clinical RPD tx and clinical forms

Question 1

Prior to removable prosthetic clinical treatment, students complete:
* oral exam?
* consults?
* Develop what plan?
* Survey?
* Draw?

Answer 1

• Comprehensive exam and oral diagnosis
• All necessary consults (medical and dental)
• Develop comprehensive treatment plan
• Survey articulated diagnostic casts
• Draw RPD design on diagnostic casts and have faculty approval

Question 2

when to take med/dental hx

Answer 2

1st appt

Question 3

how recent?

what radio do we use for RPD planning?

Answer 3

Panoramic & periapical radiographs of potential abutment teeth- must be within previous year.

Question 4

what charting should be completed the 1st appt

Answer 4

perio and restorative

Question 5

what cast is made at the 1st appt?

Answer 5

diagnostic

Question 6

what should be checked regarding abutment teeth at the 1st appt

Answer 6

pulpal viability

Question 7

when are radiographs reviewed/additional ones taken

Answer 7

2nd appt

Question 8

when are additonal teeth req extraction ID’d

Answer 8

2nd appt

Question 9

when should teeth req endo be ID’d

Answer 9

2nd appt

Question 10

how much ferrule do we need ideally?

Answer 10

2mm

Question 11

what is the minimum abutment height

Answer 11

4mm

Question 12

what should the crown root ratio be

Answer 12

less than 1:1

Question 13

how can ortho be used

Answer 13

can be used to align teeth for better RPD

Question 14

are all restorations diagnosed at 1st appt

Answer 14

no, some may be at 2nd

Question 15

indications for surveyed crown

Answer 15

• Large amalgam
• Extensive caries
• Inappropriate contours: not determined until diagnostic cast surveyed

Question 16

pier abutment

Answer 16

Stand alone tooth with edentulous spaces on
either side
Pier abutments should not be clasped (try to use a fixed partial denture to close modification space)

Question 17

which appt ?

what to examine in veritcal space of pt

Answer 17

2nd appt
* Patient in occlusion, Diagnostic cast
* Bony interference: tuberosity
* Supra-erupted teeth

Question 18

when consulting with faculty what should be done prior?

Answer 18

Mounted preliminary casts

Question 19

what tx’s should be done first?

Answer 19

dx control

Question 20

prior to which consult

perio tx of remaining teeth

Answer 20

Also if periodontist advises to perform deep scaling and root planing and re-evaluation: You
need to have the long-term prognoses of the remaining teeth obtained prior to the restorative consult.