1.0 Intro to FPD Flashcards
Missing teeth can be replaced with fixed prostheses that will improve ______ and _____, maintain the ___________, and, in many instances, elevate the patient’s _____.
patient comfort
masticatory ability
health and integrity of the dental arches
self-image
It is also possible, through the use of fixed restorations, to render an _______ that improves the orthopedic stability of the temporomandibular joints (TMJs). On the other hand, with improper treatment of the occlusion, it is possible to create disharmony and damage to the _____
optimal occlusion
stomatognathic system
is a cemented or permanently affixed extracoronal restoration that covers, or veneers, the outer surface of the clinical crown. It should reproduce the morphology and contours of the damaged coronal portions of a tooth while performing its function. It should also protect the remaining tooth structure from further damage.
crown
If it covers the entire clinical crown, the restoration is called a ______, or just a _____. It may be fabricated entirely of a ____ or another untarnishable metal, a _____, an ____, _____, or ______.
full veneer, full coverage, complete
full crown
gold alloy
ceramic veneer fused to metal
all-ceramic material
resin and metal
resin only
If only portions of the clinical crown are veneered, the restoration is called a _____ or ____.
partial coverage or partial veneer crown
The ___ surface is usually left unveneered.
facial
____ restorations are those that fit within the anatomical contours of the clinical crown of a tooth.
Intracoronal
may be used as single-tooth restorations for Class II proximo-occlusal or Class V gingival lesions with minimal to moderate extensions. They may be made of gold alloy, a ceramic material, or processed resin. They are intracoronal restorations with minimal to moderate extensions made of gold alloy (a) or a ceramic material (b).
inlay
When modified with occlusal coverage, the intracoronal restoration is called an ____ and is useful for restoring more extensively damaged posterior teeth needing wide mesio-occlusodistal (MOD) restorations. It is an intracoronal restoration with an occlusal veneer.
onlay
is a thin layer of porcelain or cast ceramic that is bonded to the facial surface of a tooth with resin.
Laminate veneer/ LAMINATES or FACIAL VENEER
a prosthetic appliance that is permanently attached to remaining teeth or implants and replaces one or more missing teeth. In years past, this type of prosthesis was known as a bridge, a term that has fallen from favor and is no longer used.
fixed partial denture
A tooth or implant serving as an attachment for a fixed partial denture is called
abutment
It is the artificial tooth suspended from the abutments. It is connected to the fixed partial denture retainers, which are extracoronal restorations that are cemented to or otherwise attached to the abutment teeth or implants.
Pontic
It lack the necessary retention and resistance to be used as fixed partial denture retainers.
Intracoronal restorations
The ___ between the pontic and the retainer may be rigid (i.e., solder joints or cast connectors) or nonrigid (i.e., precision attachments or stress breakers) if the abutments are teeth.
connectors
As a rule, only ___________ are used with implant abutments.
rigid connectors
5 ELEMENTS OF A GOOD DIAGNOSTIC IN PREPARATION FOR A FPD TREATMENT:
- History
- TMJ/occlusal evaluation
- Intraoral examination
- Diagnostic casts
- Full mouth radiographs
- Necessary special precautions
- Patient’s physical or emotional (mental) health
- Pre-medication maybe necessary
- Medications to be avoided.
- Previous reactions to a drug
- Allergic reaction – use sticker to indicate offending drugs, dental material.
- Current medications
- Prophylactic meds – pts with prosthetic heart valve, bacterial endocarditis (rheumatic fever).
- Syncope resulting from anxiety in the dental chair.
History
A history of infectious diseases, such as serum hepatitis, tuberculosis, and human immunodeficiency virus (HIV)/AIDS, must be known so that protection can be provided for other patients as well as office personnel. There are numerous conditions of a noninfectious nature that also can be important to the patient’s well-being.
HISTORY
The patient should be asked what medications, prescribed or over-the-counter, are currently being taken and for what purpose. It is important to be aware that an estimated 25% of the population is taking some type of herbal product.
MEDICATIONS
If a patient reports a previous reaction to a drug, it should be determined whether it was an allergic reaction or syncope resulting from anxiety in the dental chair. If there is any possibility of a true allergic reaction, a notation should be made on a sticker prominently displayed in the patient’s record so that the medication is not administered or prescribed.
ALLERGIES
- ___________________ AND ________ are the most common allergenic drugs.
G The patient might also report a reaction to a dental material. _______ AND ___ are leading candidates in this area.
G It is imperative that the dentist not engage in any type of improvised allergy testing to corroborate the patient’s recollection of previous problems. It is possible to initiate a life-threatening _______ by challenging the patient’s immune system with an allergen to which he or she has been previously sensitized.
Local anesthetics and antibiotics
Impression materials and nickel-containing alloys
anaphylactic reaction
No patient with uncontrolled hypertension should be treated until the blood pressure has been lowered.
CARDIOVASCULAR DISORDERS
