DENTURETECHNIQUES113

INTRODUCTIONTODENTURETECHNIQUES:Chapterreview References:YellowAFP913
1. The following list contains the steps which must be completed Determine which step is done by the DENTIST (D), or the LAB TECH (T): (answers on next page) a. making preliminary impressions b. pouring diagnostic casts and making custom trays c. making final impressions d. pouring master casts e. making record bases and occlusion rims f. determining amount of facial support the patient needs with record bases g. contours the occlusion rims and makes a record of jaw positions like CO and VDO h. mount master casts in articulator i. wax trial denture construction on record base j. check the trial denture in the patients mouth for appearance and tooth clearance receives patient approval k. prepares denture for investing l. Invests and boils out flasks, removes wax and record base material m. packs denture mold with denture base resin and cures the resin n. recoveres cured dentures from mold and remounts dentures on articulater o. performs selective grinding on the denture p. finishes and polishes the dentures D / T D / T D / T D / T D / T D / T D / T D / T D / T

D / T D / T D / T D / T D / T D / T D / T

ANSWER = a. making preliminary impressions b. pouring diagnostic casts and making custom trays c. making final impressions d. pouring master casts e. making record bases and occlusion rims f. determining amount of facial support the patient needs with record bases g. contours the occlusion rims and makes a record of jaw positions like CO and VDO h. mount master casts in articulator i. wax trial denture construction on record base j. check the trial denture in the patients mouth for appearance and tooth clearance receives patient approval k. prepares denture for investing l. Invests and boils out flasks, removes wax and record base material m. packs denture mold with denture base resin and cures the resin n. recoveres cured dentures from mold and remounts dentures on articulater o. performs selective grinding on the denture p. finishes and polishes the dentures D / T D / T D / T D / T D / T D / T D / T D / T D / T D T D T T D D T T

D / T D / T D / T D / T D / T D / T D / T

D T T T T T T

2. A _____________ is a type of removable prosthesis designed to replace all of the teeth in a natural arch. a. complete dentures ANSWER = C b. partial dentures c. complete denture d. partial dentures

3. A complete denture usually does NOT reproduce: a. 1st molars b. 2nd molars 3. 3rd molars 4. Canines

ANSWER = C 4. True or False: A slight error during any procedure in the denture making process can easily result in an unsatisfactory prosthetic restoration. ANSWER = TRUE 5. An impression is an accurate ___________ likeness of a highly specific intraoral area a. negative b. positive c. flat d. tissue based

ANSWER = A 6. True or False: A cast is a positive likeness of oral tissues poured from an impression. ANSWER = TRUE 7. True or False: If the denture borders are inadvertently changed during final finishing, the denture no longer corresponds to the original impression. ANSWER = TRUE 8. In the maxillary arch, the denture bearing areas are the ____________ and the ________. a. residual ridge / soft palate b. alveolar ridge / hard palate c. residual ridge / vibrating line d. residual ridge / hard palate ANSWER = D 9. From the list below; select the anatomical features which serve as the borders for a MAXILLARY denture: a. labial sulci b. buccal sulci c. retromolar pads d. residual ridge e. hard palate f. soft palate g. hamular notch ANSWER = A; B; G; L h. buccal shelves i. posterior extent of the retromylohyoid space j. posterior extent of the retromolar pads k. lingual sulcus l. vibrating line m. retromolar pads

10. The denture bearing areas of the mandible are the __________, __________, and ___________. a. residual ridge, retromolar pads, lingual shelf. b. residual ridge, retromolar pads, buccal shelves. c. residual ridge, retromolar pads, buccal sulci d. residual ridge posterior extent of the retromolar pads, vibrating line. ANSWER = B 11. Using the list of anatomical features from question 9; select those which serve as the borders for a MANDIBULAR denture: a. labial sulci b. buccal sulci c. retromolar pads d. residual ridge e. hard palate f. soft palate g. hamular notch ANSWER =A; B; I; J; K 12. In order to get the best accuracy, impressions must be poured: a. within 7 days b. within 14 days c. A.S.A.P d. anytime h. buccal shelves i. posterior extent of the retromylohyoid space j. posterior extent of the retromolar pads k. lingual sulcus l. vibrating line m. retromolar pads

ANSWER = C (As.Soon.As.Possible) 13. Soaking certain impression materials in a 2% potassium sulfate solution for 5 minutes prior to pouring is called _________ the impression. a. hardening b. disinfecting c. fixing d. debubblizing

ANSWER = C 14. True or False: Fixing an impression serves to improve the surface detail and hardens the cast. ANSWER = True

15. The primary objective of when pouring a cast for a denture case is to: a. capture the details of the margin under the prep tooth b. capture all surface detail of the impression in as bubble-free a manner as possible c. produce a highly accurate negative of the residual ridge and denture landmark areas d. produce an impression which can reproduce the alveolar ridge characteristics. ANSWER = B 16. The best way to flow stone into an impression for a complete denture is to: a. add small amounts into a corner of the impression and let is slowly advance to the other side with the aid of a vibrator b. add a large patty of stone into the middle of the impression and then vibrate to flow stone into the residual ridge areas c. Add the stone to the impression, and tap vigorously to relaease all bubbles in the cast d. To mix and pour the stone in a complete vacuum, preventing any expansion. ANSWER = A 17. Once the primary details of the impression are covered with stone, it is ok to add progressively larger amounts to stone until the impression is filled. AGREE / DISAGREE ANSWER = AGREE

18. The following is a list of anatomical features in a maxillary arch. Determine whether the anatomical feature relates to either an impression, a cast, or a denture. (circle all that apply, answers on next page. EXAMPLE: Vibrating Line Impression / Cast / Denture

example answer = Impression; Cast (the vibrating line appears in both Impressions and Casts, but not the Denture, where it is called the Posterior palatal border) a. Hamular Notch b. Tubercular Fossa c. Posterior Palatal Area d. Palatine Fovea Area e. Palatine Raphe f. Rugae area g. Incisive Papilla Area h. Labial Frenum i. Residual Ridge j. Labial Flange k. Buccal Notch l. Buccal Sulcus Impression Impression Impression Impression Impression Impression Impression Impression Impression Impression Impression Impression / / / / / / / / / / / / Cast Cast Cast Cast Cast Cast Cast Cast Cast Cast Cast Cast / / / / / / / / / / / / Denture Denture Denture Denture Denture Denture Denture Denture Denture Denture Denture Denture

ANSWER = answers are shown in bold underline a. Hamular Notch b. Tubercular Fossa c. Posterior Palatal Area d. Palatine Fovea Area e. Palatine Raphe f. Rugae area g. Incisive Papilla Area h. Labial Frenum i. Residual Ridge j. Labial Flange k. Buccal Notch l. Buccal Sulcus Impression Impression Impression Impression Impression Impression Impression Impression Impression Impression Impression Impression / / / / / / / / / / / / Cast Cast Cast Cast Cast Cast Cast Cast Cast Cast Cast Cast / / / / / / / / / / / / Denture Denture Denture Denture Denture Denture Denture Denture Denture Denture Denture Denture

19. The following is a list of anatomical features in a mandibular arch. Determine whether the anatomical feature relates to either an impression, a cast, or a denture. (circle all that apply, answers on next page. a. Retromolar Pad b. Retromylohyoid Eminance c. Buccal Shelf / Sulcus d. Lingual Flange e. Lingual Notch f. Residual Ridge g. Buccal Frenum h. Labial Sulcus i. Labial Frenum Impression Impression Impression Impression Impression Impression Impression Impression Impression / / / / / / / / / Cast Cast Cast Cast Cast Cast Cast Cast Cast / / / / / / / / / Denture Denture Denture Denture Denture Denture Denture Denture Denture

ANSWER = answers are shown in bold underline a. Retromolar Pad b. Retromylohyoid Eminance c. Buccal Shelf / Sulcus d. Lingual Flange e. Lingual Notch f. Residual Ridge g. Buccal Frenum h. Labial Sulcus i. Labial Notch Impression Impression Impression Impression Impression Impression Impression Impression Impression / / / / / / / / / Cast Cast Cast Cast Cast Cast Cast Cast Cast / / / / / / / / / Denture Denture Denture Denture Denture Denture Denture Denture Denture

20. Generally speaking, anatomical features which have the word(s) _____ in them will appear in Impressions and Dentures, but have different names in the cast. (Circle all that apply) a. Fossa b. Flange c. Space d. Area e. Notch

ANSWER = A; B; D; E: 21. Generally speaking, anatomical features which have the word(s) _____ in them will appear in Casts, but will have a different name in the Impressions and Denture. a. Fossa b. eminence ANSWER = C; D; 22. True / False: The Posterior Palatal Seal Area may be found on Maxillary denture impressions and dentures. ANSWER = FALSE (This is the only instance of an anatomical feature with the word area in it which is only found in casts, according to yellow AFP, fig 1.1 and 1.2) 23. True or False: A Posterior Palatal Seal is found in both maxillary impressions and dentures. ANSWER = FALSE ( The posterior palatal seal is made by the technician after the impression is taken,therefore it only appears in the final denture.) c. Frenum d. Sulcus e. Area

24. The difference between a Posterior Palatal Area, and Posterior Palatal Seal Area and Posterior Palatal Seal is (circle all that apply): a. Posterior Palatal Areas are found in impressions only b. Posterior Palatal Seal Areas are found in Casts only c. Posterior Palatal Seal is found on a Denture only d. Posterior Palatal Areas are found in both impressions and dentures, but not casts e. Posterior Palatal Seal is found in Casts only, but not impressions or the denture. ANSWER = A; B; C 25. A cast chould not sit in an alginate impression longer than _____. a. 1 hour b. 45 mins c. 2 days d. 7 days e it does not matter

ANSWER = A 26. True or False: Leaving a cast in an alginate impression longer than 1 hour will probably result in unacceptable surface damage to the cast because the alginate impression material has a tendancy to dry out. ANSWER = TRUE 27. In the case of a modeling compound impression, the material should be uniformly heated in a water bath of _____ degrees (F) until it softens before removal of the cast should be attempted. a. 110 b. 140 ANSWER = B 28. Once a cast has reached final set it is then ok to trim. AGREE / DISAGREE c. 115 d. 80

ANSWER = DISAGREE ( Denture casts should sit for 2 hours AFTER final set is reached before trimming is done.) 29. True or False: Taking a dry cast to the model trimmer will result in a slushy debris coming off the trimming wheel and will stick to the cast permanently. ANSWER = TRUE

30. Casts should be rinsed in a solution of ________(SDS) before and during the trimming process. a. Saturated calcium sulfate dehydrated solution b. Hyper-saturated calcium sulfate-dehydrate solution c. Saturated calcium sulfate dihydrate solution d. Saturated calcium sulfide dihydrate solution ANSWER = C 31. When trimming denture casts, the sucli should be represented, but not more than _____mm deep. a. 5 b. 7 ANSWER = D 32.The land area protecting a sulcus in a denture cast should extend outward by ___mm. a. 5 b. 4 ANSWER = B 33. In both maxillary and mandibular denture casts, the cast should extend ____mm past the maxillary hamular notch, and the mandibular retromolar pads, respectively. A. 5 b. 7 ANSWER = A 34. A denture cast should be about 15mm thick at its ________ point. a. thickest b. widest c. thinnest d. longest c. 4 d. 3 e. none of the above c. 3 d.2 c. 4 d. 3

ANSWER = C 35. Casts should be stored: a. in a safe place to prevent damage b. in your car c. in a flask d. in your lunchbox ANSWER = A (wasnt this an actual quiz question once?)

36. There are two kinds of basic impression trays ________ and _________. a. preliminary / final b. prelisted / custom c. first / second d. prefabricated / custom ANSWER = D 37. All preliminary impression trays are prefabricated. ANSWER = AGREE 37. Casts made from prefabricated trays are also known as diagnostic, or study casts. AGREE / DISAGREE ANSWER = AGREE 38. Preliminary impressions are usually taken in _________ impression material. a. Agar Agar ANSWER = B 39. Alginate impression material begins to warp ______ after the impression is removed from the mouth. a. 5-10 mins b. 10-15 mins c. 1 hour d. 7 days e. Alginate does not warp. b. Alginate c. Polysulfide d. Silicone Additive AGREE / DISAGREE

ANSWER = B 40. True or False: A humidor may help retard the distortion process of alginate impressions ANSWER = TRUE 41. A One-step pour for a diagnostic cast will produce an adequate and satisfactory cast if done properly, and is recommended as the routine pouring procedure. AGREE / DISAGREE ANSWER = DISAGREE ( The one step method produces marginally adequate casts, but is not recommended as a routine practice) 42. Circle the correct words to make the following statement true: Prefabricated trays (are / are not) made to fit everyone (moderately / very) well, but to fit nobody (very / moderately) well. ANSWER = are; moderately; very

43. In the diagram below, label the correct cast trimming measurements for this mandibular denture preliminary cast.

Land Area Width = _____mm; Sulci Area Height =_____mm; Minimum Model Height = ____mm; ANSWER = Land Area Width = 4 mm; Sulci Area Height = 3 mm; Minimum Model Height = 15 mm;