Edentulous Anatomy Flashcards
masticatory mucosa
highly keratinized, best denture support (on ridge, not moving)
lining mucosa
thin, non keratinized mucosa of lips and cheek. forms seal against denture, but does not resist stress (moves, dont want an impression of this)
specialized mucosa
dorsal surface of tongue, is keratinized, contains taste buds
characteristics of the ideal denture bearing tissue (4)
- firmly bound, keratinized masticatory mucosa
- a zone of CT and submucosa
- underlying cortical bone
- muscle attachments nearby (enhance resistance to bone resorption)
centripetal resorption
routine resorption pattern following extraction of teeth results in a smaller maxilla when compared to dentate arch
labial frenum (4)
contains no muscle fibers
inserts in vertical direction
little lateral movement in function
north in denture should be narrow
labial vestibule (2)
space between labial frenum and buccal frenum
reflection contains no muscle fibers
buccal frenum (4)
single or multiple
anterior posterior direction of reflection
may contain few fibers of caninus muscle
notch in denture is broad since movement of frenum is affected by buccinator and oribularis oris muscle
notch in denture is broader as — frenum than — frenum
buccal, labial
buccal vestibule (corona-maxillary space) (3)
between buccal frenum and hauler notch
space varies in size
space must be filled vertically and laterally by denture flange to prevent ingress of air and loss of retention of maxillary denture
buccal vestibule is also known as the
retrozygomatic space/fossa
retrozygrmal fossa (Space)
vestibular space posterior to zygoma
how do you find the retrozygomal fossae?
palpate zygomatic process in buccal vestibule just buccal to first maxillary molar
is the retrozygomal space commonly captured in preliminary impressions?
commonly incompletely captures, use syringe technique
how to find the coronoid process? (4)
place mirror head lateral to tuberosity
move mandible to opposite side
note binding or pain
this gives some indication of the width of the space for flange
the coronoid process determines the
functional space in the retrozygomal space
complete denture retention (6)
adhesion cohesion interfacial surface tension intimate tissue contact border seal: prevent ingress of air neuromuscular control by patietn
hamular notch (2)
narrow cleft between tuberosity and pterygoid hamulus
denture must extend into hamular notch area
posterior border denture
hamular notch
sometimes posterior to where the depression in the soft tissue appears
humlar notch is “—” for comfort and retention
soft disposable tissue
how to mark the hauler notch
use the head of your mirror to palpate the notch and mark with an indelible marker
maxillary tuberosities (3)
oversized
resorbed
undercut
vibrating line
the junction of moveable and immovable tissues of the soft palate
on the soft palate, NOT the junction of hard and soft palate
tissues are yielding and easily —
displaced