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Taken from a lecture given at Yankee Dental 2015 by Dr. Gordon Christensen.

Patients needing a Preventative Appointment

  • Post Restorative
  • Dry Mouth
  • Senile Carries
  • Juvenile Carries
  • Chemotherapy
  • Radiation Therapy
  • Bulimics
  • “Meth Mouth”
  • Special Needs Patients
  • Orthodontic Patients
  • Patient with high carcinogenic diets
  • Nursing home Patients

The Preventative Appointment

  1. Educate the Patient
  2. Get Acceptance of the concept
  3. Alginate Impression
  4. Fast Setting Cast (Whipmix Snap Stone)
  5. Make Vacuum Shell, .20″” thick plastic
  6. Trim shell to be 1mm apical to the gingival line
  7. Again educate patient and have them load and set tray
  8. They use 2X per day, 5 min after breakfast, and 5 min before bedtime
  9. Spit only if in non-fluoride area. Spit and rinse if in fluoride area
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