L85: Intra-Oral Examination 3 Flashcards

1
Q

What is occlusion?

A

The study of the relationships between the upper and lower teeth when they are closed together.

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2
Q

What is the functional purpose of occlusion?

A

Bringing the teeth together for chewing and swallowing.

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3
Q

Name the components of occlusion:

A
  • Teeth;
  • Periodontal Tissues;
  • Jaws;
  • TMJ;
  • Muscles (temporalis, masseter!);
  • Nervous Control.
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4
Q

Most of the time, the teeth are…

A

apart.

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5
Q

The ‘rest position’ of the mandible is when…

A

the teeth are apart.

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6
Q

The ‘intercuspal position’ (ICP) is when…

A

is the position in which the mandible is maximally braced against the maxilla (maximum inter-cuspation).

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7
Q

What is the typical (mm) between rest position and ICP?

A

3-4

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8
Q

How are rest position and ICP achieved?

A

Neuro-muscular memory

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9
Q

@ ICP, the stable contact points of the posterior teeth are:

A

The lower buccal cusps and the upper palatal cusps occlude against the fossa and marginal ridges of opposing teeth

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10
Q

@ ICP, the stable contact points of the anterior teeth are:

A

The lower incisal edges and canine tips occlude against the cingulum area of the opposing teeth

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11
Q

Which axis are forces directed down with ideal occlusal contacts?

A

The long axis

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12
Q

How can ICP contacts be tested clinically?

A

With shimstock or articulating paper

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13
Q

What type of movement brings the mandible forwards and downwards?

A

Translation

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14
Q

What type of movement brings the mandible downwards only?

A

Rotation

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15
Q

Name the two types of guidance during lateral movement of the mandible:

A

Canine and group

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16
Q

What is an articulator?

A

A device in which dental casts are held to mimic jaw relationship

17
Q

What are the three types of tooth wear?

A
  • Abrasion;
  • Attrition;
  • Erosion.
18
Q

What is abrasion?

A

The loss of tooth material caused by abnormal rubbing from a non-dental object, e.g. a toothbrush at the gumline.

19
Q

What is attrition?

A

The loss of tooth material between occluding tooth surfaces due to parafunctional activity, e.g. Bruxism (grinding).

20
Q

What is erosion?

A

The loss of tooth material by a chemical process (acid), not bacterial. E.g. diet, regurgitation, environmental.

21
Q

Why are restorations prone to failure?

A
  • Secondary caries;
  • Fracture;
  • Pulp death;
  • Incompatibility with periodontal tissues.
22
Q

What should an intra-oral examination include?

A
  • Assessment of the occlusion, static and functional;
  • Assessment of signs of tooth wear;
  • Evaluation of restorations.