L26. Toothwear and Occlusion Flashcards

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1
Q

What is occlusion the study of?

A

Upper and lower teeth when they are closed together

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2
Q

Where are the teeth in the “rest position”? What is this determined by?

A

Slightly apart

Determined by neuro-muscular memory

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3
Q

What does ICP stand for and what does it mean?

A

Inter-cuspal position - when the teeth are fully occluded

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4
Q

In anterior ICP, where do the lower teeth’s incisal edge/canine tip rest?

A

Against the cingulum of upper teeth

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5
Q

Name 2 materials which can be placed between the teeth to check occlusion.

A

Shimstock

Dental tinfoil

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6
Q

Should the shimstock be removable when the teeth are fully occluded?

A

No

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7
Q

Name the material which marks teeth to check occlusion

A

Articulating paper

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8
Q

Give the 2 patterns of direction our jaw moves in when we eat.

A

Down, right diagonally down, up

Down, left diagonally down, up

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9
Q

Give 3 ways to check for a balanced occlusion

A
  1. Even and bilateral ICP
  2. Anterior teeth contact evenly when the mandible protrudes
  3. There is contact between teeth in the same arch and opposing arches
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10
Q

What is it called when the teeth don’t meet like in ICP?

A

RCP (retracted cuspal position)

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11
Q

What is frictional keratosis? Give an example of this

A

A type of white patch in the mouth. eg. white line from teeth grinding on cheek - linea abla

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12
Q

What is translation?

A

The movement of the jaw downwards and forwards.

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13
Q

What is canine guidance?

A

When the mandible is moved from side to side, the canines stop any lateral movement.

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14
Q

What is the other guidance type to canine guidance?

A

Group function - when the mandible swings laterally, if a few teeth tough, it is group function.

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15
Q

Name the apparatus dental casts can be placed in to represent mandibular movement.

A

Articulator

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16
Q

Name the 3 types of toothwear.

A

Attrition
Abrasion
Erosion

17
Q

Describe dental attrition.

A

Loss of surface due to contact from occluding surfaces eg. grinding/bruxism.

18
Q

What does bruxism result in on the teeth?

A

Wear facets.

19
Q

What are wear facets caused by?

A

Parafunction - purposeless bruxism

20
Q

What is erosion?

A

The loss of tooth by acid rather than bacteria. Can be caused by bulimia

21
Q

What is abrasion and what causes it?

A

Abnormal rubbing from a non-dental product eg a toothbrush.

22
Q

What is toothwear often caused by?

A

A combination of erosion, abrasion and attrition.

23
Q

Give 2 suggestions as to how to restore toothwear, with cons of each.

A

Composite - stains over time

Porcelain - May be rejected by the gingivae

24
Q

Give 3 examples of why a restoration could fail.

A
  1. Secondary (recurrent) caries
  2. Restoration or tooth fracture
  3. Pulp death
25
Q

How can gingivitis be caused by crowns?

A

Poorly-fitting crown margins

26
Q

Which 3 parts does an intra and extra-oral exam include?

A

Static and functional occlusion
signs of tooth wear
evaluation of restorations