DHG 130 Final Flashcards

1
Q

Long-standing chronic inflammatory tissue appears in single or multiple elongated folds related to the border of an ill-fitting denture.

A

EpulisFissuratum

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2
Q

located on the palate, rarely outside the confines of the bony ridges.

A

Papillary hyperplasia

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3
Q

what does papillary hyperplasia look like

A

The overall lesion appears as a group of closely arranged, pebble-shaped, red, edematous projections.

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4
Q

Denture stomatitis

A

Oral candidiasis in the form of denture stomatitis is a reoccurring disease common to denture wearers

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5
Q

how does denture stomatitis look/ feel to the pt

A

Generalized redness, inflamed mucosa of the supporting tissues occurs
Burning sensation

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6
Q

who is more prone to denture stomatitis

A

Patients with a depressed immune system, history of head and neck radiation, and antibiotic use.

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7
Q

ill fitting dentures cause?

A

EpulisFissuratum

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8
Q

cleaning dentures/ RPD

A

clean dentures after each meal and change cleaning solutions daily

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9
Q

Why leave dentures out at night?

A

Rest for the tissues (to help prevent denture induced oral lesions)

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10
Q

a pt can be unaware of what type of denture induced oral lesions?

A

chronic mucosal lesions, which are often asymptomatic.

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11
Q

why should the edentulous pt conduct IO/EO exam daily?

A

Tissue changes can be indicators of oral cancer or other disease. Conduct IO exam thoroughly with adequate lighting.

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12
Q

A bony protuberance generally located on the buccal aspects of maxilla and/or mandible.

A

Exostosis

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13
Q

bony mass generally located on the lingual in the region of the premolars.

A

Torus mandibularis

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14
Q

bony enlargement located over the midline of the palate.

A

Torus palatinus

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15
Q

when do major bony changes occur after a pt becomes edentulous

A

within the first year

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16
Q

The bone after a patient becomes edenutlous

A

After teeth are removed, the alveolar bone which formerly supported the teeth undergoes resorption.

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17
Q

removable prosthesis that replaces the entire dentition and rests on the mucosal-covered alveolar ridge.

A

Tissue supported complete denture

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18
Q

a complete dental prosthesis that is supported in part or whole by one or more dental implants. The denture itself is not an implantable device.

A

Implant denture

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19
Q

Removable; rests on one or more remaining natural teeth. Also called an overlay.

A

Overdenture

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20
Q

fabricated for placement immediately following the removal of natural teeth. After approx. 6 months when soft tissue and bone has healed, the denture must be remade, relined, or rebased to fit.

A

Immediate denture

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21
Q

what type of fluoride should be used during ortho placement and treatment?

A

Varnish

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22
Q

what are Subperiosteal dental implants made of?

A

titanium or vitallium

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23
Q

Custom-fabricated framework of metal that rests over the bone of the mandible or maxilla, under the periosteum: complete arch or unilateral.

A

Subperiosteal dental implants

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24
Q

implant most commonly used for dentures

A

Transosseous Implants (Transosteal)

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25
Q

A dental implant that penetrates both cortical plates and passes through the full thickness of the alveolar bone.

A

Transosseous Implants (Transosteal)

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26
Q

Transosseous Implants (Transosteal) is also known as

A

a mandibular staple implant or staple bone implant.

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27
Q

Transosteal made of

A

stainless steel, ceramic-coated materials, and titanium alloy

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28
Q

MOST COMMON DENTAL IMPLANT

A

Endosseous (Endosteal) Implant

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29
Q

implant placed within the bone to replace a single tooth or provide support for the replacement of complete or partial loss of teeth. These are placed fully within the bone

A

Endosseous (Endosteal) Implant

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30
Q

osseointegration is used in

A

– used in endosteal implants, maing tooth replacement successful

31
Q

endostea implants made of

A

primarily plasma-sprayed titanium

32
Q

Endosteal implants may be placed in

A

May be placed in one or two phases

33
Q

the implant is placed immediately following the extraction of the tooth it will replace

A

immediate placement of endosteal inplants

34
Q

the support, body or fixture is placed in bone during the first surgical step and left covered by a periodontal flap for several months while the implant bonds with the bone. The abutment post is then exposed through the soft tissue at second-stage surgical procedure. Placement of the crown follows

A

Two phase steps of ednosteal implant placement

35
Q

patients contraindicated for dental implants

A
Pregnancy
debilitation
Recent radiation therapy to the affected part of the oral cavity
Uncontrolled diabetes 
Alcoholism or heavy alcohol intake
Substance abuse
An immunosuppressive disease or medication
Anticoagulant medication
Psychosis or paranoia
36
Q

what irrigation do we use for a pt with implants

A

Chlorhexadine can be used as a rinse or with an oral irrigator

37
Q

What fluoride should be used for a pt with implants

A

Neutral sodium fluoride. Avoid acidic fluoride

38
Q

if a pt has natural teeth and implants

A

they should use an at-home fluoride treatment.

39
Q

biofilm around implant

A

Biofilm microorganisms around implants with healthY tissue have been shown to be similar to the flora around natural teeth.

40
Q

Probe used for implants

A

Use a smooth, plastic probe with a round end

41
Q

refers to the infusion of connective tissue cells between the implant body and surrounding bone. It indicates failure of osseointegration. Mobility is evident.

A

Fibrous encapsulation

42
Q

reversible bacterial infection in the soft tissue similar to gingivitis. Mild color change with bleeding may be present.

A

Initial Stage-Mucositis

43
Q

Inflammation has reached the level of the bone. Edema or hemorrhage is present in the surrounding tissues. Exudate may or may not be present, and probing depths are increased.

A

Secondary Stage Periimplantitis

44
Q

inflammation present but no mobility. Consult surgeon if no response to tx in 2 weeks.

A

Ailing Implant .

45
Q

inflammation present. Bone loss has occurred and continues. Mobility faintly noticeable.

A

Failing implant

46
Q

Evident mobility. Radiographic changes are evident, often showing a vertical bony defect. Refer pt. immediately back to surgeon.

A

Failed implant

47
Q

dental hygiene considerations when cleaning an implatn

A

Always use plastic instruments!
Do not use an ultrasonic
Confine manual instrumentation to the prosthesis and supragingival area of the abutment
Only non-abrasive prophy paste is used if any at all

48
Q

a healthy implant shows

A

No pain or discomfort reported by the patient
No mobility
No bone loss or periimplant radiolucency in a radiograph
No clinical signs of periimplantitis. Gingiva should be firm with no edema.
No bleeding or increased probing depths on gentle probing performed with a rounded, smooth plastic probe.

49
Q

a pt that is a good candidate for dental implants will have

A

no systemic conditions that interfere with healing or implant acceptance

50
Q

refers to direct structural and functional union between the implant and healthy living bone. It indicates successful placement of the implant. No mobility is evident.

A

osseointegration

51
Q

A series of customized transparent and removable aligners utilized in orthodontic therapy to align or straighten teeth

A

Aligner system

52
Q

curved wire positioned in the brackets around the dental arch and held in place by elastomers or ligatures

A

Arch wire

53
Q

attachment that is bonded to the enamel for the purpose of holding the arch wire

A

bracket

54
Q

elastoplastic ring or latex elastic used to hold an arch wire in a bracket wing

A

elastomer

55
Q

a removable plastic and wire appliance used to stablilize teeth; may be modified for special applications during or after orthodontic therapy

A

Hawley retainer

56
Q

An orthodontic appliance, fixed or removeable, used to maintain the position of the teeth following corrective treatment

A

retainer

57
Q

prosthetic replacement for prematurely lost primary teeth to prevent closure of the space before eruption of the permanent successors

A

space maintainer

58
Q

a tooth of an implace used for the support or retention of a fixed or removable prosthesis

A

abutment

59
Q

dental prosthesis that replaces the entire dentition and associated structures; may be a complete maxilary denture or a complete mandibular, or both

A

complete denture

60
Q

an inflammation of the oral mucosa that bears a complete or partial removable dental prosthesis, typically a denture

A

denture stomatitis

61
Q

a replacement for one or more missing teeth that is securely cemented to natural teeth and dental implant abutments that furnish the primary support for the prosthesis; also called a fixed prosthesis or bridge

A

fixed partial denture

62
Q

dental prosthesis that supplied teeth and/or associated structures in a partially edentulous jaw and can be removed and replaced at will

A

removable partial denture

63
Q

a prosthesis used to close a congenital or acquired opening, such as for a cleft palate, an area lost because of trauma, or after surgery for removal of diseased areas

A

obturator

64
Q

Capable of existing in harmony with the surrounding biologic environment

A

bicompatible

65
Q

layer of fibrous connective tissue between the implant and surrounding bone. Also called fibrous integration, indicative of failed osseointegration

A

fibrous encapsulation

66
Q

a procedure that attempts to regenerate lost periodontal structures

A

guided tissue regeneration

67
Q

the direct attachment or connection of osseous tissue to the inert alloplastic material without intervening connective tissue

A

osseointegration

68
Q

destructive inflammatory process of the periodontal tissues around an implant charactersized by progressive bone loss in addition to soft tissue inflammation with hemorrhage and/or exudate; similar to periodontitis in a natural tooth

A

peri-implantitis

69
Q

a common titanium allow used for dental implants that contains 6% aluminum to increase strength and decrease weight and 4% vanadium to prevent corrosion

A

titanium alloy

70
Q

a rare condition characterized by congenital abscence of all teeth; primary and permanent

A

anodontia

71
Q

bony projection extending beyond the normal contour of a bony surface

A

exostosis

72
Q

any prosthesis supported and retained in part or whole by dental implants

A

implant prosthesis

73
Q

Wolff’s Law

A

bone is laid down in areas greater stress and is resorbed in areas where it is not stressed.