7. Edentulism - Week 1 Flashcards
19
Dentures replace more than just teeth. What do they also replace?
22
Side effects of medications can add to the difficulty of wearing dentures. What is an example of a side effect that would effect denture wearing?
28
What type of patient interview response is this? “I got along fine, but now my denture is loose.”
28
What kind of patient interview response is this?
“The dentures changed my appearance” or “I have never been able to chew with these dentures.”
28
What percentage is the chewing function with dentures compared to natural teeth?
29
What is another name for the House Classification System?
29
What are the four psychological profiles of the House Classification?
30
Describe the Philosophical patient in House’s classification.
30
31
Describe the Exacting patient in House’s classifications.
32
Describe the Hysterical patient in House’s classification.
33
Describe the Indifferent patient in House’s classifications.
34
What do you need to do if a patient has psychiatric disorders that are not controlled?
34
What is dysmorphic syndrome?
35
Success or failure in fabricating complete dentures is not exclusively predicted by the patient’s residual ridge form but on the ________.
35
Feelings the patient develops toward the dentist become __________.
36
What are six things that are evaluated on a panoramic radiograph?
38
What are 5 mucosal conditions that need to be considered for complete dentures?
38
What are two examples of salivary dysfunction that need to be considered for complete dentures?
39
What is another name for Lichen Planus?
39
What is Lichen Planus?
39
What are two consequences of lichen planus?
39
What are pemphigoid lesions?
39
What are three consequences of pemphigoid lesions on dentures
40
What is geographic tongue and will it affect a denture?
43
What are four things that diabetes can lead to?
43
Describe the epithelium in a person with diabetes.
44
Low saliva flow rates lead to an increased number of _______ organisms, leading to a high incidence of _____ or ________.
45
What are 6 things that may require pre prosthetic surgery before a denture is placed?
46
What is epulis?
47
When would palatal tori need to be removed in a denture patient?
47
What is accomplished with a vestibuloplasty?
48
What do you do if you do not have enough inter-arch space?
52
What does the PDI classification stand for?
52
For the PDI classification, the _____, the _______ of the patient, and measurements of _____ will allow you to provide a prognosis to the patient.
52
What are the four categories in PDI classification?
53
When doing the mandibular bone height measurements, where do you measure from?
53
What are the mandibular bone height measurements for PDI Class I?
53
What are the mandibular bone height measurements for PDI Class II?
53
What are the mandibular bone height measurements for PDI Class III?
53
What are the mandibular bone height measurements for PDI Class IV?
53
What does a Type A PDI clasification for ridge morphology resist? Does Class I have a hamular notch? Tori?
53
Describe the buccal vestibule, hamular notch, and tori in a Type B ridge-morphology of the maxilla for PDI classification.
53
Describe the vestibule, support, and anterior ridge in the maxillary ridge morphology of a Type C PDI classification.
53
Describe the vestibule, tori, and tissue in a Type D maxillary ridge morphology patient for PDI classification.
53
Describe a Type A mandibular muscle attachment patient for PDI Type A.
53
What are two characteristics of the mandibular muscle attachments for a Type B patient for the PDI classifications?
53
What are the three characteristics of a Type C mandibular muscle attachment for PDI Classification?
53
What is the characteristic for a Type D mandibular muscle attachment PDI classification?
53
What are two characteristics for a Type E mandibular muscle attachment patient for PDI classification?
53
Which maxillomandibular skeletal relationship are most patients?
53
What PDI classification does this describe for conditions requiring pre-prosthetic surgery?
-minor soft tissue procedures
-minor hard tissue procedures
-simple implants
53
What PDI classification does this describe for conditions requiring pre-prosthetic? surgery?
-implants with bone graft - complex
-correction of dentofacial deformities
-hard tissue augmentation
-major soft tissue
53
What is the measurement for class III limited interarch space PDI classification?
53
What PDI classification is a large tongue that occludes interdental space?
53
What PDI classification is a hyperactive tongue with a retruded position?
53
What PDI classificatio is mild, moderate, and severe oral manifestation of systemic disease?
53
What PDI classification is moderate and severe psychosocial modifiers?
53
What PDI classification doTMD symptoms make it?
53
What classification do these modifiers make?
-Hx of parasthesia of dysesthesia
-maxillofacial defects
-ataxia
-refractory patient
55
When measuring the mandible, measure from the ________.
56
What classification does this describe?
-anterior labial and posterior buccal vestibular depth that resists vertical and horizontal movement of the denture base
-palatal morphology that resists vertical and horizontal movement of the denture base
-sufficient tuberosity definition that resists vertical and horizontal movement of the denture base
-hamular notch is well defined to establish the posterior extension of the denture base
-absence of tori or exostoses
57
What classification does this describe?
-loss of posterior buccal vestibule
-tuberosity and hamular notch are poorly defined, compromising delineation of the posterior extension of the denture base
-maxillary palatal and/or lateral tori are rounded and do not affect the posterior extension of the denture base
-palatal vault morphology that resists vertical and horizontal movement of the denture base
58
What PDI classification does this describe?
-loss of anterior labial vestibule
-prominent midline suture
-maxillary palatal and/or lateral tori with bony undercuts that do not affect the posterior extension of the denture base
-Hyperplastic, mobile anterior ridge that offers minimum support and stability of the denture base
-palatal vault morphology that offers minimal resistance to vertical and horizontal movement of the denture base
-reduction of the post malar space by the coronoid process during mandibular opening and/or excursive movements
59
What PDI classification does this describe?
-loss of anterior labial and posterior buccal vestibules
-maxillary palatal and/or lateral tori- rounded or undercut- that interferes with the posterior border of the denture
-Hyperplastic, redundant anterior ridge
-Palatal vault morphology that does not resist vertical or horizontal movement of the denture base
-Prominent anterior nasal spine.
60
What is a Type A mandible?
61
What are two characteristics of a Type B mandible?
62
What are two characteristics of a Type C mandible?
63
What are two characteristics of a Type D mandible?
64
What are two characteristics of a Type E mandible?
