Eight Steps Complete Denture Delivery

Question 1

What is PIP?

Answer 1

Pressure Indicating Paste (PIP) is a pure white silicone paste, used for seating crowns, bridges and full, immediate and partial dentures

Question 2

Explain Step 1: Adjust the Denture Base with PIP

Answer 2

1. Place PIP on denture base prior to seating
2. Apply heavy pressure on 1st molar area until heavy pressure on 1st molar causes no pain
   -if there’s no pain on heavy pressure, then discomfort while chewing may be due to tilting of the denture and twisting from occlusion

Question 3

Step 2: Dentures peripherals with PIP

Answer 3

1. One quadrant at a time
2. Until border molding doesn’t displace the denture or show heavy burn through

Question 4

Step 3: Occlusal adjustment

Answer 4

1. Remount on articulator after denture base is adjusted
2. Minimize buccal cusp contact
3. Should sound like loud knocking when centric contacts are even
4. Excursion contact disturbed no bumps, jumps, light anterior contacts
5. Centric contacts on flat surface, middle of Occlusal surface

Question 5

Step 4: Chewing Test & Rate

Answer 5

1. Until no pain and looseness
2. If there’s a problem, adjust occlusion until patient rate 95-100% better
3. Locate the problem teeth, minimize contact that are uneven, heavy, buccal to the ridge

Question 6

Step 5

Answer 6

Check VDO, aesthetics and phonetics

Question 7

Step 6: Polish

Answer 7

1. For small areas use Brasseler polishing poi ts in the clinic
2. For final polish
   - disinfect, gloves off, take to the lab.
   -clean pumice with liquid soap on a clean ragweed
   -tin oxide on ragweed
   - discard both ragwheelscwhen complete

Question 8

Step 7

Answer 8

1. Care instructions verbal of written on a pamphlet,
2. Toothbrush and denture cup.

Question 9

Step 8

Answer 9

Recall/Follow-up
1. Within 1 day (mandatory for immediate dentures)
2. Eliminate problems early
3. Patient should be happy and comfortable
4. Practice yearly recall