Fixed Prosthodontics 1 Flashcards

1
Q

What categories are included in Prosthodontics?

A

-Fixed Prosthodontics
-Removeable Prosthodontics (Complete Denture/Partial Denture)
-Implant Prosthodontics
-Maxillofacial Prosthetics

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2
Q

What is prosthodontics?

A

A body of knowledge and skills pertaining to:
- The restoration and replacement of the natural dentition with artificial substitutes
- The restoration of the dental arches with fixed or removable dental prosthesis.

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3
Q

What is fixed prosthodontics?

A

-The branch of prosthodontics concerned with the replacement and/or restoration of teeth by artificial substitutes that cannot be removed from the mouth by the patient. Mainly comprised of:
- Crowns
- Bridges
- Implant Crowns
- Full arch Implant supported Denture

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4
Q

What are we trying to accomplish with Fixed Prosthodontics?

A

-Restore function and esthetics of single teeth
-Replace missing teeth
-Improve comfort and chewing
-Complete, improve, or maintain the integrity of dental arches
-Patient self-image improvement

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5
Q

Prior to beginning any Fixed Prosthodontic work, it is important to understand the patient’s current total oral and systemic condition including:

A

-Patient Medical and Dental History
-Occlusal evaluation and TMJ evaluation
-Intraoral exam/Periodontal Exam
-Radiographic evaluation
-Mounted Diagnostic Casts
-Caries Risk Assessment
-Patient Expectations

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6
Q

What might you want to know before starting any Fixed Prosthodontic work?

A
  • Medical and Dental History
  • Occlusal Evaluation
  • Intraoral Exam
  • Periodontal Condition
  • Radiographic Evaluation
  • Mounted Casts
  • Caries Risk Assessment
  • Patient Expectations
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7
Q

The amount of caries in the patients past and present does/does not impact the treatment you deliver

A

Does

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8
Q

What is a dental crown?

A

A cemented extra-coronal restoration covering the outer surface of a prepared tooth

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9
Q

A tooth is prepared for a full coverage crown with specific criteria in order to create:

A
  • “Sleeve” retention
  • A path of insertion
  • A slight convergence of the walls of the tooth preparation to allow for seating of the crown
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10
Q

What are other fixed restorations besides crowns?

A

-3/4 crown
-Inlay
-Onlay
-Fixed Dental Prosthesis (Bridge)
- implant crowns

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11
Q

What is an inlay?

A

cemented intra-coronal restoration fabricated indirectly

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12
Q

What is an onlay?

A

– An inlay also replacing one or more cusps

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13
Q

What is a fixed dental prosthesis (bridge)?

A

crown replacing one or more missing teeth which is cemented to remaining teeth or implants

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14
Q

What could you ask about patient expectations?

A
  • Are they reasonable?
  • Are they achievable?
  • Are they realistic?
  • What would it take to meet
    those expectations and are you able to do so?
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15
Q

What do mounted casts allow for?

A

-Allow for planning and visibility outside the patient mouth
-Can be used for Diagnostic Wax Up to predict treatment outcomes
-Can be excellent patient teaching tools

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16
Q

What should you look for in a radiographic evaluation?

A

-Bone loss evident?
-PARL?
-Crown to Root Ratio?
-Location of pulp chamber
-Endodontic issues?
-Do the teeth being evaluated for Prosthodontic work met the criteria for good candidates?

17
Q

What do you look for on an intraoral exam?

A

-Plaque accumulation
-Home Care
-Tissue abnormalities

18
Q

What do you look for when accessing periodontal conditions?

A

-How is the patients home care? Adequate? Lacking?
-Is there periodontal disease present whether stable or active?
-Is there any tooth mobility?

19
Q

What should you look for during an occlusal evaluation?

A

-Is patient’s occlusion healthy?
-Is canine guidance present?
-Is Group Function present?
-Are there occlusal interferences?
-Is the bite collapsed?
-Is there a problem with the TMJ that could impact your dental treatment?