Introduction to Fixed Prosthodontics Flashcards
What categories are included in prosthodontics?
- Fixed Prosthodontics
- Removable Prosthodontics (complete & partial dentures)
- Implant Prosthodontics
- Maxillofacial Prosthodontics
Prosthodontics is a body of knowledge and skills pertaining to: (2)
- the restoration and replacement of the natural dentition with artificial substitutes
- The restoration of the dental arches with fixed or removable dental prosthesis
what should be completed prior to any fixed prosthodontics work? (7)
- patient medical and dental history
- occlusal evaluation/TMJ evaluation
- intraoral/periodontal exam
- radiographic evaluation
- mounted diagnostic casts
- caries risk assessment
- patient expectations
Includes any systemic conditions such as xerostomia which could affect the longevity of your dental work:
medical and dental history
- Is the patient’s occlusion healthy?
- Is canine guidance present?
- Is group function present?
- Are there occlusal interferences?
- Is the bite collapsed?
These questions are all determined during:
occlusal evaluation
What should be noted when performing an intraoral exam prior to starting any fixed prosthodontics work?
- plaque accumulation
- homecare
- tissue abnormalities
What should be noted when performing periodontal exam prior to starting any fixed prosthodontics work?
- home care
- is periodontal disease present (if so is it stable?)
- tooth mobility
When evaluating radiographs prior to starting fixed prosthodontics work, you should look for: (6)
- Bone loss
- PARL
- Crown to root ratio
- location of pulp chamber
- endodontic issues
- Are these teeth potential candidates for fixed work
- allow for planning and visibility outside the patient mouth
- can be used for diagnostic wax up to predict treatment outcomes
- allow for patient education
mounted casts
The amount of ___ In the patients past and present impacts the treatment you deliver
caries
High caries risk means high risk of ____around ____
recurrent decay; crown margins
What is an important question to ask prior to starting any fixed prosthodontics work? (regarding current damage)
How did the patients’ teeth get diseased or missing
(examples: impaction, extraction, tumors, caries, cancer, trauma, abrasion, erosion, bruxism, Mal-alignment, congenitally missing, periodontal disease, and radiation therapy cysts)
Prior to prosthodontic work, what should you consider regarding patient expectations?
- are they reasonable?
- are they achievable?
- are they realistic?
- What would it take to meet those expectations and are you able to do so?
A cemented extra-coronal restoration covering the outer surface of a prepared tooth:
dental crown
The number one reason we put a crown on a tooth is to:
strengthen the tooth
A tooth is prepared for a full coverage crown with specific criteria in order to create:
- sleeve retention
- a path of insertion
- a slight convergence of the walls of the tooth prep to allow for seating of the crown
In addition to single crowns, other types of fixed restorations include: (5)
- 3/4 crown
- Inlay
- Onlay
- Fixed dental prosthesis (bridge)
- implant crowns
A cemented intra-coronal restoration fabricated indirectly:
inlay
An inlay also replacing one or more cusps:
Onlay
Crown replacing one or more missing teeth which is cemented to remaining teeth or implants:
fixed dental prosthesis (bridge)
