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PROSTHODONTICS 2 LEC PRELIM > Module 2 > Flashcards

Module 2 Flashcards

1
Q

The art of identifying a disease from its signs and
symptoms

A

DIAGNOSIS

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2
Q

Requires the careful evaluation of all pertinent
diagnostic data.

A

TREATMENT PLAN

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3
Q

A mandatory first step in the treatment of any patient.

A

DIAGNOSIS AND TREATMENT PLANNING

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4
Q

THREE PHASES OF PLANNING PROCESS

A
  1. Examination
    a. History
    b. Oral examination (visual-digital
    examination)
    c. Radiography survey
    d. Study cast analysis
  2. Selection of the prosthetic service to be
    prescribed
  3. Formulation of the treatment plan
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5
Q

Comprehensive understanding of the individual who is
wearing the prosthesis is essential in the selection of the
most appropriate prosthetic service and formulation of
a through treatment plan

A

EXAMINATION

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6
Q

The examination is divided into

A

a. Preliminary examination
b. Definitive examination

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6
Q

The medical history may be obtained by using the
“vending machine method”

A

MEDICAL HISTORY

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7
Q

the anemic patient may have a:
● Pale mucosa
● Reduced salivary output
● Sore red tongue
● Infrequently bleeding gums

A

ANEMIA

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8
Q

patients with uncontrolled diabetes are:
● Poor risk for prosthodontic therapy
● Dehydrated; diminution in salivary flow
● Macroglossia; tongue is red & sore
● Teeth frequently loosen due to alveolar
breakdown
● Generalized osteoporosis
● Bruises easily & heals slowly

A

DIABETES

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9
Q

the patient suffers:
● Rapid destruction of the alveolar bone
● Generalized osteoporosis

A

HYPERPARATHYROIDISM

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10
Q

patient:
● Shows no oral symptoms
● Early loss of deciduous teeth followed
by an accelerated eruption of
permanent teeth

A

HYPERTHYROIDISM

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11
Q

patients:
● Usually take phenytoin (dilantin,
sodium), a drug that usually produces
hypertrophy of oral mucosa.
● Gingival surgery is usually indicated
before construction of a removable
prosthesis

A

EPILEPSY

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12
Q

treatment of patients with arthritis
usually raises the question whether the
disease has affected the TMJ.

A

ARTHRITIS

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13
Q

➝ Easy to treat
➝ Well adjusted and easy going
➝ Accept their share of responsibilities and
recognizes the need for replacement of the
missing teeth
➝ They have the role in maintaining their dental
health
➝ Easily adjust to any properly constructed
denture
➝ Does not present problems for the dentist

A

PHILOSOPHICAL PATIENT

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14
Q

➝ Precise in everything they do
➝ Can only be satisfied by perfection
➝ Many demands, the dentist need to explain the
treatment step by step in detail
➝ Additional appointment is needed, due to the
dentist’s extreme care, effort & patience
➝ High expectation, difficult to treat

A

EXACTING PATIENT

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15
Q

➝ Emotionally unstable
➝ Excessively apprehensive to dental treatment
➝ Complaint without justification
➝ They are never going to wear the prosthesis
➝ Cannot accept responsibilities for any of their
dental problems
➝ With chronic or debilitating disorder which are
depressed

A

HYSTERIC PATIENT

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16
Q

➝ Lack of motivation and care to the oral health
➝ Uncooperative, ignores any instruction given for
the success of the treatment
➝ No concern in their appearance even numerous
anterior and posterior teeth are missing
➝ Prognosis of RPD treatment is poor

A

INDIFFERENT PATIENT

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17
Q

Putting the initial contact with the patient in its proper
perspective. The few minutes spent with the patient are
the most important period the dentist spends with the
patient.

A

COVERT EXAMINATION

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18
Q
  1. Clinical Examination
  2. Radiographic interpretation of caries
  3. Underlying bone support
  4. Condition of existing restoration
  5. Questionable abutments
  6. Periodontal support
  7. Tooth mobility
A

ORAL EXAMINATION

19
Q

A vital and valuable contribution to ascertain how the
patient arrived at his/her present state of
semi-edentulousness

A

DENTAL HISTORY

20
Q
  1. Good lighting
  2. Clear mouth mirror
  3. Sharp explorer
  4. Calibrated dental probe
A

VISUAL AND DIGITAL EXAMINATION

21
Q

Types of food impaction:

forceful wedging of food against gingival tissues and into
the interproximal spaces through occlusal pressure.

A

VERTICAL FOOD IMPACTION

22
Q

● Scale: excellent, fair, poor
● Poor oral hygiene - presence food particles, bacterial
plaque or calculus
● When an RPD is inserted it is important that the
patient’s remaining natural teeth and tissues receive
consistent and meticulous cleaning in order for an
acceptable degree of health is maintained.

A

ORAL HYGIENE STATUS

23
Q

● Check for areas of erosion and abrasions, extent of
carious activity and degree of carious susceptibility
● If dental caries is significant problem, basic decision will
depend on the potential ability of the patient to control
the disease
● All carious lesion should be restored before
prosthodontic treatment begins

A

CARIOUS LESION AND MISSING TEETH

24
Q

Types of food impaction:

forceful wedging of food between the teeth by the tongue,
lips and cheeks

A

HORIZONTAL FOOD IMPACTION

25
Q

● Coral pink in color
● Dull translucent
● Orange peel appearance (stippling)

A

NORMAL GINGIVA

26
Q

● Red
● Smooth and shiny gingiva
● Blunting and thickening of the gingiva

A

GINGIVITIS

27
Q

CLASSIFICATION OF TOOTH MOBILITY

greater than normal; less than 1mm. movement in any
direction

A

CLASS I

28
Q

CLASSIFICATION OF TOOTH MOBILITY

tooth moves 1mm. From normal in any direction

A

CLASS II

29
Q

CLASSIFICATION OF TOOTH MOBILITY

tooth moves more than 2.0mm. In any direction including
rotation and depression
● Physiologic movement is barely discernable
● Change in normal physiologic movement may
indicate traumatic occlusion or presence of
periodontal disease, in class III mobility, this
exhibits poor prognosis which necessitate
extraction

A

CLASS III

30
Q

Location and appearance of any ulcerations, areas of
inflammation or suspicious lesion should be noted

A

ORAL MUCOSA

31
Q

This should be visually inspected and palpated with the
aid of the finger tip

A

RESIDUAL RIDGE

32
Q

Whether palatal or lingual torus, the location should be
recorded and if surgical intervention is necessary, it
should be noted

A

TORUS

33
Q

● Teeth
● Supporting tissues
● Jaw bone

A

PANORAMIC RADIOGRAPH

34
Q

Patients are requested to touch the teeth lightly
together slowly until first contact is felt and then to
close all the way, presence of slide between the initial
contact and maximum intercuspation indicates a
discrepancy in jaw closure between centric relation
and centric occlusion.

A

OCCLUSION

35
Q

It is important to measure radiographically the quality
of the alveolar support of potential abutments.
Consideration must be made regarding the ff:
a. Support offered to the abutment teeth adjacent
to the distal free end edentulous areas
b. Need for splinting to the adjacent tooth
c. Selection of clasp assembly design
d. Selection of impression materials and techniques

A

PERIAPICAL RADIOGRAPH

36
Q

MOUNTED DIAGNOSTIC CAST
Evaluation of the following areas:

A

● Occlusal relationship
● Plane of occlusion
● Abutment teeth contour
● Rest seat areas
● Interarch space
● Ridge relationship
● Soft tissue

37
Q

the way the px walks

A

Gait

38
Q

1-2mmm

A

Sulcus depth

39
Q

poor oral hygiene

A

White lesion

40
Q

plaque or calculator deposits

A

Gingivitis cause

41
Q

cancerous

A

Red lesion

42
Q

is used to monitor the bone
development

A

Cephalometric x ray

43
Q

How to measure length of crown and root:

A

Crown: incisal to crest of the bone
Root: crest of the bone to tip of root

44
Q

the area covered by the abutment
teeth must be equal or greater compared to the
total teeth being replaced.

A

Ante’s Law

45
Q

horizontal relation

A

Plane of occlusion

PROSTHODONTICS 2 LEC PRELIM (6 decks)

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