Functions 3 Flashcards

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1
Q

Define ingestion

A

Movement of food from the external environment into the mouth

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2
Q

List how food is transported from the front of the mouth to the posterior teeth (3)

A
  1. Food is gathered on tongue tip
  2. Tongue retracts, pulling the material to the posterior teeth (takes 1 sec)
  3. Associated with retraction of the hyoid bone and narrowing of the oropharynx
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3
Q

How is mechanical processing of food achieved? (2)

A

> Foods masticated by premolar + molar teeth

> Some soft foods are ‘squashed’ by tongue against hard palate

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4
Q

List muscles involved in food processing (4)

A
  1. Mandibular muscles
  2. Supra-hyoid muscles
  3. Tongue muscles
  4. Lips + cheeks
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5
Q

Function of tongue when eating?

A

Controlling and transporting the food bolus within the mouth

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6
Q

List the tongue actions involved in chewing (3)

A
  1. Tongue controls bolus to keep it on the chewing surfaces, along with the cheeks
  2. Tongue moves bolus from side to side of the mouth
  3. Tongue gathers the bolus for transport
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7
Q

What happens in the initial opening phase?

A

The forward movement of the tongue during the occlusal and initial opening phases creates a contact between the tongue and the hard palate

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8
Q

What happens in the squeeze back mechanism/

A

The contact zone moves progressively backwards, squeezing the processed food through the fauces

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9
Q

When does the food accumulated on the pharyngeal surface of the tongue move?

A

Moves when swallowing occurs

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10
Q

List the 3 chewing cycle phases

A
  1. Opening phase
    - Jaw depressor muscles are active
  2. Closing phase
    - Jaw elevator muscles are active
  3. Occlusal phase
    - Mandible is stationary/teeth joined
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11
Q

Chewing on a carrot variation in chewing cycle

A

Creates a broader stroke than chewing on cheese

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12
Q

Chewing gum variation in chewing cycle

A

Creates an even broader and wider chewing stroke

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13
Q

Define balanced articulation

A

Using teeth with cusps to achieve balanced occlusion

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14
Q

When is balanced occlusion used? (2)

A
  • If the patient performs ruminatory mandibular movements use it to stabilise their dentition whilst they chew
  • Especially where the patients have a favourable ridge form
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15
Q

What test is used to determine whether the patient may need balanced occlusion for complete denture patients?

A
  • In complete denture patients we give them a biscuit to see how they chew (if there’s small movements consider an alternative)
  • If they have lateral movements then consider balanced occlusion (if they don’t, use cuspless teeth)
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16
Q

What sign suggests vertical (chopping) mandibular movements

A

If the dentures have occlusal surfaces which are evenly worn (flat)

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17
Q

What type of teeth are used for patients that have worn occlusal surfaces

A

Cuspless teeth might be used (especially in flat atrophic mandibular ridges)

18
Q

Why is tongue movement an important consideration before designing prostheses (2)

A

Inaccurate placement of mandibular posterior teeth might interfere with tongue’s movements
- Compromising the retention and stability of the denture

19
Q

Where should the prosthesis be positioned

A
  • Must be on the ridge, not lingually or buccally inclined
20
Q

What can a buccally inclined prosthesis lead to

A

Cheek biting

21
Q

Why would a neuromuscular disorder lead to a failed prosthesis?

A

Patient won’t have mechanical retention to control the denture with their tongue

22
Q

Tongue sign of a successful prosthesis

A

If the tongue is raised to contact the denture then very good muscular control

23
Q

Function of mechanical breakdown of food in the mouth (2)

A
  1. Facilitates swallowing

2. Might improve digestive efficiency in GI tract

24
Q

What can deteriorated masticatory performance lead to?

A

Dietary restrictions

- Avoiding foods that are difficult

25
Q

What does masticatory performance correlate with?

A

Masticatory performance correlates with occlusal contact area

26
Q

SDA is considered acceptable for (3)

A
  1. Masticatory function
  2. Aesthetics
  3. Maintenance of oral hygiene
27
Q

In complete denture wearers biting forces are reduced, and the biting loads are carried by what component?

A

Mucosa of residual ridge (not designed to bear masticatory loads

28
Q

How can bite forces be increased?

A

By supporting dentures on teeth or implants

29
Q

List the types of prosthesis for replacing missing teeth (3)

A
  1. Mucosa-supported prosthesis
    - Complete
    - Partial
  2. Tooth-supported prosthesis
    - Removable
    - Fixed bridges
  3. Bone supported prosthesis
    - Implants
30
Q

Why are acrylic RPDs not considered a definitive tx option for missing teeth?

A

Not used long term as they lead to gingival recession and will sink the mucosa

31
Q

Example of a mucosa supported prosthesis

A

Acrylic RPD

32
Q

Example of a tooth supported prosthesis

A

CoCr RPD

Bridges

33
Q

List the different types of bridges

A

Adhesive/resin bonded bridge

  • Maryland
  • Fixed fixed
  • Cantilever
34
Q

What is a fixed-fixed bridge?

A

Dentist uses existing natural teeth on both sides of your missing tooth to hold your bridge in place

35
Q

What is a cantilever bridge?

A
  • A pontic connected to a retainer at one end only

- Used to replace single teeth and only one retainer is used to support the bridge

36
Q

When is a cantilever bridge not recommended?

A

Not recommended when occlusal forces on the pontics will be heavy

37
Q

Advantages of adhesive bridge/resin bonded bridge (4)

A
  • Quick, non destructive
  • Conservative of tooth tissues
  • Aesthetics
  • Durable (good life span)
38
Q

What is the least destructive option for replacing missing teeth?

A

ADHESIVE BRIDGE:

An immediate, temporary adhesive bridge, followed by a permanent bridge once the tissues have settled

39
Q

What is an advantage of a cantilever design?

A

Wing only on one side so doesn’t touch teeth unnecessarily

40
Q

Why are mucosa borne dentures not recommended?

A

Occlusal load transmitted to bone via the oral mucosa

41
Q

Why are tooth borne dentures recommended?

A

Occlusal load transmitted to bone via the rests and the PDL