iRubric: Complete Dentures Lab 6 Anterior teeth arrangement rubric

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Complete Dentures Lab 6 Anterior teeth arrangement

Rubric Code: M2W485C

By Operative

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Public Rubric

Subject: Health

Type: Assessment

Grade Levels: Graduate

Teeth Arrangement & Trial Dentures
	Ideal A 100 pts	Acceptable B 81 pts	Modifications C 62 pts	Clinically unacceptable E 0 pts
Landmarks on the casts	Ideal A Landmarks match those in the picture showed in the Lecture. Landmarks accurately traced on the casts indicating: midline, crest of the ridge, anterior land area, incisal papilla, midpoint of the retromolar pad. NOTE: All marks must be traced with blue and red pencil.	Acceptable B Tooth arrangement is adequate to make a clinically acceptable complete denture. Minor discrepancies from ideal criteria which do not compromise the quality of the clinical treatment. Teeth arranged and set correctly but some minor position discrepancies ,wax is correctly contoured, but some excess on or around teeth.	Modifications C Tooth arrangement requires further alterations to be clinically acceptable.	Clinically unacceptable E Tooth arrangement prevents clinically acceptable complete denture treatment.
Plane of Occlusion/ Incisal Edge	Ideal A Plane of the occlusion perfectly aligned and flat with the midpoint of the retromolar pads bilaterally.	Acceptable B Minor discrepancies from ideal criteria which do not compromise the quality of the clinical treatment.	Modifications C Occlusion plane obviously to high or too low. Further modifications needed.	Clinically unacceptable E Inadequate Plane of Occlusion/ Incisal Edge position, that forces upper member of the articulator out of its terminal hinge position.
Incisal edge	Ideal A Incisal edge of the anterior teeth perfectly aligned with the established plane of the occlusion.	Acceptable B Minor discrepancies from ideal criteria which do not compromise the quality of the clinical treatment.	Modifications C Too out too high or too low of the occlusal rim. Further modifications needed.	Clinically unacceptable E Not aligned too low, too out or too high.
Anterior teeth/Midline/Arch	Ideal A Midline marked on the maxillary wax rims. Central incisors perfectly aligned with the midline and in contact with the metal flat plane.	Acceptable B Minor discrepancies from ideal criteria which do not compromise the quality of the clinical treatment.	Modifications C Midline off line. Further modifications needed.	Clinically unacceptable E Inadequate Anterior teeth/Midline/Arch
Centrals Incisors	Ideal A Central incisors are aligned with the midline. In contact with the metal plane. Placed so that its long axis shows a slight distal inclination to flat occlusal plane. Central incisors incisal 2/3 are perpendicular to the plane of occlusion	Acceptable B Minor discrepancies from ideal criteria which do not compromise the quality of the clinical treatment.	Modifications C Central incisors not touching occlusal metal flat plane. Further modifications needed.	Clinically unacceptable E Unaesthetic, inadequate and reverse central incisor position Wrong inclination.
Laterals Incisors	Ideal A Maxillary lateral incisor positioned with a slight distal inclination from distal and ½ to 1 mm above the plane of occlusion. From occlusal view lateral incisor follow the curvature of the internal aspect of the land area of the cast.	Acceptable B Minor discrepancies from ideal criteria which do not compromise the quality of the clinical treatment.	Modifications C Laterals touching the metal flat plane. Further modifications needed.	Clinically unacceptable E Unaesthetic, inadequate and reverse lateral incisor position Wrong inclination.
Canines	Ideal A Canine positioned with slight distal inclination from the perpendicular. Canine cusp in contact with the occlusal metal plane. Facial surface canted inward and appears "Toed-in" position. Canine cervical and incisal edges aligned vertically. From anterior view canine mesial surface visible.	Acceptable B Minor discrepancies from ideal criteria which do not compromise the quality of the clinical treatment.	Modifications C Inclinations of the canines are unnatural. Not "toed in" effect. Rotate too much. Further modifications needed.	Clinically unacceptable E Inadequate, unaesthetic and reverse canine position.
mandibular Incisors	Ideal A Labial surface of mandibular incisors roughly perpendicular to the occlusal plane. Lateral lower incisors placed similar in angulation to central lower incisors. Straight perpendicular to the occlusal plane. Canines towed out at the cervical and slightly inclined to the distal.	Acceptable B Minor discrepancies from ideal criteria which do not compromise the quality of the clinical treatment.	Modifications C Mandibular anterior teeth arranged with major discrepancies in inclination ,flatness, or position that requires modifications.	Clinically unacceptable E Mandibular anterior tooth arrangement prevents clinically acceptable complete denture treatment.
overall Teeth position	Ideal A Viewed from the facial perspective, the maxillary central incisors placed so that the long axis shows a slight distal inclination to the perpendicular. laterals and canines elevated off the occlusal plane. From occlusal view incisors follow the natural curvature of the maxillary or mandibular ridges.	Acceptable B Minor discrepancies from ideal criteria which do not compromise the quality of the clinical treatment.	Modifications C Inclination and position of anterior teeth are unnatural. Further modifications needed.	Clinically unacceptable E Inadequate unaesthetic teeth position/ long axis/ reverse/ rotation etc.
Vertical and horizontal overlaps	Ideal A Vertical overlap 0-1mm. Horizontal overlap 1.5mm. Note: Horizontal overlap measured from maxillary palate incisal line angle to mandibular labio-incisal line angle , consistent throughout the anterior region.	Acceptable B Minor discrepancies from ideal criteria which do not compromise the quality of the clinical treatment.	Modifications C No horizontal overlap between anterior teeth. Further modifications needed.	Clinically unacceptable E No horizontal overlap Too much vertical overlap. Incisal angle is very large.
Wax contour & festooning	Ideal A Waxed areas neat, clean, smooth, and properly festooned to simulate the natural healthy gums and dentition.	Acceptable B Minor discrepancies from ideal criteria which do not compromise the quality of the clinical treatment.	Modifications C Wax between contact areas of the anterior teeth. Moisture incorporated into the wax. Tooth loose into wax. Further modifications needed.	Clinically unacceptable E Inadequate or unaesthetic. Too bulky to much wax contour.
Neatness	Ideal A No wax on the teeth buccal, incisal, lingual or occlusal surfaces. No wax under record bases. No wax on the articulator and casts clean.	Acceptable B Minor discrepancies from ideal criteria which do not compromise the quality of the clinical treatment. Some excess of wax on contour of the teeth.	Modifications C Wax between contact areas. Vaseline everywhere. Further modifications needed.	Clinically unacceptable E Evidence of wax on the cast or articulator. Teeth loose in wax.
Incisal pin	Ideal A Incisal pin at zero and touching the table.	Acceptable B Minor discrepancies from ideal criteria which do not compromise the quality of the clinical treatment. Incisal pin with 1 to 2mm more or less than ideal criteria.	Modifications C Incisal pin with more or less than 3 mm. Further modifications needed.	Clinically unacceptable E Incisal pin not touching table/wrong setting.

Subjects:

Health

Types:

Assessment

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