Headings
Denture type · Fit and retention · Occlusion · Adjustments made · Soft tissue check · Care instructions · Next visit
When to use it
Use this for denture delivery and the adjustment visits that follow, for complete or partial dentures. It records fit, retention, bite and exactly where acrylic or clasps were changed, so the next adjustment starts from the right spot. It also keeps the care instructions you gave on file.
Example
Fictional example
Denture type
Delivery of new upper complete denture and lower cast partial denture.
Fit and retention
Upper retention good. Lower clasp on #21 too tight.
Occlusion
Early contact in right molar area, adjusted. Even contact both sides after.
Adjustments made
Pressure paste showed heavy spot at upper right tuberosity, relieved. Clasp #21 loosened.
Soft tissue check
No ulcers or redness. Tissue healthy.
Care instructions
Remove at night. Clean with a soft brush and non-abrasive cleanser. Store in water.
Next visit
24-hour check tomorrow.