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UDMSD Prosthodontic Competency Examination For Complete and Partial Denture Insertion or Delivery

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!. 3.

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UDMSD Prosthodontic Competency Examination For Complete and Partial Denture Insertion or Delivery

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  1. UDMSD Prosthodontic Competency ExaminationFor Complete and Partial Denture Insertion or Delivery Michael L. Linebaugh DDS MS

  2. 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.

  3. Start Check! 3

  4. Patient Presentation: Health History and Dental History 1. Brief explanation of diagnosis and treatment plan 2. Presentation of the original diagnostic casts mounted3. Examination of radiographs4. Student will identify patient’s medications and how they effect treatment

  5. Pre-insertion • Unpackaged/checked/ examined • All instrumentation present/supplies • Examined intaglio surface prosthesis • Preparation of remount casts

  6. Pre-insertion Phase Instructor will be present

  7. Student will unpack prosthesis and examine intaglio surface with finger and evaluate.With Instructor Present

  8. 2. Instrumentation Needed for Insertion SS hand piece and proper bursIndicators /disclosing wax & applicatorsPIP paste (disclosing paste)Occlusal indicator paperTorch/lighterAlu wax, or occlusal registration material Sticky waxWax spatulaArticulatorBard parker knife and buffalo knifeMounting stoneMounting jig Preparation of remount cast to be completed in clinic

  9. Instrumentation

  10. Student will prepare maxillary and mandibular remount casts.Casts returned from the laboratory cannot be used.

  11. Remount Casts Prepare prosthesis to pour remount casts

  12. Remount casts Note: Blockout & Vaseline

  13. Remount Casts Note: Blockout & Vaseline

  14. 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.

  15. Insertion Phase: Instructor will evaluate

  16. 1. Student will place PIP paste (disclosing wax) on the intaglio surface and evaluate for instructor.

  17. Evaluation of the fit of the prosthesis: maxillary arch

  18. Evaluation of the fit of the prosthesis: mandibular arch

  19. 2. Student will adjust the intaglio surface and have instructor evaluate.

  20. 3. Student will evaluate peripheral borders, extensions, frenums and posterior palatal seal.

  21. 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.

  22. 1. Student will know how to use remount jig or substitute a facebow transfer to mount maxillary cast.

  23. 2. Student will choose occlusal registration material and complete occlusal registration in CR

  24. 3. Student will complete clinical remount and demonstrate accuracy to clinical condition Instructor will evaluate

  25. 1 2 3

  26. Clinical Remount

  27. Clinical Remount

  28. Clinical Remount

  29. Need to demonstrate other materials and how they can be used.

  30. Clinical Remount

  31. Instructor Will Examine Centric Relation Intraorally

  32. Clinical Remount

  33. 4. Student will explain the adjustment procedure. • Centric relation • Lateraltrusion (working contact) • Medialtrusion (balancing contact) • Concept of balanced occlusion

  34. 5. Student will complete adjustment for CR and lateral and medialtrusion.

  35. Centric Relation Adjustment

  36. Centric Relation AdjustmentBefore

  37. Centric Relation AdjustmentAfter . . . . . .

  38. 6. Student will evaluate new occlusal relationship intraorally.

  39. Esthetic Result

  40. Student will allow patient to comment on result and then discuss results with instructor.

  41. Patient Instructions • Follow up instructions for patient adaptation • 24- 48hr adjustment and evaluation appointment • Appropriate aids/literature given Need picture of aids

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