Overview: This article provides comprehensive Instructions for Use (IFU), safety information, and clinical guidance for Dandy metal dentures made with Chrome-Cobalt or Titanium
Metal denture indications and contraindications
Metal dentures are removable dental prosthetics used to replace missing teeth.
Indications for use
Dandy metal dentures are custom-made to fit a patient's mouth and provide a sturdy solution for replacing one or more missing teeth.
Contraindications
Do not use metal dentures if the patient has:
Known allergies to acrylic.
Known allergies to metal.
Severe gum disease.
Risks and benefits
Benefits: Improved speech, enhanced chewing ability, and a natural-looking appearance.
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Risks: Potential for sore spots, general discomfort, or damage to remaining natural teeth.
Directions for metal denture use
Follow these clinical steps to ensure the proper fit and function of the metal denture.
Insertion and fitting process
Verify the metal denture is clean and free of debris.
Rinse the patient’s mouth with warm water.
Gently guide the metal denture into place using your fingers.
Avoid using excessive force during insertion.
Instruct the patient to bite down gently to check stability.
Adjusting the metal denture
Use carbon articulation paper to identify heavy occlusion points.
Equipment: Operate the bur at high speed with minimal pressure.
Temperature Control: Always use water and air spray to prevent micro-fractures.
Tool Selection: Use a fine-grit diamond bur. Use a football-shaped bur for occlusal and lingual surfaces. Use a tapered bur for buccal and lingual surfaces.
Restriction: Do not perform handpiece adjustments with air only.
Cleaning and storage instructions
Proper maintenance extends the life of the dental prosthetic.
Daily cleaning
Clean the metal dentures before and after every use. Immediately after removal, use soap and warm water (not exceeding 45°C/113°F) to remove saliva and debris.
Proper storage
Store final dentures in a clean, dry place. Protect the metal dentures from excessive heat or pressure to prevent warping.
Additional Information
- Clinical studies have demonstrated that dentures are an effective and reliable treatment option for patients with missing teeth.
- If the patient experiences any adverse events, such as pain or irritation, they should discontinue use and contact your practice immediately.
- Dentures typically come with a limited warranty, which may vary depending on the manufacturer.
Disposal and biohazard safety
Handle dentures as regulated waste once they are used or unclaimed.
Biohazard Protocol: Treat used dentures as infectious waste due to contact with saliva and blood. Use red bags and authorized carriers.
Destruction: Incineration is the standard method for final destruction.
Recovery: If the metal denture contains precious metals like gold or silver, return the device to a dental lab or scrap refiner for recycling.
Privacy: Redact all patient information from lab boxes before disposal.
ADA Codes
| Complete Denture | ||
| Denture (Mandibular) | D5120 | Mandibular Complete Denture |
| Denture (Maxillary) | D5110 | Maxillary Complete Denture |
| Immediate Denture (Mandibular) | D5140 | Mandibular Immediate Denture |
| Immediate Denture (Maxillary) | D5130 | Maxillary Immediate Denture |
| Overdenture (Maxillary) | D5836 | Complete Maxillary Over-Denture |
| Overdenture (Mandibular) | D5865 | Complete Mandibular Over-Denture |
| Overdenture (Generic Code) | D5860 | Overdenture Completed by Report (Generic Code) |
| Relined Denture (Full Mandibular) | D5751 | Reline Mandibular Complete Denture |
| Relined Denture (Full Maxillary) | D5750 | Reline Maxillary Complete Denture |
| Adjustments | ||
| Complete Denture: Maxillary | D5410 | Adjust complete denture (maxillary) |
| Complete Denture: Mandibular | D5411 | Adjust complete denture (mandibular) |
| Metal Partial Denture | ||
| partial denture – cast metal framework with resin denture bases | D5213 | Maxillary |
| partial denture – cast metal framework with resin denture bases | D5214 | Mandibular |
| add metal substructure to acrylic full denture (per arch) | D5876 | Either |
| For Unilateral Metal | ||
| Removable unilateral partial denture – one-piece cast metal (including clasps and teeth), maxillary | D5282 | Maxillary |
| Removable unilateral partial denture – one-piece cast metal (including clasps and teeth), mandibular | D5283 | Mandibular |
| Adjustments | ||
| Partial Denture: Maxillary | D5421 | Adjust partial denture—maxillary |
| Partial Denture: Mandibular | D5422 | Adjust partial denture—mandibular |
| Add On's | ||
| Metal Mesh substructure | D5876 | Add metal substructure to acrylic full denture (per arch) |