Ant. Fixed Dental prosthesis and Delivery of fixed dental pros Flashcards

1
Q

what is a fixed dental Prosthesis

A

Any dental prosthesis that is luted, screwed or mechanically attached or otherwise securely retained to natural teeth, roots, or dental implant abutments that furnish the primary support for dental pros

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2
Q

how many teeth may be included in a fixed Dental Prosthesis

A

1-16 teeth in each art

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3
Q

what is framework

A

the metallic/ceramix component that is included within the fixed dental prosthesis

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4
Q

what is the “floating” tooth(s) found in a FPD

A

pontic

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5
Q

where is the Pontic resting in an FPD when placed in the MOuth

A

The edentulous Ridge

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6
Q

what is an abutment

A

The part of a structure that directly receives thrust/pressure

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7
Q

what does an abutment anchor to

A

tooth
portion of tooth
portion of dental implant that serves to support/retain a prosthesis

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8
Q

what is a retainer

A

Any type of device used for the stabilization or retnetion of a prosthesis

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9
Q

what is a pontic

A

An artifical tooth on a fixed dental prosthesis that replaces a missing natural tooth

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10
Q

what does a Pontic do ideally

A

Restors function

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11
Q

where does a pontic find itself

A

in the space previously occupied by the clinical crown

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12
Q

how do you prep a tooth for an FPD

A

same as single tooth preparation with a common path of withdraw

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13
Q

what are the bio considerations for an FPD preparation

A

Preventing damage
Conserve tooth structure
Considerations affecting future dental health

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14
Q

what should you avoid to damage when preparing a tooth

A

Adjacent teeth
Soft tissues
pulp: temp, chemical action, bacterial action

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15
Q

what should be the mechanical considerations for an FPD prep

A

PRoviding retention form
Providing resistance form
Preventing deformation of the restoration

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16
Q

does crown type choice mater for esthetics

A

yes, all ceramic and metal ceramic

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17
Q

how can you change a prep to conserve tooth structure

A

Partial coverage rather than complete coverage restorations

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18
Q

what normal practices are done to conserve tooth

A
  • Preparation of teeth with the minimum practical convergence angle between axial walls
  • prep occlusal surfaces to follow anatomic planes and get uniform thickness
  • prep axial surfaces so that a maximal thickness of residual tooth structure surrounding pulpal tissue is retained
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19
Q

how should you select margin geometry?

A

Conservative and compatible with the other principles of tooth preparation

20
Q

where should the margin be placed

A

Where ever to avoid unecessary apical extension of the prep

21
Q

how should the margin geometry be designed to increase ease

A
  • ease of prep w/o over-extension or unsupported enamel
  • ease of identification in the impression and on the die
  • distinct boundary to which the wax pattern can be finished
22
Q

what is the casting and porcelain margin adaptation

A

Casting: 10 micrometers
Porcelain: 50 micrometers

23
Q

what is the problem with rough, irregular, or stepped junction

A

Greatly increase overall margin length and reduce the adaptation accuracy of the restoration

24
Q

benefit of Supragingival margin

A

Easy to finish without soft tissue trauma
More easy to keep plaque free
Easier impression
easier evaluation of restorations

25
what the problem with subgingival margins
Dental caries Cervical erostion root sensitivity
26
where do proximal contact areas extend in subgingival margin
Extend to the gingival crest
27
what extra does a subginval margin need to support restoration
Additional retention and resistance needed
28
what type of margin is usually done for an FPD
subginvial
29
what is the major benifit of Subgingival margin
Esthetic as fuck
30
how large is biologic width
2mm
31
what is the biolotic width mdae of
Junction epithelium | Connective tissue attachment
32
where should retraction cord be placed
below the margin without destroying the attached gingiva connection
33
what can you do to see the biologic width
use retraction cord within the sulcus
34
what is the workflow of a FPD
``` Diagnosis treatment planning and patient approval Tooth prep based on plan Provisional and patient aproval Definitive restoration try in and patient approval Delivery and patient signature ```
35
why do we do diagnostic casts
use opposing casts for fixed restorations Fabrication of provisions Fab of custom trays
36
why do we mount our diagnostic casts
``` Learn occlusal plane Learn interarch clearance Treatment position (CR or MIP) Change in VDO Occlusal analysis - AP slide - Anterior guidance Esthetic analysis ```
37
how should the condylar inclination be set up
Protrusive record of patient Loosen condylar component Place the protrusive record between casts set condylar guidance
38
what is the correct condylar inclination
30 degrees
39
what is the correct incisal pin
0 degrees
40
why would diagnositc tooth preparations be indicated
Rotated tipped extruded teeth
41
what must be done before crown lengthening
Gingival finish line
42
why do a diagnostic waxup
- establish more physiologic, esthetic morpholy - organize and blueprint and occlusal scheme - make ESF for provisional restoration construction and tooth preparation
43
what does luted mean
Cemented
44
do we do partial preps or full preps now a days
we do full preps(partial is the old school way of doing it)
45
what does connector thickness depend on
Depends on material | space between teeth
46
what happens if you violate biologic width
Will be inflammed for ever
47
what do we use for ESF in lab
Polypropylene (more cloudy than polyethylene)