19. Case Design Workshop Pt. II

Question 1

Mouth Preparation

MUST Have Mounted ____ Casts

Answer 1

diagnostic

Question 2

Surgical Preparation
 Extractions
 periodontally \_\_\_\_
teeth
 residual \_\_\_\_
 teeth that are detrimental to the design of \_\_\_\_
 \_\_\_\_ teeth

Answer 2

hopeless
roots
PRDP
impacted

Question 3

Surgical Preparation
Severely malposed or extruded teeth
 \_\_\_\_
 orthodontic correction 
 \_\_\_\_ segment
osteotomy
 need interarch distance of \_\_\_\_mm

Answer 3

extraction
dentoalveolar
3

Question 4

Surgical Preparation
Enlarged ____
- metal base of 1mm

Answer 4

tuberosity

Question 5

Surgical Preparation
Bony exostoses or tori
 \_\_\_\_ and friable mucosa
 \_\_\_\_ with the path of insertion
 compromise the \_\_\_\_ of denture components

Answer 5

thin
interference
extension

Question 6

Surgical Preparation
\_\_\_\_ soft tissues 
soft flabby ridges
 folds of redundant tissue 
 surgical \_\_\_\_ needed

 Muscle \_\_\_\_ and frena
Bony spines and knife-edge ridges 
 \_\_\_\_
 vestibular deepening 
 \_\_\_\_ augmentation

Answer 6

displaceable
stent
attachment
rounded
ridge

Question 7

Surgical Preparation
 ____
 overdenture abutments

Answer 7

implant

Question 8

Periodontal Preparation
 Periodontal disease and plague control
 ____ care instruction and recall
 definitive ____ treatments

Answer 8

home

periodontal

Question 9

Periodontal Preparation
 Insufficient attached gingiva
 resistance of the ____

 ____ gingival pockets
 exposure of more of the clinical crown

Answer 9

periodontium

suprabony

Question 10

Mouth Preparation Surgical and Periodontal
Depending on the extent of the surgery and its impact on the PRDP success there should be ____ months between any surgical and final restorative procedures

Answer 10

3 to 6

Question 11

Endodontic
 Non-vital teeth require ____ canal treatment
 Endodontically treated teeth may require:
-____ post
-____ cast restoration

Answer 11

root
intraradicular
extracoronal

Question 12

Orthodontic
Correction of:
1. \_\_\_\_ inclination of teeth
2. \_\_\_\_- or infra-eruption
3. \_\_\_\_ plane
4. Inadequate \_\_\_\_ spaces

Answer 12

axial
supra
occlusal
edentulous

Question 13

Tissue Conditioning
Done before the ____ phase when:
-____ and irritation of mucosa covering the denture bearing areas
-____ of normal anatomic structures

Answer 13

final impression
inflammation
distortion

Question 14

Tissue Conditioning
Home Care program:
1.Saline solution mouth rinses \_\_\_\_/day 
2.Soft tissue massage with \_\_\_\_ toothbrush 
3.Remove denture at \_\_\_\_

Answer 14

3-4
soft
night

Question 15

Tissue Conditioning

1. Eliminate deflective or interfering occlusal ____ of old denture
2. Proper ____ of denture base
3. Relieve denture base ____ mm
4. Follow manufacturer instructions
5. Repeat every ____ days usually ____ times

Answer 15

contacts
extension
2
4-7
3-4

Question 16

Restorative Preparation
 Removal of \_\_\_\_
 Replacement of \_\_\_\_
restorations
 Restoration of structurally \_\_\_\_ teeth

Answer 16

caries
defective
compromised

Question 17

Restorative Preparation
 Occlusal plane modification (A) 
 Correction of malposed teeth or
unacceptable contour 
 \_\_\_\_
 \_\_\_\_ crown

Answer 17

enameloplasty

survey

Question 18

Restorative Preparation
Splinting of natural teeth 
 composite, e.g. A-splint 
 cast restoration
contraindicated with less than \_\_\_\_ % bone support (A)
 PRDP, e.g. \_\_\_\_ PRDP or multiple rests

Answer 18

50

swing lock

Question 19

Restorative Preparation
 Exposure of dentin during abutment preparation
 ____
 ____ susceptibility

Answer 19

sensitivity

caries

Question 20

Abutment Preparation
 Sequence
1. \_\_\_\_
2. \_\_\_\_adjustment
3. \_\_\_\_ or depressions
4. \_\_\_\_ seats

Answer 20

guiding planes
heigh of contour
retentive grooves
rest

Question 21

Abutment Preparation
1. Guiding planes
 tooth surfaces where ____ connectors or guide plates will be placed
 ____ diamonds or burs

Answer 21

minor

cylindrical

Question 22

Abutment Preparation
1. Guiding planes
 occlusogingivally: 
 occlusal \_\_\_\_ 
 (\_\_\_\_ mm)
flat

 faciolingually:
 ____ surface
 ____ in harmony with existing tooth contour

Answer 22

1/3-2/3
2-4
proximal
rounded

Question 23

Abutment Preparation
1. Guiding planes
 \_\_\_\_ surfaces for reciprocating arms
 occlusogingivally: \_\_\_\_ mm  at the gingival portion of
the \_\_\_\_ (A) 

 anterior teeth
 to reestablish the normal ____
 to reduce unsightly ____ (B)

Answer 23

lingual
2-4
middle 1/3
width
spaces

Question 24

Abutment Preparation
2. Height of contour adjustment
 ____ diamonds or burs
 permits circumferential clasp location ____ the height of contour (A)

Answer 24

tapered

above

Question 25

Abutment Preparation
2. Height of contour adjustment
 eliminate ____ facioproximal and linguoproximal line angles (B)
 mesiobuccal of ____ distobuccal of ____ mesiolingual of ____
 limited by the thickness of enamel: not more than ____”

Answer 25

sharp
upper molars
premoalrs
lower molars
0.03

Question 26

Abutment Preparation
3. Retentive groove or depression 
 increase depth of \_\_\_\_
 proportional to \_\_\_\_
required
 \_\_\_\_ diamonds

Answer 26

undercut
retention
tapered

Question 27

Abutment Preparation
3. Retentive grooves
 ____ mm occlusogingivally; ____ mm mesiodistally
 gently sloping contoured depression:
no ____ defined dimple or pit
 parallel to the ____ margin  ____ angle area

Answer 27

1.5-2
3-4
sharply
gingival
line

Question 28

Abutment Preparation
4. Rest seats
 occlusal rest seat
 \_\_\_\_ mm at the marginal ridge
 \_\_\_\_ mm deeper at the deepest portion
 less than \_\_\_\_°
 #4 or 6 round carbide or
diamond bur
 \_\_\_\_ line angle
 tapered diamond bur

Answer 28

1.5
0.5
90
round

Question 29

Occlusal Rest Seat Size Guidelines
 Size varies from ____ the M-D diameter
 ____ the cusp tip to cusp tip distance or ____ the B-L width of tooth

Answer 29

1/3 to 1/2
1/2
1/3

Question 30

Abutment Preparation
 embrasure occlusal rest seat
 ____ mm deep
____mm wide

Answer 30

1.5-2

3-3.5

Question 31

Abutment Preparation
cingulum rest seat
Crescent or inverted V-
shaped
 #37 inverted cone bur
 \_\_\_\_ internal line angle
 one marginal ridge to the opposite
 Mesiodistal width: \_\_\_\_ mm
 Faciolingual width: \_\_\_\_ mm
 Incisogingival depth: \_\_\_\_ mm

Answer 31

round
2.5-3
2
1.5

Question 32

Abutment Preparation
cingulum rest seat

ledge
 axial wall: parallel to the path of \_\_\_\_
 gingival f loor: \_\_\_\_ mm wide 
 \_\_\_\_°
 Flat end diamond bur
or tapered fissure bur

Answer 32

insertion
1-1.5
90

Question 33

Abutment Preparation
ball or lug rest seat
 like a small occlusal rest
seat
 #4 or 6 round bur
 marginal ridge reduction
 junction of \_\_\_\_ and \_\_\_\_

Answer 33

middle 1/3

gingival 1/3

Question 34

Abutment Preparation
incisal rest seat
 usually \_\_\_\_
 \_\_\_\_ notch with facial and lingual \_\_\_\_
Tapered and/or flame- shaped diamond

Answer 34

distoincisal
rounded
bevels

Question 35

Rest Seats on Amalgam Restoration
Amalgam should be ~ ____ mm thick between rest and tooth

Conservative amalgams
do not seriously compromise ____ &/or lingual walls

Large amalgams mean ____ buccal or lingual/palatal walls
____ thin walls could result in fracture

Answer 35

1.5
buccal
thin
clasping

Question 36

Survey Crowns
Crowns that are used as abutments
 more ideal \_\_\_\_ contour
 definite \_\_\_\_
 optimum \_\_\_\_ 
 effective \_\_\_\_

Answer 36

retentive
guiding plane
occlusal rest
reciprocation

Question 37

Survey Crowns
 rest seat and guiding planes in ____
additional ____ for rest seat in the crown preparation

Answer 37

metal

reduction

Question 38

Survey Crowns
crown ledge or shoulder
 restores the ____ contour  more effective ____

Answer 38

lingual

reciprocation