Manuals_files/CD Manual 12.pdf - Removable Prosthodontics

Delivery & Adjustments - 68
11. Set the maxillary denture aside and repeat for the mandibular denture. Have an assistant
(classmate) in your office remount the maxillary denture using the remount index and
jig, if the laboratory has not done so. Polish any areas of adjustment with pumice on a
wet ragwheel and tin oxide on a dry ragwheel. Use sterile ragwheels and new pumice for
each patient.
12. Check the occlusion. Insert both dentures, place a cotton roll between the posterior teeth
on both sides and have the patient bite forcefully for one minute. This will simulate
compression of the tissue after the patient has worn the denture for a period of time.
Then place the patient in centric relation and visually check the occlusion. Stabilize the
mandibular denture, using index fingers on the facial surface of mandibular denture and
thumbs under mandible.
14. If there appears to be an open bite or very unstable posterior contacts, the heels of the
dentures or the occlusal contacts may require adjustment. Use articulating film to mark
the interferences and adjust the dentures to provide stable bilateral contacts.
Clinical Remount for Occlusal Adjustment
- A clinical remount involves remounting the processed dentures on an articulator for the
purposes of adjusting the occlusion extraorally
- Overall, the clinical remount can save time - there will be fewer subsequent adjustment
appointments, and the operator doesn't have to continually remove and replace the
dentures intraorally during the adjustment procedure
- Clinical remounting allows identification of interferences that may not be seen
intraorally, since occlusal interferences can cause pain or instability of the dentures.
when this occurs, patients reflexly avoid the interferences, so that the problem may be
difficult to identify
- While not all dentures will require an occlusal remount, we will routinely remount
dentures over the course of the next several years, so that you become proficient in
this procedure. All dentures with cusped tooth forms and any dentures with 0° tooth
form and a demonstrated centric record occlusal discrepancy should be remounted,
and the denture occlusion be adjusted for centric and excursive contacts on the
articulator.