Anatomy and Physiology Flashcards
Changes in Physical Appearance
Collapsed or decreased facial height Prognathic mandible Collapsed lips and cheeks Wide tongue Deepening of nasolabial grooves Angular cheilitis
If you lose the teeth you are left with this space
Denture Space
Extraoral Exam
Facial contours and symmetries
Appearance of the teeth and their relationship with the lips
Function and pattern of jaw movements
Palpation of tmjs
Intraoral Exam
Surface qualityand contours of the tissues
The outline of the hollow denture space
Neutral zone
What is a neutral zone
Potential space between the cheeks and the lips on one side, tongue on the other
Forces between the tongue and cheeks or lips are equal
Teeth were located before
Surfaces to be covered by the neutral zone
Basal seat
Denture borders
Polished surface
Vertical dimension
Distance between upper and lower arches
Since there are no teeth, centric occlusion cannot be observed to find the right position of the mandible thus we will use
Positional relationship
3 CD reqments
Biologic
Mechanical
Esthetics
3 biomechanical reqments
Retention
Stability
Support
Sources of retention and stability
Saliva
Peripheral seal
Neutral zone
Primary source of retention
Saliva
What is cohesion
Attraction between same or like molecules
Adhesion
Atrraction between different molecules
Surface tension
Ability of fluid to become thin and establish a surface that is smaller
How to enhance retention
Make the space as small as possible between the mucosa and denture space through making an accurate copy
Saliva interface requirements
Thin interface
Well adapted
Accurate copy of impression
How to determine the peripheral border seal extent
Know the functional limit Accurate copy Border molding Limiting anatomical structures Functional movements
Stability
Vertically oriented surfaces to prevent horizontal dislodgement
Structures for stability
Slopes
Walls
Support structures
Horizontally oriented surfaces such as
Bone
Buccal shelfs
Mucosa
Stress bearing mucosa area characteristics
Highly keratinized
Thick but firm
Smooth
Enough bone support
Supporting bone stress bearing areas characteristics
Thick and firm
Smooth
Highly resistant to resorption
Highly keratinized
Orientation of stress bearing areas
Perpendicular to masticatory forces
Production of individual sounds in connected discourse
Movement and placement during speech of the organs that serve to interrupt or modify the voiced or unvoiced stream into meaningful words
Performed through movements of lower jaw, lips, tongue, soft palate
Speech articulation