Chapter 20

Question 1

Chapter 20Prosthetic Management

Answer 1

this class blows

Question 2

Prosthetic Devices

Prosthetic treatment is an option when…

Prosthetic device—

Prosthetic treatment can be done on a _____or ______basis.

Answer 2

surgery is not desired or not possible.

fabricated substitute for a body part that is missing or malformed; may be fixed or removable

temporary or permanent

Question 3

Prosthetic Devices

Usually fabricated by a ______or a ______

Can improve …

Goal is to ….

Answer 3

pediatric dentist or prosthodontist

aesthetics or function (e.g., feeding or speech)

obtain the optimum results and meet needs and expectations of the patient and family

Question 4

Dental Appliances

Replace teeth to improve …

Fixed bridge—

Dentures—

Overlay dentures—

Answer 4

facial aesthetics, mastication, and speech.

replace dental segments

replace all teeth in the arch

fit over the existing teeth and provide more vertical dimension

Question 5

Facial Prostheses

Facial prostheses replace…

Osseointegrated implants—

________is necessary as children grow.

Answer 5

missing or disfigured parts of the facial structures that cannot be corrected with surgery.

implants that are drilled into the bone to help with retention of a prosthesis

Modification/replacement

Question 6

Feeding Obturators

Used to…

Helps with _______and _______

Disadvantages
1.
2.
3.

Most centers feel…

Answer 6

cover an unrepaired cleft palate

compression of the nipple and keeps liquids out of the nose

1. Does not obturate the soft palate to allow suction
2. Extra expense
3. Need to be redone with growth

they are unnecessary

Question 7

Speech Appliances

Answer 7

Palatal lift
Palatal obturator
Speech bulb

Question 8

Palatal Lift

Palatal lift—

Used for…

Answer 8

a removable device that elevates a passive velum

treatment velopharyngeal incompetence

Question 9

Palatal Obturator

Palatal obturator—

Used for:

Answer 9

a removable device that covers an open palatal defect

treatment of a symptomatic fistula or open cleft

Question 10

Speech Bulb (Speech Aid)

Speech bulb obturator (also known as a speech aid appliance)—

Used for

Answer 10

a removable device that fills in velopharyngeal space

treatment of velopharyngeal insufficiency

Question 11

Fabrication of a Speech Appliance

Palatal section—

Like a _____

Consists of
______

Tail piece—

Can be a _____

Consists of ______

Answer 11

the body portion of the appliance

dental retainer

acrylic or metal

part of the prosthesis that projects posteriorly to close the velopharyngeal port during speech

lift or bulb

acrylic or metal

Question 12

Assessment and Modification
of a Speech Appliance

These procedures often require the assistance of a ________

__________is useful when there is a need to make small adjustments to the lift of the speech bulb.

Answer 12

speech-language pathologist

Nasopharyngoscopy

Question 13

Advantages of Prosthetic Management

1.
2.

Answer 13

Used when surgery cannot be done or is being delayed

Used for velopharyngeal incompetence due to neuromotor disorders

Question 14

Disadvantages of Prosthetic Devices
1.
2.
3.
4.
5.
6.
7.
8.

Answer 14

Do not result in a permanent correction

Are expensive and often not covered by insurance

Can be lost or damaged

Need daily cleaning

Need manual dexterity for insertion and removal

May be uncomfortable to wear and can cause ulceration or mucosa

Difficulty with retention during dental exfoliation and eruption

Require frequent adjustments as the child grows

Question 15

Summary

Prosthetics are utilized when …

They improve _____and _____.

Answer 15

surgery is not an option.

appearance and speech