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| Our Standard of Pratice for Full Denture |
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1. Disinfect the impression and/or model
2. Evaluate the prescription for completeness
3. Document changes to the prescription
4. Evaluate the impression or model for completeness
5. Create a master model
6. Fabricate custom trays
7. Construct an occlusal registration device
8. Send the occlusal registration device and models to the health professional for confirmation
9. Mount the models on an articulator
10. Select and set-up the teeth and wax-up dentures
Condition:
Given a shipment of an impression or model from a Health
Professional
Task:
Disinfect the impression and/or model
Criteria:
Safety:
...So that gloves are worn at all times until disinfecting is completed
...So that the disinfectant used is compatible with the impression and/or model
...So that manufacturers specifications for the disinfectant used, are followed
...So that the packaging material that was in direct contact with the impression or model, is discarded
...So that the impression and/or model is disinfected according to the Universal Precautions -- at the minimum -- low level.
Timing:
•Before proceeding any further
Condition:
Given a prescription from a Health Professional
Task:
Evaluate the prescription for completeness
Criteria:
Technical Quality:
...The Prescription must include:
...the patients name or identification number
...the Health Professionals name
...type and/or description of prosthesis or treatment objectives
...shade
...date sent
...So that if in doubt, the dental technologist will consult the Health Professional before proceeding with the work.
Condition:
Given that clarification and/or changes are needed due to an incomplete or unclear prescription from a Health Professional
Task:
Document changes to the prescription
Criteria:
Technical Quality:
...So that any changes or modifications to a prescription or design as a result of discussion with the Health Professional, are documented and dated
...Documentation must include:
...date and time of discussion
...name of contact from Health Professionals office
...changes and modifications agreed to
...signature of the RDT or that of the person designated by the RDT
Condition:
Given a prescription and impression or model from a Health Professional
Task:
Evaluate the impression or model for completeness
Criteria:
Technical Quality:
...The impression or model must --
not have any flaws and/or visible distortions that will affect the work to be done
Condition:
Given a complete prescription from a Health Professional, and impressions
Task:
Create a master model
Criteria:
Technical Quality:
...So that the model displays all anatomical tissue landmarks present in the impression
...So that the model is clear of voids, has no air bubbles, has a dense smooth surface and is a faithful reproduction of the impression
Condition:
Given a complete prescription from a Health Professional, which includes the requirement for a custom tray, and an impression or model
Task:
Fabricate custom trays
Criteria:
Technical Quality:
...So that the custom tray conforms with the anatomical outlines and landmarks provided on the preliminary model
..So that the custom tray provides proper design for the chosen material or impression technique to be used as prescribed
Safety:
...So that materials used are either ADA, CDA, Health Canada or FDA approved
...So that if materials do not have either ADA, CDA, Health Canada or FDA approvals, the RDT must inform the prescribing Health Professional and record the Health Professionals approval and the materials used
Condition:
Given the prescription, master or working model and using materials as required by the prescribed technique
Task:
Construct an occlusal registration device
Criteria:
Technical Quality:
...According to the technique specified in the prescription
...So that the occlusal registration device is "well fitting" as per the technique prescribed
...So that the occlusal registration device is constructed so as to enable health professional to establish the patients jaw relationship
Safety
...So that materials used are either ADA, CDA, Health Canada or FDA approved
...So that if materials do not have either ADA, CDA, Health Canada or FDA approvals, the RDT must inform the prescribing Health Professional and record the Health Professionals approval and the materials used
Condition:
Given a completed occlusal registration device and models
Task:
Send the occlusal registration device and models to the Health Professional for confirmation
Criteria:
Technical Quality:
...Packing it so that it will be received by the Health Professional with no damage or distortion
Condition:
Given an occlusion registration device, models and prescription from a Health Professional and using an articulator
Task:
Mount the models on an articulator
Criteria:
Technical Quality:
...So that the patients jaw relationship is established in accordance with the occlusal registration device provided by the Health Professional
Condition:
Given the articulated models, occlusal registration device and the prescription from a Health Professional
Task:
Select and set-up the teeth and wax-up dentures
Criteria:
Technical Quality:
...Following the Health Professionals prescription and/or instructions
...So that the shade of the teeth matches the prescription
...So that the mold is selected in accordance with the manufacturers suggested
criteria
...So that the teeth are set-up to achieve the required occlusal relationship
...So that wax-up is done according to anatomical requirements
...So that the aesthetic requirements specified by the Health Professional are met
Condition:
Given a completed denture wax-up
Task:
Send denture wax-up to the Health Professional to verify set-up
Criteria:
Technical Quality:
...Packing it so that it will be received by the Health Professional with no damage or distortion
Condition:
Given the waxed- up denture has been tried into the patients mouth and any adjustments to the denture from the Health Professional are noted on the prescription
Task:
Complete set-up adjustments
Criteria:
Technical Quality:
...As noted on prescription
...So that any new instructions from the Health Professional are followed
...So that if the occlusal registration is different, the models are re-articulated and the denture teeth are reset
Condition:
Given the waxed- up denture has been tried into the patients mouth and is ready for processing
Task:
Seal wax on model and complete wax-up for processing
Criteria:
Technical Quality:
...So that the denture is sealed onto the model according to the technique prescribed
...So that the borders and palate are fully waxed
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