Module 4 Edentulous Pt.

Question 1

What are the 2 purposes of wearing a complete denture?

Answer 1

replace missing teeth

provide function

Question 2

A _______ denture rests on mucosal covered alveolar ridge?

Answer 2

tissue-supported complete denture

Question 3

An Overdenture is also called a?

Answer 3

overlay prostheses

Question 4

A removable prosthesis designed to enhance esthetics, stabilization and function for a LIMITED time?

Answer 4

Interim Denture

Question 5

Why would a denture be made for a child?

Answer 5

To provide esthetics and function due to teeth being missing or extracted.

Question 6

After teeth are removed, the bone enters into a ______ process of ______

Answer 6

continuing

remodeling

Question 7

The _______ bone resorbs due to teeth no longer being there?

Answer 7

alveolar

Question 8

Major bony changes occur within?

Answer 8

1st year

Question 9

Which arch looses more bone?

Answer 9

Mandibular ( 4 x as much)

Question 10

Why do dentures have to be relined?

Answer 10

because the bone is remodeling and soft tissue is healing

Question 11

______ mucosa covers the edentulous ridges and the hard palate.

Answer 11

Masticatory

Question 12

The muscous membrane covering the bony ridges is made up of two layers, the ____ and the ______ which is keratinized.

Answer 12

lamina propria (gingival connective tissue)
surface-stratified squamous epi

Question 13

Lining mucosa covers?

Answer 13

floor of mouth
vestiblues
cheeks

Question 14

specialized mucosa covers?

Answer 14

dorsal surface of tongue

Question 15

What lies under the mucous membrane?

Answer 15

submucosa

Question 16

The submucosa is attached to?

Answer 16

underlying bone

Question 17

The makeup of the submucosa is what determines the ____ effect for the denture?

Answer 17

support/cushioning

Question 18

Due to alveolar ridge remodeling the chin may seem?

Answer 18

to stick out more

Question 19

What factors can influence the changes the mucosa goes through?

Answer 19

Age
Systemic Disease
hygiene
constant wear of denture
xerostomia
fit and occlusion of denture

Question 20

How long do you tell the pt to keep the denture in after first getting it?

Answer 20

24-48 hrs

Question 21

Xerostomia can influence denture ______ and tissue _____ as well as reduce the resistance of the oral mucosa to _____

Answer 21

retention
lubrication
trauma/infection

Question 22

T/F Proprioception is the same with a denture as it is with normal dentition?

Answer 22

F….you loose proprioception

Question 23

Dentures can develop ____ which can alter food taste.

Answer 23

thick odoriferous biofilm

Question 24

Why is taste perception decreased in pts with full dentures?

Answer 24

taste buds on palate are covered

Question 25

What are the 3 main reasons for lesions under dentures

Answer 25

ill fitting dentures inadequate oral hygiene continuous wearing of denture

Question 26

Leaving on ______ can cause a chemotoxic effect which can cause oral lesions under a denture?

Answer 26

cleaning paste/solution

Question 27

Pt's that self reline with OTC stuff can cause lesions to the mucosa because?

Answer 27

material is porous and harbors bacteria which bother the tissues

Question 28

A localized inflammation is called a?

Answer 28

sore spot

Question 29

A sore spot is a _______, _____, inflammed area that can sometimes be ______?

Answer 29

localized red/white ulcerated

Question 30

oral ______ is a form of denture stomatitis that is a reoccurring disease common to denture wearers?

Answer 30

candidiasis

Question 31

Oral Candidiasis is a _____ redness, inflammation with a _______ sensation and _______ taste?

Answer 31

generalized burning unpleasant

Question 32

Pt's who are ________ have a history or head and neck _______ and use _______ are at an increased risk for candida infection of mucosa?

Answer 32

immunocompromised radiation therapy antibiotic

Question 33

What lesion is located on the palate but not outside the confines of the bony ridge?

Answer 33

papillary hyperplasia

Question 34

Papillary hyperplasia is seen as a _____ arranged ______shaped, _, _____projections?

Answer 34

closely pebble red edematous

Question 35

What is the cause of papillary hyperplasia?

Answer 35

unknown | may be poor oral hygiene, candida, or ill fitting dentures

Question 36

The cause of denture irritation hyperplasia is?

Answer 36

ill fitting denture

Question 37

Denture irritation hyperplasia is also called?

Answer 37

Epulis Fissuratum

Question 38

A Epulis Fissuratum is seen clinically as a single or multiple ________

Answer 38

elongated inflamed folds of tissue

Question 39

________ is seen as cracks, ulcerations, and erythema at the angles of the mouth?

Answer 39

Angular Cheilitis

Question 40

Angular Cheilitis can either be _____ or _____

Answer 40

moist | dry

Question 41

The main cause of Angular Cheilitis in denture pt's is?

Answer 41

loss of vertical dimension of occlusion

Question 42

A secondary cause of Angular Cheilitis is?

Answer 42

riboflvin deficiency | candida infection

Question 43

The frequency of maintenance appointments is determined by _____ and _____

Answer 43

need | risk factors

Question 44

Why do we mark dentures with pt. name?

Answer 44

required by law in some states

Question 45

A low risk denture pt. is someone who is ___, doesn't use _______ or ____ and has ______ denture care?

Answer 45

healthy tobacco alcohol impeccable

Question 46

A high risk denture pt. uses _____ and ____ has a previous history of _______ has a _______disease and has any remaining ______

Answer 46

``` tobacco alcohol cancer systemic teeth/implants ```

Question 47

A high risk denture pt. should be seen how often?

Answer 47

3-6 mo