exam revision Flashcards
professional conduct?
behave prof, cosnent, confidentaility, rights of patients, continuing education
dedicated learning, respectful, patient need first, honest and integrity and emotional maturity and physical health
labial?
lip
lingual?
tongue
FDI notation
upper right lateral incisors
federation dentaire international notation
12
FDI lower left canines
33
Palmer notation upper right lateral incisors
2
minimal requirements of areas to be recorded in primary casts - max arch (5)
1 - residual ridge - inclduing full extent of tuberosities and hamular notch
2 - functional depth of labial and buccal sulci, including fraena and muscle attachments
3 - hard palate and junction with soft palate
4 - base parallel to occlusal plane
5 - sufficient bulk of strength and stability - 15mm base
minimal requirements of areas to be recorded in primary casts - mand arch (5)
1 - residual ridge - inclduing full extent of retromolar pads
2 - functional depth of labial and buccal sulci, including fraena, muscle attachments and external oblique ridges
3 - lingual sulci, lingual fraenum, mylohyoid base and retro-mylohyoid areas
4 - base parallel to occlusal plane
5 - sufficient bulk of strength and stability - 15mm base
special trays points (3)
- made from?
- constructed on__ and helps__
- resulting__ allows__
- made from acrylic (light or cold cured) or shellac (thermoplastic material)
- constructed on primary cast - helps adaptation of impression material and reduces amount required
- resulting master cast - well detailed and allows accurate construction of denture
custom impression tray
- increases__
- prevents__
- increase impression accuracy by providing uniform thickness of impression material
- prevent distortion of impression by providing rigid tray
closed or close fitting special tray
- what is it (3 points)
- no space between cast and special tray
- min block out undercuts (max - frenum, buccal surface of tuberosity, rigae, flabby portions of alveolar ridge)
- fine details capture with min spacing
closed or close fitting special tray
- what types of material and eg?
- mucostatic or mucocompressive
- zinc oxide eugenol, light bodied elastomers (rigid, low viscosity materials)
- mucostatic
spaced special tray
- description
- 3 materials and spacing?
- space between natural teeth and impression tray, spacing of wax:
- alginate (3mm)
- elastomeric impresison materials (1.5mm)
- impression plaster (1.5-2mm)
spaced special tray
- what material can’t use and why
cannot use ZOE for dentate because it has huge undercuts
spaced special tray
- mucostatic or mucocompressive
mucocompressive
spaced special tray
- allows (3)?
- allows better flow and adaptation
- allows better handling of undercuts
- materials that require more space –> capture details without distortion
mucostatic
- pressure?
- retention?
- stability?
- material
- no pressure
- min pressure (min displacement) to tissues and records resting shape
- better retention - denture –> closer adaptation to mucosa at rest
- instability of denture
- eg low viscosity alginates
mucocompressive
- pressure?
- retention?
- stability?
- material
- applying pressure to mucosa, so shape of tissue under load is recordoed
- results wider distribution of load during function –> more stable denture (good for function) –> compensates for differing compressibility of denture bearing area reducing risk of fracture due to flexion
- retention compromised –> as soft tissues wish to return to original position at rest
- eg high viscosity alginates or elastomers
impression materials - elastic/nonelastic according to-
ability of set material to be withdrawn over undercuts
use of wax rims (4)
- registration –> try in
- teeth secured in wax
- try in stage
- prior to waxing down
contour rims/wax registration rims
(7) purposes
1 - establish posterior extent of max denture
2 - establish aesthetic labial and buccal contours
3 - establish occlusal plane
4 - to mark/transfer midline, high lip line and cuspid to cuspid distance
5 - to mount max cast on articulator - relates to cranial landmarks
6 - to measure rest relations, resting vertical dimension (RVD)
7 - to register occlusion vertical dimension (OVD) and centric relation (CR)
pound line - what is it
- lingual surface of lower posteriors situated between 2 lines projected from buccal and lingual aspect of retromolar pads to mesial aspect of canines
pound line - importance? (2)
if teeth not within pound line, dentures become unstable and leads to movement or dislodgement
AND helps distribute occlusal forces evenly across denture base
neutral zone - what is it
the potential space between lips and cheeks on one side and tongue on the other;
that area or position where forces between the tongue and cheek or lip are equal
neutral zone
- maintains
- allows (3)
maintain stability of denture and retention-
allows no cheek/tongue biting AND functionality and comfort
ideal registration rims (4)
1 dished out area anteirorly - allow room for lips
2 tapered posterior (max)
3 models parallel
4 allows for articulation
selection of tooth (4)
1 horizontal
2 biometric guidelines
3 interpupillary width - inter canine width (canine to canine)
4 interalar width = inter canine width (end canine to end canine)
size tooth check (2)
- line pass thru distal edhes of incisive papilla
- perpendicular to palatal midline intersects cusp tip of canine
face shape
square, tapering, ovoid
- relationship between face shape, arch shape and tooth shape
- square - suggested for males
- tapering - suggested for skinny
- ovoid - suggested for females
Gerber’s 7 anatomic landmark guidelines
- incisive papilla
- max anterior teeth lie facial to incisive papilla
- anterior arch form - distance - middle incisive papilla to labial surface of max central incisors = 8-10mm
- labial surface of canine - 10.5mm from lateral aspect of anterior rugae
- distance between tips of canine = width of base of nose
- canines immediately inferior to side of nose
- width of central incisor ~ width philtrum
- 1st premolar appear at head of buccal corridor and behind canine buccal corridor - area between back of teeth and corner of lip
definitions of occlusion
- occlusion - any contact between incising or masticating surface of upper and lower teeth
XX - occlusion - static relationship of teeth when in contact
- occlusal contact - any meeting or touching of tooth surface
- teeth make occlusal contact during parafunctional (abnormal ie bruxism) act of swallowing
- act or process of closure of being closed or shut off
definition of articulation (5)
- static and dynamic contact relationship between occlusal surfaces of teeth during function ie contact between teeth when mand moving
- when teeth kept tgt during this movement they are articulating and in presence of food, mastication take place
- articulation - can be non-functional as in bruxism or functional as during mastication
- relationship of cusps of teeth during jaw movement
- relationship of all components of masticatory system in normal function
centric relation of occlusion (CRO)/ centric relation (CR)
- relationship of bones of upper and lower jaws without tooth contact or with teeth only barely contacting before closing teeth into max intercuspation
centric occlusion (CO) (4)
- max intercuspation or contact attained between max and mand posterior teeth
- determined by way teeth fit tgt, not determined by muscle or bone
- fit tgt most tightly/best
- habitual occlusion/ natural bite
define terminal hinge axis (THA)
- axis of rotation of mand
define occlusal vertical dimension (OVD)
artbitrary space between upper and lower jaws upon closure, may decrease over time due to wear, shifting or damage to teeth
define resting vertical dimension (RVD)
position of mand at rest when patient sitting upright and condyles in unstrained position, jaw muscles relaxed
free way space (FWS)
define and formula
- vertical distance between occlusal surface max and mand when at rest and no tooth contact
FWS = OVD - RVD
lateral excursion
mand moves toward right/left side
working side
side which mand moves
balancing side
non working side
protrusion
mand move forward, from centric occlusion, only anterior teeth should touch
premature contact
define and results in (4)
if one tooth occludes slightly earlier than others, becomes interference and bears more force than others, resulting in:
- stress TMJ
- tooth becomes sensitie to percussion
- widening of PDL
- mobility
protrusion
when both external pterygoid muscles contract simulataneously and pull condyles with articular discs forwards onto articular eminencies
- condyles - translating
- mand forward
retrusion
mand back