Polishing, Insertion & Adjustment + Remounts Flashcards
(46 cards)
insertion is really a how many step visit?
wo step
- adjust the intaglio surface of denture
- adjust occlusion through clinical remount
then re-adjust the intaglio surface of denture if needed further
How to adjust intaglio?
PIP - white and creamy
for the intaglio and is MUCOSTATIC
adjusting borders? Describe what material and how it is applies
MUCODYNAMIC soren’s paste and is applied to the borders like we are border molding – THICKLY applied with a tongue blade – done so intra-orally
show throughs with soren’s paste indicate what?
these are due to OVEREXTENSION and this could lead to a potential sore spot
showthorughs on psot dam?
do not grind them – we did this on purpose.
unless we did score paste the post dam
before you adjust with handpiece?
do it again to make sure
PIP placement
THIN WITH A BRUSH and want to be able to see strokes and the base so we can see the displacement
brush strokes not touched by tissue?
not fully seated so check for show throughs and over compressed areas to adjust
show through on rugae?
common if they are flabby
show through means
pushing too hard in that area and need to adjust – want uniform seating
why do we get discrepencies with seating at insertion?
processing errors during lab processing
importance of our CR record during insertion?
to make sure the occlusion is NOT the reason for the ill seating/ fitting of the denture
when is the most accurate CR record taken?
during the insertion appointment
study regarding the adjustment of occlusion in the mouth and on the articulator (using a clinical remount)
NO CLINICAL REMOUNT – ALL PATIENTS HAD SORE SPOTS
pt. calls and complaints of a sore spot on lower left side…. what should you consider before adjusting occlusion?
MAY NOT BE THAT SPOT – could be from over seating denture on the opposite side and the side that has the sore spot is not actually fully seated so when they bite – it is moving and pushing on the other side – do NOT IMMEDIATELY begin to grind the intaglio/adjust the intaglio of the spot where pt. is describing
occlusion affects what?
retention, stability, fit of denture, as well as health of underlying tissue
When should remount casts be made?
BEFORE clinical appointment
so should try denture in – adjust intaglio and do clinical remount to EQUILIBRATE THE OCCLUSION — then go back and check the intaglio again to make sure it is perfect for the patient
how is the maxillary cast re-mounted? when?
using the facebow PRESERVATION index and is done BEFORE the clinical appointment
what is major thing you have to do with patient when they come in for insertion?
CR record – your clinical remount should already be done
what has to be the same before you adjust occlusoin on articulator during insertion? (part of clinical remount)
MAKE SURE ARTICULATOR = THE PATIENT with the CR record you made
T/F you have different show throughs when you have occlusion or not?
implications
YES – so this is why you adjust intaglio first then do occlusion so each base is fitting perfectly before go into motion
what do you adjust after using articulator paper?
adjust the bullseyes NOT THE SMUDGES
In anatomical teeth what do you adjust?
adjusting the inclines when can to achieve the cusp- fossa relationship
adjusting occlusion on monoplane?
flat plane and FLAT adjustments – do not create inclines
check the mandibular occlusal plane first (2/3 of the RMP) and if that is where it should be — correct the maxilary teeth accordingly - so make sure C is okay then adjust D if need to
