Edentulous Anatomy Flashcards

1
Q

masticatory mucosa

A

highly keratinized, best denture support (on ridge, not moving)

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2
Q

lining mucosa

A

thin, non keratinized mucosa of lips and cheek. forms seal against denture, but does not resist stress (moves, dont want an impression of this)

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3
Q

specialized mucosa

A

dorsal surface of tongue, is keratinized, contains taste buds

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4
Q

characteristics of the ideal denture bearing tissue (4)

A
  1. firmly bound, keratinized masticatory mucosa
  2. a zone of CT and submucosa
  3. underlying cortical bone
  4. muscle attachments nearby (enhance resistance to bone resorption)
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5
Q

centripetal resorption

A

routine resorption pattern following extraction of teeth results in a smaller maxilla when compared to dentate arch

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6
Q

labial frenum (4)

A

contains no muscle fibers
inserts in vertical direction
little lateral movement in function
north in denture should be narrow

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7
Q

labial vestibule (2)

A

space between labial frenum and buccal frenum

reflection contains no muscle fibers

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8
Q

buccal frenum (4)

A

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

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9
Q

notch in denture is broader as — frenum than — frenum

A

buccal, labial

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10
Q

buccal vestibule (corona-maxillary space) (3)

A

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

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11
Q

buccal vestibule is also known as the

A

retrozygomatic space/fossa

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12
Q

retrozygrmal fossa (Space)

A

vestibular space posterior to zygoma

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13
Q

how do you find the retrozygomal fossae?

A

palpate zygomatic process in buccal vestibule just buccal to first maxillary molar

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14
Q

is the retrozygomal space commonly captured in preliminary impressions?

A

commonly incompletely captures, use syringe technique

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15
Q

how to find the coronoid process? (4)

A

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

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16
Q

the coronoid process determines the

A

functional space in the retrozygomal space

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17
Q

complete denture retention (6)

A
adhesion
cohesion
interfacial surface tension
intimate tissue contact 
border seal: prevent ingress of air 
neuromuscular control by patietn
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18
Q

hamular notch (2)

A

narrow cleft between tuberosity and pterygoid hamulus

denture must extend into hamular notch area

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19
Q

posterior border denture

A

hamular notch

sometimes posterior to where the depression in the soft tissue appears

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20
Q

humlar notch is “—” for comfort and retention

A

soft disposable tissue

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21
Q

how to mark the hauler notch

A

use the head of your mirror to palpate the notch and mark with an indelible marker

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22
Q

maxillary tuberosities (3)

A

oversized
resorbed
undercut

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23
Q

vibrating line

A

the junction of moveable and immovable tissues of the soft palate
on the soft palate, NOT the junction of hard and soft palate

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24
Q

tissues are yielding and easily —

A

displaced

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25
Q

fovea palatini (4)

A

unique to humans
coalescence of mucous glands
one on each side of midline
are in general area of the vibrating line. much individual variation. only a guide

26
Q

fovea palatini is in the area of the

A

vibrating line

27
Q

median palatine raphe (midline palatine suture) (2)

A

a bony midline structure, no cushioning effect

may require relief when covered by a denture

28
Q

rugae (2)

A

secondary denture support area

resists anterior displacement of denture

29
Q

incisive papilla (3)

A

landmark for the setting of anterior teeth
pad of CT overlying nasopalatine canal opening
not tolerant of pressure from denture

30
Q

palatal vault form

A

ideal is medium depth, with well defined sugar in anterior

31
Q

if ridges are severely resorbed,

A

inform the patient

u shaped, v shaped

32
Q

torus palatines mau require

A

removal (if on the vibrating line, need to make a posterior seal)

33
Q

where is the posterior palatal seal found

A

distal to junction of hard and soft palates

34
Q

posterior palatal seal

A

glandular and fibrous connective tissue which may be slightly compressed without harm

35
Q

purpose of the posterior palatal seal

A

retention of maxillary CD

36
Q

functions of the posterior palatal seal (4)

A
  1. completes border seal of max CD
  2. compensates for dimensional changes in processed resin
  3. gives firm contact with tissues of soft palate which reduces sagging
  4. presses into tissue making posterior border less conspicuous to tongue
37
Q
house classification of soft palates 
class 1
class 2
class 3
A
class 1: >5 mm tissue available, ideal
class 2: 1-5 mm tissue available, adequate
class 3: <1 mm tissue available, poor
38
Q

hoses classifications

A

classification of the soft palate according to hope it drapes

39
Q
tolerance and location:
class 1 
class 2 
class 3
A
class 1: easiest to tolerate, broadest range, hardest to locate 
class 2: most common, middle
class 3: easiest to locate, hardest to tolerate
40
Q

mandibular arch anatomy (3)

A

labial frenum
labial vestibule
buccal frenum

41
Q

buccal frenum may contain fibers which attach to “—”, structure at corners of mouth where 8 muscles converge

A

modiolus

42
Q

buccal shelf (4)

A

area posterior to buccal frenum
denture base should cover completely
between height of the ridge and external oblique ridge
resorbs more slowly

43
Q

primary denture bearing area of mandibular denture

A

buccal shelf

44
Q

pterygo mandibular raphe (3)

A

connects from hamulus to the mylohyjid ridge
when prominent, can cause pain, or loosening
requires relief groove if prominent

narrow, ligamentous band extending form pterygoid hamulus ti posterior part of mylohyjid line
buccinator m and superior pharyngeal constrictor muscle fibers enter
limits length of max and mandible CDs

45
Q

retromolar pad (3)

A

soft pad containing glandular tissue
inverted pear shape, posterior border
created from carrying after extractions

an important landmark in removable pros
a triangular pad of soft tissue at posterior end of mandibular residual ridge

46
Q

retromolar pad contents (5)

A
  1. loose submucosa
  2. glandular tissue
  3. fibers of buccinator and sup. pharyngeal constrictor muscles
  4. pterygomandibular raphe
  5. temporalis muscle tendon fibers
47
Q

what happens if retromolar pad is not covered by denture base?

A

excessive resorption of residual ridge

48
Q

lingual frenum (2)

A

anterior attachment of tongue

overlies genioglossus muscle

49
Q

mylohyjid ridge (2)

A

origin of mylohyjid muscle which influences length of lingual flange
can be prominent and or sharp, requiring relief

50
Q

alevolingual sulcus

A

space from lingual frenum to retromylohyoid curtain in posterior

51
Q

retromylohyoid space (3)

A

distal end of lingual sulcus
area posterior to the mylohyjid muscle
good seal aids in retention and stability

52
Q

anatomy of the DL vestibule (5)

A
  1. mylohyjid muscle
  2. palatoglossus muscle
  3. superior constrictor muscle
  4. pterygomandibular raphe
  5. buccinator muscle
53
Q

retromylohyoid fossa

A

denture flange adapts laterally close to body of mandible, producing typical S curve

54
Q

residual ridge (2)

A

a secondary support area

size decreases with time

55
Q

pressure on ridge results in

A

blood supply interrupted, bone resorption

56
Q

we want to minimize pressure and speed out the pressure onto a wider support base, also known as the

A

selective pressure technique

57
Q

resorption is more severe on which arch?

A

mandible than maxillary

58
Q

how long to remove dentures per day

A

8 hr/day to allow tissues to rest

59
Q

proper impression techniques (3)

A

record tissues at rest
denture base extensions using maximum support area
place pressure on those areas that can withstand pressure

60
Q

reducing pressure on residual ridge (2)

A

clinical remount and occlusal refinement at delivery of dentures to patient
no contact of opposing anterior teeth in centric relation