NEW PROSTH MD Flashcards
TOOTH that the bridge attaches to is called what?
abutment
an intermediate abutment ( abutment supported bridge by itself) is called?
pier
2 types of teeth bridge should not be on
endo treated
perio teeth
ideal crown to root ratio
1 C: 2 R
minumum crown to root ration and uneccaptable one
1;1
2;1 = poor
antes law states?
PDL surface of abbutment teeth should be equal or greater than imaginary PDL surface area of missing teeth
failure of antes law, what should happen?
splingting teeth
what should be done when replacing canine?
central and lateral should be splinted together to prevent lateral drifting of bridge
T or F diverging multiple curved roots are preferred over fused conical rounded roots?
T
what is COMBINATION SYNDROME
edentulous maxillary and partial edentulous mandibular
cement retained vs screw retained
which one allows minor angle correction? more economical more chair time? good maintenance? cause peri-implantitis?
cement: - angle correction - more economical more chair time excess cement= PERI IMPLANTITIS!!!
SCREW: good maintenance
what controls setting rate in alginate?
trisodium phophate
position of condyles in CR?
most anterior and superior
cr or mi more reliable?
CR
on an articulator, what does hinge axis simulate?
TMJ
what are the 2 angles you want on semi-adjustable articular
bennett angle= 15 degrees
HCI (horizontal condylar inclination): 30 degrees
alginate cats vs elastomeric material casts
which material is more accurate for each bite registration?
alginate: wax records
elastomeric: PVS or ZOE paste
what represents condylar guidance and incisal guidance on articulate?
condylar: HCI ( horizontal condyl inclination)
- post determinatnt of conclusion
HCI : steepness of articulator surface of temporal bone related to horizontal plane
incisal guidance: pin and guide table articulator
- anterior determinnant of occlusion
what is canine guidance?
when lateral mvmnts cause post teeth to disclude when contact on upper and lower canine on working side happen
what is anterior guidance
incisal and canine guidance
during protrusive movements, ___ provides clearance for all posterior teeth
incisal and condylar guidance
during lateral, canine on working side and condyle on balancing side provide what?
clearance for post teeth on balancing side ( side mandible moving away from)
where is hamular notch?
right by virbrating line ( google it)
retromolar pad contains attachment from what 4 muscles? ***
temporalis
buccinator
superior pharyngeal constrictor
pterygomandibular raphae
f
f
the area between mandibular alveolar ridge and tongue
alveololingual sulcus
what provides support for denture in mandible?
buccal shelf
most to least common to get frenectomy ?
lingual labial buccal
Labial > buccal > lingual
LaBuLi
most common area for flabby hypermobile ridges?
anterior maxilla
overextended flange causes what?
epulis fissuratum ( hyperplastic tissue)
papillary hyperplasia ( ill fitting denture) caused by what PATHOGEN?
candidiasis
cpmbination syndrome has bone absorption in the anterior edentulous maxilla when opposing what teeth?
mandibular ANTERIOR only
when is the only way root tips may be left alone?
if they have intact lamina dura and no r/l !
patient has illfitting denture and hat.what do they have?
pagets diseae
WHY is tori removal done?
if created undercut and affects posterior seal
what is christenson phenomenon?
distal space created b/w max and mand occlusal surface when mandible protruded
A gap occurring in the natural dentition or between the opposing posterior flat occlusal rims when the mandible is protruded (posterior open bite). It can lead to instability in full dentures unless compensating curves are incorporated into the dentures.
balanced occlusion:
what should be avoided in terms of guidance?
what should the balancing side have in terms of what cusps occlude with what teeth ?
what should working side have?
anterior guidance shoud be avoided
balancing: max lingual cusps contact lingual incline of mand buccal cusps
working side: max lingual cusps contact facial incline of mand lingual cusps and mand buccal cusps contact lingual incline of max buccal vusps
what is the only occlusion we want on a denture?
lingualized occlusion:
palatal cusps max post teeth contact mand posterior teeth ( eliminates destabilizing buccal force
curve of spee vs curve of wilson
Spee: anteroposterior curve, ensure loading into long axis of each tooth; more MESIAL inclination as move distally
wilson: mediolateral curvealong posterior cusp tip to ensure loading into of each tooth
more LINGUAL inclination as move distally
resistance to VERTICAL seating forces is called ?
support
what provides support for mandible and maxillary?
mand: buccal shelf/ retromolar pad
max: palate/ alveolar ridges
what part of denture gives support?
base
resistance to HORIZONTAL dislodging forces
stability
what provide stability for upper and lower arch
ridge height
depth of vestibule
what part of denture provides stability
denture flange
resistance to VERTICAL dislodging forces is called what? and what part of denture provides it?
retention
peripheral seal
better saliva, thick and ropy or thin and watery?
thin and watery
what is surface tension?
combination of adhesion and cohesion forces
if denture is extended too far back occlusal forces would ___ the denture
dislodge
if a denture flange is too short it causes a lack of ___
retention
what are 2 parts of heat-cured acrylic
PMMA: polymer ( powder)
MMA= monomer (liquid)
liquid inhibitor called?
hydroquinone
initiator in PMMA powder
benzoyl peroxide
when processing denture. more shrinkage occurs when?
there is excessive monomer
ideal ration of monomer to polymer
1:3
monomer= liquid
polymer= powder
when does porosity happen?
underpacking with resin or being heated too rapidly
T or false, acrylic teeth have better retention
T because can bond to acrylic resin
more brittle acrylic or porcelain?
porcelain
what is the function of major conenctor on denture?
provide RIGIDITY
most rigid maxillary major connector
complete palatal plate
least rigid of maxillary major connector
horeshoe
only use if have tori
all major connectors should cross midline at what angle?
right angle
function of beading and when would you do it?
only for max major conenctor
.5mm round groove across boarder prevent food impaction
when lingual vestibule depth is < 7mm
lingual plate
patient walks in and needs denture. he is missing a canine and has bad period. what would you make him?
labial bar swinglock
purpose of rest?
SUPPORT: directs forces through long axis
occlusal rest:
MD width?
intercuspal width?
depth?
1/3 MD
1/2 IW
1.5mm deep
cingulum rest seat:
MD length?
labiolingual width?
depth?
2.5-3 MD
2 LL width
1.5 deep
guide planes:
Buccolingual width?
how far does it extend?
1/3 BL
2-3 mm vertically down
Indirect retainer ROTATIONAL movement centered around lien drawn in most ___ rests (m or D)
Distal
what does indirect retainer do?
provides bracing to resist rotational movement of distal extension area
Rest, minor conenctor, retentive clasp arm, reciprical clast arm
which one is retention, stability, support, ?
restminor connector and reciprical: stability
rest: support
retnetive clasp: retention
T or F retentive clasp is above HOC
false BELOW
where does retentive clasp engage and how does it work
engage undercut resist dislodging forces only when dislodging forces applied to them
reciprical clasp engages where? function?
contacts tooth ABOVE hoc and survey line
braces abutment tooth so not torqued by retetntive clasp
Suprabulge vs infrabulge clasp design
Supra: akers, ring, embrasure (originates above survey line)
infra: I bar, T bar ( originates below survey line)
where does retentive and reciprical clasp orginate from?
minor connector and rst
when yndercut is adjacent to bounded edentulous space what type of clasp do you use ?
ring clasp
what makes up clasp assembly ex: RPA, RPI, RPC
rest, proximal plate, clasp type
a patient is periodontally compromised and has endo treated teeth. what clasp system do you use ?
wrought wire
what is RPD material made of
cobalt-chromium
main reason why clasps break??
cold-working : mainupulating metal at ambient temperatures
a secondary place is on what cusp?
fucntional cusp
what are the 3 principles of tooth preparation
mechanical ( most important)
biologic
esthetic
stopping removal of crown from sticky foods is called?
retention form ( removing along long axis)
preventing removal of crown by horizontal, oblique, or apical forces
resistence form
most operator control is by what?
tapering ( less tapering = better retetntion)
minimum height or length of teeth
3 mm = incisors / pm
4mm= molars
minimum ration of height to base:
.4
if you have short clinical crown, what to do for retention and resistance?
buccal grooves for retention
proximal grooves resistance
for metal crown minum thickness for
non contact areas? margin?
non contact= 1 mm
margin= .5
contact= 1.5 ( occlusal of tooth)
whats more important redcuction or clearnace ?
clearance !
both 1.5- 2
which margin has best seal? featheredge light chamfer heavy chamfer shoulder
featheredge
which margin for pfm crown featheredge light chamfer heavy chamfer shoulder
shoulder for porcelain
which margin for ACC crown featheredge light chamfer heavy chamfer shoulder
shoulder
1 lab complaint?
tooth underresduced so lab overbulks
what is 3/4 7/8 crown and why used?
hybrid b/w onlay and crown and conserves tooth structure
what type of occlusal point contacts do you want for occlusion in terms of size and shape?
broad
flat
which one requires enough VDO at least 2 mm hygeiene saddle/ridge lap conical modified ridge lap
hygenic
which one should never be used due to bad hygiene hygeiene saddle/ridge lap conical modified ridge lap ovate
saddle/ ridgelap
which one has marginally better esthetic used for molars hygeiene saddle/ridge lap conical modified ridge lap ovate
conical
which one is used for anteriors ? hygeiene saddle/ridge lap conical modified ridge lap ovate
mod ridge lap
which one requires surgery and is best for ant esthetics hygeiene saddle/ridge lap conical modified ridge lap ovate
ovate
conenctor for PFM bridge should have a minum of __ mm height
3 mm
tissue manigment for fluid control. what is the medicine called?
atropine ( antisialagogues)
chemical formula for viscostat and hemodent
ALCl = hemodent FeSO4= viscostat
most inaccurate impression material?
irreversible hydrocolloid ( alginate)
what is imbibition
absorption of water
what is syneresis
loss of water
impression with the best fine detail?
PVS ( addition silicone )
GYPSUM is mines as ____ and manufactures as __
calcium-sulfate dihydrate 2H2O
calcium-sulfate hemihydrate 1/2 H20 ( hit got rid of some water)
1, 2 ,3 ,4 ,5
which gypsum material is the best one ?
type 4
1, 2 ,3 ,4 , 5
which gypsum material is used for impression (mounting) plaster?
Type 1
1, 2 ,3 ,4 ,5
which gypsum material is used for model plaster
2
1, 2 ,3 ,4 ,5
which gypsum material is used for dental stone
3
extra water needed to obtain workable mix of material?
gauging water
how water affects: strength porosity expansion setting time
more water: less strength more orosity less expansion increased setting time
best one) 1, 2 ,3 ,4 ,5
which gypsum material is used for mouth guards or essex retainers?
2
least amount of expansion
1,2,3,4,5
4 (that is why it is thebest)
How to decrease setting time qith:
water amount
water temperature
spatulation time
: hot water, less water, increased spatulation time
what are 3 noble metals ?
GOld
Platinum
Palladum
SILVER PRECIOUS METAL NOT NOBLE!!
which noble metal is tarnish resistant?
gold
platinum
palladium
gold
which noble metal incr strenth ?
Gold
platinum
palladium
platinum
palladium
which noble metal increases melting temp
gold
platinum
palladium
platinum
which metal causes greening of porcelain?
silver
what is high noble alloy made of?
> 60% noble, at least 40% gold
what is noble alloy made of
> 25% noble
base metal alloy made of?
<25% noble
type 1 gold alloy example and composite of gold?
98-99% class V restorations only/ soft
type 2 gold alloy example and gold percentage?
77% inlay
type 3 gold example and percentage?
72%
crowns
type 4 gold example and percentage?
69% RPD casting (STRONGEST !!!)
LESS GOLD= STRONGER
the ability to resist fractures during compression is called what?
compressive strength
abilitiy to resist fracture during pulling called?
tensile strength
ability to resist fracture during bending
flexural
what material has the best fracture toughness?
zirconia
prime example of material being very brittle?
Porcelain ( fractures easy without substantial dimension changes)
what is ductility and what is a prime example?
wires
deforms under tensile strength (pulling)
deforms easily under COMPRESSIVE strength
malleability
gold
percentage elongation is the ability to be what? and what is an example
burnished
contact stress exceeds yield strength of material
GOLD
order of greatest to least coeffecient of thermal expansion
Composite, metOl (amalgam), Tooth, cEramic
COTE
which coefeccient of thermal expansion is closes t to tooth
gold, porcelain, amalgam, composite?
GOLD
gold = 14
tooth = 11.4
desirable mechanical properties : yield strenth? elastic modulus? casting acuracY? biologic compatibility? CTE?
- High yield strength ( does not permanently deform)
- high elastic modulus: does not flex
- casting accuracy: gold is more accurate than base metal
- NI and BE allergies
- CTE: closest. to tooth
msot common dental metal alergy?
Ni
best material for provisional?
Bis-acryl composite ( integrity)
why cleaning provisional cement is imperative
Eugenol : inhibits polymerization of resin !!
in order to bond porcelain to metal, what must be present ?
monomolecular oxidative layer !!!!
porcelan
oxide layer ( in middle)
Metal
in order to bond porcelain to metal, what must be present to connect the 2 ?
monomolecular oxidative layer !!!!
porcelain
an oxide layer ( in middle)
Metal
for occlusal contact, occlusal contact must be at least ___ mm away from porcelain-metal junction
> 1.5 mm
metal-ceramic failures:
cohesisve failures within ocide-oxide happens if what?
oxide layer TOO THICK
adhesive failures in porcelain - metal is due to what?
oxide layer was not formed
why do PFM bridges fracture easy?
porcelain low ductility
for ACC CROWNS, glass infiltrated ceramics etched with what? and treated with what after?
HF acid !! ( not phosphoric)
Silane coupling
zirconia crown, what material do you use ?
zinc oxide eugenol Zinc Phosphate Zinc polycarboxylate GI RMGI Resin cement
Luting Cement : RMGI , GI:
zirconia = ceramic with no glass
Porcelain veneer *** : how much gingival third reduction? facial reduction? incisal reduction? how deep into dentin?
- .3 mm gingival third
- .5 mm facial reduction
- 1-2 mm incisal
INTRA ENAMEL!! Not in dentin
what is a maryland bridge? differnece from conventional bridge?
resin-bonded bridge
conventional bridge: more removal of tooth structure
most important color system
value
hue
chroma
value
saturation or intensity ?
hue
value
chroma
chroma
color family?
hue
value
family
hue
lightness or darkness
hue
value
family
value
0- black
100- white
color appears differnt under different lighting
metamerism
fluorescence
opalescence
metamerism
light effect of a translucent material appearing blue and reflected red-orange in transmitted light
metamerism
fluorescence
opalescence
opalescence
shade slection for :
middle third of crown
cervical third of crown
incisal third of crown
chroma, hue, value
value first
chroma second
hue lat
when picking characterization alywas pick something with (high/low) amount of (value, chroma, hue)
HIGH VALUE!!!
can always add color and make darker but not the reverse
for crown delivery what is the number 1 thing you check ??
shade (esthetics!)
what type of bonding for temp crown?
zinc polycarboxylate Zinc Phosphate Zinc Oxide Eugenol GI RMGI
ZOE ( inhibirts polymerization of resin) temp cement
when putting on zirconia crown what do you use? zinc polycarboxylate Zinc Phosphate Zinc Oxide Eugenol GI RMGI
RMGI
a zirconia crown uses what
zinc polycarboxylate Zinc Phosphate Zinc Oxide Eugenol GI RMGI resin cement
GI/ or RMGI (LUTING CEMENTS)
luting: ceramcis with no glass
PGM or FMC uses what type of agent? zinc polycarboxylate Zinc Phosphate Zinc Oxide Eugenol GI RMGI
GI/ RMGI
luting cement because luting for those without glass ceramics
lithium disulcate (EMAX) uses what agent?
zinc polycarboxylate Zinc Phosphate Zinc Oxide Eugenol GI RMGI Resin
Resin Cement: Rely X
bonds dentin, usd with cermaics with glass in them
ACC crown what used ? zinc polycarboxylate Zinc Phosphate Zinc Oxide Eugenol GI RMGI Cement
Resin Cement : rely X
remember etch with HF acid !!
Lithium DIsilicate (emax) , Metal, Veneers (feldpathetic porcelain), Zirconia
which one is resin and which one is luting?
Resin: LIthium disilicate (emax) and Veneers (Feldpathetic)
there are chemical bonded to dentin
Luting: GI. or RMGI
Zirconia and Metal crowns
when investing ) making negative by covering wax with investment material: ***
what is material used for
gypsum bonded investment?
Phosphate bonded investment
Silica bonded inviestment
gypsum bonded: gold
phosphate bonded: PFM
Silica bonded: base metal
porosityof porcelain happens when what?
inadequate CONDENSING of porcelain
porosity of acylic happens when?
too fast heating
shrinkinkage porasity of metal happens when?
sprue too THIN prevents moleten metal from flowing into mold
back pressure porosity of metal happens when?
sprue too SHORT
what is the purpose of ditching the die?
expose the margin of prep
what is the purpose of die spacer?
allows room for cement