19. Case Design Workshop Pt. II Flashcards
Mouth Preparation
MUST Have Mounted ____ Casts
diagnostic
Surgical Preparation Extractions periodontally \_\_\_\_ teeth residual \_\_\_\_ teeth that are detrimental to the design of \_\_\_\_ \_\_\_\_ teeth
hopeless
roots
PRDP
impacted
Surgical Preparation Severely malposed or extruded teeth \_\_\_\_ orthodontic correction \_\_\_\_ segment osteotomy need interarch distance of \_\_\_\_mm
extraction
dentoalveolar
3
Surgical Preparation
Enlarged ____
- metal base of 1mm
tuberosity
Surgical Preparation Bony exostoses or tori \_\_\_\_ and friable mucosa \_\_\_\_ with the path of insertion compromise the \_\_\_\_ of denture components
thin
interference
extension
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
displaceable stent attachment rounded ridge
Surgical Preparation
____
overdenture abutments
implant
Periodontal Preparation
Periodontal disease and plague control
____ care instruction and recall
definitive ____ treatments
home
periodontal
Periodontal Preparation
Insufficient attached gingiva
resistance of the ____
____ gingival pockets
exposure of more of the clinical crown
periodontium
suprabony
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
3 to 6
Endodontic
Non-vital teeth require ____ canal treatment
Endodontically treated teeth may require:
-____ post
-____ cast restoration
root
intraradicular
extracoronal
Orthodontic Correction of: 1. \_\_\_\_ inclination of teeth 2. \_\_\_\_- or infra-eruption 3. \_\_\_\_ plane 4. Inadequate \_\_\_\_ spaces
axial
supra
occlusal
edentulous
Tissue Conditioning
Done before the ____ phase when:
-____ and irritation of mucosa covering the denture bearing areas
-____ of normal anatomic structures
final impression
inflammation
distortion
Tissue Conditioning Home Care program: 1.Saline solution mouth rinses \_\_\_\_/day 2.Soft tissue massage with \_\_\_\_ toothbrush 3.Remove denture at \_\_\_\_
3-4
soft
night
Tissue Conditioning
- Eliminate deflective or interfering occlusal ____ of old denture
- Proper ____ of denture base
- Relieve denture base ____ mm
- Follow manufacturer instructions
- Repeat every ____ days usually ____ times
contacts extension 2 4-7 3-4
Restorative Preparation Removal of \_\_\_\_ Replacement of \_\_\_\_ restorations Restoration of structurally \_\_\_\_ teeth
caries
defective
compromised
Restorative Preparation Occlusal plane modification (A) Correction of malposed teeth or unacceptable contour \_\_\_\_ \_\_\_\_ crown
enameloplasty
survey
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
50
swing lock
Restorative Preparation
Exposure of dentin during abutment preparation
____
____ susceptibility
sensitivity
caries
Abutment Preparation Sequence 1. \_\_\_\_ 2. \_\_\_\_adjustment 3. \_\_\_\_ or depressions 4. \_\_\_\_ seats
guiding planes
heigh of contour
retentive grooves
rest
Abutment Preparation
1. Guiding planes
tooth surfaces where ____ connectors or guide plates will be placed
____ diamonds or burs
minor
cylindrical
Abutment Preparation 1. Guiding planes occlusogingivally: occlusal \_\_\_\_ (\_\_\_\_ mm) flat
faciolingually:
____ surface
____ in harmony with existing tooth contour
1/3-2/3
2-4
proximal
rounded
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)
lingual 2-4 middle 1/3 width spaces
Abutment Preparation
2. Height of contour adjustment
____ diamonds or burs
permits circumferential clasp location ____ the height of contour (A)
tapered
above
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 ____”
sharp upper molars premoalrs lower molars 0.03
Abutment Preparation 3. Retentive groove or depression increase depth of \_\_\_\_ proportional to \_\_\_\_ required \_\_\_\_ diamonds
undercut
retention
tapered
Abutment Preparation
3. Retentive grooves
____ mm occlusogingivally; ____ mm mesiodistally
gently sloping contoured depression:
no ____ defined dimple or pit
parallel to the ____ margin ____ angle area
1.5-2 3-4 sharply gingival line
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
1.5
0.5
90
round
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
1/3 to 1/2
1/2
1/3
Abutment Preparation
embrasure occlusal rest seat
____ mm deep
____mm wide
1.5-2
3-3.5
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
round
2.5-3
2
1.5
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
insertion
1-1.5
90
Abutment Preparation ball or lug rest seat like a small occlusal rest seat #4 or 6 round bur marginal ridge reduction junction of \_\_\_\_ and \_\_\_\_
middle 1/3
gingival 1/3
Abutment Preparation incisal rest seat usually \_\_\_\_ \_\_\_\_ notch with facial and lingual \_\_\_\_ Tapered and/or flame- shaped diamond
distoincisal
rounded
bevels
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
1.5
buccal
thin
clasping
Survey Crowns Crowns that are used as abutments more ideal \_\_\_\_ contour definite \_\_\_\_ optimum \_\_\_\_ effective \_\_\_\_
retentive
guiding plane
occlusal rest
reciprocation
Survey Crowns
rest seat and guiding planes in ____
additional ____ for rest seat in the crown preparation
metal
reduction
Survey Crowns
crown ledge or shoulder
restores the ____ contour more effective ____
lingual
reciprocation
