15: OCCLUSAL_RELATIONSHIP Flashcards
SIX PHASES OF RPD TREATMENT:
- Diagnosis and Education
- Treatment Planning
- Support for the Denture Base
- Occlusal Relationships
- Initial Placement
- Follow-Up Care
GOAL OF FUNCTIONAL AND HARMONIOUS OCCLUSION:
the __ treatment phase focuses on achieving functional and harmonious occlusion between removable partial dentures (RPDs) and remaining natural teeth, crucial for preserving the health of surrounding structures
fourth
GOAL OF FUNCTIONAL AND HARMONIOUS OCCLUSION :
the fourth treatment phase focuses on achieving ___ and ___ between removable partial dentures (RPDs) and remaining natural teeth, crucial for preserving the health of surrounding structures
functional and harmonious occlusion
BALANCED OCCLUSION IN COMPLETE DENTURE VS. RPD:
balanced occlusion is necessary to prevent unbalanced stresses that can cause denture instability and trauma to supporting structures
CD
RPD
CD
BALANCED OCCLUSION IN COMPLETE DENTURE VS. RPD :
occlusal stresses are directly transmitted to abutment teeth and supporting structures, potentially causing sustained, damaging stresses
CD
RPD
RPD
BALANCED OCCLUSION IN COMPLETE DENTURE VS. RPD:
in complete dentures, _____ is necessary to prevent unbalanced stresses that can cause denture __ and __ to supporting structures
balanced occlusion, instability and trauma
BALANCED OCCLUSION IN COMPLETE DENTURE VS. RPD:
in RPDs, ___ are directly transmitted to abutment teeth and supporting structures, potentially causing sustained, ____
occlusal stresses, damaging stresses
COMMON ISSUES IN OCCLUSION FOR RPDs:
____ for the denture base
lack of support
COMMON ISSUES IN OCCLUSION FOR RPDs:
establishing occlusion based on a __,_____
single, static jaw relation record
COMMON ISSUES IN OCCLUSION FOR RPDs:
an unacceptable _____
occlusal plane
INFLUENCE OF REMAINING NATURAL TEETH:
for RPDs, the occlusal form must conform to the established occlusal pattern of the ___, even if that pattern has been ___
natural teeth , altered
5 ESTABLISHMENT OF A SATISFACTORY OCCLUSION:
(1) Analysis of the ____
existing occlusion
5 ESTABLISHMENT OF A SATISFACTORY OCCLUSION:
(2) ___ of existing occlusal ___
Corrections, disharmony
5 ESTABLISHMENT OF A SATISFACTORY OCCLUSION:
(3) Recording of ___ or an adjusted ___
centric relation, centric occlusion
5 ESTABLISHMENT OF A SATISFACTORY OCCLUSION:
(4) ____ of eccentric ___ for a functional eccentric occlusion.
Harmonizing , jaw movements
5 ESTABLISHMENT OF A SATISFACTORY OCCLUSION :
(5) Correction of _____ created by the __ of the framework and during processing of the removable partial denture
occlusal discrepancies, fit
5 METHODS FOR ESTABLISHING OCCLUSAL RELATIONSHIPS
(1) ____ of casts
Direct apposition
5 METHODS FOR ESTABLISHING OCCLUSAL RELATIONSHIPS
(2) ___ records with ___ teeth remaining
Interocclusal , posterior
5 METHODS FOR ESTABLISHING OCCLUSAL RELATIONSHIPS
(3) ____ using occlusion rims on ___
Occlusal relations, record bases
5 METHODS FOR ESTABLISHING OCCLUSAL RELATIONSHIPS
(4) Jaw relation records made entirely on ___
occlusion rims
5 METHODS FOR ESTABLISHING OCCLUSAL RELATIONSHIPS
(5) Establishing occlusion by the recording of ____
occlusal pathways
some important things to consider:
use of _____
semi-adjustable articulators
some important things to consider:
influence of _____
remaining natural teeth
some important things to consider:
determining jaw relation (___ vs ___)
centric relation vs. intercuspal position
DIRECT APPOSITION OF CASTS: Requirements
no issues in ___
occlusion
DIRECT APPOSITION OF CASTS: Requirements
only few teeth need to be ___
replaced
DIRECT APPOSITION OF CASTS: Procedure
the dentist can bring the upper and lower teeth models together by ___, using ___ to hold them in place while they set everything in the correct position on the articulator
hand, wax
DIRECT APPOSITION OF CASTS: Limitations
this approach only keeps the current ____; if the natural teeth already have any ___ or ___, those will be maintained unless ___ first
bite position, misalignments or issues, corrected
DIRECT APPOSITION OF CASTS: Importance of Accuracy
this method is better than using a __ or ___ _____ that might distort the bite, but it’s still important to __ any existing problems with how the natural teeth meet beforehand
bulky or stiff recording material, fix
INTEROCCLUSAL RECORDS WITH POSTERIOR TEETH REMAINING: Requirements
there are enough natural teeth to support RPD but not allow for ________
simple hand occlusion of casts
INTEROCCLUSAL RECORDS WITH POSTERIOR TEETH REMAINING: Wax Record Procedure
(1) A softened, _______ is placed ___ the teeth, and the patient is guided to close in _____
metal-reinforced wax wafer, between, centric relation
INTEROCCLUSAL RECORDS WITH POSTERIOR TEETH REMAINING: Wax Record Procedure
(2) The wax is ___ and may need correction to address any ____
chilled, distortion
INTEROCCLUSAL RECORDS WITH POSTERIOR TEETH REMAINING: Wax Record Procedure
(3) Excess wax is ___, ensuring ___ with soft tissues
trimmed away, no contact
INTEROCCLUSAL RECORDS WITH POSTERIOR TEETH REMAINING: Occlusal Registration Procedure
(1) Coating the ___ and surrounding areas to ____
opposing teeth, prevent sticking
INTEROCCLUSAL RECORDS WITH POSTERIOR TEETH REMAINING: Occlusal Registration Procedure
(2) Applying the ___ material to ___ of the wax record and guiding the patient to ___ in the desired position
registration , both sides, close
INTEROCCLUSAL RECORDS WITH POSTERIOR TEETH REMAINING: Occlusal Registration Procedure
(3) The _____ is inspected and ___ to ensure it accurately represents the cusp tips
corrected record, trimmed
OCCLUSAL RELATIONS USING OCCLUSION RIMS ON RECORD BASES: Indications
→ ___ extension
→ ____ edentulous space
→ absence of ____ on maxilla and mandible
distal, tooth-supported, natural teeth
OCCLUSAL RELATIONS USING OCCLUSION RIMS ON RECORD BASES: Procedure
(1) Prepare the __
(2) Apply a ____
(3) Make the ____
(4) ___ the base
cast
release agent
record base
Remove
OCCLUSAL RELATIONS USING OCCLUSION RIMS ON RECORD BASES: Procedure
(5) Check for __
(6) Alternative materials: if needed, you can also use _____ to make the record base; this can be done by ___ the material onto a mold and allowing it to harden
(7) FInalize the ___
fit
autopolymerizing acrylic resin, sprinkling
base
JAW RELATION RECORDS MADE ENTIRELY ON OCCLUSION RIMS:
indications:
- when an ___ maxillary complete denture is to be made ___ with a mandibular removable partial denture
opposing , concurrently
JAW RELATION RECORDS MADE ENTIRELY ON OCCLUSION RIMS :
used in those rare situations in which the few remaining teeth ____ and will not influence eccentric jaw movements
do not occlude
JAW RELATION RECORDS MADE ENTIRELY ON OCCLUSION RIMS :
when either arch has only ___ teeth present
anterior
ESTABLISHING OCCLUSION BY THE RECORDING OF OCCLUSAL PATHWAYS
on the other hand, when a _____ is used, the teeth are modified to ___ every recorded eccentric jaw movement
functional occlusal record , accept
ESTABLISHING OCCLUSION BY THE RECORDING OF OCCLUSAL PATHWAYS:
when a _____is used, with or without eccentric articulatory movements, the prosthetically supplied teeth are arranged to occlude according to a specific concept of ___
static jaw relation record, occlusion
ESTABLISHING OCCLUSION BY THE RECORDING OF OCCLUSAL PATHWAYS:
the ___ method of establishing occlusion on the removable partial denture is the registration of _____ and the use of an occluding template rather than a cast of the opposing arch
fifth, occlusal pathways
