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Complete Removable > Comprehensive Exam Material > Flashcards

Comprehensive Exam Material Flashcards

1
Q

Narrow ligamentous band extending from pterygoid hamulus to posterior part of mylohyoid line:

A

Pterygomandibular raphe

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2
Q

The pterygomandibular raphe is a narrow ligamentous brand extending from:

A

Pterygoid hamulus to posterior part of mylohyoid line

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3
Q

Where do the buccinator muscle & superior constrictor muscle fibers enter?

A

Pterygomandibular raphe

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4
Q

The _____ & _____ muscle fibers enter the pterygomandibular raphe

A

Buccinator muscle fibers & superior constrictor muscle fibers

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5
Q

Limits the length of the maxillary & mandibular complete dentures:

A

Pterygomandibular Raphe

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6
Q

What muscle can be seen when the patient opens mouth wide?

A

Pterygomandibular Raphe

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7
Q

What muscles affect the distal phalange of the mandibular denture?

A

Palatoglossus muscle & superior constrictor

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8
Q

The palatoglossus muscle & superior constrictor affect the _______ of the ____ denture:

A

Distal phalange of the mandibular denture

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9
Q

According to the book, what order do you select teeth?

A
  1. Size
  2. Outline form (mold)
  3. Shade
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10
Q

What does the mylohyoid connect?

A

The floor of the mouth to the mandible

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11
Q

What connects the floor of the mouth to the mandible?

A

Mylohyoid

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12
Q

How do you border mold the masseteric notch (& distal border)?

A

Patient stretches wide open and then closes against manual pressure (bite on finger?)

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13
Q

Describe the House Classification of Soft Palate- Class I

A

Ideal, greater than 5 mm of tissue available

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14
Q

Describe the House Classification of Soft Palate- Class II

A

1-5 mm of tissue available- adequate

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15
Q

Describe the House Classification of Soft Palate- Class III

A

Less than 1 mm of tissue available- poor

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16
Q

Easiest to tolerate, broadest range, hardest to locate:

A

Class I

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17
Q

The most common palatal drape:

A

Class II

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18
Q

Palate is the easiest to locate & the hardest to tolerate:

A

Class III

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19
Q

Why is a class III palate considered bad in CD?

A
  1. Bad denture retention
  2. Bad posterior palatal seal
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20
Q

How do you border mold the alveolingual sulucus?

A

Patient swallows & protrudes tongue but not past lips

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21
Q

Captures tissues in their most undisturbed & undisplaced forms:

A

Minimal pressure impression

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22
Q

Impression made with the soft tissue under a significant load of pressure; impression material is more viscous; patient forcefully closes mouth while material sets:

A

Functional pressure impression

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23
Q

Theory is that denture-based tissue contact during function would be more intimate if tissue is recorded under compression:

A

Functional pressure impression

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24
Q

Pressure on certain areas; minimal pressure on other areas; dentist decides:

A

Selective pressure impression

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25
Q

How do we select areas of non-pressure & pressure within the same impression?

A
  1. Drill vent holes in tray
  2. Wax spacer relief
  3. Grind the tray for relief space
  4. Combination of all
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26
Q

What type of pressure is used for the re-line/re-base

A

Funcional pressure

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27
Q

Purpose is to define denture border in length, width, shape, & contour:

A

Border molding

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28
Q

For maxillary border molding, insert tray and ensure that 2mm of space is present between:

A

Vestibular reflection & tray border

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29
Q

In maxillary border molding, the tray must extend into each ______ and just beyond/posterior to the _____

A

Hamular notch; Vibrating line

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30
Q

(Max) What movement is necessary to capture the maxillary posterior border mold?

A

Patient moves jaw side to side

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31
Q

(Max) What movement is necessary to capture the buccal frenum area during border molding?

A

Elevate cheek, lightly massage outward, downward & anterio-posteriorly

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32
Q

(Max) What comes into play when border molding the buccal frenum area?

A

Coronoid process

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33
Q

(Max) How do we capture the labial vestibule on a border mold?

A

Elevate lip outward, massage lip downward

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34
Q

(Max) How do we capture the labial frenum when border molding?

A

Elevate lip, seat tray, massage lip straight down (DO NOT MOVE SIDE TO SIDE)

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35
Q

(Max) How do we capture the posterior palatal border when border molding?

A

Patient pinches nostrils, blows lightly through nose, then swallow

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36
Q

For mandibular border molding there is ____mm of space at the border

A

2 mm

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37
Q

How do we border mold the mandibular lingual frenum area?

A

Gently wet upper lip with tongue for length of border & place tip of tongue under & move lip side to side for width

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38
Q

How do we border mold the mandibular aveololingual sulcus?

A

Pt swallows or protrudes tongue but not past lips

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39
Q

How do we border mold the mandibular mylohyoid region?

A

Patient swallows forefully 2-3 times making floor of mouth move then tongue touches R/L buccal vestibules & thumb by handle

40
Q

How do you border mold the mandibular buccal frenum?

A

Massage cheek outward, upperward, inward (anterior to posterior)

41
Q

What muscle affects the distobuccal corner of mandibular denture?

A

Masseter

42
Q

What affects the distolingual corner of the mandibular denture?

A

Medial pterygoid
Superior constrictor
Glossopalatal muscle

43
Q

What is the buccal corridor?

A

Space between cheek & teeth when smiling

44
Q

What do you do when making a CD and mandiular tori are in the way?

A

Remove

45
Q

What are the contents of the retromolar pad?

A
  1. Loose submucosa
  2. Glandular tissue
  3. Fibers of buccinator & superior pharyngeal constrictor muscles
  4. Pterygomandibular raphe
  5. Temporalis muscle tendon fibers
46
Q

What should you do if patient comes in wearing old denture with only 1mm of space present:

A

Reduce hamular tuberosities

47
Q

How do you correct an OVD that is too big?

A

Increase interocclusal distance

48
Q

If the teeth contact when speaking, the _____ is too open and the ____ is too little

A

OVD; IOD

49
Q

The distance between two points, one above & one below the mouth measured when occluding members are in contact:

A

Occlusal vertical dimension (OVD)

50
Q

The space between the teeth or occluding members when the mandible is in physiological rest position:

A

Interocclusal distance (IOD) (aka Freeway space)

51
Q

Interocclusal distance is also called:

A

Freeway space

52
Q

OVD+IOD=

A

RVD

53
Q

Position in which lips touch but teeth do not:

A

PRP

54
Q

What is the third point of reference for Hanau?

A

infra-orbital notch

55
Q

What is the third point of reference for Whip-mix?

A

Nasion

56
Q

Junction of movable/immovable tissue:

A

Vibrating line

57
Q

Where does the soft palate start?

A

Posterior to vibrating line

58
Q

Dentures should atleast extend to the:

A

Vibrating line

59
Q

In complete denture wearer’s the mean reduction in the mandibular ridge is _____x that of the maxillary ridge

A

4

60
Q

If a patient has anatomic, balance occlusion:

A

Max lingual

61
Q

Posterior cusps occlude with __ on the non-working side:

A

Buccal side of lingual cusp

62
Q

Formula for balanced occlusion:

A

Hanau’s Quint

63
Q

Formula for balanced occlusion (Hanau’s Quint) includes:

A
  1. incisal guidance
  2. condylar guidance
  3. cusp height
  4. plane of occlusion
  5. compensating curve
64
Q

Why does a retruded tongue have bad prognosis?

A

Hard to achieve border seal

65
Q

How do you correct a denture when a CD patient whistles when trying to make “S” sound:

A

Recontour anterior palate of denture

66
Q

What is the main advantage of resin teeth?

A

Can chemically bond to base

67
Q

When treating complete edentulous (maxillary & mandibular) with teeth, what is most important?

A

OVD?
Fractures?

68
Q

When is a kinematic facebow reccomended for clinical use?

A

NEVER for dentures (none of above)

69
Q

When waxing dentures what should NOT be accomplished?

A

Establish canine guidance

70
Q

In two-stage, why remove the posterior teeth first?

A

Improve accuracy after healing

71
Q

Patient complains that the mandibular CD is loose, what is the least likely reason for this?

A

Set in neutral zone - because this is actually very ideal

72
Q

When tuberosities are too large, surgical reduction should be limited to:

A

Osteoplasty/alveolplasty?

73
Q

Most likely to cause spherical porosity in denture?

A

Monomer boiling

74
Q

What is the long cure method?

A

165 degrees F for 9 hours

75
Q

The maxillary central incisor resembles the inverted face form:

A

Geometric theory

76
Q

The geometric theory is separated into four categories:

A
  1. Square
  2. Square-tapering
  3. Tapering
  4. Ovoid
77
Q

For the geometric theory, three points are connected on each side of the face:

A
  1. Temple
  2. Zygomatic arch
  3. Angle of mandible
78
Q

Theory of tooth selection based on sex, age & personality:

A

Dentogenic theory

79
Q

To maximize complete denture stability, mandibular molars should:

A

Be placed over the crest of the ridge

80
Q

When mandibular molars are placed over the crest of the ridge this:

A

Maximizes stability of complete denture

81
Q

A well-contoured denture uses muscle contractions to stabilize the denture, the best example of this is:

A

Buccinator

82
Q

Role of protrusive record in complete dentures:

A

Adjust articular condyle

83
Q

Zarb’s text states that a 24-hour follow-up is advised, why?

A

Patients have a better perception of denture

84
Q

The compensation cure in complete denture refers to:

A

The fox plane

85
Q

Anatomical landmarks used to establish posterior border:

A

Hamular notch
Fovea palatini

86
Q

Common causes of maxillary denture dislodgement:

A
  1. Occlusal deficiencies
  2. Under-extension
87
Q

Denture wearer has angular chelitis, etiology?

A

-Candida
-Vitamin deficiency
-Loss of OVD

88
Q

If patient is edentulous on mandible & has opposing maxillary teeth, the best option is:

A

Implants

89
Q

If there is a discrepancy with CR with wax trial dentures, what do you do?

A

Remake facebow record & maxillary casts are remounted (mandibular??)

90
Q

Surgical guide for intermediate denture patient is?

A

Alveoplasty or bone smoothing is anticipated is adequate

91
Q

Which type of occlusion is NOT indicated for complete denture?

A

Canine guidance

92
Q

Name of denture dental device to parallel campers plane?

A

Fox plane

93
Q

Patient with combination syndrome may benefit from:

A

Implants on mandible, not maxillary

94
Q

Zarbi recommends the following for anterior denture teeth:

A

_______

95
Q

What to avoid when rebasing a complete denture?

A

______

96
Q

Lab reline should be prescribed when the complete denture has:

A

Looseness

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