Transcript To View/Download Presentation - UDM Prosthodontic Clinical

UDMSD Prosthodontic
Competency Examination
For Complete and Partial
Denture Insertion or
Delivery
Michael L. Linebaugh DDS MS
Competency will begin at 10:00 am
and 1:00 pm no exceptions!
Student must have opposing
prosthesis either a CD/RPD,
CD/CD etc.
Start Check!
Patient Presentation:
Health History and Dental History
1. Brief explanation of diagnosis
and treatment plan
2. Presentation of the original
diagnostic casts mounted
3. Examination of radiographs
4. Student will identify patient’s
medications and how they
effect treatment
Pre-insertion
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Unpackaged/checked/ examined
All instrumentation present/supplies
Examined intaglio surface prosthesis
Preparation of remount casts
Pre-insertion Phase
Instructor will be present
Student will unpack prosthesis and
examine intaglio surface with finger
and evaluate. With Instructor Present
2. Instrumentation Needed for Insertion
SS hand piece and proper burs
Indicators /disclosing wax & applicators
PIP paste (disclosing paste)
Occlusal indicator paper
Torch/lighter
Alu wax, or occlusal registration material
Sticky wax
Wax spatula
Articulator
Bard parker knife and buffalo knife
Mounting stone
Mounting jig
Preparation of remount cast to be completed in clinic
Instrumentation
Student will prepare maxillary
and mandibular remount casts.
Casts returned from the
laboratory cannot be used.
Remount Casts
Prepare prosthesis to pour remount casts
Remount casts
Note: Blockout & Vaseline
Remount Casts
Note: Blockout & Vaseline
Insertion Phase
• Student will place PIP paste (disclosing
wax on the intaglio surface and evaluate
the results for the instructor.
• Student will adjust the intaglio surface
and have the instructor evaluate.
• Student will evaluate peripheral borders,
extensions, frenums and posterior palatal
seal.
Insertion Phase:
Instructor will evaluate
1. Student will place PIP paste
(disclosing wax) on the intaglio surface
and evaluate for instructor.
Evaluation of the fit of the prosthesis: maxillary arch
Evaluation of the fit of the prosthesis: mandibular arch
2. Student will adjust the intaglio
surface and have instructor evaluate.
3. Student will evaluate peripheral
borders, extensions, frenums and
posterior palatal seal.
Occlusal Evaluation and Adjustment
• Student will know how to use remount jig or
substitute a facebow transfer to mount
maxillary cast.
• Student will choose occlusal registration
material and complete occlusal registration in
centric relation.
• Student will complete clinical remount and
demonstrate accuracy to clinical condition,
Instructor will evaluate
• Student will explain the adjustment procedure
• Student will complete adjustment for CR and
lateral and medialtrusion. Instructor will evaluate
• Student will evaluate new occlusal relationship
intraorally.
1. Student will know how to use
remount jig or substitute a facebow
transfer to mount maxillary cast.
2. Student will choose occlusal
registration material and complete
occlusal registration in CR
3. Student will complete clinical
remount and demonstrate accuracy to
clinical condition Instructor will evaluate
1
2
3
Clinical Remount
Clinical Remount
Clinical Remount
Need to demonstrate other
materials and how they can be
used.
Clinical Remount
Instructor Will Examine Centric
Relation Intraorally
Clinical
Remount
4. Student will explain the adjustment
procedure.
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Centric relation
Lateraltrusion (working contact)
Medialtrusion (balancing contact)
Concept of balanced occlusion
5. Student will complete adjustment
for CR and lateral and medialtrusion.
Centric Relation Adjustment
Centric Relation Adjustment
Before
Centric Relation Adjustment
After
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6. Student will evaluate new
occlusal relationship
intraorally.
Esthetic Result
Student will allow patient to comment
on result and then discuss results with
instructor.
Patient Instructions
• Follow up instructions for patient
adaptation
• 24- 48hr adjustment and evaluation
appointment
• Appropriate aids/literature given
Need picture of aids