Initial CD Exam, forms, and Surgical Stents

what are the 1st steps before getting a start check?

do not look in mouth yet, get vitals, med and dent hx

If pt has had a screening medical consult, what should you consider?

has it been returned? Have you presented to ODOM faculty (Dr. Firriolo, Dr. Baxter)? Is the patient stable enough for extractions or pre-prosthetic surgery?

what is added in the chart after start check?

-comprehensive Exam•

-X-rays if indicated

-Prosthodontic Diagnostic Index (PDI) code

-Complete Denture Prosthodontic Form code

-Oral Exam code

-Diagnostic Casts

does intraoral exam happen after or before the chart add?

after chart add

what are these pics examples of?

candida- stomatitis, thrush, leukoplakia

aks Candida-associated denture stomatitis (CADS), is an inflammatory fungal infection of denture wearers; redness and inflammation under the denture from Candida albicans

denture stomatitis

aka oral candidiasis, is a fungal infection caused by an overgrowth of Candida yeast; white or red patches on the tongue, inner cheeks, and throat, along with other symptoms like pain and difficulty swallowing

thrush

chronic hyperplastic candidosis (CHC), is a type of oral leukoplakia ass w/ a Candida fungal infection, particularly Candida albicans. It presents as white, thickened patches in the mouth, often on the inner cheeks or commissures

candida leukoplakia

how can you check with gauze to see if someone has pseudomembraneous candidiasis?

the ability to easily scrape off white patches from the oral mucosa with gauze, revealing a red and possibly bleeding base, strongly suggests the presence of acute pseudomembranous candidiasis.

what are homecare instructions for dentures?

-Very warm water

-Warm saltwater rinse

-Mouthwash rinse

-Toothbrush or denture brush

-The Denture Dart V4 too

-Give the patient a toothbrush

-Have the patient rinse with mouthwash or warm water and brush their ridges over the cubicle sink

-Or Small amounts can be wiped off with dry 2x2's or small pieces of dry paper towels.

what forms are used for the comprehensive oral exam?

1. Complete Denture Prosthodontics Patient Evaluation and Mouth Examination Form

2. Oral Exam form

3. Paper PDI form- determines difficulty of case

4. DMD OS Presentation Form id pt needs to EXTs

5. Complete Denture Step Card

What step is important prior to starting the forms?

Patient is interviewed to understand their goals, attitudes and expectations of dental treatment. Is the patient psychologically and physically able to be treated by a DMD student and to accept /tolerate dentures? If they have dentures - how many sets over how many years? 2. Is there any emergency or immediate treatment needed for the patient?

How are pts classified by the PDI form?

Class I, II, III, IV

*class I and II are generally acceptable for DMD treatment. Class III is "sometimes" acceptable. Class IV should be referred to GPR, Faculty Practice or Grad Prosthodontics.*

When a CD case is started, students must use the ___ for each procedure during treatment.

Clinical Complete Denture Step Card

DMD all on 4 fixed denture?

No, this goes to grad prosthodontic clinic

If a pt requires surgery, you must make a __.

surgical stent

how should you adapt trays for those with tori and large arches?

heat the blue clinic stock tray

Pour # cast for surgical stent

2- initial impression, pour twice, one to alter to show surgeon what it will look like, one for current record

The Thermo sheet used for the suck-down for a surgical stent is __ gauge.

.060