Exam 1 Flashcards
What is an abutment?
- part of a structure that directly receives thrust or pressure
- a tooth/portion of a tooth or that partion of a dental implant that serves to support and/or retain a prosthesis
What is a retainer?
-any type of device used for the stabilization or retention of a prosthesis
What is a pontic?
-an artificial tooth on a fixed dental prosthesis that replaces a missing natural tooth, restores its function, and usually fills the space previously occupied by the clinical crown
What are the main biologic considerations for an FDP?
- prevention of adjacent tooth damage, soft tissue damage or pulpal injury
- conservation of tooth structure
- future dental health
What are the mechanical considerations for an FDP
- retention
- resistance
- preventing deformation of the restoration
What are the esthetic considerations for an FDP?
- all ceramic
- metal ceramic
- material considerations
What are some of the main ways to conserve tooth structure?
- partial coverage crowns
- minimum practical convergence angle
- follow anatomic planes to give uniform thickness
- selection of conservative margin geometry
- avoid unnecessary apical extension of the preparation
Porcelain margins can be finished to what closeness of cement?
-50 micrometers
What issues are created by irregular/rough margins?q
-reduction of adaptation accuracy of restoration
What are the benefits of supragingival margin placement?
- no soft tissue trauma
- easy to clean
- easier impression
- easy to evaluate
What are conditions requiring a subgingival margin?
- dental caries, cervical erosion, or esthetic zone
- proximal contact extends to gingival crest
- additional retention/resistance needed
- root sensitivity
- associated with RPD
What are the advantages of diagnostic casts?
- for fixed restorations
- fabrication of provisionals
- fabrication of custom trays
Mounted diagnostic casts are used for what?
- evaluation of occlusal plane
- interarch clearance
- treatment position
- change in VDO
- occlusal analysis
- esthetic analysis
What are the three components of retention?
- taper
- length
- surface area
What is total axial convergence?
-sum of the taper of two opposing preparation walls
What is the sloped shoulder margin design used for?
- PFM crowns FPD
- no metal collar
- improved esthetics
- less intrusion into gingival crevice
- simple laboratory construction
What are the disadvantages of a sloped shoulder?
- more difficult preparation
- greater marginal creep
- rough marginal area
- potential gray line
- lab tends to overcontour
- higher lab cost
What are the absolute indications of the porcelain butt margin?
- minimal sulcus depth of 1mm or less
- thin labial tissue
- high smile line
What are the real indications of the porcelain butt margin?
- margins in the esthetic zone
- which is where the patient says it is
What is ante’s law?
- in order to maintain a stable FPD, there are several considerations
- the total periodontal membrane area of the abutment teeth must equal or exceed that of the teeth to be replaced
- extensions of the primary abutment must correspond to the distance of the lever arm that the pontics exert