border olding max and mand areas

Question 1

1. lightly manipulate cheek outward and downward
2. ask patient to close firmly against your fingers
3. pmt open wide then closes and moves mandible side to side. coronoid process moves medially

Answer 1

3 steps to capture retrozygomatic area for max

Question 2

gently move cheeks downward and inward

Answer 2

max buccal flange

Question 3

gently massage cheek downward and inward; lightly anterior-posterior

Answer 3

max buccal frenum

Question 4

have patient suck gently on your finger
OR
gently extend lips outward and inward

Answer 4

labial flange max

Question 5

lightly extend lip outward and downward

DONT MOVE LIP SIDE TO SIDE

Answer 5

labial frenum

Question 6

1. ask pt to open wide (tightens pterygomandibular raphe) then
2. ask pt to PINCH NOSTRILS closed and try to blow thru nose for 2-3 seconds

Answer 6

max posterior palatal seal

Question 7

gently wet upper and lower lips with tongue=LENGTH

-place tip of tongue under upper lip side to side
-push tongue against ant hard palate to develop width also
=WIDTH of border

Answer 7

lingual frenum of mand

Question 8

patient swallows or protrudes tongue-but NOT past lips

Answer 8

alveoloingual sulcus (mand)

Question 9

push tongue again tray handle, then BITE DOWN ON FINGERs. (activates superior constrictor and glossopalatine muscle against denture border. closing activates medial pterygoid against border)

Answer 9

retromylohyoid area BITE (mand)

Question 10

1. swallow forcefully 2-3 times
2. move tongue into buccal vestibules (move tongue right and left)

Answer 10

mylohyoid (mand)

Question 11

1. CLOSE DOWN GENTLY on fingers (activates masseter mucle)
2. open mouth wide (activates pterygomandibular raphe)

Answer 11

distal border and masseteric notch (mand)

Question 12

1. manually move cheek slightly out up and in
   2.close lips and suck on your finger as you hold tray handle down

Answer 12

buccal flange and buccal shelf area

Question 13

elevate frenum/cheek slightly massaging UPWARD and ANTERIOR-POSTERIORLY

Answer 13

buccal frenum

Question 14

massage and manipulate lip slightly upward. avoid vigorous movement as this reuslts in denture flange that is too short

Answer 14

mand labial flange

Question 15

elevate slightly the frenum area and lightly massage lip VERTICALLY NOT LEFT OR RIGHT

Answer 15

labial frenum

Question 16

PRP=

Answer 16

IOD(2-4mm space)+OVD(teeth touching)

Question 17

when you say ahh, how does soft palate move?

during valsalva (pinching nose), how does soft palate move?

Answer 17

ahh= soft palate up

valsalva= soft palate down

Question 18

4 characteristics of ideal denture bearing tissue

Answer 18

1. Firmly bound, keratinized masticatory mucosa
2. Zone of CT & submucosa
3. Underlying cortical bone
4. Muscle attachments nearby (enhance resistance to bone resorption)

Question 19

when is posterior palatal seal placed?

Answer 19

after secondary impressions and before maxo-mandibular articulation

(during make of occlusal rims and secondary casts)

Question 20

primary purpose of posterior palatal seal?

Answer 20

retention of maxillary complete denture

NOT for shrinkage

Question 21

posterior palatal seal depth

Answer 21

1-1.5 mm

Question 22

posterior palatal seal is ___% shrinkage of acrylic

Answer 22

7%

Question 23

what limits labial flange?
what limits buccal flange?

Answer 23

labial- i think just labial frenum

buccal-buccal frenum and coronoid process

Question 24

vibrating line

Answer 24

junctional of moveable and immovable tissues of soft palate

Question 25

What is the mandibular occlusal plane if the height of the Retromolar pads is 15mm

Answer 25

10mm (since up 2/3 of pad or 5mm below retromolar pad)

Question 26

42. What is the mandibular occlusal plane height of the retromolar pads?

Answer 26

1/2 to 2/3

Question 27

Why make dentures in Centric relation?

Answer 27

bc its reproduceable

Question 28

importance of OVD?

Answer 28

need to take measurements multiple ways

Question 29

PRP:

Answer 29

patient at rest with lips touching