Intro + Treatment Planning Flashcards
_______ is that 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 prostheses.
Prosthodontics
______ is the dental specialty pertaining to the diagnosis, treatment planning, rehabilitation, and maintenance of the oral function, comfort, appearance, and health of patients with clinical conditions associated with missing or deficient teeth and/or maxillofacial tissues by using biocompatible substitutes.
Prosthodontics
________: 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.
Fixed Prosthodontics:
What is the scope of prosth? 5 things
- Restore function and esthetics of single teeth
- Replacement of missing teeth
- Improve comfort and mastication
- Complete / maintain the integrity of dental arches
- Self image
The following are reasons for \_\_\_\_\_\_\_: Caries Periodontal disease Trauma Erosion Bruxism •Cysts, malignancies and tumors •Radiation therapy for tumors •Grossly mal-aligned teeth •Iatrogenic extraction •Congenitally missing teeth •Failure to erupt (impacted teeth)
reasons for tooth destruction and loss?
: The socket remodels until it assumes the shape of the rounded edentulous ridge.
Resorption
Sequelae of ________
•Resorption: The socket remodels until it assumes the shape of the rounded edentulous ridge.
•Tilting
•Drifting
•Occlusal disharmony: leads to discomfort, pain or damage to TMJ
Sequelae of tooth loss
\_\_\_\_\_\_\_ \:a cemented extracoronal restoration covering the outer surface of a prepared tooth. •“Sleeve” retention •Slight convergence of opposing walls •“Path of insertion”
Crown
________
an extracoronal restoration covering a portion of the clinical crown.
•“Sleeve” retention with additional internal retentive features
•Grooves
•Partial veneer crown:
a cemented intracoronal restoration is fabricated indirectly and cemented into the prepared cavity of the tooth.
-Wedge restoration
•Inlay:
_______ retention: slight divergence of opposing internals walls.
“Wedge”
_____ :an inlay modified with an occlusal veneer (replacing 1 or more cusps).
Onlay
)•Dental prosthesis replacing one or more missing teeth which is cemented/ rigidly attached to remaining teeth (or implants).
Fixed Dental Prosthesis (FDP or FPD
HOw many months should be allowed for osseointegration?
3 months
Elements of \_\_\_\_\_\_\_\_\_\_\_: •Patient History •TMJ and Occlusal Evaluation •Intraoral Examination •Diagnostic Casts•Diagnostic Waxing•Custom Trays, Matrix for Interim Restorations •Radiographic Evaluation •(Esthetic Analysis)
Elements of Fixed Prosthodontics Diagnosis(Fixed Prosthodontics Work-up)
- Medical History
- Dental History
- Chief Complaint
Patient History
\_\_\_\_\_\_\_ condition •Plaque –where and how much •Attached gingiva •(3mm -abutments) •Inflammation •BoP/ Pockets •Gingival architecture •Mobility
Periodontal Condition
_______ eval
•Joints•Sounds; opening limitations / deviations
•Muscles of mastication
•Palpation of extraoral and intraoral muscles of mastication
•Assessment of pain
•Type and origin of pain
•Determination of the presence or absence of physiologic health.
•Normal (treatment to maintain occlusion)•Dysfunctional (improvement / restorations?)
TMJ / Occlusal Evaluation
Evaluation of _____
•Presence and location of caries
•Previous restorations and prostheses
•Evaluation of the occlusion
•Relationship of spaces, if more than one
•Bony defects
•Health of tissues
•Wear facets
•Occlusal prematurities; interferences; buttressing bone
•Difference between CRCP (CO) and MIP
•Existence and amount of anterior guidance
•Occlusal Scheme
•Canine Guidance•Group Function•Bilateral Balance
Occlusion
- Accurate representation of dental arches
* Mounted on a semi-adjustable articulator with a facebow transfer
Diagnostic Casts
Correlate facts collected from intraoral exam and diagnostic casts
Full Mouth Radiographs
When doing crowns on _____ teeth, you must do wax up for patient communication, to determine compromises, and expected results
Anterior teeth
What are the 5 factors that determine the selection of material and design of restoration?
- Destruction of tooth structure
- Esthetics
- Retention
- Plaque control
- Financial considerations
_______ surfaces cause wear to all opposing surfaces
Ceramic surfaces
_______ does not wear opposing enamel.
cast gold alloy
•Restores teeth with multiple defective axial surfaces
Provides maximum retention
Correction of axial / occlusal contours
Simplest preparation; least wear to opposing teeth
No esthetic expectations
Full Veneer (Complete) Crown Cast Metal (Gold) Alloy
- Multiple defective axial surfaces
- Maximum retention and strength
- Meets high esthetic requirements
Full Veneer (Complete) Crown Metal-Ceramic
- Full coverage w/ maximum esthetics
- Less fracture resistant -low to moderate stress
- Posterior-more likely to fracture
Full Veneer (Complete) Crown All-Ceramic
Full coverage w/ maximum esthetics
Less fracture resistant -low to moderate stress
Ceramic Crowns
Restores tooth w/ one or more axial surfaces intact, and ½ or more coronal tooth structure missing
Partial Veneer Crown (Gold Alloy)
A thin layer of ceramic bonded to the facial enamel surface with resin cement.
Esthetic result for intact anterior teeth with staining or developmental defects.
Can restore moderate incisal chipping and small proximal lesions.
Ceramic laminate veneer restorations
With amalgam, composite, and cast restorations, how do these 3 rank from longest to shortest in restoration lasting time?
Cast restoration > amalgam > composite
