Procedure:
Fitting for an upper partial acrylic denture involving the following teeth:
Left side: Lateral incisor (22) to second molar (27)
Right side: Lateral incisor (12) to second molar (17)
This procedure was performed in an NHS practice. Before beginning, I confirmed the patient’s
medical history, ensuring it was up to date. The patient had no known allergies, including latex
allergies.
Patient Details:
Age: 78-year-old female
Mobility: Uses a walking stick, has a hearing impairment, attended independently.
Medical History: No known allergies or ongoing medications.
Lifestyle: Non-smoker, does not consume alcohol
Preparation of the Clinical Area:
I began by wearing the appropriate uniform and washing my hands in compliance with HTM01-
05 guidelines before starting the procedure. Next, I switched on and checked the functionality of
all necessary equipment, including:
• Computer system
• Dental chair
• Dental light
• X-ray units
• Compressor
• Autoclaves
• Aspiration equipment
To ensure infection control compliance, I disinfected the following surfaces using viricidal
wipes:
• Dental chair
• Light handles
• Worktops
• Keyboard
• X-ray units
• Spittoon
Additionally, I flushed the dental water line for 2 minutes using aspirator cleaners, as required by
infection control protocols.
Instruments and Materials Preparation:
For the denture impression procedure, I prepared the following:
Instruments: Aspirator suction tube, dental mirror, probe, tweezer and flat plastic.
Straight Handpieces and trimming burs.
Materials: 3-in-1 tips, articulating paper and gauze.
Additional Items: patient mirror and self-aspirating syringe prepared in case the clinician
required it.
All instruments and materials were arranged systematically on a sterile tray for easy access
during the procedure.
PPE Prepared:
• For Clinician: Gloves, mask and dental face visor.
• For Myself: Gloves, mask and protective glasses.
• For Patient: Bib and goggles.
Assisting During the Treatment:
I ensured all instruments and materials were systematically organized for the clinician’s easy
access.
Instrument Handling & Support:
Passed instruments efficiently as required.
Adjusted the dental light for optimal visibility.
Set up the model, denture, articulating paper, straight handpiece, and trimming burs as
needed.
Patient Monitoring & Support:
Helped the patient get comfortable before treatment.
Adjusted the dental chair to accommodate mobility limitations.
Regularly checked on the patient’s well-being, offering reassurance throughout.
Explained each step clearly and addressed any questions or concerns.
Encouraged steady breathing to keep the patient relaxed.
Post-Treatment Assistance:
Assisted the patient in safely sitting up and ensured they felt stable before standing.
Provided a mirror for the patient to assess the fit and appearance of the denture.
Checked for any areas of discomfort or pressure and relayed feedback to the clinician.
Offered guidance on inserting and removing the denture properly.
Provided verbal and written aftercare instructions, including cleaning and maintenance
advice.
Encouraged the patient to practice speaking and swallowing with the new denture.
Reassured the patient and addressed any concerns before they left the clinic.
Follow-up Appointment:
Before the patient left, I scheduled a follow-up appointment to assess comfort, function, and any
necessary adjustments to the denture.
Aim of the Procedure:
The aim of the denture fitting procedure is to ensure the patient receives a well-fitting, comfortable, and
functional prosthesis that restores their ability to chew, speak, and smile with confidence.
Reflective Account
Strengths:
1. Instrument Handling & Clinical Assistance: I efficiently passed instruments, adjusted the
dental light, and prepared the required materials, ensuring a smooth workflow.
2. Post-Treatment Support: I helped the patient understand denture care and encouraged her
to practice speaking and swallowing with the new denture.
Weaknesses:
1. Assessing Denture Fit & Occlusion: Observed the clinician using articulating paper to
check the bite but felt uncertain about identifying pressure points and areas needing
adjustment.
2. Communicating with a Hearing-Impaired Patient: While I made an effort to speak clearly
and slowly, I could improve my communication techniques by incorporating visual aids
and written instructions more effectively.
Action Plan:
1. Observe more denture fittings and ask the clinician to explain the adjustments in detail.
2. Improve Communication with Hearing-Impaired Patients, try to use written aftercare
instructions with clear diagrams to reinforce verbal explanations.
3. Ensure I always face the patient while speaking to make it easier for them to understand.
4. Practice explaining denture care instructions clearly and concisely.
Additional :
No disposal covers are used in the required areas of the dental surgery.
Upper dentures fitting for the treatment only.
GDC# 229842
Sandra Marzetti fitting. 21/2
