Lecture 3: Wax Rims-->Setting Teeth

Question 1

___________: The stable simultaneous contact of opposing upper and lower teeth in centric relation position

Answer 1

Bilateral BALANCED Denture Occlusion

Question 2

How far should the resting lip line rest above the plane of the maxillary wax rim?

Answer 2

1-2mm

Question 3

_______: A plane established by the inferior border of

the right or left ala of the nose and the superior border of the tragus of both ears.

Answer 3

Camper’s Line aka Ala-Tagus Line

Question 4

When looking at Campers Line/Ala-Tragus Line you are looking at the _______ aspect of the ALA and the _______ aspect of the TRAGUS.

Answer 4

INFERIOR of ALA and SUPERIOR of TRAGUS

Question 5

What does the face bow do?

Answer 5

Orientation of maxilla to the terminal hinge axis

Question 6

How much room for error do we account for when doing an arbitrary hinge axis vs. a TRUE facebow?

Answer 6

6mm

Question 7

What is the 3rd point of reference on the DENAR facebow?

Answer 7

43mm from incisal edge

Question 8

The bite-fork of the facebow should go on what structure of the face?

Answer 8

the MIDLINE

Question 9

CLINIC: What do we do AFTER recording the facebow?

Answer 9

get the VDR and VDO!!

Question 10

________: is in an upright position and the involved muscles, particularly the elevator and depressor groups, are in equilibrium in tonic contraction, and the condyles are in a neutral, unstrained position

Answer 10

Vertical Dimension of Rest

Question 11

_______: is the distance measured between two points when occluding members are in contact.

Answer 11

Vertical Dimension of Occlusion

Question 12

_______: is the difference between VDR and VDO…HOW LARGE SHOULD THIS BE??

Answer 12

2-3mm

Question 13

What do you instruct the Pt to say before measuring VDR?

Answer 13

“mmm or Emma”

Question 14

What is the space that exists when the “SS” words are said? How many mm of space should there be during this sound?

Answer 14

Closest Speaking Space…1-2mm

Question 15

VDR - _____ = Freeway Space (__-__mm)

Answer 15

VDR - VDO = Freeway Space (2-3mm)

Question 16

Clicking of the teeth is a result of ________ inter-occlusal space.

Answer 16

INADEQUATE

Question 17

Facial distortion, tense strained appearance are results of ________ inter-occlusal space.

Answer 17

INADEQUATE

Question 18

Difficulty closing lips and difficultly swallowing are results of _______ inter-occlusal space.

Answer 18

INADEQUATE

Question 19

BOTH soreness and discomfort under the denture AND increased ridge resorption due to trauma are results of _______ inter-occlusal space.

Answer 19

INADEQUATE

Question 20

INADEQUATE INTER-OCCLUSAL REST SPACE = EXCESSIVE _____

Answer 20

VDO

Question 21

overclosure is potentially damaging to the ____ and is a result ______ inter-occlusal rest space.

Answer 21

TMJ….EXCESSIVE

Question 22

With EXCESSIVE interocclusal rest space the Pt will have _______ inter arch distance when the teeth are in occlusion.

Answer 22

REDUCED

Question 23

When normal tongue space is limited, it is most likely a result of _______ interocclusal space

Answer 23

EXCESSIVE

Question 24

Excessive Interocclusal Rest Space= Inadequate ____

Answer 24

VDO

Question 25

angular _______ is sometimes attributed to overclosure and therefore _______ interocclusal rest space

Answer 25

cheilitis...Excessive

Question 26

with excessive interocclusal rest space muscles of facial expression lose their ______

Answer 26

TONE

Question 27

Centric Relation is a when the condyles are in their most ______ and ______ position in the articular eminences.

Answer 27

ANTERIOR AND SUPERIOR

Question 28

The key with a CR record is that it is a ________ positon

Answer 28

repeatable

Question 29

in a complete denture the goal is to have CR = ____ = MIP

Answer 29

CO (centric occlusion)

Question 30

What two things must the clinician do when taking the CR?

Answer 30

1.hold the mand plate in place 2. Pt tongue to back of mouth

Question 31

The maxillary incisors contact the _______ of the lower lip during speech production of 􏰂f􏰃 and 􏰂v􏰃 sounds.

Answer 31

wet-dry line

Question 32

When setting the max ant teeth, they should be __-__ mm from the center of the incisive papilla

Answer 32

5-7mm

Question 33

if the lips are not supported properly by the teeth _______ | sounds may be defective: "__,__"

Answer 33

labial..."p,b"

Question 34

_________ are produced by contact between the maxillary incisors and the wet-dry line of the lower lip

Answer 34

labiodental..."f,v"

Question 35

_______ are made by contact between the tip of the tongue and the palate at the rugae area with a small space for the escape of air

Answer 35

linguopalatal.."s,sh"

Question 36

When setting the maxillary centrals- the long axis should be _______ to the horizontal plane

Answer 36

perpendicular

Question 37

When setting the maxillary centrals-the contact point should coincide with the ______ of the face

Answer 37

midline

Question 38

When setting the maxillary centrals-The incisal edge should touch the mandibular occlusion rim and the cervical portion of the tooth should incline slightly _____.

Answer 38

lingually

Question 39

When setting the maxillary laterals- The long axis should incline slightly _______.

Answer 39

distally

Question 40

When setting the maxillary laterals-The cervical portion of the tooth should incline slightly ______.

Answer 40

lingually

Question 41

When setting the maxillary laterals-The incisal edge of the lateral should be raised approximately ___ mm from the mandibular occlusion rim.

Answer 41

1mm

Question 42

When setting the maxillary canines-The incisal edge of the canine should touch the ________.

Answer 42

mandibular occlusion rim

Question 43

When setting the maxillary canines- The long axis should incline slightly _______.

Answer 43

distally

Question 44

When setting the maxillary canines-The cervical third of the labial portion of the canine should incline _______ to achieve some prominence.

Answer 44

buccally

Question 45

When setting the maxillary canines- The _______ aspect of the canine should be visible when viewed from the anterior. This will be accomplished by tilting the neck of the canine slightly to the _____ (in addition to being tilted to the ______)

Answer 45

mesiolabial...distal...buccal

Question 46

Set the mandibular central incisors so that the maxillary incisors cover them, (___-___ mm horizontal and vertical overlap)

Answer 46

1-1.5mm HO, VO

Question 47

Setting mandibular centrals: The long axis of the mandibular central incisor should be set ________ to the occlusal plane.

Answer 47

perpendicular

Question 48

Setting mandibular centrals: The contact point of mandibular incisors should coincide with the _______ of the maxillary teeth.

Answer 48

midline

Question 49

Setting mandibular laterals: The long axis of the mandibular incisor should be slightly inclined ______ at the cervical portion of the tooth.

Answer 49

distally

Question 50

Setting mandibular laterals: The occlusal height should be the same at the ________.

Answer 50

central incisors.

Question 51

Setting mandibular canines: The long axis of the mandibular canine is nearly ________ to the occlusal plane with a slight ______ inclination.

Answer 51

perpendicular...distal

Question 52

Setting mandibular canines: The tip of the canine should be at the same occlusal height as the ________.

Answer 52

mandibular central and lateral incisors.