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ABCDEFGHIJKLMNOPQRSTUVWXYZAAABACADAEAFAGAHAIAJAKALAMANAOAPAQARAS
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Restorative amalgam ItemsRestorative composite ItemsOS itemsRCT itemsMeeting a PatientDenturesCrowns(select shade first!!)Veneers
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GET SHADE first(w/o any light)
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Burs: Burs: Burs:Electronics:Med HX(allergies, infectious disease, heart, …)ALL DENTURES PT must have a STUDY MODELBurs:Used veneer burs
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330,557, #4,6,8, football330,557, #4,6,8, footballsurgical/handpieces(verify functionality)Apex locators, endo motor/handpiece..high BP take a BP readingCrown kit, skinny long diamond, footballThin, NO RCT tooth
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Pointy(if not get a new one) and round white stonePointy(if not get a new one) and round white stoneThermafill overnConsentchamfer, Shoulder(flat end diamond)DOGLEG at the M/D interprox
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Elevators:Last noteDentures ImmdiateAlso 330, 557Incisal wrap to ling 2mm(all porcelain)
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Intruments: Intruments: Periosteal, "waffle", curved elevators, all sizesIsolations:Pano
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skinny condenser, big condenser, THIN/sharp explorerskinny condenser, big condenser, THIN/sharp explorerPurple Rubberdam, clamps,frameBW/PA'sVerify MedHx(bleeding disrders..)Misc:Cement veneers
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Football, hollenback, cleoid/discoid,probeFootball, hollenback, cleoid/discoid, probeForceps:Select SHADEhemodent, Cords, floss, Timer, curved hemostat
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small spoon excavatorssmall spoon excavators88 R/L , 53 R/L, 150,151, MD, cowhornsFiles:Comments:verify undercuts(Alveolarplasty)heavy/light body, prophy angle brushVerify fit
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assorted hand files 08-40 0.02 taperpositv things ex: we can improve your oral healthMax /Mand EXT all posterior teeth Excepttrays/triple tray, black microbrushcareful on adjustments
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Misc:Misc:Blade:assorted Niti rotary show them how to brush…first premolars(VDO occlusion stops)
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Skinny wedge , Micro brush bent 90degrees 5mm from fuzzy endSkinny wedge , etch/prime/bond, atleast 2 sonicfills #15 or #11 with handle\yellow(20) 0.10,0.08,0.06,0.04Hand Instruments:
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Plenty of 2x2's and cotton rolls, floss, bite paper,automatrixPlenty of 2x2's and cotton rolls, floss, bite paper, automatrix4-8 weeksCord packer, explorer, probe,
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\red(25) 0.10,0.08,0.06,0.04Notes: impress with slight border moulding Ant/Post
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Misc:\Blue(30) 0.10,0.08,0.06,0.04CC, Clinical exam revealed…, DX ,TX or refer outverify vestibulesShade selection:
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Anesthesia:Anesthesia:Gelfoam (precut)Temp CROWNS
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upper: blue needle with Articaineupper: blue needle with Articaine3.0 gut suturesTX: # anesthesia, %, 1:100,000 EPIDelivery:Flush margins(NO CATCHES)order:
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Lower adult: long needle and lidocaineLower adult: long needle and lidocaineHand instruments:NO Parenthesis (S)feel dentures by hand and reduce high spotsNO CEMENTS IN POCKETSValue: see it in shades of grey, match
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Kids 11yo and under blue needle and articaineKids 11yo and under blue needle and articainePrescriptions:DG-16, small spoon excavators,NO (and/Or)round sharp edgesNO PACKING CORDS FROM premolar to premolarsChroma: the intensity, rich or washed out
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Kids 12yo and greater yellow needle and lidocaineKids 12yo and greater yellow needle and lidocaineamox/clindamycinexplorer, probefor front teeth pack cords Mesial Ling to Disto LingHue: the colors, reds, yellow
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ibuprofen/ or narcoticsinsert dentures MINOR reduction of occlusionverify mesial/distal contacts
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Anterior Composites!! ProceduresMisc:..due to swollen tissues
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Restorative ProceduresSelect shade!!!posts/ drills(peeso/Gates drills)
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purple rubberdam, clamps, frame, flossOS procedurescements, RC prep, Peridex, NaOCl 5%recheck in 24 hours ,1week, 1 month, 3 monhsCrown Prep/ Impression
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Topical to the non allergic/healthyAutomatrixRCT sealer, rulersreline in 10 months
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local mylarMedHX… bleeding? Diabetic?Xray sensorsVerify mobility, pockets, PA radioluceny
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drill, band ,wedgeWhy are we extracting? The big pictureStability for bridge abutments, path of draw
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etch,prime, bondProbing depths, mobilityObturation:Partial denturesIntegrity of tooth, opposing
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amalgam, sonic..microbrushpulpitis,pockets, brokenThermafill 20/0.04, 25/0.04, 30/0.04check PA
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air blast/suctionever had dentures prior?gutta percha cones(0.04) 20,25,30VERIFY CR
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wait 5 min for amalgamcheck,double check, triple check correct tooth!!look for aveolar undercuts, toriAnesthesia:
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cleoid/discoidperiosteal elevatortooth undercuts for retentionTopical, local
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floss/occlusiondental elevator, luxateRCT proceduresopposing, no clasp on clasps
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forcepsRests, occlusal,Cing, Mesial/LingPrep, check of Lip, undercut
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surgical bursVERIFY TOOTH, triple checktissue undercutsopposing reduction
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curette, copious irrigationcheck for deep pocketsdistal extension, rest seats
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sinus communication checklook for abscess, sinus tract, use gutta perchaDistal ext tissue stops on frameImpression:
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Prescriptions ..Allergies?review xrays from different angles Altered cast Posterior--pack 2 cords soaked in hemodent
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Post-OPwrap floss around rubber dam clampRPI or combination WW claspsAnterior--pack cord mesial Ling to Disto Ling(hemodent soaked)
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disposition? Need a driver?isolateaprons, crib clasps, Make cotton gingiva spreader from cotton roll
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cover pt NO BLEACH ON THEIR CLOTHESNo undercuts on toothair dry and light body then air again
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access, straight line acccessmake undercuts on tooth.add more light by while heavy body prearation
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remove exudate/rinseimpressand hold for 2 minutes
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Apex locator purple(10)Completeremove, verify margins
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purple(10) white(15), Yello (20)Crown Cementation
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verify xray using white(15)
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Rotary NiTi crown downDesign: ZERO degrees, bilateral
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copious NaOcl, EDTA(RC prep)remove temp with curved hemostat(slow wiggle)
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rinseclean bulk cement with explorer
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verufy with hand files after every rotaryCheck shade!!clean the rest of cement with prophy angle brush
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last file 0.04 tapermake sure alveolar ridge is completelyLook at crown for gross defect
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fille with CHX and let it sit for 5minhealed..minimum 6 weeksplace crown and check margins with explorer
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cone fit/or hand file to working length(white 15)Not seating? Adjust M/D contacts
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xrayLook for palatal/mand toriDO NOT lose contacts!!
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dry with paper points, very dryundercuts alveolar plastyCheck intaglio surface with fitchecker
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place sealer with paper points, plenty of sealer(lube)mark with pencil the high spots and adjust with diamond
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set thermafill at the same level as working lengthDO NOT adjust margins!
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place thermafill xrayborder mould if possibleXray verification
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xray, verifyverify with explorer again and check contacts with floss
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Wax try in:
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isolate with cotton
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Post, casts/metal/fiberVERIFY CRair dry
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look for lip supportIf in a tough to dry area use Fuji Glass ionomer cement
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always leave 5mm of gutta percha minimumsibilants(mississippi)If can isolate and dry use Rely-x
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peeso or gates slow straightteeth position
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~2-4mm in root, 2-4mm above CEJVDO
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VDR
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freeway space 3-5mm
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smile lines High/low
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Overjet 1-2mm NO overbite
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check occlusion
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