16. Implant Assisted PRDP

Question 1

􏰀Class I PRDP opposing CRDP what happens?
􏰀What is the syndrome called?
____

Answer 1

combination syndrome

Question 2

COMBINATION SYNDROME - ____ maxilla is opposed by a ____ dentate mandible (anterior dentition)

• produces a ____ pattern of bone resorption of the maxilla.
• • heavy occlusion, causing ____ tipping of CRDP, compression of the premaxilla and bone resorption

Note: steep ____ guidance. There are no contacts in working, balancing or protrusive when the patient goes through the chewing cycle.

Answer 2

edentulous
partially
specific
anterior
anterior

Question 3

COMBINATION SYNDROME
(a) Resorption of \_\_\_\_
(b) \_\_\_\_ of
maxillary tuberosity 
Occlusal \_\_\_\_ problems Papillary hyperplasia of \_\_\_\_
Extrusion of the \_\_\_\_ teeth
\_\_\_\_ maxillary tuberosities

Answer 3

premaxilla
hypertrophy
plane
hard palate
mandibular anterior
hypertrophic

Question 4

Implants
 Recently there has been a trend in the literature showing the use of implants to assist partial dentures particularly for Kennedy Class ____ situations

Answer 4

I and II

Question 5

Advantages of Using Implant-Assisted PRDP compared to Conventional PRDP
 Improved stability
 Improved retention
 Improved esthetics
 Increased patient comfort
 Enhanced patient satisfaction
 Improved patient confidence
 Decreased need for \_\_\_\_
 Reduced risk for \_\_\_\_

Answer 5

relines

combination syndrome

Question 6

Advantages
 Minimize excessive ____ and trauma to soft tissues and supporting ridge with alteration of the ____ forces
 Highly ____ treatment
 Simplify prosthesis design by incorporating an
____ mechanism
 Minimizing ____ and lateral forces on direct and indirect abutment teeth

Answer 6

pressure
biomechanical
predictable
attachment
rotational

Question 7

Advantages of IAPRDP compared to an Implant-Assisted FDP

 More \_\_\_\_
--fewer implants required
--less need for augmentation
 More potential implant \_\_\_\_ because shorter implants are possible
 Simplified hygiene
 Improved \_\_\_\_ stabilization
 Potential improvement in esthetics
 \_\_\_\_ cantilever forces
 Reduced likelihood of damage related to nocturnal bruxism since appliance can be \_\_\_\_

Answer 7

economical
sites
cross-arch
diminished
removed

Question 8

Disadvantages of Using IAPRDP
 Additional Costs
 Additional ____ Procedures  Extended Treatment Time

Answer 8

surgical

Question 9

Indications for IAPRDP
____: minimize/eliminate extracoronal clasping within the esthetic zone
 ____: Provide improved access for hygiene
 ____ DEFECTS: Permit greater latitude in restoration of hard and soft tissue defects (resin denture bases easily included). Provide improved phonetics in maxillary anterior applications

Answer 9

esthetics
oral hygiene
extensive ridge

Question 10

Indications for IAPRDP
 ____: Provide a cost-effective alternative to fixed implant restorations (fewer implants required)
____: Facilitate cantilever reduction, permit improved biomechanics where excessive crown height space is present, minimize the occurrence of combination syndrome

Answer 10

financial limitations

extension base applications

Question 11

Proposed Classification System for IAPRDP
 Class \_\_\_\_
Class \_\_\_\_
 Class \_\_\_\_
Class \_\_\_\_

Answer 11

1-I
2-I
3-I
4-I

Question 12

We are not placing clasps so we have some ____crowns, they are designed with rests on the ____. The patients did not want to show any clasping, so the two implants will provide enough ____ in addition to some indirect retention on the lingual side. The prosthesis is supported on tissue

Answer 12

survey
linguals
retention

Question 13

This is the locator system This is the ____ which screws into the ____ which is in the bone. You pick the height such that the height of the abutment is right at the ____ height

Answer 13

abutment
implant
tissue

Question 14

Here you can see that the implants have been placed These are caps that are snapped over with the ring inside. The metal housing is then picked up in the acrylic chairside so the metal housing remains in the prosthesis, the nylon ring locks into that and then as time goes on, as it gets lose, the pt comes in and u remove the nylon ring and put a ____ one. Can see the survey crown on the molar, mesial rest, for C clasp, BD retention We are gonna put in cingulum rests for good support on our anterior bridge.

Answer 14

new

Question 15

When we do the acrylic step chairside, we put a little ____, so acrylic doesnt go where we dont want it. We dont wana lock anything into the pts mouth

Answer 15

spacer

Question 16

Then we put the ____ on, and acrylic is mixed up. The denture is then seated.

Answer 16

housing