15 Flashcards
Diagnosis and Education
A. Phase 1:
B Phase 2:
C. Phase 3:
D. Phase 4:
E. Phase 5:
F. Phase 6:
A
Support for the Denture Base
A. Phase 1:
B Phase 2:
C. Phase 3:
D. Phase 4:
E. Phase 5:
F. Phase 6:
C
Occlusal Relationships
A. Phase 1:
B Phase 2:
C. Phase 3:
D. Phase 4:
E. Phase 5:
F. Phase 6:
D
Treatment Planning
A. Phase 1:
B Phase 2:
C. Phase 3:
D. Phase 4:
E. Phase 5:
F. Phase 6:
B
Initial Placement
A. Phase 1:
B Phase 2:
C. Phase 3:
D. Phase 4:
E. Phase 5:
F. Phase 6:
5
Follow-Up Care
A. Phase 1:
B Phase 2:
C. Phase 3:
D. Phase 4:
E. Phase 5:
F. Phase 6:
F
focuses on achieving functional and harmonious occlusion between removable partial dentures (RPDs) and remaining natural teeth, crucial for preserving the health of surrounding structures
A. Phase 1:
B Phase 2:
C. Phase 3:
D. Phase 4:
E. Phase 5:
F. Phase 6:
D
→ in complete dentures, balanced ____ is necessary to prevent unbalanced stresses that can cause denture instability and trauma to supporting structures
→ in RPDs, ____ stresses are directly transmitted to abutment teeth and supporting structures, potentially causing sustained, damaging stresses
occlusion
occlusal
COMMON ISSUES IN OCCLUSION FOR RPD
→ lack of support for the denture base
→ establishing occlusion based on a single, static jaw relation record
→ an unacceptable occlusal plane
T/f
for RPDs, the occlusal form must conform to the established occlusal pattern of the natural teeth, even if that pattern has been altered
T
T/f
special cases:
o when opposing complete dentures or only anterior teeth remain, standard denture occlusion principles can apply, as they allow for a stable, harmonious occlusion
T
METHODS FOR ESTABLISHING OCCLUSAL RELATIONSHIPS
(1) Direct apposition of casts
(2) Interocclusal records with posterior teeth remaining
(3) Occlusal relations using occlusion rims on record bases
(4) Jaw relation records made entirely on occlusion rims
(5) Establishing occlusion by the recording of occlusal pathways
→ only few teeth need to be replaced
→ no issues in occlusion
A. DIRECT APPOSITION OF CASTS
B. INTEROCCLUSAL RECORDS WITH POSTERIOR TEETH REMAINING
C. OCCLUSAL RELATIONS USING OCCLUSION RIMS ON RECORD BASES
A
this approach only keeps the current bite position; if the natural teeth already have any misalignments or issues, those will be maintained unless corrected first
A. DIRECT APPOSITION OF CASTS
B. INTEROCCLUSAL RECORDS WITH POSTERIOR TEETH REMAINING
C. OCCLUSAL RELATIONS USING OCCLUSION RIMS ON RECORD BASES
A
this method is better than using a bulky or stiff recording material that might distort the bite, but it’s still important to fix any existing problems with how the natural teeth meet beforehand
A. DIRECT APPOSITION OF CASTS
B. INTEROCCLUSAL RECORDS WITH POSTERIOR TEETH REMAINING
C. OCCLUSAL RELATIONS USING OCCLUSION RIMS ON RECORD BASES
A
there are enough natural teeth to support RPD but not allow for simple hand occlusion of casts
A. DIRECT APPOSITION OF CASTS
B. INTEROCCLUSAL RECORDS WITH POSTERIOR TEETH REMAINING
C. OCCLUSAL RELATIONS USING OCCLUSION RIMS ON RECORD BASES
B
Coating the opposing teeth and surrounding areas to prevent sticking
A. DIRECT APPOSITION OF CASTS
B. INTEROCCLUSAL RECORDS WITH POSTERIOR TEETH REMAINING
C. OCCLUSAL RELATIONS USING OCCLUSION RIMS ON RECORD BASES
B
Applying the registration material to
both sides of the wax record and guiding the patient to close in the desired position
A. DIRECT APPOSITION OF CASTS
B. INTEROCCLUSAL RECORDS WITH POSTERIOR TEETH REMAINING
C. OCCLUSAL RELATIONS USING OCCLUSION RIMS ON RECORD BASES
B
The corrected record is inspected and trimmed to ensure it accurately represents the cusp tips
A. DIRECT APPOSITION OF CASTS
B. INTEROCCLUSAL RECORDS WITH POSTERIOR TEETH REMAINING
C. OCCLUSAL RELATIONS USING OCCLUSION RIMS ON RECORD BASES
B
→ distal extension
→ tooth-supported edentulous space
A. DIRECT APPOSITION OF CASTS
B. INTEROCCLUSAL RECORDS WITH POSTERIOR TEETH REMAINING
C. OCCLUSAL RELATIONS USING OCCLUSION RIMS ON RECORD BASES
C
absence of natural teeth on maxilla and
mandible
A. DIRECT APPOSITION OF CASTS
B. INTEROCCLUSAL RECORDS WITH POSTERIOR TEETH REMAINING
C. OCCLUSAL RELATIONS USING OCCLUSION RIMS ON RECORD BASES
C
indications:
o when an opposing maxillary complete denture is to be
made concurrently with a mandibular removable partial
denture
o used in those rare situations in which the few remaining
teeth do not occlude and will not influence eccentric jaw
movements
o when either arch has only anterior teeth present
JAW RELATION RECORDS MADE ENTIRELY ON OCCLUSION RIMS
method of establishing occlusion on the removable partial denture is the registration of occlusal pathways and the use of an occluding template rather than a cast of the opposing arch
fifth method
T/f
→ when a static jaw relation record is used, with or without eccentric articulatory movements, the prosthetically supplied teeth are arranged to occlude according to a specific concept of occlusion
T
T/f
when a functional occlusal record is used, the
teeth are modified to accept every recorded eccentric jaw movement
T