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AI03: Maxillary Impression Checklist
Date:
Name:
Maxillary tray selection
1. Impression tray is easily inserted into the mouth
2. There is slight play in the tray so that there is \” (6 mm) space
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How to fill out ai-03 maxillary impression checklist

How to fill out the ai-03 maxillary impression checklist:
01
Gather all the necessary materials before starting the process. This may include the ai-03 maxillary impression checklist form, an impression tray, alginate or silicone material, a mixing bowl, water, a timer, and gloves.
02
Put on gloves for hygiene purposes.
03
Mix the alginate or silicone material according to the manufacturer's instructions. This usually involves combining the powder with water in a mixing bowl and stirring until a smooth, consistent mixture is achieved.
04
Load the mixed material into the impression tray. Make sure to fill the tray completely but avoid overfilling, as it may cause discomfort to the patient during the impression process.
05
Seat the tray firmly onto the maxillary arch, ensuring it covers all the necessary areas for an accurate impression.
06
Instruct the patient to bite down gently but firmly onto the tray, ensuring proper alignment of the teeth within the impression material.
07
Keep the tray in place for the recommended setting time, as specified by the manufacturer. This is usually around 3-4 minutes for alginate and 4-5 minutes for silicone.
08
After the setting time is complete, carefully remove the tray from the patient's mouth, making sure to maintain the integrity of the impression.
09
Examine the impression for any defects or distortions that may affect its accuracy. Retake the impression if necessary.
10
Complete the ai-03 maxillary impression checklist by recording all the required information, including patient details, date and time of the impression, material used, and any additional notes or observations.
Who needs the ai-03 maxillary impression checklist:
01
Dentists: Dentists utilize the ai-03 maxillary impression checklist as a standard procedure to capture accurate impressions of the maxillary arch. This is crucial for various dental treatments, including crowns, bridges, and dentures.
02
Dental assistants: Dental assistants play a vital role in assisting the dentist during the impression process and ensuring all the necessary steps are followed correctly. The ai-03 maxillary impression checklist provides them with a structured guide to ensure accuracy and consistency.
03
Dental laboratories: Dental laboratories receive the impressions from the dentist and use them to fabricate various dental prosthetics. They rely on the ai-03 maxillary impression checklist to ensure they have received a complete and accurate impression, which is essential for producing high-quality dental restorations.
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What is ai-03 maxillary impression checklist?
The ai-03 maxillary impression checklist is a tool used to ensure that proper procedures are followed when taking an impression of the upper jaw.
Who is required to file ai-03 maxillary impression checklist?
Dentists and dental assistants who are responsible for taking impressions of the maxillary jaw are required to fill out and file the ai-03 maxillary impression checklist.
How to fill out ai-03 maxillary impression checklist?
The ai-03 maxillary impression checklist should be filled out by providing all the required information, such as patient name, date of impression, materials used, and any additional notes.
What is the purpose of ai-03 maxillary impression checklist?
The purpose of the ai-03 maxillary impression checklist is to ensure that accurate and detailed impressions of the upper jaw are taken, which is essential for creating dental prosthetics.
What information must be reported on ai-03 maxillary impression checklist?
The ai-03 maxillary impression checklist must include information such as patient name, date of impression, materials used, any issues or special considerations, and the signature of the responsible dentist or dental assistant.
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