Prosthodontics & Occlusion · single question

A denture is delivered from the laboratory. What should be done before inserting it in the patient's mouth?

  1. Verify the prescription and patient identity, then disinfect the prosthesis
  2. Autoclave the denture
  3. Insert it directly, since the laboratory is responsible for disinfection
  4. Immerse it in glutaraldehyde overnight
Show answer and explanation

Correct answer: A. Verify the prescription and patient identity, then disinfect the prosthesis

  • A. CORRECT. Two things must happen. First, VERIFY that the case corresponds to the correct patient and prescription — delivering the wrong prosthesis is a real and avoidable error. Second, DISINFECT it: prostheses travel between the laboratory and the office and can carry contamination in both directions. Use an EPA-registered intermediate-level disinfectant compatible with the material, or an appropriate immersion disinfectant, then rinse thoroughly before insertion.
  • B. Acrylic resin CANNOT be autoclaved — heat causes distortion, warping, and loss of fit.
  • C. Both the laboratory and the office share responsibility for disinfection at each transfer point; the office must not assume it was done.
  • D. Overnight immersion in glutaraldehyde is unnecessary, damages acrylic over time, and leaves toxic residue requiring extensive rinsing.

Note: CDC guidance: disinfect all items moving between the operatory and the laboratory in BOTH directions, and communicate with the lab about which method was used.

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