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prosthodontics guide

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 Prosthodontics.  The complete guide to not losing your head while crafting dentures for the partially edentulous. The first step is to g et your hands on a patient, which you c an do so from the outdoor unit in Room No.2 where there’s usually a different house officer every day. Tell them you want patients suitable for a removable partial denture. Or alternatively, make friends with t he guy called “ Aamir” who handles all the patients at the outdoor. Or, ask the Ma’am sitting in the middle of the room for suitable patients (but she usually only has patients to hand out on Tuesday, that is the impression day for the hospital side of the department.) A word about the quota. Each man for his own here. You have to complete 1 2 credits in all, with tooth/prosthesis in any one quadrant being equal to 0.5 credits, m aking a patient with a tooth missing in each quadrant, a 2 credit one, which also boasts of being the theoretical maximum. (Some lucky people do get simple 2 cre dit patients with all their central incisors missing, usually from trauma.) It’s better to stick to at least one credit patients from the start, because frankly, its too much effort for the half credit patients, unless of course , you know a guy who knows a guy who knows how the magical “pseudos” work in this department.  1. Initial Examination 2. Allotment, paperwork 3. Impression 4. Study models, articulation 5. Wax-up, clasps, tooth setup 6. Trial (only for complicated cases like free end saddles, o r for anterior teeth) 7. Flasking, de-waxing, curing 8. Denture finishing, polishing 9. Insertion 10. Patient Instructions 11. Quota book signatures Initial Examination Once you’ve gotten hold of a patient, just quickly go through this initial exam, wherever you c an, as soon as you can, to see if they’re indeed suitable for an RPD. - there must be no grossly carious teeth - mobile abutment teeth, BDRs have to be extracted first - most patients require scaling first, adherent tartar, plaque, calculus deposits. - fillings to be placed, crown-bridge work - assure that the patient wants and requires a removable prosthesis, and NOT a fixed one!

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