Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Dental Hygiene II > Module 4 > Flashcards

Module 4 Flashcards

1
Q

What are the purposes for wearing dentures?

A
  • replace missing teeth adn adjacent structures

- provide function

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What adjacent structures do dentures restore?

A

facial contour, lip support, tmj position

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What are the types of removable dentures?

A
  • tissue supported denture
  • implant denture
  • overdenture
  • interm partial prosthesis
  • immediate denture
  • denture for primary teeth
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is a tissue supported denture

A

replaces entire dentition, rests on the mucosal covered ridge

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is an implant denture

A

supported in whole or part by one or more implants

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

what is a overdenture

A

rests on one or more remaining teeth, tooth roots, and or implants

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

what is an interm denture prosthesis

A

designed to enhance esthetics, stabilization, and fuction for a limited period after which it will be replaced by a definative prosthesis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

WHat is an immediate denture

A

fabricated for placement immediately following the removal of a natural tooth or teeth

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is a denture for primary teeth

A
  • replace teeth that may be congenitally missing or have been ext from rampant caries
  • provide esthetics and function
  • as permanent teeth erupt parts of denture are cut away
  • caries prevention is initated to pretect permenant
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

WHat happens with residual ridged after teeth have been removed

A

they are in a continual process of remodeling

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What undergoes resorption in an edentulous mouth

A

the alveolar bone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

How long do the major bony changes occur after teeth are removed

A

mostly in the first year but continues throughout life

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Mandibular bone loss is ________ times greater than maxillary bone loss

A

four

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What may need to be removed before a denture can be constructed?

A

Tori, and exostosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What does masticatory muscosa cover in an edentulous pt.?

A

edentulous ridges and hard palate (lamina propria and stratified squamous epithelium-keratinized)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

WHat does the lining mucosa cover in an edentulous pt?

A

floor of the mouth and vestibules and cheeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

what is the submucosa?

A

unerneath the mucous membrane which is attached to bone, composed of CT with vessels nerves and glands

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

what does the submucosa support?

A

its supports or cushions the denture, depends on the makup of the submucosa, varies throughout mouth

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Can you see the MGJ in an edenulous patient?

A

a line of demarcation similar to the MGJ is present

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Are the frenal attachments still observed in edentulous patients/?

A

yes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

How do you prepare a patient for new dentures?

A
  • start well in advance of delivery day
  • may be emotional
  • give patient idea of what to expect
  • denture satisfaction after delivery is due to contidioning before
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

What is postinsertion care for an immediate denture?

A
  • leave denture in for 24 to 48 hours after extraction

- pt returns to have denture removed, rinse and give instructions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

What is postinsertion care for new dentures over healed ridges?

A
  • regular appts. 1st appt w/in 24 to 28 hrs
  • limit instructions to basic care
  • reptition over several appts
  • written instruction
  • denture cleaning methods
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

What can alveolar ridge remodeling lead to ?

A
  • loss of denture support, facial height, lip support
  • increased chin prominence
  • TMJ manfestations
  • occlusal disharmony
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

How does the patient compensate for bone changes?

A
  • the way they wear and manage dentures
  • drug store remedies
  • denture adhesives shouldnt be used to compensate
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

How do the tissues react to dentures?

A
  • varies
  • one mouth may have thinning of mucosa and sub, particularly the epithelium
  • another mouth may have normal keratinization
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

What are factors that influence the mucosa

A
  • systemic
  • againg-thiner mucosa
  • denture and tissue hygiene
  • wearing denture constantly
  • xerostomia
  • fit and occlusion of denture
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

What is the effect of xerostomia in denture wear

A

diminished salivary flow can influence tissue lubrication

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

Why is lubrication important

A

saliva is needed for protection against frictional irritaion by the denture

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

why is saliva important in denture retention

A

helps create suction of the denture

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

How does the tactile sense change in a denture wearing patient?

A
  • sensitivity diminished to small objects in mouth

- proprioception is lost due to abscence of PDL

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

How does taste change in denture wearing patients

A

food has a different taste, taste buds of palate are covered, biofilm on dentures can alter taste

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

What do we do with a denture patient?

A

do and intra and extra exam to look for mucosal leisons because they are asymptomatic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

What are the principal causes of leisons under dentures?

A

-ill fitting dentures
-inadequate OH
-continuous wearing of dentures
-

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

Why do ill fitting dentures cause leisons

A
  • tissue changes occur over time

- pt may not been informed of having regular exam of dentures and mucosa

36
Q

why does inadequate OH cause leisions

A
  • dentures and mucosa need daily care

- denures can accumulate heavy biofilm or calculus that may irriate mucosa, cause infection and inflammation

37
Q

Why does continuous wearing of dentures cause leisons

A
  • mucosa needs rest

- allows tissue to recover in its natural environment

38
Q

What are contributing factors of inflammatory leisons

A
  • denture trauma from fit occlusion or habits
  • OH
  • chemotoxic effect from cleaners
  • allergy to denture base
  • pt self treatment
  • continuous wear
39
Q

What is another name for localized inflammation

A

sore spots

40
Q

What is the appearance of localized inflammation

A

red, inflamed, ulcerated

41
Q

waht are contributing factors to a sore spot

A

tongue bite, trauma, foreign object under denture

42
Q

What is generalized inflammation caused by

A

candida albicans infection

43
Q

What form of oral candidiasis is a reoccuring disease common to denture wearers

A

denture stomatitis

44
Q

Whar are characteristics of Candida albicans

A

red, inflammed, burining, discomfort, bad taste,

45
Q

are denture wearers aware of they have candida albicans

A

usually not

46
Q

What is the etiology of candida albicans

A

-trauma, continual wear, decreased salivary flow, lack of denture cleanliness, attachement of biofilm to old dentures

47
Q

What patients are more prone to oral candidiasais

A

-depressed immune system, head and neck radiation therapy, antibiotic use

48
Q

What kind of tx is typical of oral candidiasis

A

antifungal, new denture, massaging tissue

49
Q

What are ulcerative leisons relate to?

A

overextended denture border

50
Q

What does an ulcer resemble?

A

a cancerous leison, should be biopsied if it lasts 2 weeks after adjustment

51
Q

What is the appearance of papillary hyperplasia

A

located on palate, rarely outside confines of bony ridges, group of closely arranged pebble shaped red edematous projections

52
Q

what are contributing factors of papillary hyperplasia

A

unknown

53
Q

what is papillary hyperplasia associate with

A

poor denture hygiene, ill fitting dentures, possibly C albicans

54
Q

What is another name for denture irritation hyperplasia?

A

epulis fissuratum

55
Q

What is the appearance of epulis fissuratum

A

long standing, chronic inflammatory tissue that appears in single or multiple elongated folds r

56
Q

what is epulis fissuratum related to

A

the border of an ill fitting denture

57
Q

What is the appearance of angular chelitis?

A

fissuring at angles of the mouth with cracks, ulcerations, and erythema, moist with saliva or dry with a crust

58
Q

What are contributing factors of angular chelitis

A
  • lack of support of the commisure because of overclosure

- riboflavin deficiency or c.albicans infection

59
Q

what is used in treatment of angular chelitis

A

antifungal

60
Q

What is best for prevention of denture problems

A 
denture hygiene
care of oral mucosa
rest for tissues
diet and nutrition
relief from xerostomia
dental caries control
61
Q

When should dentures be cleaned

A

after each meal, cleansing solutions should be cleaned daily

62
Q

How should oral mucosa be cleaned

A

brush to clean and massage and preform digital massage

63
Q

What kind of rest should be provided for tissues

A

-out while sleeping, may cause TMD
-daytime for as long as possilbe
-keep in solution while out of mouth
-

64
Q

teaching of food selection cant be ______

A

overemphasized

65
Q

What foods should be emphasized

A

-foods from basic food groups

66
Q

What should be controlled and avoided

A

weight, avoid foods that are related to specific chronic condiditons

67
Q

What may affect nutrition

A

learning to adapt to an inital denture

68
Q

What should a patient with a new denture be instructed to consume

A

soft diet to relearn to chew

69
Q

How can a patient get relief from xerostomia

A

saliva substitutes

70
Q

WHat is so important for overdenture wearers?

A

meticulous care of natural retained teeth

71
Q

What should over denture wearers with natural teeth use everyday?

A

fluoride

72
Q

When can a patient expect to need a reline,rebase or remake of a new denture?

A

6 months to 1 year

73
Q

What is the frequency of maintenance appointments with a denture wearing patient?

A

depends on patients needs and risk factors, seek care for discomfort

74
Q

Why do we mark dentures?

A
  • legally required
  • ID patient in forensic dentistry
  • immediate identification
  • ID mislaid dentures in rest homes
75
Q

What is the criteria for marking a denture relative to the denture?

A

no effects on denture,must not compromise denture, cosmetically acceptable

76
Q

What makes a good marking procedure?

A

easy, simple, inexpensive, durable

77
Q

What are the characteristics that should be used in a marking system

A

fire and humidity resistant, raqiopaque

78
Q

How are new dentures marked?

A

enclosed insert in denture material, covered with acrylic

79
Q

what materials are used to make the id label of a denture

A

onionskin, tissue paper, metal strip, microchips, copper vapor abel

80
Q

how do you mark existing dentures?

A

make an indentation with a bur for the paper, cover with acrylic

81
Q

how to use a idelible pen or ballpoint for marking denture

A

put identification on, cover with fingernail acrylic, lasts 6 months

82
Q

How to use an engraving tool?

A

grooves created with engraver, darkened with a special pencil and then sealed

83
Q

What information should be included on a denture in a nursing home

A

name and intials

84
Q

what should be included on a denture marking in a community?

A

name, s security #, armed service #

85
Q

what other useful information should be included on a denture?

A

blood type, vital drug, disease or condition

86
Q

what markings are the most significant

A

information that will provide immediate identification

Dental Hygiene II (19 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions