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Protetica > Edentatie partiala intinsa si totala 4 > Flashcards

Edentatie partiala intinsa si totala 4 Flashcards

1
Q

Obiective amprentare preliminara

A
  • mecanice
  • biologice
  • functionale
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2
Q

MIscarile din timpul amprentarii preliminare:

A
  • nefunctionale
  • functionale neautomatizate
  • functionale automatizate
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3
Q

CLasificare amprente functionale dupa grad mobilizare camp:

A
  • Amprente functionale mucostatice
  • Amprente functionale mucodinamice
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4
Q

Clasificare amprente dupa pozitia mandibulei:

A
  • Cu gura deschisa (cele mai dese)
  • Cu gura inchisa
  • Mixt- inchisa-apoi deschisa
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5
Q

CLasicare amprenta dupa nr de materiale folosite:

A
  • Simple
  • Compozite
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6
Q

Clasificare amprente dupa gradul de compresiune:

A
  • Amprente functionale compresive
  • Amprente functionale decompresive
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7
Q

Dupa inregistrarea separata sau concomitenta a celor 2 cp:

A
  • Unimaxilara
  • Maxilara
  • Globala
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8
Q

Dupa zona cp amprentata:

A
  • ce inregistreaza total cp
  • parcelare
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9
Q

Materiale Portamprenta individuala:

A
  • placa de baza
  • acrilate auto
  • arilate foto-pt mandibula
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10
Q

Tipuri de portamprente:

A
  • Complet distantate
  • Cu contact marginal
  • Parcelar distantate
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11
Q

Indiferent de cum se face portamprenta, ce reguli trebuie sa indeplineasca?

A
  • mg ingrosate rotunjite
  • raport cu linia ghirlandata sa corespunda conceptiei de amprentare
  • maner in zona IC, cu forma si directia lor
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12
Q

Care sunt miscarile efectuate in amprentarea functionala?

A
  1. Miscari efectuate de medic (putin permise)
  2. Miscari efectuate de pacient
  3. Miscari automatizate efectuate de pacient (teste fonetice, de masticatie, de deglutitie)
  4. Teste fonetice-devin si Herve
  5. Miscari masticatorii
  6. Miscari combinate
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13
Q

Tehnici de amprentare functionala:

A
  • Prin dublu amestec-wash technique
  • Cu portamprenta individuala completa
  • Cu portamprenta decupata vestibular
  • CU portamprenta decupata dentar
  • CU portamprenta decupata incizal
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14
Q

Cauze tulburare RC si RP in edentatia partiala:

A
  • pierdere stopuri ocluzale
  • destramare refelexe parodonto-musc
  • necoordonare activitate musculara ce poate altera reflexele innascute de postura
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15
Q

Ce reflexe periferice mentin pozitionarea mandibulei nemodificata?

A
  • articulare
  • musculare
  • gingivo-parodontale
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16
Q

Metode de determinare RC:

A
  1. Metoda homotropism lingomandibular
  2. Metoda compresiunii pe menton
  3. Metoda deglutitiei
  4. Metoda FLexiei fortate a capului
  5. Metoda extensiei fortate a capului
  6. Manevra condiliana
  7. Manevra maseterina Gysi
  8. Manevra temporala Green
  9. Stimulare reflex de ocluzie molara
  10. Metoda Patterson
17
Q

Metode solidarizare machete:

A
  • anse de sarma in “U”
  • lacase/ancose in cele doua valuri, la nivelul PM1
  • Repin/ceara topit
  • Linii oblice intersectate la nivelul zonelor laterale, in ceara bordurilor de ocluzie
18
Q

Principalele repere pt alegerea dintilor artificiali:

A
  • Linia mediana
  • Linia Caninilor
  • Linia surasului
19
Q

Cum se verifica stabilitatea dinamica a machetei, intraoral?

A
  • teste de basculare sagitala
  • teste de basculare transversala
20
Q

Adaptarea imediata

A
  • la primul contact cu proteza finita
  • verificare extra si intraorala
21
Q

Adaptarea primara

A
  • in prima saptamana dupa insertie
  • prima sedinta are loc a doua zi
23
Q

Adaptare tardiva(tertiara)

A
  • dupa 30 zile
  • perfect adaptat la proteza
  • conditionata de modificarile rapoartelor proteza-cp
  • tratamentul protetic nu va fi considerat incheiat
  • dispensarizare activa
23
Q

Crosetele alese in functie de topografie zona retentiva subecuatoriala:

A
  • ret. v-m→ croset mixt
  • ret. v-d→ croset divizat in “T” sau Ackers deschis edental
  • ret. in mijlocul fetei laterale→ croset divizat in “I”
  • ret. v-d dar aproape de colet→ croset circular cu brat intors sau agrafa de par
24
Q

Adaptarea secundara

A
  • 30 zile dupa insertie
  • se pot intalni fenomene de neadaptare MBFP
  • control saptamanal
  • faza de echilibru intre proteza-cp
25
Q

Cum se poate reduce bratul maximal de incarcare la edentatia subtotala?

A
  • montare dinti protetici mai apropiati de linia crestei(montare din capat in capat)
  • bratul de stabilizare sa fie cat mai departe de perpendiculara pe axul principal de rotatie

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