01 Diagnosis

Question 1

Battlefield Teeth

Answer 1

Teeth from corpses

Question 2

Will there be a need for complete dentures?

Answer 2

10% decline in edentulism

71% increase in the adult pop older than 55 years

Question 3

House’s Psychological Classification

Answer 3

1. Philosophical
2. Exacting
3. Indifferent
4. Hysterical

Question 4

Methodical, precise & demanding
Asks a lot of detailing questions
Likes each step explained in detail
Excellent prognosis if intelligent and understanding, otherwise, extra hours spent prior to treatment explaining treatment plan

Answer 4

Exacting

Question 5

Low motivation
Little concern for their oral health
Little appreciation for the efforts of the dentist
Will give up easily if problems are encountered
Requires more time for instruction and explanation concerning the value of their dentures

Answer 5

Indifferent

Question 6

Willing to accept the doctors’s judgment without question
They pay attention and follow directions
Best prognosis, provided bio-mechanical factors are favorable

Answer 6

Philosophical

Question 7

Emotionally unstable
Blames the “world” for present condition
Takes no responsibility for self
Never satisfied
Always apprehensive and complaining: doctor beware!
This patient is a failure unless converted into another classification
Unfit to wear dentures

Answer 7

Hysterical

Question 8

Components of dental history

Answer 8

1. Tooth loss
2. Prosthodontics/Restorative history
3. Denture history
4. Previous dentist

Question 9

Component of Medical history

Answer 9

1. Allergies
2. Systemic illness
3. Hospitalizations
4. Medications
5. Alcohol and tobacco use
6. Nutrition
7. Physician

Question 10

Epulis fissuratum

Answer 10

Bengin hyperplasia of fibrous connective tissue due to chronic mechanical irritation from an improper denture flange fitting

Question 11

House’s Palatal Form classes

Answer 11

Junction of hard and soft tissue

Class I: 5-13 mm distal
Class II: 3 to 5 mm distal
Class III 3-5 mm anterior (poor)

Question 12

Neil’s Lateral throat form

Answer 12

Class I: Large (mirror fits in lingual flange / retromylohyoid space)
Class II: Medium
Class III: Small

Question 13

Five methods to increase support of a denture

Answer 13

1. Tissue conditioners
2. Surgical removal of pendulous tissue
3. Surgical reduction of sharp/spiny ridges
4. Surgical augmentation of skin, bone, vestibules
5. Endosseous implants

Question 14

Purpose of post-palatal seal

Answer 14

Compensates for dimensional changes - Aids in retention