates) When boxing, place the wax _____ mm above the peripheral roll

*mark there and apply sticky wax - then box

3-4 mm

85

What material can be used for a Final Impression (Immediates) if there is considerable tooth misalignment or great mobility present?

Alginate

86

2 reasons to use Alginate in a Final Impression (Immediates)

Tooth misalignment severe

Mobility

*alginate must be poured right away

87

Why would an Alginate never be used for a CD procedure (final impression)?

pushes tissues

88

Perforate the custom tray for ________ retention of Alginate

(Immediate Final Impressions - if Tooth Misalignment/Mobility)

mechanical

89

If using Alginate as a Final Impression material (Immediates), it requires more vigorous __________

And must be poured immediately

Border Movements

*pushes tissues

90

(Immediates) in In 3rd Appointment, if natural tooth arrangement is not esthetic, re-establish the correct _____ position, dental midline and esthetically ideal tooth alignment

Incisal Edge

91

When is the Surgical Guide for Immediate Denture made (appointment?)?

4th Appointment

*5th is extraction

92

4 procedures that must be done before the Surgical Appointment (5th clinical)

Scaling

Hydrate dentures

Clear Surgical Stent

Diagnostic Cast

93

After the teeth are removed (5th Appointment, Immediates), what must you do when delivering Denture?

PIP

*pressure indicating paste
*adjustments

94

5th Appointment (immediates) after surgical extraction, any hint of wide or long dentures requires analysis with _________

Disclosing Wax

95

T/F
You can ReMount at the 5th (surgical extraction) Appointment for Immediate Dentures

False

96

When is the only time you would tell a patient to keep the Denture in overnight?

After extractions

*will reduce swelling

97

T/F
Check Occlusion and Adjust Immediate Denture the day of delivery (surgical/5th appt)

False

98

How long should you wait before adjusting an Immediate Denture after delivery? (5th appt)

1 week

99

After 1 week Delivery of Immediate Denture, we can do a ______ and ________-

Clinical REmount

Occlusal Equilibration

100

Overview Immediate Denture
Remove Posterior teeth, wait ___ weeks
1. Take _____ impression and make _______
2. Use light body PVS or _____ for final impression
Box, Pour, and Fabricate _______
3. Adjust wax rims and do the ________
Then do the Facebow and ______
Before the 4th appointment you must set teeth, starting at the _______
4. Esthetic Try-In, check Occlusal, ____, color
Lab fabricates the Denture and the _______ using a Putty cast of the inside of the Denture
5. Surgery: before remove _______
then try on the Surgical Guide, if there is _____ on the soft tissue then do a _________
If surgical guide fits, suture and insert
At this point you have to use _____ on denture
Keep denture in for _____ hrs
Do not adjust _____ on this day

6-8 weeks
Final Impression, Custom Tray
Alginate
Record Bases
Bite Reg.
CR
Posterior
VDO
Surgical Guide
calculus
Pressure, Alveoplasty
Denture
PIP
24
Occlusion

101

At 72 hr to 1 week check for Immediate Dentures, use _________ to improve the fit of the dentures before the extraction healing is completed

Tissue Conditioning

102

Tissue Conditioning, done 72hrs to 1 week post-extraction/delivery of Immediate Denture is ____ mm space and requires replacement every ____ weeks

2 mm

2-4 weeks

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