Exam, Diagnosis, and Treatment planning for Edentulous patients Flashcards
The bilateral, simultaneous, anterior and posterior occlusal contact of teeth in centric and eccentric positions
Balanced occlusion
In ____ occlusion, max lingual cusps occlude with mandibular posterior teeth
Lingualized
Young healthy alveolar ridges and good muscular control are indications for ____ occlusion
balanced
What are the 5 factors in Hanau’s quint?
Incisal guidance, condylar guidance, cusp height, plane of occlusion, compensating curve
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
Monoplane occlusion
What are the 4 psychological patient classification?
Philosophical, exacting/critical, hysterical, and indifferent
The _____ patient: rational, calm, sensitive, confident, “you make them ill wear them,” majority of patients; good prognosis
Philosophical patient
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
Exacting/critical patient
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
Hysterical patient
The ____ patient: unconcerned with appearance and chewing, often persuaded by relatives to seek treatment, diet often poor; prognosis is poor unless education is successful
Indifferent patient
_____ 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
MM House
Ideal ridge form is _____
square to gently rounded
What is the ideal tuberosity thickness?
5-6 mm
What is the minimum tuberosity thickness needed?
4 mm
_____ is a bony enlargement at midline of hard palate; 20-25% of population; more prominent in women; maximum size in 3rd or 4th decade
Palatal torus
______ is surgically removed when: large and fills palatal vault, is undercut, encroaches on vibrating line, and patient is concerned that it is cancer
Palatal torus
_____ 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
Mandibular tori
The ideal _____ is medium depth with well-formed rugae
Palatal vault form
What is the ideal availability of soft palate?
5-12 mm
The ideal muscle frenum attachments are ______ mm or more from crest of ridge
10 mm
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
Normal tongue
In a patient that has a ____ tongue, border seal is absent, stabilizing influence of tongue is absent, and retention/function of mandible
Retruded
In a patient that has a ____ tongue, exerts constant dislodging force on mandibular denture; adaptation to denture may require months of dedicated effort
Enlarged tongue
____ plays important role in denture retention; quantity and quality is important
Saliva
The chewing efficiency of denture is ______ of natural teeth
20-25%
Class ____ edentulism: straightforward
Class 1
Class ____ edentulism: denture-supporting anatomy degraded
Class 2
Class ____ edentulism: anatomy degraded; surgical revision needed; additional factors present
Class 3
Class ____ edentulism: most debilitated edentulous condition
Class 4
Bone height and muscle attachments are measured on which ridge only?
Mandibular
Residual ridge morphology is measured on which ridge only?
Maxillary
T/F: If one area of a patient’s diagnostic tests is above the others, the patient goes to the more complex classification
True
