CDCL5001 20124

COMPLETE
DENTURES
CDCL 5001
SPRING SEMESTER 2012
Course Director
Dr. Amara Abreu
Course Faculty
Dr Philip Baker
Dr. Brent Haeberle
Dr. Kurt Metzler
Dr. Darshanjit Pannu

Dr. Kevin Plummer
Dr. Yosvany Vento
Prosthodontic Resident:
Dr. Somkiat Aimplee
Department of Oral Rehabilitation
MONDAY AM
WEDNESDAY PM
JANUARY 9th Session 1

8:00-9:50am Course Introduction
LEC Anat. Landmarks
LEC Exam & Diagnosis
10:00am-12:00pm Jr Clinic Exam, Record Findings
(Abreu)
(Haeberle)
(Pannu)

1:00-1:50pm LEC Preliminary Impressions
2:00-5:00pm
(Vento)
Jr Clinic - Preliminary impressions
JANUARY 23rd Session 3

8:00-8:50am QUIZ #1
LEC Making Maxillary Final Impress
(Abreu)
9:00am-12:00pm Jr Clinic Maxillary Border mold, final impression
8:00-8:50am LEC Making Mandibular Final Impress
(Abreu)
9:00am-12:00pm Jr Clinic Mandibular border mold, final impression
FEBRUARY 6th Session 5
8:00-8:50am LEC Jaw Relation Records
9:00am-12:00pm Jr Clinic Continue final impressions
(Plummer)

8:00-9:30am QUIZ #2
LEC Tooth Selection/Esthetics
LEC Axium
9:30am-12:00pm Jr Clinic - Jaw relations #1
(Haeberle)
(Plummer)

8:00-9:00am LEC- Occlusal Concepts
(Pannu)
9:00-12:00pm Jr Clinic - Jaw relations records #2

8:00-9:00am LEC- Trial Insertion appointment
9:00-12:00pm Jr Clinic - Complete Jaw relation records /
Esthetic Try-in
MARCH 5th Session 9
8:00-9:00am QUIZ #3
LEC- Class II & III Occlusal Schemes
9:00-12:00pm Jr Clinic - Esthetic Try-in
MARCH 12th Session 10
8:00-9:00am
(Abreu)
(Plummer)
LEC- Open lecture period
9:00-12:00pm Jr Clinic - Esthetic Try-in

MARCH 19th Session11
8:00-9:00am LEC- Denture Insertion
9:00-12:00pm Jr Clinic - Esthetic Try-in / Insertion
MARCH 26th Session 12
8:00-9:00am LEC- Open lecture period
9:00-12:00pm LAB- Identification practical exam
(Metzler)
(Course faculty)
th
APRIL 9 Session 13
8:00-9:00am QUIZ #4
LEC- Occlusal Corrections in CD
9:00-12:00pm Jr Clinic - Denture insertion
(Abreu)
APRIL 16th Session 14

8:00-9:00am LEC- Post-insertion care
(Metzler)
9:00-12:00pm Jr Clinic - Denture insertion / Denture adjustment
8:00-9:00am LEC- Open lecture period
9:00-12:00pm Jr Clinic - Denture adjustment
LAB- PRACTICAL RETAKE
8:00-9:00am LEC- Pre-Pros Surgery
FRIDAY MAY 4th Session 18
8:00-10:00am

1:00-2:00pm LEC- Immediate Dentures
(Plummer)
(Abreu)
(Londono)
FINAL EXAM
Table of Contents
2012 COURSE POLICY .............................................................................................................5
GRADING MODEL .............................................................................................. 7
SESSION 1 ..............................................................................................................................13
Anatomic Landmarks, Exam and Diagnosis .............................................................................13
SESSION 2 ..............................................................................................................................14
Preliminary Impressions ...........................................................................................................14
SESSION 3 ..............................................................................................................................16
MaxillaryFinalImpression...................................20
SESSION 4 ..............................................................................................................................20
Mandibular Final Impression ....................................................................................................20
SESSION 5 ..............................................................................................................................22
Jaw Relation Records ..............................................................................................................22
SESSION 6 ..............................................................................................................................23
Tooth Selection for Esthetics ....................................................................................................23
SESSION 7 ..............................................................................................................................25
Occlusal Concepts ...................................................................................................................25
SESSION 8 ..............................................................................................................................26
Class II and III Occlusal Schemes ............................................................................................26
SESSION 9 ..............................................................................................................................27
Try-in and verification of eccentric records ...............................................................................27
SESSION 10 ............................................................................................................................30
Open lecture period........30
SESSION 11 ..........................................................................................................................330
DENTURE INSERTION .........................................................................................................330
SESSION 12 ..........................................................................................................................303
LAB ID PRACTICAL EXAM ....................................................................................................303
SESSION 13 ............................................................................................................................34
Occlusal Corrections in Complete Dentures .............................................................................34
SESSION 14 ..........................................................................................................................345
Post-Insertion Care ..................................................................................................................35
SESSION 15 ............................................................................................................................36
Open lecture period ..................................................................................................................36
SESSION 16 ............................................................................................................................37
Immediate dentures ...............................................................................................................387
SESSION 17 ............................................................................................................................37
Pre-Prosthetic Surgery ...........................................................................................................387
SESSION 18 ..........................................................................................................................308
FINAL EXAM ..........................................................................................................................308
Course Description: This course extends the previously taught didactic and laboratory
procedures to a clinical setting. Removable maxillary and mandibular complete dentures are
fabricated for an edentulous patient with major emphasis on correlating the patients biological
milieu with the clinical aspects of complete prosthodontics.
Credit hours:
Total clock hours:
Lecture hours:
Seminar hours:
Self-instructional hours:
Other hours:
Lab hours:
Intramural clinic hours:
Extramural clinic hours:
Faculty estimate of outside study hours:
Faculty estimate of outside lab hours:
3
68
17
0
0
4
9
38
0
30
14
Major Course Goals: To prepare students to competently treat edentulous patients in a

clinical setting. This includes oral examination, treatment planning, and all phases of complete
denture fabrication.
Clinical Expectations: To competently perform all procedures related to the fabrication of
maxillary and mandibular complete dentures for an assigned patient.
COMPLETE DENTURES CDCL 5001

2012 COURSE POLICY
Course Prerequisites:
As stated in the current MCG Catalog, the student must have passed CDPR 5001 to enroll in
CDCL 5001. This course is a prerequisite for PROS 5901 and to treat clinic patients requiring
complete dentures.
Required Books:
1. The REQUIRED textbook is Textbook of Complete Dentures. Rahn A, Ivanhoe J,
Pummer K; 6th Edition, 2009.
2. CDCL 5001 Course Outline
Assigned reading that is indicated on the schedule is a requisite part of the course and will be
covered on the examinations. The CDCL 5001 Course Outline is organized by session with
Behavioral Objectives, some lecture outlines, and some additional reading materials from
articles. The student is responsible for learning the material to satisfy the listed Behavioral
Objectives for the session, not simply material covered in lecture. The quizzes and
examinations will be so oriented.
Attendance in lecture, clinic and laboratory is mandatory. The Associate Dean for Student
Affairs has the authority and may grant an immediate excused absence in the following
circumstances: 1) Personal illness or illness of a close family member when the attention of
the student is required. 2) Death of an immediate family member. 3) Personal appointment for
acute or preventive health care. A student missing a scheduled examination must document a
visit to Student Health or a private physician in order to qualify for a makeup examination.
Whenever possible, students should schedule preventive appointments at times which are
minimally disruptive to their class schedule. 4) Accident or other unforeseen circumstance
making it impossible for a student to attend a scheduled class.
Students should report their reason for requesting an excused absence to the Associate Dean
for Students on the day of the absence or as soon as possible.
The following may also constitute reasons for an excused absence, but are not emergencies
and they should be planned well in advance. The student has the responsibility to notify the
Course Director and the Associate Dean for Students and request and arrange in advance to
make up any work to be missed:
1.
2.
3.
4.
Serving off campus as a representative of the institution

Scheduled participation in an off-site rotation
Religious holiday
Other circumstances as may be approved by the Course Director
The Associate Dean for Students will maintain records of the excused absences until the
Student Academic Review Committee reviews grades at the end of the semester. (see
Schools Absence Policy approved 7/28/99 for complete text).
5
Attendance will be taken at the beginning of lecture and lab sessions. Students suspected of
abusing the Excused Absence policy will be reported to the Associate Dean for Students for
investigation.
All absences, including tardiness, not identified as excused absences will be considered
unexcused. An unexcused absence will be counted as a zero grade if an exam/quiz was
missed. No remediation will be offered for the unexcused missed class. Any quizzes missed
on the excused absence will be made up with an essay exam at the discretion of the Course
Director.
Students will be considered tardy if they are 2-10 minutes late for a lecture on those days in
which no quiz is given. Two tardies will count as an absence. Students will be considered
absent if they are more than 10 minutes late to any session.
For each unexcused absence from a lecture session. One percent (1.0%) will be deducted
from the final 64% of the Didactic portion of the course grade. One percent (1.0%) will also be
deducted from the final 36% of the Clinical/Lab grade for each unexcused lab or clinic
absence.
Students who have not completed a daily project/clinic must obtain permission from their
assigned instructor to leave the session before the scheduled completion time.
Students are required to watch the videos posted to the VISTA Course site prior to the
applicable clinic session in which the patient treatment is being performed. Quiz questions will
be selected from the videos. There will normally be three or four students assigned to each
patient being treated. The treatment procedures will be divided as equally as possible.
Students are required to wear safety goggles and to tie shoulder length hair back when
operating rotary instruments or working at the lathes.
Professional Appearance and Clinic Attire:
In accordance with Sec. 6-1 (p. 41) of the MCG Clinic Policy manual, all students will adhere to
the standards listed in the current manual and all published infection control guidelines
Georgia Health Sciences University College of Dental Medicine Competency Statements
pertinent to course content:
3.
4.
8.
10.
11.
14.
15.
Provide care to a diverse patient population

Communicate with patients, staff and colleagues concerning oral health care
matters
Obtain and assess diagnostic information from clinical and radiographic
Procedures
Educate and treat patients to improve and maintain their oral health
Obtain informed consent from a patient, parent, or guardian
Manage replacement of teeth for the partially or completely edentulous patient
Evaluate the outcomes of treatment
COURSE GRADING POLICY:

Grading Scale
S = 80-100
U=79.9 Below
Grading Model
Didactic Portion
4 Quizzes
Written Final Examination
36%
28%
64%
Clinical & Lab Portion

Daily Clinic Grades
Station Examination
10%
26%
36%
As shown above, this course is divided into the Didactic portion, comprising 64% of the final
grade, and the Clinical/Lab portion comprising 36% of the final grade. The student must pass
each portion of the course independently before the final average is computed. A grade of
either portion (below 70.00) will constitute failure of the course (U). It is the policy to carry all
grades to two decimal places, i.e. 82.55. No rounding up or down will be done.
A failing grade on the Station Examination is any grade below a 70.0. A retake examination
is compulsory. Remediation is offered during the course for failure of any course work. Any
student who fails station examination will be required to take the retake examination
after an appropriate practice/study period. The grade on the retake examination will be
averaged with the failing grade of the original examination. If the retake average results in a
failure, another retake may be offered at the discretion of the Course Director. The final date
for the retake exam is scheduled in the Course Outline.
COURSE FAILURE AND REMEDIATION POLICY:

The student in CDCL 5001 may receive a course grade of U in any of the following situations:
1. An average below 70.00 on the didactic portion, but an overall average above 80.00.
2. An average below 70.00 on the clinical & lab portion, but an overall average above
80.00
3. A overall average below 80.
A student receiving a U must re-register for the course during the following semester and will
be remediated with examinations following a faculty-directed independent self study course.
7
The grade on the new examinations will be averaged with the original examinations earned
during the regular course to arrive at the final grade for the course.
The original U will remain on the students transcript along with the grade achieved in the
remediation course.
After remediation and examination, if the student fails to achieve a final grade of 80 or above,
the student will need to take the course again during its normal curriculum rotation
In recognition of the clinical requirements of this course to provide a denture for each patient,
any student who refuses to perform the assigned clinical procedure as part of his/her team,
who exhibits willful disobedience, or commits gross negligence is subject to possible failure of
the clinical portion of the course, at the considered, reasonable discretion of the attending
faculty and Course Director.
Quizzes and Examinations:
Examinations may include multiple choice, true/false, short answer or fill in the blanks. Unless
otherwise announced, the short quiz will cover the lectures, clinics, videotapes and reading
material assigned for those sessions dating from the previous quiz to the current session. It
will not include the session material of the day of the quiz. Five working days will be allowed to
discuss grading errors made on exams. If a quiz is missed with an excused absence, the
student must make arrangements to take a make-up quiz within five working days after return
to class. Failure to make this arrangement within five days will result in a zero grade for that
quiz.
Unannounced quizzes may be given at the discretion of the Course Director. If given, the quiz
will be brief, 1 3 questions, at the beginning of the period. This type of quiz will cover
previous material or the reading assignment for the current session.
The final examination will be comprehensive. During written exams, quizzes, and practicals,
no notes, books, papers, etc. will be allowed near the students visual area in the room.
Presence of such materials or other aids to the exam will be considered evidence of cheating
and grade of zero will be given for that exam. Baseball caps, visors, etc. will not be worn
during quizzes or the Final Exam.
Daily Grading Criteria:
See Daily Grading Sheet.
DAILY GRADING CRITERIA
DATE:
Check area of deficiency/weakness:

1. Preparation/Readiness
__________
2. Patient Handling
Instruments
Comfort/Safety
Empathy
__________
3. Lab Work Authorization
__________
4. Patient Instructions
__________
5. Operatory & Instrument

Procedure Performance
__________
Asepsis
__________
Independence vs. Faculty Assistance
__________
6. Clinical Result:
__________
Grading Scale:
0-69:
70-74:
75-81:
82-87:
88-100:
Failed to perform to standards

Minimal comprehension and performance
Slightly below average-to-average comprehension and performance
Average-to-slightly above average comprehension and performance
Clearly superior comprehension and performance
Student Name & Number
Faculty Name
BEHAVIORAL OBJECTIVES:
1. Course Policy and Procedures will be reviewed and summarized (as described in
Course Outline).
2. Each student should be able to list and to correctly identify the anatomical landmarks
and structures that are essential in making impression of the edentulous mouth.
3. Each group of students should be able to perform the oral examination and diagnosis
of the assigned patient and annotate the exam sheet.
4. Each student should be able to describe the methods and fundamentals of an
examination and diagnosis of a complete denture patient and complete the Oral Exam
form.
5. Students should be able to make preliminary maxillary and mandibular impressions in
irreversible hydrocolloid on patient using stock edentulous trays. They should also:
a. Rinse saliva off
b. Spray with disinfectant
c. Place in humidor
6. Pour casts in Microstone and return to humidor to set. Use double pour technique.
7. Trim casts maintaining 3mm of land area. Flatten floor of mouth.
8. Mark casts for the extension of wax relief and impression tray. Mark relief area in red
and tray extent in brown pencil.
9. Complete both, Axium and paper laboratory work authorizations (WA) for construction
of final impression acrylic resin trays. In the paper WA write CDCL 5001 in upper left
corner. Write student and patient name on casts. Have casts and both WAs approved
by Faculty.
10. Each student should be able to describe the steps in altering the maxillary impression
tray for a patient, border molding the tray, providing selective relief, identifying all
anatomical landmarks, mixing the impression material, making the impression to
produce a satisfactory cast, and cutting the posterior palatal seal area into the cast.
11. Each student should be able to describe the border molding procedures for making a
mandibular impression.
12. Each student should be able to list and identify the muscle attachments and
anatomical structures associated with the border molding of the final mandibular
impression.
13. Each student should be able to list the criteria for a properly border molded
14. Each student should be able to describe various methods of establishing the vertical
dimension of occlusion and recording centric relation.
15. Each student should list and describe the basic objectives of denture esthetics,
determining mould and shade, tooth form and type, and selecting posterior teeth.
16. The student should list the factors in altering tooth form and position to enhance
denture esthetics.
10
17. Each student should be able to write a correct Tooth Order form on a Laboratory Work
Authorization.
18. Complete the jaw relations records started in Session 5 and mount the cast. Transfer
patient midline mark onto maxillary cast land area.
19. Select teeth for patient.
20. Write-up Work Authorizations for Tooth Order and laboratory set up and obtain faculty
signatures. Enter the information for tooth set up on the Axium Laboratory Form and
have form approved by Faculty.
21. The student should cut posterior palatal seal area into maxillary cast (if not already
done).
22. The student should be able to compare and contrast the various occlusal schemes for
complete dentures.
23. The student should be able to define the terms balanced occlusion, neutrocentric
occlusion, and lingualized occlusion.
24. Each student should be able to list and describe the clinical steps used to evaluate
and verify the VDO and centric relation of the patient and to verify the articulator
mounting.
25. Each operator will evaluate the trial dentures for:
a. Vertical dimension of occlusion
b. Harmony of centric relation and centric occlusion
c. Accuracy of the articulator mounting
d. Esthetics
26. Each student should be able to list the procedures to correct any errors that were
determined during the evaluation of the trial dentures.
27. Each student should be able to list: the steps to secure eccentric condylar guidances
on the articulator; write work authorization to the laboratory to process and polish
dentures; preserve facebow record; make remount casts; list incisal pin setting,
name, SSN, and shade of acrylic resin on Work Authorization.
28. Each student should be able to describe the occlusal schemes usable for Class II
retrognathic edentulous patients and Class III prognathic patients.
29. Each operator will evaluate the trial dentures for:
a. Vertical dimension of occlusion
b. Harmony of centric relation and centric occlusion
c. Accuracy of the articulator mounting
d. Esthetics
30. Each student should be able to list the procedures to correct any errors that were
31. The student should list and describe the procedures of insertion of complete dentures
for the patient:
11
a. The use and interpretation of pressure indicating paste.

b. Making a new centric relation record and remounting the dentures on an articulator
and verification of the mounting.
c. The correction of any errors in occlusion by selective grinding.
d. Evaluation and correction of all border extensions.
32. Each student should describe the problem associated with dentures and how to
manage and advise a patient wearing dentures.
33. Each student should list the steps to evaluate the patient and perform the correct
denture adjustment.
34. Each student should be able to instruct a patient in the use and care of complete
dentures.
35. Each student should review the Clinical Expectations and Syllabus document.
36. Each student should be able to adjust the patients dentures in areas of tissue
soreness or irritation.
37. Each student should recognize the indications and contraindications for pre-prosthetic
surgery in complete denture treatment.
12
SESSION 1
TIME:
8 AM -12:00 PM
DATE:
Monday, January 9th
LOCATION: Simulation Lab 8:00 AM 9:50 AM
LECTURE:
Dr. Abreu Introduction to Course and Course Policy

Dr. Haeberle Anatomical Landmarks in Edentulous Impressions
Dr. Pannu Examination and Diagnosis of the Edentulous Patient.
JUNIOR CLINIC: 10:00 AM, Record findings

1.
Course Policy and Procedures will be reviewed and summarized (as described in
Course Outline).
2.
Each student should be able to list and to correctly identify the anatomical
landmarks and structures that are essential in making impression of the
edentulous mouth.
3.
Each group of students should be able to perform the oral examination and
diagnosis of the assigned patient and annotate the exam sheet.
CLINICAL OR LABORATORY PROCEDURES:

a.
One student of each group signs for the cassette.
b.
Complete patient diagnosis and examination sheet and health history.

faculty review and sign.
Have
SCHOOL INSTRUMENTS AND MATERIALS:

a.
Exam Cassette
e.
Scope
b.
2X2 gauze
f.
Drapes
c.
Examination sheets
g.
B. P. cuffs
d.
Cups
READING ASSIGNMENT:
a.
b.
Textbook of Complete Dentures. Rahn A, Ivanhoe J, Pummer K; 6th Edition. Chapters 3

and 4.
Examination Sheet.
13
SESSION 2
TIME:
1:00 PM 5:00 PM
DATE:
Wednesday, January 11th
LOCATION: SIM Lab 1:00 PM 1:50 PM
LECTURE:
Dr. Vento Preliminary Impressions
JUNIOR CLINIC:
2:00 PM, Preliminary Impressions
1.
Each student should be able to describe the methods and fundamentals of an

examination and diagnosis of a complete denture patient and complete the Oral
Exam form.
2.
Student should be able to make preliminary maxillary and mandibular

impressions in the irreversible hydrocolloid on patient using stock edentulous
trays.
a. Wash saliva off
b. Spray Dispatch to disinfect
c. Place in humidor
3.
Pour casts in Microstone and return to humidor to set. Use double pour.
4.
Trim casts, maintaining 3mm of land area. Flatten floor of mouth.
5.
Mark casts for the extension of wax relief and impression tray. Mark relief areas
in red and tray extensions in brown pencil.
6.
Write work authorization for construction of final impression acrylic resin trays.
Write CDCL 5001 in upper left corner. Write student and patient names on casts.
Complete Axium and paper Laboratory Forms, and obtain Faculty
approval/signature.
NECESSARY INSTRUMENTS AND MATERIALS:

a.
Edentulous impression trays,
e.
Ice Bowl
4 upper, 4 lower
f.
Student Lab kit (in lab)
b.
Exam cassette, E
c.
# 4 Impression set
d.
B. P. knife and blade
14
OTHER SUPPLIES DISPENSED:

a.
Getz hold in disposable mixing cup
h.
Utility wax sticks, red, blue;
b.
Irreversible hydrocolloid (Alginate)
i.
Orange Oil
c.
Cotton tipped applicator
j.
Medicine Cups
d.
B. P. blades
k.
2 indelible marking sticks
e.
Water measuring vial
l.
Work Authorization forms
f.
Microstone
m.
Side shields
g.
2X2 & 4X4 gauze
n.
Vaseline
READING ASSIGNMENT:
a.
Textbook of Complete Dentures. Rahn A, Ivanhoe J, Pummer K; 6th Edition.

Chapter 6.
NOTES:
a.
Sign for instrument cassettes from Central Supply and operator supplies from
dispensing area.
b.
Scan returned yellow copy of work authorization into patients chart.
c.
Place student and patient name on casts going to the Pros Lab.
d.
Write CDCL 5001 in upper left corner of Work Authorization.
e.
Must Complete the Oral Exam form before making impressions today.
f.
Students bring all necessary instruments to clinic.
g.
Operatory assignments will be posted in Clinic 14.
h.
All trimmed casts with work authorization should be turned into the Lab
Tracking Department, on the 2nd floor window, on the following dates:
MAXILLARY cast, no later than January 13th at 4:45 PM and MANDIBULAR
cast, no later than January 18th at 4:45 PM.
i.
Lubricate patients lips with vaseline prior to impressions.
j.
On Work Authorization for custom impression trays, specify acrylic resin traysand
not Triad.
15
SESSION 3
TIME:
8:00 AM 12:00 PM
DATE:
Monday, January 23rd
LOCATION: SIM Lab 8:00 8:50 AM
QUIZ #1
LECTURE:
Dr. Abreu Making Maxillary Final Impression
JUNIOR CLINIC: 9:00 AM, Maxillary Border Molding and Final Impressions
1.
Each student should be able to describe the steps in altering the maxillary impression tray for a patient,
border molding the tray, providing the selective relief, identifying all anatomical landmarks, mixing the
impression material, making the impression to produce a satisfactory cast, and cutting the posterior palatal
seal area into the cast.
2.
Each student should be able to list the criteria for a properly border molded
maxillary impression.
CLINIC PROCEDURES:
a.
Students border mold the acrylic resin tray and make the final maxillary
impression with VPS impression material.
b.
Bead and box impression and pour final cast.
c.
Trim cast base to 5/8 thick at thinnest point. Trim cast land areas to 3 mm
laterally and 5 mm posteriorly. Check cast fit in brass flask. Once it fits, cut 4
index notches in base.
d.
Write work authorization to laboratory for the construction of maxillary record

base and occlusion rim. Enter information into Axium and paper Laboratory
Forms, and obtain Faculty approval/signature. Outline wax relief in red.
e.
Mark cupids bow on cast and cut posterior palatal seal into cast (see following
pages).
f.
Deadline for maxillary cast submission to the Lab Tracking Department, on

the 2nd floor window is on Wednesday, January 25th at 4:45 pm

a.
Acrylic resin tray (maxillary) from lab
b.
Alcohol torch/lighters/matches (student)
c.
Acrylic burs (school)
i.
Two-piece low speed
16
d.
Water bath (school)
e.
Light and heavy body PVS (Flexitime)
f.
#25 blades
g.
Ice water in stainless metal bowl (school)
h.
Bunsen burner
READING ASSIGNMENT:
a.

Chapter 7.
17
ANATOMICAL
REGION
TISSUES
ACTIIVATION
ACCOMPLISHMENT
Posterior Palatal
Seal area
Pterygomandibular
Raphe
Instruct patient to open

wide
Causes Pterygomandibular
Raphe to become more taut
Coronoid Process
area
Pterygoid Hamulus
Have patient to hold

nostrils and blow
through nose
Coronoid Process
Open wide
Fibers of the
Temporal m.
attachment to the
Coronoid Process
Move mandible side to

side
Buccal flange
Buccinator m. fibers
and overlying
mucosa
Out-down-in
Buccal frenum
Buccal frenum with

associated
connective tissue
Out-down-in
Tissue fibers and

facial muscles
Expression: Levator
Anguli Oris m.,
Orbicularis Oris m.,
and Buccinator m.
Causes the palate to

depress against the border
molding material through
contraction of the tensor
palatini m., delineating the
hard and soft palate
Activates the Coronoid
Process and the attached
fibers of the Temporal m.
against the material
Enables the border molding

material to occupy this
space, which is often bocked
by the Coronoid Process
Activates the conect. tissue
fibers of the frenum whie
simultaneously causing
movement of the associated
m.
Forward and backward
Anterior and posterior
18
Criteria Border Molded Maxillary Impression Tray

1.
The hamular notches are included in the posterior borders.
2.
The posterior border does not extend onto movable tissue. (Evaluation of the posterior
border is made by drying the impression tray and posterior palate and using the
indelible pencil on the posterior border of the tray to transfer the trays length to the
tissues.)
3.
The buccal flanges cover the buccal sulci without impinging on moving tissues.
4.
The posterior borders of the buccal flanges extend into the retrozygomatic spaces.
5.
The labial flange extends into the sulcus without impinging on moving tissues.
6.
All flanges are rolled and not sharp.
7.
The tray does not impinge on any frenula.
8.
The frenal notches are not excessively relieved.
The flanges are properly extended.
10. The border molded maxillary impression tray is retentive given the anatomy of the
patient. (Evaluation of retention is made with moderate pressure using an interiorly
directed force on the maxillary impression tray handle.)
Criteria Final Maxillary Impressions
1.
The tray material is evenly distributed in the impression tray.
2.
The peripheries are well defined and rounded with appropriate thickness.
3.
There are no significant voids.
4.
There are no significant areas in which trays have contacted the supporting tissues.
5.
The posterior border of the maxillary impression accurately records the area in which
the posterior palatal seal is to be established.
6.
When the functional posterior palatal seal is used, the fluid wax shows evidence of
having flowed evenly across the posterior border.
7.
The posterior palatal seal outline form is adequate.
8.
The impression material contacts the supporting tissues everywhere.
Criteria Maxillary Master Casts

1.
The cast includes all anatomical surfaces of the final impression
2.
The cast includes a 3 4 mm land area around the lateral periphery of the master cast
and 5 6 mm posteriorly.
3.
The peripheral borders are not more than 2 mm below the land area. Land area
undercuts are eliminated by reducing the height of the land area to expose the widest
width of the vestibule.
19
4.
The base of the master cast is parallel to the residual ridge and to 5/8 thick.
5.
The cast contains no bubbles or flaws in the stone.
6.
The base of the cast contains 3 index notches, V-shaped 12 wide x 18 long x 6 mm
deep.
7.
The cast fits the maxillary brass flask (located on the bench top in the lab).
8.
The posterior palatal seal area has been defined and scraped into the cast.
SESSION 4
Time:
Date:
Location:
8:00 AM 12:00 PM
Monday, January 30th
SIM Lab 8:00 8:50 AM
LECTURE:
Dr. Abreu Making the Mandibular Final Impression
JUNIOR CLINIC:
9:00 AM, Mandibular Border Molding and Final Impressions
1.
Each student should be able to describe the border molding procedures for
making a mandibular impression.
2.
Each student should be able to list and identify the muscle attachments and
anatomical structures associated with the border molding of the final mandibular
impression.
3.
Each student should be able to list the criteria for a properly border molded
CLINIC PROCEDURES:
a.
Students border mold and make final mandibular impression on patient using the
acrylic resin tray
b.
Box impression and pour final cast.
c.
Trim cast to 5/8 thick at thinnest point. Trim width & length to fit lower brass
flask. Cut 4 index notches in cast base.
d.
Write work authorization to laboratory for the construction of record bases and
occlusion rim. Outline wax relief in red. Write CDCL 5001 in upper left corner.
Enter information on Axium and paper Laboratory Forms and obtain Faculty
approval/signature.
20

a.
Same as for Session 3.
b.
Acrylic resin impression tray from lab (mandibular)
READING ASSIGNMENT:
a. Textbook of Complete Dentures. Rahn A, Ivanhoe J, Pummer K; 6th Edition.
Chapter 7.
NOTE: All mandibular master casts must be submitted with signed Work
Authorization to submission to the Lab Tracking Department, on the 2nd floor
window is on Wednesday, February 1st at 4:45 pm.
Criteria Border Molded Mandibular Impression Tray.

1.
The tray covers, but does not extend beyond, the retromolor pads.
2.
The tray covers, but does not extend beyond, the buccal shelf.
3.
The labial flanges extend into the labial sulci.
4.
The tray does not impinge on the frenula.
5.
The frenal notches are not excessively relieved.
6.
The lingual flanges are properly extended for the patients anatomy. (Usually 46 mm below the mylohyoid ridges.)
7.
The S curves are well established.
8.
The most posterior extensions of the lingual flanges extend into the
retromylohyoid spaces.
9.
All flanges are rolled and not sharp.
10.
The flanges are properly extended for the patients anatomy.
CRITERIA Final Mandibular Impressions

1.
The impression material is evenly distributed in the impression tray.
2.
The peripheries are well defined.
3.
There are no significant voids.
4.
There are no significant areas in which the trays have contacted the supporting
tissues with excessive pressure from the compound.
5.
The impression material contacts the supporting tissues everywhere.
21
CRITERIA Mandibular Master Casts

1.
The cast includes all anatomical surfaces of the final impression.
2.
The cast includes a 3 4 mm land area around the lateral periphery of the
master cast and 5 6 mm posteriorly.
3.
The peripheral borders are not more than 2 mm below the land area. Land
are undercuts are eliminated by reducing the height of the land area to
expose the widest width of the vestibule.
4.
The base of the master cast is parallel to the residual ridge and about to 5/8
thick at the thinnest point.
5.
The cast contains no bubbles or flaws in the stone.
6.
The base of the cast contains 3 index notches, V-shaped, 12 wide x 18 long x 6
mm deep.
7.
The cast fit the mandibular brass denture flask (mounted on the bench top in the
lab.)
SESSION 5
Time:
Date:
Location:
8:00 AM 12:00 PM
Monday, February 6th
SIM lab, 8:00 8:50 AM
LECTURE:
Dr. Plummer Technique for Making a Facebow Transfer and Centric

Relation Records
JUNIOR CLINIC:
9:00 AM, Continue with Final Impressions
Each student should be able to describe various methods of establishing the vertical dimension
of occlusion and recording centric relation.
CLINIC PROCEDURES:
Same as Session 4.
STUDENT INSTRUMENTS AND MATERIALS: Same as for Session 4.

READING ASSIGNMENT:
a.

Chapters 8 and 10.
22
SESSION 6
Time:
Date:
Location:
8:00 AM 12:00 PM
SIM Lab, 8:00 9:30AM
QUIZ #2
LECTURE:
Dr. Haeberle Selection and Arrangement of Artificial Teeth for Esthetics

Dr. Plummer Axium Clinical Entries
JUNIOR CLINIC:
9:30 AM, Jaw Relation Records #1
BEHAVIORAL OBJECTIVES
1.
Each student should list and describe the basic objectives of denture esthetics,
determining mold and shade, tooth form and type, and selecting posterior teeth.
2.
The student should list the factors in altering tooth form and position to enhance
denture esthetics.
3.
Each student should be able to write a correct Tooth Order form on a Pros Work
Authorization Sheet.
4.
Complete the facebow transfer and jaw relations records and mount the casts.
Transfer patient midline mark onto maxillary cast land area.
5.
Select a mould and shade of artificial teeth for your patient.
6.
Write-up Pros Work Authorizations for Tooth Order and (possibly) Lab Set-up.
Complete Axium and paper Laboratory Forms for set-up, obtain Faculty
signature/approval.
7.
The student should cut posterior palatal seal area into maxillary cast (if not
already done).
8.
Student should be able to enter patient information and treatment notes using the
Axium program for removable prosthodontic procedures.
SCHOOL & STUDENT INSTRUMENTS AND MATERIALS:

a.
Plaster bowl and spatula
e.
Water baths and inserts
b.
Removable cassette, J
f.
Alcohol torch (student)
c.
Gas pack, K
g.
Student lab kit (in lab)
d.
Bunsen burner
h.
Stainless steel ice bowl (school)
i.
Facebow (student)
m.
Facebow fork (student)
j.
Facebow fork support (student)
n.
Articulator (student)
k.
Two-piece low speed
o.
Stratos adaptor for facebow

23
l.
Fox plane
p.
Trubyte Tooth Indicator/ Ivoclar BlueLine

Form Selector
OTHER SUPPLIES DISPENSED BY THE SCHOOL:

a.
PVS adhesive
g. Thompson indelible markers
b.
Baseplate wax, Aluwax sheets
h. Alcohol
c.
Vaseline, cotton applicator sticks
i. Matches
d.
Mounting stone
j. B. P. blades
e.
Denture adhesive
k. Denture teeth and base shade guides
l.
Green modeling compound sticks
m. PVS IOR material
n.
Mounting plates
n. Tooth mold guides
READING ASSIGNMENT:
a.

Chapters 8, 10, 11 and 12.
NOTES:
Selection of the Denture Base Shade:
1. Many patients will require a denture base shade darker than the routine shade that is
used. Always check to verify that the routine shade is satisfactory or a darker one would
be more appropriate.
2. The dispensary area in the Removable Prosthodontic area of Junior Clinic has a denture
base shade guide. The guide consists of shades light, 1/3, , 2/3, all dark.
3. The shade of the completed denture base may not be exactly the same as the shade
guide because of differences in thickness between the guide and the base.
Writing the Tooth Order:
1.
The following items must be written on the Work Authorization Form when ordering teeth
for complete dentures.
Teeth:
Maxillary
Mandibular
A2/A2
A2/A2
C. Anterior Mold
A15
A8
D. Posterior Mold
LU6
MU6
A. Anterior/Posterior Shade
24
Posterior Teeth:
A. Mold 1. If using Nonbalanced Lingualized Occlusion:
Maxillary - Ortholingual (30 degrees): LU3, LU5 or LU6
Mandibular Orthoplane (0 degrees): MU3, MU5 or MU6
2. If using Balanced Lingualized Occlusion:
Maxillary - Ortholingual (30 degrees): LU3, LU5 or LU6
Mandibular - Ortholingual (14 degrees): LL3, LL5 or LL6
B. Make -
Maxillary: Ivoclar Ortholingual Acrylic Resin

Mandibular: Ivoclar Orthoplane Acrylic Resin (Nonbalanced
Lingualized)
Ivoclar Ortholingual Acrylic Resin (Balanced Lingualized)
SESSION 7
Time:
Date:
Location:
8:00 AM - 12:00 PM
SIM Lab, 8:00 8:50 AM
LECTURE: Dr. Pannu Occlusal Concepts

JUNIOR CLINIC: 9:00 AM, Jaw Relation Records #2, Tooth Selection
1.
The student should be able to compare and contrast the various occlusal
schemes for complete dentures.
2.
The student should be able to define the terms balanced occlusion, Neutrocentric
occlusion, and lingualized occlusion.
LABORATORY PROCEDURES: (Possibly performed by Lab)

a.
Complete the arrangement of the posterior teeth in lingualized occlusion. If

balanced scheme was selected, do not grind in for balance now.
b.
Wax the teeth and dentures suitable for the try-in procedure. Expose necks of teeth at finish lines for best
esthetics.
c.
Tooth set-up and neat, smooth wax-up must be signed off prior to patient try-in
next session.
25
READING ASSIGNMENTS:
a.

Chapters 8, 9 and 10.
SCHOOL AND STUDENT INSTRUMENTS AND MATERIALS: Same as in Session 6, and

tooth shade and mold guides.
OTHER SUPPLIES DISPENSED BY THE SCHOOL: Same as in Session 6.
Mounted casts with RB/OR and selected teeth, must be submitted with signed Work
Authorization to the Lab Tracking Department, on the 2nd floor window, on Wednesday,
February 29th at 4:45 pm.
SESSION 8
Time:
Date:
Location:
8:00 am 12:00 pm
SIM Lab, 8:00 9:00 AM
LECTURE:
Dr. Abreu Trial Insertion Appointment
JUNIOR CLINIC: 9:00 AM, Complete Jaw Relation Records, Tooth Selection
1.
Each student should be able to describe the occlusal schemes usable for Class II
retrognathic edentulous patient sand Class III, prognathic patients.
NECESSARY INSTRUMENTS AND MATERIALS: Same as for Session 7

OTHER SUPPLIES DISPENSED BY SCHOOL AND STUDENT EQUIPMENT:
Same as Session 7
READING ASSIGNMENT:
a.
Chapter 8, 9 and 10.
26
SESSION 9
Time:
Date:
Location:
8:00 am 12:00 pm
Monday, March 5th
SIM Lab, 8:00 8:50 AM
LECTURE:
Dr. Plummer Class II and III Occusal Schemes
QUIZ #3
JUNIOR CLINIC: 9:00 AM, Esthetic Try-in
1.
Each student should be able to list and describe the clinical steps used to
evaluate and verify the VDO and centric relation of the patient and to verify the
articulator mounting.
2.
Each operator will evaluate the trial dentures for:

a.
Vertical dimension of occlusion
b.
Harmony of centric relation and centric occlusion
c.
Accuracy of the articulator mounting
d.
Esthetics
3.
Each student should be able to list the procedures to correct any errors that were
4.
Each student should be able to list the steps to secure eccentric jaw relation
records from a patient and how to use the records to set the condylar guidances
on the articulator.
5.
Write work authorization to the laboratory to process and polish dentures,

preserve facebow and make remount casts. List incisal pin setting, HCI/LCI
settings, name, SSN, and shade of acrylic resin on Work Authorization. Enter
information on Axium Laboratory Form, and obtain Faculty signature/
authorization.
CLINIC/LAB PROCEDURES:
a.
Try-in wax trial dentures
b.
Verify jaw relations and vertical dimension of occlusion
c.
Esthetics approval
d.
Make eccentric records
e.
Outline areas of relief
f.
Evaluate posterior palatal seal area and deepen as needed.
27

a.
Plaster bowl and spatula
e. Water baths and inserts
b.
Removable cassette, J
f. Alcohol torch (student)
c.
Gas pack, K, #3
g. Student lab kit (in lab)
d.
Bunsen burner
h. Stainless steel ice bowl (school)

a.
Plastogum
g. Thompson indelible markers
b.
Baseplate wax, Aluwax sheets
h. Alcohol
c.
Vaseline, cotton applicator sticks
i.
Matches
d.
Mounting stone
j.
B. P. blades
e.
Denture adhesive
k. Denture base shade guides
a.
Gray modeling compound sticks
READING ASSIGNMENT:
a.
Chapter 12 and 13.
NOTE:
Axium form must be signed by Patient before processing: I approve and accept
the appearance of my dentures as set in wax. I understand that the appearance
cannot be changed after today.
Patient Signature _______________________________________
28
DENTURE TRY-IN FLOWCHART

TEST VDO
|
Use: space at RVD, phonetics, dot measurements, esthetics
|
Test and retest CJR visually
If VDO O.K. or closed
If VDO significant open (No IOD)
|
|
CJR verification record
Remove posterior teeth and reset anteriors
|
|
CJR not verified
Make new CRR at VDO and
remount mandibular case
|
Reset posterior teeth
|
CJR verification record
CJR verifies
CJR not verified
|
(Eccentric record and condylar settings)
Esthetics, Phonetics, Relief outline
Post-palatal seal, Patient Approval
OBJECTIVES OF DENTURE TRY-IN PROCEDURE:
1.
Achieve a VDO with adequate IOD
2.
Verify CJR at the correct VDO and prove articulator
3.
Achieve acceptable esthetics and phonetics
4.
Program articulator with eccentric records
5.
Verify post-palatal seal and relief
29
SESSION 10
9:00 AM 12:00 PM
Monday, March 12th
Time:
Date:
OPEN LECTURE PERIOD

JUNIOR CLINIC:
9:00 AM, Esthetic Try-in
CLINIC PROCEDURES, SCHOOL INSTRUMENTS AND MATERIALS, SUPPLIES

DISPENSED BY THE SCHOOL: Same as Session 9.
READING ASSIGNMENT:
a.
Chapter 12 and 13.
Deadline for denture submission to lab for processing is Wednesday, March 15th at 4:45
PM.
SESSION 11
Time:
Date:
Location:
8:00 AM 12:00 PM
Monday, March 19th
SIM Lab, 8:00 8:50 AM
LECTURE:
Dr. Metzler Denture Insertion
JUNIOR CLINIC:
9:00 am, Denture Insertion #1
1.
The student should list and describe the procedures of insertion of complete dentures for
the patient:
a.
The use and interpretation of pressure indicating paste.
a.
Making a new centric relation record and remounting the dentures on an

articulator and verification of the mounting.
c.
The correction of any errors in occlusion by selective grinding.
d.
Evaluation and correction of all border extensions.
30
CLINIC PROCEDURES: Denture Insertion

a.
Use of pressure indicating paste for placement and palatal relief.
b.
Remount mandibular denture on articulator from new centric relation record

made on patient.
c.
Verify mounting with second centric relation record.
d.
Begin occlusal corrections on dentures.

a.
Stones for occlusal modification
e. Bunsen burner
b.
Handpiece pack, #3
f.
c.
Removable cassette and burs
g. #8 polish bur block
d.
Gas pack, K
Alcohol torch (students)

a.
PIP, brushes, Mizzy spray lube
k. Stainless steel bowl for ice (school)
b.
Glass slab
l.
Thompson indelible markers
c.
Cotton applicator sticks
j.
Waterbath and inserts
d.
Sticky wax
m. Aluwax; gray stick compound
e.
Mounting stone
n. Plastic bags
f.
Sandpaper strips
o. Denture instruction sheets
g.
Red/green articulator ribbon
p. Denture kits
h.
Mylar tape
q. Blades
i.
Vaseline
r. Tongue blades
READING ASSIGNMENT:
a. Textbook of Complete Dentures. Rahn A, Ivanhoe J, Pummer K; 6th Edition. Chapter
14.
Criteria - Mandibular Complete Denture at the Insertion Appointment
1.
The denture base covers, but does not extend beyond the retromolar pads.
2.
The buccal flanges extend onto the buccal shelf.
3.
The labial flanges extend into the labial sulcus.
31
4.
The denture flanges do not impinge on the frena.
5.
Labial notch is not excessively relieved.
6.
The lingual flanges are properly extended for the patients anatomy. (Usually 4-6 mm
below the mylohyoid ridges.)
7.
The most posterior extensions of the lingual flanges extend into the retromylohyoid
spaces.
8.
All flanges are rolled.
9.
The flanges are not sharp or thin.
10.
The denture flanges are properly extended, given the patients anatomy.
INSTRUCTIONS FOR YOUR NEW DENTURES

A.
B.
WHAT TO EXPECT FROM YOUR NEW DENTURES

1.
New dentures will feel strange and bulky in your mouth. Time will help you to
adapt. Most patients require at least three weeks to learn to use their dentures.
Some take 6 to 8 weeks to learn to chew well.
2.
You may feel excess saliva for the first few days to a week until the glands
become adjusted to the presence of the prostheses.
3.
Most dentures are only 25% to 30% as efficient as natural teeth. So dont expect
to chew as well with dentures as you did with your natural teeth. Dentures are
better than no teeth at all! Start with small bites of food that is easier to chew.
Increase your time of wearing the denture gradually.
4.
Speaking will feel awkward for awhile. Practice reading aloud and your speaking
ability will gradually improve and return to normal in 23 weeks.
5.
Make up your mind to learn to master the wearing of your dentures. This can only
be done by keeping the dentures in the mouth more than they are out of the
mouth.
ADJUSTMENTS
1.
Even the most carefully made dentures will move on the ridges and you may
develop sore spots or discomfort for varying periods of time in different places in
your mouth.
2.
Return to the student dentists for the adjustment appointments as scheduled. If

you develop soreness, do not become alarmed. Call your student dentist for an
appointment. If you must remove your dentures, put it back in your mouth 3 to 4
hours before your appointment time to allow sore spots to reappear.
3.
Most patients must make positive adjustments in their attitudes and habits in
order to wear dentures successfully.
4.
Looseness is normal, especially with the lower denture. There can be several
causes. If you learn to control your tongue and cheeks, you will do much better
with the lower denture that moves.
32
C.
D.
CLEANING
1.
Your dentures and your ridges in your mouth must be cleaned carefully after
each meal. Denture breath is the result of dirty dentures.
2.
Clean your dentures at least twice a day with a soft brush and a liquid detergent.
Use gentle brushing. Brush the dentures over a basin filled with water or over a
towel to prevent breakage if they fall.
3.
Clean your gums, palate and tongue with a soft toothbrush and toothpaste.
4.
Soak your dentures at night with a denture cleanser agent in a shallow container
with a lid. Pets, especially dogs, occasionally will chew on a denture left in an
uncovered container that they can smell and reach.
YOUR ORAL HEALTH

1.
Nature did not intend for people to wear dentures. You must learn to adjust and
to care for your mouth tissues. Most of the effort needed to adapt to the dentures
begins after the dentures are inserted.
2.
In addition to keeping your dentures very clean, you must rest the tissues at
least eight hours a day. Most patients find it convenient to leave the dentures out
every night.
3.
Your mouth is constantly changing. Dentures can become ill-fitting over a

prolonged period of time and may damage the ridges and supporting tissues
without you being aware of anything wrong. Therefore, it is best to return to the
dentist or dental school for a check-up at least once a year.
SESSION 12
Time:
Date:
Location:
9:00 am 11:45 am
Monday, March 26th
SIM Lab
LAB ID Practical Exam: Mock up demonstrations of impressions, casts, record bases,

occlusion rims, denture setups, completed dentures, etc. will be evaluated in a stationtype Practical Exam. The students will move to each station, evaluate the example, and
answer questions about it.
STUDENT SUPPLIES:
a.
#2 black lead pencil for score sheet.
33
SESSION 13
Time:
Date:
Location:
8:00 AM 12:00 PM
Monday, April 9th
SIM Lab, 8:00 8:50 AM
QUIZ #4
LECTURE:
Dr. Abreu Occlusal Corrections in Complete Dentures
JUNIOR CLINIC:
9:00 AM, Denture insertion #2
1.
Each student should list the steps and rules involved in performing the
equilibration of lingualized balanced occlusion.
2.
Each student should list the steps and rules used in the sandpaper stripping
technique to equilibrate non-balanced occlusal schemes.
CLINIC PROCEDURES:
a.
Complete the occlusal corrections of the mounted dentures on the articulator.

Refine the occlusal anatomy or sluice ways, as needed.
b.
Complete the smoothing and polishing of the denture bases.
c.
Student performs insertion of the dentures.
d.
Give written and oral instructions to the patient.
f.
Denture Care Kits (brush, cleanser tablets, cup, etc.)

a.
J, K, #3, #8 cassettes
b.
Burs and stones for occlusal modification/Sandpaper strips
a.
Articulating ribbons, red, green, mylar
d.
Straight handpiece
OTHER SUPPLIES DISPENSED BY THE SCHOOL: Same as Session 12
STUDENT INSTRUMENTS AND MATERIALS:

a.
Alcohol torch
b.
Lab kit in lab
34
c.
Acrylic polishing kit
READING ASSIGNMENT:
a. Textbook of Complete Dentures. Rahn A, Ivanhoe J, Pummer K; 6th Edition. Chapter
14.
SESSION 14
Time:
Date:
Location:
LECTURE:
8:00 AM 12:00 PM
Monday, April 16th
SIM Lab, 9:00 AM
Dr. Metzler Adjustments and Post-Insertion Care for Complete Dentures
JUNIOR CLINIC:
9:00 AM, Denture Insertion / Denture Adjustment #1
a.
Each student should describe the problem associated with dentures and how to
manage and advise a patient wearing dentures.
b.
Each student should list the steps to evaluate the patient and perform the correct
denture adjustment.
c.
Each student should be able to instruct a patient in the use and care of complete
dentures.
CLINIC PROCEDURES:
a.
Evaluate oral tissue and patient problems or complaints.
b.
Student performs the first adjustment in the indicated areas.
c.
Instructions to patients.

a.
Straight handpiece (slow speed; #3)
b.
Removable cassette and burs, J
c.
#8 polish bur block
35

a.
PIP and brush
b.
Mizzy spray
c.
Disclosing wax
d.
Thompson marking pencil
e.
Articulating ribbon, mylar tape
f.
Alcohol wipes
g.
PIP remover
h.
Medicine cups
READING ASSIGNMENT:
a. Textbook of Complete Dentures. Rahn A, Ivanhoe J, Pummer K; 6th Edition.
Chapter 15.
SESSION 15
Time:
Date:
9:00 AM -12:00 PM
Monday, April 23rd
OPEN LECTURE PERIOD

JUNIOR CLINIC:
9:00 AM, Denture adjustment #2
9:00 AM, LAB PRACTICAL RETAKE, Simulation Lab: Dr. Abreu

1.
The student should complete all course projects.
Each student should be able to adjust the patients dentures in areas of soreness or
irritation.
CLINIC PROCEDURES:
a
b.
Student performs the third adjustment in the indicated areas.
c.
Instructions to patient.
NECESSARY INSTRUMENTS AND MATERIALS, OTHER SUPPLIES DISPENSED BY THE

SCHOOL, as well as the READING ASSIGNMENTS: Same as for Session14.
36
SESSION 16
Time:
Date:
Location:
1:00 PM -5:00 PM
Wednesday, April 25th
SIM Lab, 1:00 PM
LECTURE:
Dr. Plummer Immediate Dentures
JUNIOR CLINIC:
2:00 PM, Denture adjustment #3
1.
The student should list and describe the procedures of fabrication and insertion of
immediate dentures for the patient.
CLINIC PROCEDURES:
a
b.
Student performs the third adjustment in the indicated areas.
c.

SCHOOL, as well as the READING ASSIGNMENTS: Same as for Session14
SESSION 17
Time:
Date:
Location:
8:00 AM -12:00 PM
Monday, April 30th
SIM Lab, 9:00 AM
LECTURE:
Dr. Londono Pre-Prosthetic Surgery
JUNIOR CLINIC:
9:00 AM, Denture adjustment #4
1.
The student should complete all course projects.
Each student should be able to adjust the patients dentures in areas of soreness or
irritation.
37
CLINIC PROCEDURES:
a
b.
Student performs the fourth adjustment in the indicated areas.
c.

SCHOOL, as well as the READING ASSIGNMENTS: Same as for Session14
SESSION 18
FINAL EXAM
Time:
Date:
Location:
8:00 AM -10:00 AM
Friday, May 4th
To be announced
38
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COMPLETE

Dr. Darshanjit Pannu

Department of Oral Rehabilitation

JANUARY 9th Session 1

JANUARY 11th Session 2

Jr Clinic - Preliminary impressions

JANUARY 23rd Session 3

FEBRUARY 13th Session 6

FEBRUARY 20th Session 7

9:00-12:00pm Jr Clinic - Jaw relations records #2

LEC- Open lecture period

9:00-12:00pm Jr Clinic - Esthetic Try-in

APRIL 16th Session 14

APRIL 25th Session 16

Major Course Goals: To prepare students to competently treat edentulous patients in a

COMPLETE DENTURES CDCL 5001

Serving off campus as a representative of the institution

Provide care to a diverse patient population

COURSE GRADING POLICY:

Clinical & Lab Portion

COURSE FAILURE AND REMEDIATION POLICY:

DAILY GRADING CRITERIA

Check area of deficiency/weakness:

3. Lab Work Authorization

5. Operatory & Instrument

Independence vs. Faculty Assistance

Failed to perform to standards

Student Name & Number

a. The use and interpretation of pressure indicating paste.

Dr. Abreu Introduction to Course and Course Policy

JUNIOR CLINIC: 10:00 AM, Record findings

CLINICAL OR LABORATORY PROCEDURES:

One student of each group signs for the cassette.

Complete patient diagnosis and examination sheet and health history.

SCHOOL INSTRUMENTS AND MATERIALS:

Textbook of Complete Dentures. Rahn A, Ivanhoe J, Pummer K; 6th Edition. Chapters 3

Dr. Vento Preliminary Impressions

2:00 PM, Preliminary Impressions

Each student should be able to describe the methods and fundamentals of an

Student should be able to make preliminary maxillary and mandibular

Trim casts, maintaining 3mm of land area. Flatten floor of mouth.

NECESSARY INSTRUMENTS AND MATERIALS:

Edentulous impression trays,

Student Lab kit (in lab)

B. P. knife and blade

OTHER SUPPLIES DISPENSED:

Getz hold in disposable mixing cup

Utility wax sticks, red, blue;

Irreversible hydrocolloid (Alginate)

Cotton tipped applicator

2 indelible marking sticks

Water measuring vial

Work Authorization forms

2X2 & 4X4 gauze

Textbook of Complete Dentures. Rahn A, Ivanhoe J, Pummer K; 6th Edition.

Scan returned yellow copy of work authorization into patients chart.

Write CDCL 5001 in upper left corner of Work Authorization.

Students bring all necessary instruments to clinic.

Operatory assignments will be posted in Clinic 14.

Lubricate patients lips with vaseline prior to impressions.

Dr. Abreu Making Maxillary Final Impression

Bead and box impression and pour final cast.

Write work authorization to laboratory for the construction of maxillary record