immediate 3

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Author:
emm64
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251249
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immediate 3
Updated:
2013-12-06 08:56:18
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immediate
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immediate 3
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  1. 1.What are two scenarios when you set up denture teeth for immediate dentures?
    • If duplication of natural tooth arrangement is desired
    • • Cut away stone tooth in an alternate way, one at a time
    • • Set the denture teeth following the marked 15 mm lines and the compatibility with adjacent stone teeth to reproduce the position, angulation, and contour
    • If natural tooth arrangement is not esthetic
    • • Reestablish the correct incisal edge position, dental midline, arch form, and facial contour
    • anterior teeth selection order
    • Facial midline and upper lip level should be recorded at the impression and/or jaw relation app and marked on the cast.
  2. 2. When you reproduce the existing esthetics to a new immediate denture, how do you control the set-up?
    • Natural esthetic is appealing or acceptable enough:Ask Pt for a possible desire for duplicating natural tooth arrangement
    • Natural tooth arrangement is not esthetic: Apply complete denture guidelines to achieve optimal esthetics, and obtain an approval from Pt
  3. If duplication of natural tooth arrangement is desired
    • • Cut away stone tooth in an alternate way, one at a time
    • • Set the denture teeth following the marked 15 mm lines and the compatibility with adjacent stone teeth to reproduce the position, angulation, and contour
  4. If natural tooth arrangement is not esthetic
    • • Reestablish the correct incisal edge position, dental midline, arch form, and facial contour
    • anterior teeth selection order
    • Facial midline and upper lip level should be recorded at the impression and/or jaw relation app and marked on the cast.
  5. shade
    • sex: bold(manly) or soft(feminine)
    • best mold
    • best size given anatomy
  6. 3. What are three items that need to be ready at immediate denture delivery appointment?
    • hydrated dentures
    • surgical stent
    • diagnostic cast
  7. 4. What is the purpose of surgical stents for immediate dentures?
    When tuberosity/exostosis or undercut reduction is necessary, a surgeon will perform the bony reduction based on the prescription indicated on the stone cast and surgical stent. A clear surgical stent is used to provide a guidance of surgery and to confirm its accomplishment. The completion of boney reduction can be confirmed when the surgical stent is completely seated on the ridge.
  8. Likely sore areas need to be carefully examined and preemptively adjusted, if needed, because Pt is numbed.
    • Canine eminence
    • Lateral to tuberocity
    • Retromylohoid undercuts
    • Potential overextenion in buccal shelf
    • Other undercut areas Frenum areas
  9. 5. What is the goals of occlusal adjustment at immediate denture delivery appointment?
    Reasonably even bilateral centric contacts with no major excursive interference. Gross chairside adjustment only and no clinical remount necessary at this appointment
  10. 6. What are the important instructions to be given at immediate denture appointment?
    • Medication prescription, gauze, and cold pack
    • Written postop instruction
    • --- Immediate Complete Denture Clinic Syllabus p.74-75
    • Review with your patient
    • The denture must remain in the mouth at all times for the first 24 hrs
    • Take only liquids or very soft food for the first 48hrs
    • Return for the critical 24-hr check
  11. 9. When do you perform clinical remount for immediate dentures?
    72 hr & 1-week Check: Clinical Remount and Occlusal Equilibration
  12. 8. What are the precautions in procedures during 24 hour check?
    • 1. Remove and clean the denture
    • 2. Make any appropriate adjustments (tissue conditioner as necessary)
    • 3. The denture can be out of the mouth only for a short period of time
    • 4. Avoid vigorous mouth rinse
    • 5. Wear the denture at night till 5-7 days post-op
  13. 7. What are the mandatory post-delivery appointments for immediate dentures?
    24 hr, 72 hr, 1 week
  14. Objectives of the ID occlusion development:
    • 1.Bilateral even centric contacts
    • 2. Fully balanced occlusion during eccentric movements:
    • Laterotrusion and protrusion.
  15. Step-by-step lab procedures for Tx RPD
    • 1. Design the definitive RPD
    • 2. Design the Tx RPD
    • 3. Survey, mark height of contour lines, and finalize the design
    • 4. Prep guide planes and rests.
    • 5. Block out undercuts
    • 6. Draw wire bending outlines (retainers, rests)
    • 7. Wire bending
    • 8. Denture teeth set-up
    • 9. Processing and delivery
  16. Stability and reciprocation of Tx RPD obtained by ______
    acrylic base plated in contact with remaining teeth
  17. Wire diameters
    • Retainers & cingulum rests: 0.036” wire
    • Rests: 0.040” wire, including ball clasp

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