LECTURE 17: INITIAL PLACEMENT, ADJUSTMENT, AND SERVICING

Question 1

→ fifth of six essential phases in removable partial denture service

→ should be a scheduled appointment, not a quick-hand off with instructions to return if issues arise

Answer 1

INITIAL PLACEMENT

Question 2

bases should be adjusted to prevent discomfort and ensure a proper fit

A. PRE-DELIVERY ADJUSTMENTS
B. PATIENT ADAPTION
C. FINISHING DENTURE BASES AND OCCLUSION

Answer 2

A

Question 3

Eliminate Occlusal Discrepancies- necessary adjustments made to prevent functional issues

A. PRE-DELIVERY ADJUSTMENTS
B. PATIENT ADAPTION
C. FINISHING DENTURE BASES AND OCCLUSION

Answer 3

A

Question 4

Continued Patient Education-
patient must understand care, use, and adjustments required for the prosthesis

A. PRE-DELIVERY ADJUSTMENTS
B. PATIENT ADAPTION
C. FINISHING DENTURE BASES AND OCCLUSION

Answer 4

A

Question 5

Accommodation Period-
adjustment period is needed for comfort, function, and confidence in the prosthesis

A. PRE-DELIVERY ADJUSTMENTS
B. PATIENT ADAPTION
C. FINISHING DENTURE BASES AND OCCLUSION

Answer 5

B

Question 6

Patient Confidence
knowing the process was carefully executed builds trust in both dentist and prosthesis quality

A. PRE-DELIVERY ADJUSTMENTS
B. PATIENT ADAPTION
C. FINISHING DENTURE BASES AND OCCLUSION

Answer 6

B

Question 7

T/f

initial placement and post-insertion adjustments are crucial for treatment success

Answer 7

T

Question 8

adjust denture bearing and occlusal surfaces during initial placement and subsequent visits

A. Dentist’s Adjustments
B. Patient’s Adaptation

Answer 8

A

Question 9

psychological and biological accommodation to the new prosthesis

A. Dentist’s Adjustments
B. Patient’s Adaptation

Answer 9

B

Question 10

adjust occlusion after resin base processing and before separating dentures from casts

A. Post-Processing
B. Perfected Contours
C. Final Mouth Adjustment

Answer 10

A

Question 11

finish denture bases for optimal function and aesthetics, compensating for casting limitations

A. Post-Processing
B. Perfected Contours
C. Final Mouth Adjustment

Answer 11

B

Question 12

necessary for proper fit to oral tissue, ensuring comfort and stability

A. Post-Processing
B. Perfected Contours
C. Final Mouth Adjustment

Answer 12

C

Question 13

Bearing Surface Adjustment
denture bases should align with supporting soft tissues

A. PRE-DELIVERY ADJUSTMENTS
B. PATIENT ADAPTION
C. FINISHING DENTURE BASES AND OCCLUSION
D. FINAL ADJUSTMENTS FOR OPTIMAL FIT

Answer 13

D

Question 14

Occlusal Adjustment
ensure metal parts (occlusal rests, etc.) accommodate natural occlusion

A. PRE-DELIVERY ADJUSTMENTS
B. PATIENT ADAPTION
C. FINISHING DENTURE BASES AND OCCLUSION
D. FINAL ADJUSTMENTS FOR OPTIMAL FIT

Answer 14

D

Question 15

Harmonizing
align artificial dentition with natural occlusion

A. PRE-DELIVERY ADJUSTMENTS
B. PATIENT ADAPTION
C. FINISHING DENTURE BASES AND OCCLUSION
D. FINAL ADJUSTMENTS FOR OPTIMAL FIT

Answer 15

D

Question 16

Occlusion
in all mandibular positions for seamless function

A. PRE-DELIVERY ADJUSTMENTS
B. PATIENT ADAPTION
C. FINISHING DENTURE BASES AND OCCLUSION
D. FINAL ADJUSTMENTS FOR OPTIMAL FIT

Answer 16

D

Question 17

→ should be easily displaced by tissue contact
→ should not adhere to mouth

A. PRE-DELIVERY ADJUSTMENTS
B. PATIENT ADAPTION
C. FINISHING DENTURE BASES AND OCCLUSION
D. FINAL ADJUSTMENTS FOR OPTIMAL FIT
E. INDICATOR PASTE

Answer 17

E

Question 18

vegetable shortening and USP zinc oxide powder

A. PRE-DELIVERY ADJUSTMENTS
B. PATIENT ADAPTION
C. FINISHING DENTURE BASES AND OCCLUSION
D. FINAL ADJUSTMENTS FOR OPTIMAL FIT
E. INDICATOR PASTE

Answer 18

E

Question 19

→ remove denture and inspect for areas with displaced paste, indicating pressure points
→ relieve pressure areas and reapply paste as needed until fit is optimized

A. PRE-DELIVERY ADJUSTMENTS
B. PATIENT ADAPTION
C. FINISHING DENTURE BASES AND OCCLUSION
D. FINAL ADJUSTMENTS FOR OPTIMAL FIT
E. INDICATOR PASTE
F. INSPECTION AND ADJUSTMENT

Answer 19

F

Question 20

for patients with xerostomia, carefully distinguish genuine pressure areas from areas where paste adhered due to dryness

A. PRE-DELIVERY ADJUSTMENTS
B. PATIENT ADAPTION
C. FINISHING DENTURE BASES AND OCCLUSION
D. FINAL ADJUSTMENTS FOR OPTIMAL FIT
E. INDICATOR PASTE
F. INSPECTION AND ADJUSTMENT

Answer 20

F

Question 21

T/f

primary denture-bearing areas should show more contact than secondary or non-supportive areas

Answer 21

T

Question 22

essential to detect and correct discrepancies before placing stress on oral tissues

A. PRE-DELIVERY ADJUSTMENTS
B. PATIENT ADAPTION
C. FINISHING DENTURE BASES AND OCCLUSION
D. IMPORTANCE OF TRAUMA MINIMIZATION
E. INDICATOR PASTE
F. INSPECTION AND ADJUSTMENT

Answer 22

D

Question 23

T/f

IMPORTANCE OF TRAUMA MINIMIZATION

to prevent paste from sticking, the denture can be dipped in cold water before seating, and the patient bites on cotton rolls or the dentist applies pressure to simulate function

→ repeated applications may be necessary to ensure proper fit, with particular attention to any areas showing excessive pressure, such as near the retromolar pad

Answer 23

T

Question 24

T/f

TIMING OF INTERFERENCE ELIMINATION

→ occlusal interference from rests or other framework parts should be removed before or during occlusal relation establishment
→ framework should be tested in the mouth before final jaw
relations are set to detect and remove interference

Answer 24

T

Question 25

T/f expectation at initial placement: o occlusal interference from the framework should not require adjustments when the finished denture is initially placed

Answer 25

T

Question 26

adjust better intraorally; distal-extension dentures are best adjusted using an articulator A. Tooth-Supported B. Tissue-Supported

Answer 26

A

Question 27

distal-extension bases may need non-pressure interocclusal records to correct occlusion due to base movement A. Tooth-Supported B. Tissue-Supported

Answer 27

B

Question 28

T/f PROCESS FOR OPPOSING PARTIAL DENTURES → adjust one arch (typically the maxillary) as intact and fit the opposing denture to it

Answer 28

T

Question 29

use indicators like ___ and occlusal wax to detect excessive contacts

Answer 29

articulation paper

Question 30

T/f different colors of paper mark centric and eccentric contacts; wax helps pinpoint heavy contact areas

Answer 30

T

Question 31

T /f FINAL RESTORATION OF ANATOMY → sharpen cusps and restore grooves to prevent food trapping and reduce stress on the denture → follow-up adjustments every ____ months are advised to maintain proper fit and avoid tissue trauma

Answer 31

T 6

Question 32

if a removable partial denture is removed at night, ensure the opposing complete denture is also removed to avoid damaging the alveolar ridge T/f

Answer 32

T

Question 33

T/f DENTURE ROCKING OR LOOSENESS → looseness may indicate a change in the supporting ridges, rather than clasp retention → this can be addressed by ___ or _____ the denture → loss of ridge support is gradual and should be monitored by the dentist

Answer 33

T relining or rebasing

Question 34

occlusal contact tests (wax or ___) to check base support

Answer 34

Mylar strips

Question 35

T/f INITIAL DISCOMFORT AND ADJUSTMENTS → advise that some discomfort may occur initially, often due to the bulk of the prosthesis → soreness may develop; reassure that adjustments can be made if needed, but avoid guaranteeing comfor

Answer 35

T

Question 36

T/f gagging is rare, but avoid bulky contours and adjust the denture for comfort

Answer 36

T

Question 37

clean dentures after meals and before bed; brush with a small, soft-bristle brush and use nonabrasive ___

Answer 37

dentifrice

Question 38

soak dentures daily in a cleaning solution (avoid _____ for metal frameworks)

Answer 38

hypochlorite

Question 39

T/f wearing dentures at night may be considered for bruxism, but an individual mouth guard should be used for this purpose

Answer 39

T

Question 40

schedule a follow-up appointment ___ hours after initial placement to evaluate comfort and make any necessary adjustments

Answer 40

24

Question 41

T/f → regular follow-up visits are essential for evaluating the denture and oral health → support for prostheses (especially Kennedy Class I and II) may change over time → limited success may occur if the patient doesn’t return for periodic evaluations

Answer 41

T