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Complete Removable Prosthodontics > Final Exam > Flashcards

Final Exam Flashcards

1
Q

Narrow, ligamentous band extending from pterygoid hamulus to posterior part of mylohyoid line

A

Pterygomandibular raphe

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2
Q

The pterygomandibular raphe is a ligamentous band extending from :

A

pterygoid hamulus to posterior part of mylohyoid line

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3
Q

Where do the buccinator muscle and superior constrictor muscle fibers enter?

A

pterygomandibular raphe

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4
Q

The ___ & ___ muscle fibers enter the pterygomandibular raphe

A

buccinator muscle and superior constrictor muscle fibers

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5
Q

limits the length of the maxillary and mandibular complete dentures:

A

pterygomandibular raphe

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6
Q

What muscle can be seen when he patient opens mouth wide?

A

pterygomandibular raphe

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7
Q

What muscles affect the distal phalange of the mandibular denture?

A

Palatoglossus muscle and superior constrictor

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8
Q

The palatoglossus muscle and superior constrictor affect the _____ of the ____ denture

A

distal phalanx; mandibular

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9
Q

According to the book, what order do you select teeth?

A
  1. size
  2. outline form (mold)
  3. shade
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10
Q

What does the mylohyoid connect?

A

floor of mouth to mandible

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11
Q

What connects the floor of the mouth to the mandible?

A

mylohyoid

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12
Q

Describe House classification of soft palate Class I:

A

Ideal- greater than 5mm of tissue available

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13
Q

Describe house classification of soft palate Class II:

A

adequate- 1-5 mm of tissue available

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14
Q

Describe house classification of soft palate Class III:

A

Poor- less than 1 mm of tissue available

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15
Q

Easiest to tolerate, broadest range, hardest to locate:

A

Class I

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16
Q

Most common palatal drape:

A

Class II

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17
Q

Palate that is easiest to locate and hardest to tolerate:

A

Class III

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18
Q

Why is class III bad?

A
  • bad denture retention
  • posterior palatal seal bad
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19
Q

How do you border mold the alveolingual sulcus:

A

Patient swallows and protrudes tongue but not past the lips

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20
Q

captures tissues in their most undisturbed and undisplaced forms:

A

minimal pressure impression

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21
Q

Impression is made with soft tissue under a significant load of pressure; impression material is more viscous, patient forcefully closes most while material sets:

A

Functional pressure impression

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22
Q

Theory is that the denture-based tissue contact during function would be more intimate if tissue is recorded under compression:

A

functional pressure impression

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23
Q

Pressure on certain areas; minimal pressure on other areas; dentists decides how much pressure:

A

selective pressure impression

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24
Q

How do we select areas of pressure and non-pressure within the same impression?

A
  • drill vent holes in tray
  • wax spacer relief
  • grind the tray for relief space
  • combo of all
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25
Q

What type of pressure is used for re-line/re-base?

A

functional pressure

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26
Q

Purpose is to define denture border in length, width, shape, and contour:

A

border molding

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27
Q

In maxillary border molding, insert tray and insure 2mm of space is present between:

A

vestibular reflection & tray border

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28
Q

In maxillary border molding, the tray must extend into each ____ and just beyond/posterior to the ____

A

hamular notch; vibrating line

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29
Q

What movement is necessary to capture the maxillary posterior border mold?

A

patient moves jaw side to side

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30
Q

What movement is necessary to capture the buccal frenum area during border molding? (max)

A

elevate cheek, lightly massage outward, downward, and anterior posteriorly

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31
Q

What comes into play when bordermolding the buccal frenum area? (max)

A

coronoid process

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32
Q

How do we capture the labial vestibule on the border mold? (max)

A

elevate lip outward, massage downward

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33
Q

How do we capture the labial frenum when border molding? (max)

A

elevate lip, seat tray, lightly massage lip straight down, (DO NOT MOVE SIDE TO SIDE)

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34
Q

How doe we capture the posterior palatal border when border molding? (max)

A

Patient pinches nostrils, blows lightly through nose, then swallows

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35
Q

For mandibular border molding, there is ___ mm of space at the border:

A

2mm

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36
Q

How do we border mold the mandibular lingual frenum area?

A

Gently wet the upper lip with tongue for length of border, and place tip of tongue under lip and move side to side which captures width

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37
Q

How do we border mold the alceololingual sulcus? (mandibular)

A

Patient swallows or protrudes tongue (but not past lips)

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38
Q

How do we border mold the mylohyoid region? (mandibular)

A

Patient swallows forcefully 2-3 times making floor of mouth move then tongue touches right and left buccal vestibules and thumb by handle

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39
Q

How do you border mold the distal border and masseteric notch?

A

Patient stretches wide open and then closes against manual pressure (bite on finger?)

40
Q

How do you border mold the buccal frenum? (mandibular)

A

Massage cheek outward upward an inward, anterior -posterior

41
Q

What muscle affects the distobuccal corner of mandibular denture?

A

Masseter

42
Q

What affects the distolingual corner of the mandibular denture?

A

medial pterygoid, superior constrictor, & glossopalatal muscle

43
Q

What is the buccal corridor?

A

Space between cheek and teeth when smiling

44
Q

What do you when making a CD and mandibular tori are in way?

A

Remove

45
Q

What are the contents of the retromolar pad?

A
  1. loose submucosa
  2. glandular tissue
  3. fibers of buccinator and superior constrictor muscles
  4. pterygomandibular rapie
  5. temporalis muscle tendon fibers
46
Q

What should you do if a patient comes in with old denture and there is 1mm of space present?

A

reduce hamular tuberosities

47
Q

How do you correct an OVD that is too big?

A

Increase interocclsal distance

48
Q

If the teeth contact when speaking, the ____ is too open and the ____ is too little

A

OVD; IOD

49
Q

The distance between two points, one above, and one below the mouth measured when occluding members are in contact:

A

OVD

50
Q

The space between the teeth or occluding members the mandible is PRP

A

Interocclusal distance

51
Q

Interocclusal distance can also be called:

A

freeway space

52
Q

OVD+ IOD =

A

RVD

53
Q

Position in which lips touch but teeth do not:

A

PRP

54
Q

What is the 3rd point of reference for hanau?

A

Infraorbital notch

55
Q

What is the 3rd point of reference for whip mix?

A

nasion

56
Q

Junction of moveable and immovable tissue:

A

Vibrating line

57
Q

where is the soft palate?

A

posterior to vibrating line

58
Q

Dentures should at least extend to the:

A

vibrating line

59
Q

In complete denture wearers, the complete reduction in the mandibular ridge is ____x that of the maxillary ridge

A

mandibular 4x

60
Q

If a patient has anatomic, balance occlusion:

A

max lingual

61
Q

Posterior cusps occlude with ___ on the non-working side:

A

buccal side of lingual cusps

62
Q

Formula for balanced occlusion:

A

Hanau’s Quint

63
Q

Formula for balanced occlusion includes: Hanau’s Quint

A
  1. incisal guidance
  2. condylar guidance
  3. cusp height
  4. plane of occlusion
  5. compensating curve
64
Q

Why does a retruded tongue have bad prognosis?

A

Hard to achieve border seal

65
Q

How do you correct a denture when a CD patient whistle’s while trying to make S sound?

A

recontour anterior palate of denture

66
Q

What is the main advantage that resin teeth have?

A

Can chemically bond to base

67
Q

When treating edentulous maxillary and mandibular w/ teeth, what is most important?

A

OVD? Fractures?

68
Q

When is a kinematic facebow recommended for use?

A

Not for dentures, none of the above

69
Q

When waxing dentures what should not be accomplished?

A

establish canine guidance

70
Q

in 2-stage, why remove the posterior teeth first?

A

improve accuracy after healing

71
Q

Pt complains that the mandibular CD is loose, what is the least likely reason for this?

A

Set in neutral zone- this is actually very ideal

72
Q

When tuberosities are too large, surgical reduction should be limited to:

A

osteoplasty/ alveoplasty?

73
Q

Most likely to cause spherical porosity in denture:

A

monomer boiling

74
Q

What is the long cure method?

A

165 degrees F for 9 hrs

75
Q

The maxillary central incisor resembles the inverted face form:

A

geometric theory

76
Q

The geometric theory is separated into 4 categories:

A
  1. square
  2. square tapering
  3. tapering
  4. ovoid
77
Q

For the geometric theory, 3 points are connected on each side of the face:

A
  • temple
  • zygomatic arch
  • angle of mandible
78
Q

theory of tooth selection based on sex, age, and personality:

A

dentogenic theory

79
Q

To maximize complete denture stability, mandibular molars should:

A

be placed over the crest of the ridge

80
Q

When mandibular molars are placed over the crest of this ridge this:

A

maximizes complete denture stability

81
Q

A well contoured dentures uses muscle contractions to stabilize the denture. The best example is:

A

buccinator

82
Q

Role of protrusive record in complete denture:

A

adjust articular condyle

83
Q

Zarb’s text says that a 24hr follow up is advised… why?

A

Patients have better perception of denture

84
Q

The compensation curve in the complete denture refers to:

A

the fox plane???

85
Q

anatomical landmarks used to establish the posterior border?

A

hamular notch & fovea palatini

86
Q

Common causes of maxillary denture dislodgment:

A

occlusal deficiencies & under-extension

87
Q

Denture wearer has angular chelitis.. etiology?

A
  • candida
    -vitamin deficiency
  • loss of OVD
88
Q

If a patient is edentulous on mandible and has opposing maxillary teeth, the best option is:

A

implants

89
Q

If there is a discrepancy with CR with wax trial dentures, what do you do?

A

remake facebow record and maxillary casts are remounted (mandibular??)

90
Q

surgical guide for intermediate denture patient is:

A

alveoplasty or bone smoothing is anticipated is adequate

91
Q

Which type of occlusion is NOT indicated for complete dentures?

A

canine guidance

92
Q

name of dental device to parallel campers plane?

A

fox plane

93
Q

Patient with combination syndrome may benefit from:

A

impacts on mandible not maxillary?

94
Q

Zarbi recommend the following for anterior denture teeth:

A

x

95
Q

What do we avoid when rebasing a CD?

A

x

96
Q

Lab reline should be prescribed when the CD has:

A

loosness

97
Q

What is combination syndrome? what makes it up?

A

Complete Removable Prosthodontics (2 decks)

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