Consequences of RPD Flashcards
Advantages of RPD?
aesthetics
masticatory efficiency
prevent drifting, tilting, roataion and over eruption
phonetics
What are the disadvantages of RPD?
PLAQUE
- CARIES, PERIO, FUNGAL INFECTIONS
TRAUMA
- SOFT-TISSUE AND PULP
PATIENT TOLERANCE
- GAG REFLEX, PSYCHOLOGY AND PT EXPECTATIONS
COST
- MONEY AND TIME
What do you get the pt to sign if the pt does not have capacity to consent?
signed incapacity certificate in terms of the adults with incapacity (Scotland) act
What do you need to discuss with pt to gin valid consent?
risks, benefits of and alternatives to RPD
advantages/disadvantages of not having denture provided
When dentists provide information to a pt, what must it be?
evidence based
at all times in the best interest of the pt
pts are autonomous and need all the info to make their own decisions
What are options for tooth replacement?
no replacement
implant
fixed bridge
- conventional
- adhesive
denture
-acrylic
- cocr
- implant retained
- flexi
What are the benefits of no replacement?
plaque accumulation is not increased
What are the risks of no replacement?
compromised aesthetics, function, occlusal stability
drifting teeth
When is it appropraite to not replace missing teeth?
SDA
loss of non-strategic tooth/teeth
poor OH
caries not controlled
What are the risks for iomplant?
surgical risks
peri-implantitis
loss of interdental papillae
What are the benefits of implants?
permanent fixed restoration that can last a life-time (although current data suggesting that we should be stating life expectancy of 15 years)
What are the risks of fixed bridge?
damage to abutment teeth
increased plaque accumulation (but < for RPD)
Will fail eventually
What are the benefits for fixed bridge?
improved aesthetics, function; provide occlusal stability
risks for RPD?
increased plaque accumulation (perio, candida infection…)
biomchanical effects (gum stripping, tooth mobility, tooth movement) - but not with good design/maintenance
may not b able to tolerate
swallowing/ inhaling
What are the benefits of RPD?
improved aesthetics, function; provide occlusal stability
