Immediate Complete Dentures Flashcards by sophie rosen

Inflammatory papillary hyperplasia

“IPH”

A reactive tissue growth usually developing under a denture

How well did you know this?

Not at all

Perfectly

Inflammatory papillary hyperplasia

“IPH” Occurs on

hard palate beneath denture base

How well did you know this?

Not at all

Perfectly

what does IPH look like

Asymptomatic red or pink nodules on mucosa of hard palate and
occasionally the residual ridge

How well did you know this?

Not at all

Perfectly

IPH

Directly related to (2)

constant wearing of ill-fitting denture and poor oral

hygiene

How well did you know this?

Not at all

Perfectly

IPH

— Syndrome

Combination

How well did you know this?

Not at all

Perfectly

IPH

— frequently present

Candida

How well did you know this?

Not at all

Perfectly

Immediate dentures- 2 popular protocols

Conventional

Interim / transitional

How well did you know this?

Not at all

Perfectly

Conventional

reline the immediate denture after

healing and ridge stable (6 months) ONE denture

How well did you know this?

Not at all

Perfectly

Interim / transitional –

aim is to use for short
period, then it is replaced by the definitive
prosthesis when healing is complete TWO dentures

How well did you know this?

Not at all

Perfectly

Immediate Dentures

Fabricated prior to

extracting natural teeth

How well did you know this?

Not at all

Perfectly

conventional/classic immediate denture

— is done

relining/refitting

How well did you know this?

Not at all

Perfectly

interim/transitional/nontraditional immediate denture

new CD is made

How well did you know this?

Not at all

Perfectly

Immediate Complete Dentures

Advantages (3)

Prevent patient embarrassment
Provide guide for optimal esthetics
Provide guide for OVD

How well did you know this?

Not at all

Perfectly

Immediate Complete Dentures
More Advantages (7)

maintenance of a patients appearance
circumoral support, muscle tone, vertical dimension of occlusion, jaw relationship, and face height can be maintained. the tongue will not spread out as a result of tooth loss
less postoperative pain as extraction sites are protected
easier to duplicate (if desired) the natural tooth shape and position
adaptation easier. speech and mastication are rarely compromised, and nutrition can be maintained
availability of tissue conditioning material
patients psychological and social well being is preserved

How well did you know this?

Not at all

Perfectly

Immediate Dentures

Disadvantages (4)

Increased complexity –impressions, CJR
Lack of clinical evaluation of trial denture-anterior esthetics
Increased maintenance
Greater # visits = more cost

How well did you know this?

Not at all

Perfectly

Immediate Dentures
More Disadvantages (5)

immediate dentures are more challenging
the anterior ridge undercut (by the presence of the remaining teeth) may interfere with the impression procedures
the presence of different numbers of remaining teeth in various locations frequently leads to recording incorrectly the centric relation position
no denture tooth try in in precludes knowing what the denture will actually look like on the day of insertion
more chair time, additional appointments, and therefore increased costs

How well did you know this?

Not at all

Perfectly

explanation to the patient concerning immediate dentures (4)

do not fit as well as normal CD
the pain of the extractions, in addition to the sore spots caused by the immediate denture will make the first week or two after insertion difficult
it will be difficult to eat and speak initially
the esthetics may be unpredictable because an anterior try in is not possible

How well did you know this?

Not at all

Perfectly

immediate dentures (7) steps

exam/diagnosis/tx plan
preliminary impressions 
secondary impressions
max-mand relationship records 
posterior trial placement 
extractions-insertion
post insertion care

How well did you know this?

Not at all

Perfectly

Exam & Diagnosis (3)

Study These Flashcards

Tori
Tuberosities
Frenal attachments

Exception: An existing esthetic
RPD
Maintain

Study These Flashcards

RPD abutment teeth

Exception: An existing esthetic
RPD
Maintain RPD abutment teeth
two phase surgical regimen:

Study These Flashcards

1: remove posterior teeth, alveoloplasty, tuberosity reduction
fabricate denture
2: extract anterior teeth at denture insertion appointment

Phase 1 Surgery (3)

Study These Flashcards

Removal of posterior teeth
Surgical correction of tuberosities, etc
Wait 6 –8 weeks, begin fabricating the immediate denture

Phase 2 Surgery at denture insertion (2)

Study These Flashcards

Extract anterior teeth

Labial frenectomy, if needed

Benefits of 2-phase surgery (3)

Study These Flashcards

Simplifies clinical procedures
Reduces post-placement care
Improves denture comfort & retention

Preliminary impressions | May need to customize

tray borders

Diagnosis

Determine patient’s expectations Educate patient about limitations of complete dentures and his/her role in successful outcome

Secondary impression | techniques (4)

Stock tray Custom impression tray Combination Campagna technique

Border-molded custom tray | Presence of --- makes border molding more difficult

teeth

Max. –Mand. registrations (2)

Presence of anterior teeth may make OVD determination easier Malposed, drifted, mobile teeth would make CJR registrations more difficult

Posterior trial placement | Confirm (2)

Confirm correct mounting of casts | Confirm OVD is correct

Posterior trial placement | Midline and incisal plane location-

mark the cast for reference

Set Anterior teeth (3)

Midline and incisal plane marked Alternate tooth arrangement –set every other tooth Minimal alveolar ridge modification

Surgical template Required if Fabricated at

any alveoloplasty or bone smoothing is anticipated wax elimination stage of processing

Don’t schedule the | surgery/insertion on a

Friday or | day before a holiday or vacation!

Extraction of remaining teeth (2)

Simple extractions, hopefully | Alveoloplasty, frenectomy in anterior, if needed

Denture insertion (3)

PIP Relieve any pressure areas Bilateral occlusal contacts

Immediate Overdenture ? | Reduce --- and place --- prior to extractions

abutments | amalgam

immediate dentures must be work for the first --- hours without being removed by the patient. if they are removed, they may not be able to be reinserted for 3-4 days. the dentist will remove them at the 24 hour visit

immediate dentures will "---" during healing, tissue conditioners will be required

loosen

6-9 mo after insertion at least a --- will need to be done, possibly a remake. the patient is responsible for fees

reline

Patient instructions (4)

Soft diet Some bleeding to be expected May have swelling for 3 –4 days Return to clinic the next day; 24-hour post-op.

Post-Insertion care | at 24-hr appnt (3)

Remove and rinse denture Relieve any obvious pressure areas Evaluate retention and occlusion

Post –Insertion Care | at 72 hr appnt (2)

Evaluate extraction sites | Evaluate tissue, denture retention, oral hygiene

As tissue shrinks from denture contact, --- will usually decrease and require tissue conditioner

retention

Occlusal correction –remount –done when

patient is comfortable (2 – | 3 weeks)

--- --- changed as needed

Tissue conditioner

Decision to reline/rebase/remake is made after --- months

4-6

Immediate Complete Dentures Flashcards

(47 cards)