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Tim's Cards > Denture (Napoleon) Dynamite Q1 > Flashcards

Denture (Napoleon) Dynamite Q1 Flashcards

1
Q

How many visits for a Denture?

A

6

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2
Q

Edentulism, in terms of raw numbers, is increasing in the US

A

True

*37.9 million by 2020

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3
Q

Percentage of denture users that will have at least 1 problem with the denture

A

60%

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4
Q

T/F

Most edentulous patients are quite satisfied with their dentures

A

True

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5
Q

What % of pts are NOT satisfied with their dentures

A

5-20%

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6
Q

Visit 1 Clinical Procedure:

Visit 1 Lab Procedure:

A

Exam and Preliminary Impression

Diagnostic Casts and Custom Trays

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7
Q

Visit 2 Clinical Procedure:

Visit 2 Lab Procedure:

A

Border Molding/Final Impression (w/ Custom Trays)

Master Casts/Record Bases

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8
Q

Visit 3 Clinical Procedure:

Visit 3 Lab Procedure:

A

Adjust Record Bases/Facebow (CR)

Mount Master Casts using Record Bases

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9
Q

Visit 4 Clinical Procedure:

Visit 4 Lab Procedure:

A

Esthetic Try-In

Remount if needed

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10
Q

Visit 5 Clinical Procedure:

Visit 5 Lab Procedure:

A

Clinical remount/Delivery

Remount

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11
Q

Visit 6 Clinical Procedure:

Visit 6 Lab Procedure:

A

Denture adjustment

Remount if needed

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12
Q

Highly compressible and displaceable soft tissue seen in the anterior residual ridge of the Mx or Mn

A

Denture Fibroma

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13
Q

Massive roll of hyperplastic tissue which extends from the anterior residual ridge to the oral vestibule in the Mx

A

Epulis Fissuratum

*aka Inflammatory Fibrous Hyperplasia

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14
Q

If Denture fractures w/in the first year, it is usually b/c…

If fracture happens after 4 years, it is usually b/c…

A

Frenae

Maxillary resorption

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15
Q

T/F

A Pendulous Mx Tuberosity must be removed prior to denture

A

True

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16
Q

Combination Syndrome is Edentulous _______

Partially dentate _______

This leads to Resorption occurring where?

Hypertrophy (fibrous hyperplasia) occurring where?

A

Mx

Mn

Premaxilla (opposed by Mn anteriors) and Mn posterior

Mx Tuberosity

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17
Q

T/F
There is a type of reverse Combination Syndrome in which we never make full Mn denture opposing partially edentulous Mx b/c of Jaw Resorption

A

True

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18
Q

If there is widespread inflammation over denture-bearing mucosa it will recover in ______ days upon removal of denture

A

2-3 days

*or use tissue conditioning matl

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19
Q

T/F

Inflammatory Papillary Hyperplasia is a premalignant condition

A

False

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20
Q

Where does Inflammatory Papillary Hyperplasia occur?

secondary to…

Tx:

A

Mx

  • secondary to ill fitting dentures
  • AF or surgery
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21
Q

What condition begins as an Ulcer secondary to ill fitting dentures

A

Inflammatory Fibrous Hyperplasia

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22
Q

Tx for Inflammatory Fibrous Hyperplasia (Epulis Fissuratum)

A

Re-Fit

OS (most)

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23
Q

T/F

Tissue Conditioning involves adding matl to the denture to give tissue a break

A

True

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24
Q

Tissue Conditioning matl will last how long

A

2-3 weeks

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25
Q

Tx Chronic Candidiasis Rx Clotrimazole _____ 10 mg

A

Troches

*to suck on

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26
Q

Tx Chronic Candidiasis by soaking the denture for ___min in solution of __% bleach (Na hypochlorite), thoroughly rinse

A

30

1%

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27
Q

Tx Chronic Candidiasis Apply thin film of _____ ointment to inner surface of the denture after each meal

A

Nystatin

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28
Q

Describe epithelium in Diabetes Type I (lont-term insulin dependent)

This produced what for dentures?

A

thin, less keratinized

impaired tolerance

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29
Q

Oral Lichen Planus can decrease tolerance for Dentures

A

True

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30
Q

Pemphigoid lesions is a chronic _____ with scarring that can limit denture _____

A

ulceration

extensions

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31
Q

2 lesions that can transform into Squamous Cell Carcinoma

A

Leukoplakia

Erythroplakia

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32
Q

Unless detected early most pts with Squamous Carcinoma have a survival of less than _____%

A

50%

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33
Q

Early cancers are difficult to detect, advanced have low cure rates, so we must Detect when small, localized, and treatable

A

True

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34
Q

if Edentulous, Mx loss in what pattern?

Mn?

A

Vertical and Palatal

Vertical

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35
Q

Mn resorption occurs at ___x the rate of Mx resorption

A

4x

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36
Q

4 types of Pts we’ll run in to:

A

Philosophical

Exacting

Indifferent

Hysterical

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37
Q

Retention is resistance to _______ displacement

Stability is resistance to ______ displacement

Support is resistance to ______ displacement

A

Vertical

Lateral

Vertical Occlusion

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38
Q

T/F

The more keratinized the tissue, the better the support

A

true

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39
Q

RRR (residual ridge resorption) negatively impacts what 3 things?

A

Retention

Stability

Support

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40
Q

Implants minimize compression of the _______ and prevent resorption of underlying bone

A

mucoperiosteum

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41
Q

Preliminary impressions can be taken with what 2 matls?

Which is correctable? Greater accuracy?

A

Impression (modeling) compound - correctable

Irreversible hydrocolloid (Alginate) - greater accuracy

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42
Q

Anatomical feature that can prevent denture from rotating:

Denture should be relieved over what area?

A

Canine eminence

Incisive papilla

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43
Q

Distal to the hard and soft palate at the vibrating line:

A

Posterior palatal seal area

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44
Q

Capturing the ____ in the impression is critical to the retention of the Mx denture

A

Hamular Notch

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45
Q

Lateral movements capture what in the Mx?

A

Coronoid process

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46
Q

2 small pits in the posterior palate, one on each side of the midline at soft/hard palate interface

*will be posterior to the denture

A

Fovea palatina

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47
Q

Posterior 1/3 of the hard palate glandular tissue

*may produce irregular impression surface

A

Minor Salivary Glands

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48
Q

Ideal Mx ridge has a Square Arch and U shaped, with moderate palatal vault and well defined Hamular Notches

A

True

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49
Q

Center of Palate:

Hamular Notch:

A

Median Palatal Raphe

Pterygomaxillary Notch

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50
Q

The Alveolar Ridge is used for primary support

A

False

*secondary support area

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51
Q

Muscle at the bottom of the Vestibule in the Mn:

A

Metalis

52
Q

Primary stress bearing area of the Mn arch:

A

Buccal Shelf

*external oblique ridge/slope of residual ridge

***parallel to the occlusal plane and very dense

53
Q

External Oblique Line and Crest of the Alveolar Ridge:

A

Buccal Shelf

54
Q

T/F

The Buccal Shelf is a primary support area

A

True

55
Q

T/F

The Retromolar pad is a primary support area and does NOT resorb

A

True

56
Q

3 Mn support areas:

A

Retromolar Pad

Buccal Shelf

Alveolar Process

57
Q

Distal and Lateral Groove:

A

Masseter Groove

58
Q

Formed by surface of sublingual gland surface and ducts:

A

Sublingual Folds

59
Q

Interior Mn ridge

A

Mylohyoid Ridge

60
Q

Distal end of the Alveolingual Sulcus:

*important for retention

A

Retromylohyoid Space

61
Q

Mx Tray Handle ____mm thick

____mm wide

labial flange to incisal edge:

A

3-5 mm

10-15 mm

22mm

62
Q

Mn Tray Handles - Laterals width

Middle width:

A

20 mm (5-7 mm)

10-15 mm (3-5mm)

63
Q

How far away should the Custom Tray be to the Vestibule?

A

2-3 mm

64
Q

What are the only 2 matls you can use to make a Border Mold?

A

PVS

green stick compound

65
Q

The occlusal wax rim is how high?

A

22 mm

66
Q

3 Final Impression Techniques:

A

Selective Pressure

Mucostatic

Functional

67
Q

Posterior Palatal Extension should go ___mm beyond the ______

A

2 mm

Vibrating Line

68
Q

3 Final Impression Matls:

A

Zinc Oxide Eugenol

Polysulfides (rubber)

Polyether/PVS

69
Q

3 Advantages to using Zinc Oxide Eugenol for final impressions:

3 disadvantages:

A

Accuracy, Stability, Inexpensive

messy, can’t disinfect, irritating, fractures

70
Q

Final impression matl that is low cost, high flex, long working time

but, bad taste, low viscosity

A

Polysulfide

71
Q

What Impression matl is recommended for Mx?

What can also be used?

A

Polysulfide

PVS

72
Q

Light body Polysulfide matl takes how long to Polymerize?

A

7-8 minutes

73
Q

After the Final Impression is made what must be done to it?

A

Disinfect

74
Q

If kept dry, ______ have good dimensional stability for up to 1 week

*final impression matl

A

Polyethers

75
Q

Polyethers are stable for 1 week but have ___ cost and bad taste

A

high

76
Q

PVS can have excessive flow, isn’t as hydrophilic, and is _______

A

Expensive

77
Q

The Land Area must be ____mm wide

A

4-5 mm

78
Q

In setting the Stone (after boxing), what can be left overnight?

What can’t?

A

PVS or Polyether

Alginate

79
Q

The Master Cast Should be how thick?

A

15 mm

*with 4-5 mm Land Area

80
Q

Trim the height of the Land Area so the depth of the peripheral roll is ___ mm throughout

A

1-3 mm

81
Q

Temporary device representing the base of a denture and used for making JRR/teeth arrangement

A

Record Base

82
Q

The top 1/3 of the Ascending Ramus represents what?

A

Occlusal Plane

83
Q

The average distance between the deepest portion of the vestibule and the incisal edge:

A

22 mm

84
Q

Occlusal rim dimensions _____ mm wide in the front

___ mm in the PMs

____mm in the Ms

A

3- 5 mm

5-7 mm

8-10 mm

85
Q

The facial surface to the Papilla (when making Wax Rims) should be how wide?

*wax thickness…

A

7 mm (5-7)

*wax thickness 3-5mm

86
Q

What undercuts should be blocked out?

A

Excessive

87
Q

Mx Custom Tray Handle _______mm mesiodistal

____ mm buccolingual

______ height from labial flange to incisal edge

A

10-15mm

3-5mm

22mm

88
Q

Mn Custom Tray Handles ______mm mesiodistal Anterior

______mm mesiodistal Posterior

_____mm Height labial flange to Incisal edge

A

15

20

18

89
Q

Basin water should be set at…

A

122

90
Q

In the Mx, Border Molding in the Posterior should be where the Posterior Palatal ______ will be, ______ to the Vibrating Line

A

Seal

Anterior

91
Q

Boxing, PVS adhesive is placed where?

Attach how many rope wax layers?

When boxing added around outside, keep in mind base to height of stone should be ____mm

A

External of impression past peripheral Roll

2

15mm

92
Q

Mx Occlusal Wax Rim height:

Mn:

A

22 mm

18 mm

93
Q

The original preliminary impression is done in what material?

A

Alginate

94
Q

In the 2nd visit, border molding can be done with green wax or what kind of PVS?

A

Heavy body

95
Q

T/F

A pendulous maxillary tuberosity doesn’t need to be removed

A

True

96
Q

What begins as a traumatic ulcer secondary to an ill-fitten denture flange?

A

Fibrous Hyperplasia

97
Q

Surgery is required for Inflammatory fibrous hyperplasia (Epulis Fissuratum)

A

True

98
Q

Oral lichen planus is a _____ lesion that will cause compromised support/tolerance for the _____ denture

A

Erosive

Mandibular

99
Q

RRR (residual ridge resorption) is often a consequence of what?

A

Tooth loss

100
Q

T/F

Keratinized attached mucosa increases support and tolerance to occlusal load

A

True

101
Q

With alginate, often recommended to use ____ water for a thicker mix, especially for the ______ arch

A

less

Mx

102
Q

Be sure to capture the ______ notch on the Mx

and the _______ on the Mn

A

Hamular (pterygomaxillary)

Retromolar pad

103
Q

T/F
The alveolar ridge (Mn) is considered a secondary support area b/c there is a high rate or resorption when excessive pressure is applied to the area

A

True

104
Q

The Buccal Shelf is found on the _______ arch and is a ______ support area

A

Mn

Primary

105
Q

Why is the Retromolar pad one of the Primary support areas of the Mn?

A

Does not resorb in response to pressure

106
Q

3 Mn support areas:

A

Retromolar Pad

Buccal Shelf

Alveolar process (most affected by bone resorption)

107
Q

Mx tray handle ____mm thick (B/L) and ____mm wide (M/D)

Mn trays handles thickness (B/L) ___ mm anterior and ____mm for posteriors

A

3-5mm 10-15mm

3-5mm 5-7mm

108
Q

3 types of impression techniques:

A

Selective Pressure impression (specific area pressured)

Mucostatic impression (minimal/no pressure)

Functional impression (pressure entire - mostly w/ pt already has denture)

109
Q

For a mucostatic impression, what type of material is used?

A

Light body

110
Q

Leave the denture out ___hrs prior to the final impression appt

A

24 hrs

111
Q

3 types of Final Impression materials:

A

Zinc Oxide-Eugenol (non-elastic) - can’t disinfect

Polysulfides (rubber, smells bad)

Polyether or PVS

112
Q

Polysulfides are low cost but they smell bad (rubber)

*also high viscosity

A

True

113
Q

Heavy material (PVS) is only used for what?

A

Border molding

114
Q

What type of matl is recommended for Mx impressions?

A

light body polysulfide (rubber, smells bad)

*PVS also

115
Q

Light body Polysulfide (rubber, smells bad) requires how long to polymerize?

A

7-8 minutes

116
Q

Pour up Polysulfide impression w/in how much time to avoid distortion?

A

1 hr

117
Q

If kept dry, what matl has good dimensional stability for up to 1 week?

A

Polyethers

118
Q

Polyethers can be stored, have ___ cost, and ___ taste

A

high

bad

119
Q

Why do you immerse the cast into hot water for 5 minutes after stone has set (for 1 hr)

A

soften compound (Border Molding)

120
Q

The Land Area on Master casts should be how wide?

Height from vestibule depth?

A

4-5 mm

1-3 mm

121
Q

The Mn wax occlusion rim fabrication should be ___mm high and go up ___ of the Retromolar pad

A

18 mm

2/3

122
Q

3 Mx anatomical landmarks (prior to fabricating Record Base)

4 Mn anatomical landmarks (same):

A

incisive papila, posterior ridge, midline

retromolar pad, upper 2/3 retromolar pad, ascending ramus mandible, center posterior ridge

123
Q

Wax Occlusal Rims (Mx), place rim former where?

A

Hamular Notch

124
Q

Mx Wax Rim facial surface (of CI’s) to incisive papilla:

molar width:

PM width:

Anterior width:

Rim to depth of vestibule:

A

5-7mm

8-10mm

5-7mm

3-5mm

22mm

125
Q

Mn Wax Rim depth of vestibule to incisal edge:

Retromolar pad height:

A

15-18mm

2/3

Tim's Cards (140 decks)

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