Exam, Diagnosis, and Treatment planning for Edentulous patients

Question 1

The bilateral, simultaneous, anterior and posterior occlusal contact of teeth in centric and eccentric positions

Answer 1

Balanced occlusion

Question 2

In ____ occlusion, max lingual cusps occlude with mandibular posterior teeth

Answer 2

Lingualized

Question 3

Young healthy alveolar ridges and good muscular control are indications for ____ occlusion

Answer 3

balanced

Question 4

What are the 5 factors in Hanau’s quint?

Answer 4

Incisal guidance, condylar guidance, cusp height, plane of occlusion, compensating curve

Question 5

Excessive inter-ridge distance, skeletal class 2,3, and cross bites, successful previous dentures were monoplane, limited oral dexterity, and severely resorbed ridges are indications of ____ oclusion

Answer 5

Monoplane occlusion

Question 6

What are the 4 psychological patient classification?

Answer 6

Philosophical, exacting/critical, hysterical, and indifferent

Question 7

The _____ patient: rational, calm, sensitive, confident, “you make them ill wear them,” majority of patients; good prognosis

Answer 7

Philosophical patient

Question 8

The ____ patient: 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

Answer 8

Exacting/critical patient

Question 9

The ____ patient: generally in poor health, oral conditions neglected, may blame dentist for poor oral condition, “bet you can’t make teeth i can wear,” don’t make promises

Answer 9

Hysterical patient

Question 10

The ____ patient: unconcerned with appearance and chewing, often persuaded by relatives to seek treatment, diet often poor; prognosis is poor unless education is successful

Answer 10

Indifferent patient

Question 11

_____ classified biologic conditions of interarch space, muscle tone, arch size, arch form, ridge relations, ridge contours, border tissue attachments, muscle and frenum attachments, palatal throat form, saliva, tongue form, sensitivity of palate, and condition of mucosa; class 1 is favorable; class 3 is challenging

Answer 11

MM House

Question 12

Ideal ridge form is _____

Answer 12

square to gently rounded

Question 13

What is the ideal tuberosity thickness?

Answer 13

5-6 mm

Question 14

What is the minimum tuberosity thickness needed?

Answer 14

4 mm

Question 15

_____ is a bony enlargement at midline of hard palate; 20-25% of population; more prominent in women; maximum size in 3rd or 4th decade

Answer 15

Palatal torus

Question 16

______ is surgically removed when: large and fills palatal vault, is undercut, encroaches on vibrating line, and patient is concerned that it is cancer

Answer 16

Palatal torus

Question 17

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

Answer 17

Mandibular tori

Question 18

The ideal _____ is medium depth with well-formed rugae

Answer 18

Palatal vault form

Question 19

What is the ideal availability of soft palate?

Answer 19

5-12 mm

Question 20

The ideal muscle frenum attachments are ______ mm or more from crest of ridge

Answer 20

10 mm

Question 21

In a patient that has a ____ tongue, it fills floor of mouth, lateral borders lie on posterior alveolar ridge, and apex approximates anterior alveolar ridge

Answer 21

Normal tongue

Question 22

In a patient that has a ____ tongue, border seal is absent, stabilizing influence of tongue is absent, and retention/function of mandible

Answer 22

Retruded

Question 23

In a patient that has a ____ tongue, exerts constant dislodging force on mandibular denture; adaptation to denture may require months of dedicated effort

Answer 23

Enlarged tongue

Question 24

____ plays important role in denture retention; quantity and quality is important

Answer 24

Saliva

Question 25

The chewing efficiency of denture is ______ of natural teeth

Answer 25

20-25%

Question 26

Class ____ edentulism: straightforward

Answer 26

Class 1

Question 27

Class ____ edentulism: denture-supporting anatomy degraded

Answer 27

Class 2

Question 28

Class ____ edentulism: anatomy degraded; surgical revision needed; additional factors present

Answer 28

Class 3

Question 29

Class ____ edentulism: most debilitated edentulous condition

Answer 29

Class 4

Question 30

Bone height and muscle attachments are measured on which ridge only?

Answer 30

Mandibular

Question 31

Residual ridge morphology is measured on which ridge only?

Answer 31

Maxillary

Question 32

T/F: If one area of a patient’s diagnostic tests is above the others, the patient goes to the more complex classification

Answer 32

True