Manuals_files/CD Manual 12.pdf - Removable Prosthodontics

Delivery & Adjustments - 66
Delivering and Adjusting Complete Dentures
1. Prior to the patient appointment :
- Use gauze or cotton roll to inspect the entire tissue surface for spicules or sharp edges
(gauze will snag on the spicules)
- Smooth any sharp areas
- Inspect the posterior border - it should be 2-3 mm thick, gradually tapering to the soft
palate (right), not thick or ending in a sharp ledge (left)
- if necessary use a large acrylic bur to blend any sharp changes in the flange periphery
with the art portion of the denture
2. Insert the maxillary denture first:
- ask patient if it is comfortable, identify areas of discomfort for potential adjustment
- if there is any resistance to seating, proceed immediately to next step
3. Check the adaptation of the denture base using pressure indicating paste (PIP)
- remove a small amount of paste and place it on a mixing pad, reseal the jar to avoid
cross contamination
- dry the denture, place a thin coat of pressure indicating paste on the tissue surface with
a stiff bristled brush
- leave streaks in the paste, but use enough material so that the denture appears more the
colour of the indicating material rather than the denture (i.e. more white than pink)