Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Complete Removable Prosthodontics > Exam, Diagnosis and Treatment Planning for Edentulous Patients > Flashcards

Exam, Diagnosis and Treatment Planning for Edentulous Patients Flashcards

1
Q

3 DENTURE OCCLUSION

ARRANGEMENTS

A
  1. BALANCED
  2. NON-BALANCED
  3. LINGUALIZED (can be used with 1,2)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Balanced occlusion (Balanced articulation)

A

“the bilateral, simultaneous, anterior and posterior occlusal contact of
teeth in centric and eccentric positions” GPT

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

anatomic, balanced occlusion indications (2)

A

young, healthy alveolar ridges

good neuromuscular control

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

hanaus quint (5)

A 
incisal guidance- anterior influence 
condylar guidance- posterior influence 
cusp hight (0, 20, 30 degrees)
plane of occlusion
compensating curve
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Condylar guidance is determined

by

A

the patient’s anatomy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

monoplane occlusion: indications (5)

A 
excessive inter-ridge distance
skeletal class 2, class3, crossbones 
successful previous F/F were monoplane 
limited oral dexterity 
severely resorbed ridges
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Complete edentulism has differing

degrees of —

A

severity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

patient psychological classification (4)

A

philosophical
extracting/critical
hysterical
indifferent

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

philosophical (4)

A

rational, calm, sensible, confident
“you make them, ill wear them”
the majority of patients
prognosis is good

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

extracting/critical patient (5)

A 
methodical, precise
somewhat difficult to please 
may try to dictate treatment 
may demand a written guarantee 
should make a special effort to be neat and organized when treating
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

hysterical patient (5)

A

generally in poor health
oral conditions neglected
may blame dentist for poor oral condition
dont make promises

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

indifferent patients (4)

A

unconcerned with appearance and chewing
often persuaded by relatives to seek treatment
diet often poor
prognosis poor unless education successful

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Make — of the mouth
as the patient presents! Measure
existing —.

A

impressions

VDO

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

dental history (2)

A

chief concerns or why the patient is in the chair

history of previous treatment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

medical history (2)

A

overall health and current medications

interactions causing xerostomia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Radiographic Exam (3)

A

Panoramic preferred
Evaluate pathosis : root tips, foreign bodies, impacted teeth
Evaluate mucosal thickness, foramen location

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

“the relationship of oral examination to dental diagnosis” (3)

A

MM House
a 12 page article describing a classification system of the biologic conditions found in edentulous mouths
13 intra oral items classified

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

MM House, 1958 (2)

A 
classified biological conditions of inter arch space, muscle tone, arch size, arch form, ridge relations, ridge contours, border tissue attachments, muscles and frenum attachments, palatal throat form, saliva, tongue form, sensitivity of palate, and condition of mucosa 
class 1, 2, 3
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

oral exam: ideal to unfavorable (3)

A 
class 1: ideal
class2 
class 3: unfavorable
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

oral exam: ridge size

Ideal

A

large enough for denture stability, small enough to leave room for denture bases and teeth

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

oral exam: ridge size

unfavorable

A

too large for positioning of teeth, too small for any stability or support

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Small ridge size

House Class —

A

III

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Large ridge size

House Class —

A

III

24
Q

oral exam: inter arch space

ideal

A

space accommodates teeth and bases with esthetic result

25
Q

oral exam: inter arch space

unfavorable

A

too little space or too much space (torque lever is applied to denture bases)

26
Q

oral exam: ridge form

ideal

A

square to gently rounded

27
Q

oral exam: ridge form

unfavorable

A

tall, thin, undercut

28
Q

Tuberosities (5)

A 
Space ?
Dental mirror thickness –a guide
Dental mirror handle –2 denture bases
Ideal = 5-6 mm (Choy E., General Dentistry, May-June, 1977)
Minimum = 4 mm
29
Q

Tuberosity/ridge exam

Look and Feel! (2)

A

Use your gloved first finger to feel the buccal and lingual ridge contours
Mark (draw on) the diagnostic casts for communication with the patient
and surgeon

30
Q

bony undercuts: unilateral

A

may be ok

31
Q

bony undercuts: bilateral

A

may need surgical correction

32
Q

sharp area of ridge: — needed

A

surgery

33
Q

Palatal Torus (4)

A

Bony enlargement at midline of hard palate
20 - 25% of population
More prevalent in women
Maximum size in 3rd or 4th decade

34
Q

Palatal torus

surgical removal when: (4)

A

Large and fills palatal vault
Is undercut
Encroaches on vibrating line
Pnt is concerned that it is cancer

35
Q

mandibular tori (3)

A

dense cortical bone covered by a. very thin later of mucous membrane
extremely susceptible to irritation from denture base
best treatment is surgical removal

36
Q

Palatal vault form

Ideal is

A

medium depth with well-formed rugae

37
Q

Palatal vault form

Flat =

A

poor resistance to horizontal movement of denture

38
Q

Palatal vault form

High, narrow, deep =

A

rapid break of peripheral seal and poor retention

39
Q

Soft Palate
Class I =
Class II
Class III =

A

ideal (5 –12 mm available)
——– (3 - 5 mm tissue available)
unfavorable(< 3 mm available)

40
Q

Border attachments:

Ideal =

A

muscle/ frenum attachments are 10 mm or

more from crest of ridge

41
Q

Border attachments:

Unfavorable =

A

attachments near crest of ridge and

may interfere with peripheral seal

42
Q

The tongue and complete dentures

major impact areas: (3)

A

Border seal
Tooth placement
Speech

43
Q

Normal tongue position (3)

A

Fills floor of mouth
Lateral borders lie on post. alveolar ridge
Apex approximates ant. alveolar ridge

44
Q

Retruded tongue (4)

A

25% of edentulous pnts
Border seal is absent
Stabilizing influence of tongue is absent
Retention/ function of mandib. CD difficult

45
Q

tongue size

enlarged tongue- (2)

A

exerts constant dislodging force on mandibular denture

adaptation to denture may require months of dedicated effort

46
Q

saliva (4)

A

plays important role in denture retention
quantity and quality important
xerostomia from meds and systemic diseases
xerostomia patients- prognosis for CD success is guarded to poor

47
Q

denture history (5)

A 
years edentulous?
previous dentures/current dentures
successful?
expectations? attainable?
multiple sets of dentures made in a short time- not a good sign
48
Q

Evaluate existing dentures and make

impressions of them as reference (6)

A 
Phonetics, 
esthetics, 
stability, 
retention, 
lip support, 
OVD
49
Q

prognosis (3)

A

advise patient of findings and discuss the prognosis: good, fair, poor
educate patient about his/her role in mastering the use of dentures
chewing efficiency: 20-25% natural teeth

50
Q

Complete edentulism has differing

degrees of —.

A

severity

51
Q 
Classification system for complete edentulism
Class I  --- 
Class II -- 
Class III --
Class IV –
A

straightforward
denture-supporting anatomy degraded
anatomy degraded; surgical revision needed; additional factors present
most debilitated edentulous condition

52
Q

Classification system for complete edentulism

Diagnostic criteria are organized by their

A

objective nature and not in their rank of significance.

53
Q

Bone height –

A

mandibular only

54
Q

Residual ridge morphology –

A

maxillary only

55
Q

Muscle attachments –

A

mandibular only

56
Q

classification system for complete edentulism

A 
in those instances when a patients diagnostic criteria are mixed between two or more classes, any single criterion of a more complex class places the patient into the more complex class
ACP 1
ACP 2
ACP 3
ACP 4

Complete Removable Prosthodontics (20 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions