Flashcards in Denture Napoleon Dynamite Part III Deck (102):
Exam, Preliminary Impression, Preliminary Cast, Custom Tray:
How long does it take to make a denture?
Border molding, final impression master casts, record base and wax rims:
Adjust wax rims, Facebow, VDR, VDO, CR, Mount
Mount the Mx cast using...
Mount the Mn cast using...
The smile line of the teeth mirrors what?
Lower lip line
Evaluate Esthetics/phonetics, check VDO/VDR, confirm CR, Protrusive Record, Posterior Palatal Seal:
*esthetic Try In
Looking at the articulator from a frontal view and a gradually rising occlusal plane gives the impression of...
If teeth set too buccally it can give the appearance of...
straight or reverse curve smile line
F and V are made at the incisal edge to wet/dry line called...
S and Z called ____ sounds
What are the 5 steps to Visit 4?
Posterior Palatal Seal
VDR - VDO =
Physiologic rest position
Phonetics and esthetics
Comparison with old denture
Are all methods of assessing...
Closest Speaking Space determines if a pt can say...
How to take CR:
pt puts tongue on roof of mouth
when 1st contact = CR
If there is a ___mm discrepancy between the CR and the MI you need to ReMount
Use the bimanual technique for the CR
Rehearse and have the pt Gently close onto the compound just short of tooth contact for CR
CR record is taken and put into Articulator, if closes the _____ was correct originally
Where do you re-set the patient's teeth (if needed)?
In the Mouth
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
2 things the Posterior Palatal Seal compensates for:
Minor denture base movements during function
If "ah" doesn't work to find the Vibrating Line, pinch pts nose and have them...
Blow through nose
The junction of the mobile and non-mobile portion of the Soft Palate:
3 effects if Palatal Seal is too far back:
Mark the Vibrating Line with what?
Indelible Marking Stick
Posterior extent of the Mx denture baxe ends at or just _______ to the Vibrating Line
Once Vibrating Line determined, transfer it where?
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
The attached gingiva should be finished to look like and "orange peel." This is called...
The interdental paplilla must be _____
Mx Cuspid eminence raises the _____ and corner of the ____
Mb cuspid supports lip and gives contour
Proper contours will minimize biting of the lips and cheeks
What is in the periphery of the denture in the posterior region?
Along with Gingival Role, does what?
Displaces buccal mucosa away from the biting zone
What prevents tongue biting on the Lingual side of the Mn denture?
Flanges help hold denture in place between boundaries of force from tongue = force from cheeks/lips =
The Palate of a denture is smooth and ___ mm thick
Because promotes proper speech and prevents ____
Final Step to Try-In appointment:
Denture Wax Ups are sealed to the periphery after festooning and ____ is separated
3 Reasons for a Lab ReMount:
If contacts are premature, adjust:
Cusps tip to tip:
Upper teeth too buccal:
Fossae deepened (not Tips!)
Broaden fossae of lower and move
*Only shorten tips in tip-tip cases
When is a Lab ReMount done?
*done AFTER separating master cast
Fabrication of the ______ is necessary prior to Denture Delivery
Facebow Remount Jig
Prior to the insertion appointment the old dentures must be left out of the mouth for ______
The Facebow jig only includes the occlusal/incisal surfaces
Take the final Facebow Record ____ the ReMount
Deflask, Remount, Fb jig
5 steps in preparing dentures for Deliver:
remove dentures from Master Casts
Fabrication of Clinical ReMount Casts
Mount Mx Remount, preserve Fb record
Do not overpolish the denture
Prior to delivery the finished dentures must be soaked in water for _______
Flask Mx/Mn Wax rims:
Fb remount Jig
gets you MC, impressions, teeth
plaster, close, incisal edge
Use Fb jig
Pt must come in for CR
3 steps to Visit 5:
2 steps to Visit 6:
Post placemnt probs/solutions
Prior to seating the CD (Visit 5: delivery), 2 steps to clean:
Disinfect w/ Birex for 10 minuets
Wash CD w/ soap/water and disinfect w/ Birex for ____ minutes
4 Clinical Steps (evaluations) when Placing Dentures (Visit 5: initial placement)
PIP - pressure indicating paste
vertical, horizontal, occlusion
PIP should be painted on the intaglio and pt should close mouth for ____ minutes
*Visit 5: Delivery
Check the Border Extension w/ paste stuff (?) for ____
*Visit 5: Delivery
Cheek and tongue biting caused by
lack of overlap
Upon Deliver (Visit 5), if 1st touch is the same as MIP...
If you need a Clinical Remount at Delivery (Visit 5), you have to...
*can't move the teeth
If you need a Clinical Remount at Delivery (Visit 5) you should 1st do...
Occlusal Refinement is done when?
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)
OI for CD delivery: fullness, difficulty speaking/ reading aloud for ____
chew food bilaterally and keep tongue _____
Daily care of CD: soak in bleach, use soft brush with _______
remove for several (____) hours at night
If can't swallow, ____ might be too long
Examine the pt ___ hours after initial placement of CD
At Visit 6 (Post-Placement Exam), if you polish, you must...
If Lesion, pt shouldn't use denture for ___ hours
Visit 6 happens ____ hrs after initial placement: \
Reappoint in ____ months
CD should get a hard re-line after ______
Replace denture after...
4 advantages of Immediate Denture:
*also prevents embarrassment, promotes health, provides guide for esthetics, VDO
better ridge form
prevents facial mm. collapse
Before the 1st Clinical Appointment in an Immediate Denture, you must...
Remove Posterior Teeth, preserve 1 PM
*wait 6-8 weeks before clinical appt
1st Clinical appointment Immediate Dentures:
Master impressions (MC, record base, wax rim)
Mx/Mn relation records, tooth selection
4th Clinical appointment Immediate Dentures:
Try-In (Lab processes dentures)
24 hr Post insertion
6th Clinical appointment Immediate Dentures:
24 hr Post insertion
Where should you not put Border Molding on a Preliminary Cast (immediate dentures)?
Custom Trays will ge stuck
Custom Trays (immediates) should be ___ mm short of the vestibules
Cover the retromolar pads and _____
Provide extra clearance for any _______
What requires Extra Relief in a Custom Tray (Immediates)?
*allows easy insertion/removal
Final Impression (on the custom tray) for an Immediate Denture is done with ______ and ______
*most commonly used
The Interdental Embrasures should be blocked with wax for a Final Impression (Immediates)
(Immediates) When boxing, place the wax _____ mm above the peripheral roll
*mark there and apply sticky wax - then box
What material can be used for a Final Impression (Immediates) if there is considerable tooth misalignment or great mobility present?
2 reasons to use Alginate in a Final Impression (Immediates)
Tooth misalignment severe
*alginate must be poured right away
Why would an Alginate never be used for a CD procedure (final impression)?
Perforate the custom tray for ________ retention of Alginate
(Immediate Final Impressions - if Tooth Misalignment/Mobility)
If using Alginate as a Final Impression material (Immediates), it requires more vigorous __________
And must be poured immediately
(Immediates) in In 3rd Appointment, if natural tooth arrangement is not esthetic, re-establish the correct _____ position, dental midline and esthetically ideal tooth alignment
When is the Surgical Guide for Immediate Denture made (appointment?)?
*5th is extraction
4 procedures that must be done before the Surgical Appointment (5th clinical)
Clear Surgical Stent
After the teeth are removed (5th Appointment, Immediates), what must you do when delivering Denture?
*pressure indicating paste
5th Appointment (immediates) after surgical extraction, any hint of wide or long dentures requires analysis with _________
You can ReMount at the 5th (surgical extraction) Appointment for Immediate Dentures
When is the only time you would tell a patient to keep the Denture in overnight?
*will reduce swelling
Check Occlusion and Adjust Immediate Denture the day of delivery (surgical/5th appt)
How long should you wait before adjusting an Immediate Denture after delivery? (5th appt)
After 1 week Delivery of Immediate Denture, we can do a ______ and ________-
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
Final Impression, Custom Tray
At 72 hr to 1 week check for Immediate Dentures, use _________ to improve the fit of the dentures before the extraction healing is completed