Occlusal Consideration Flashcards

1
Q

t/f: the original Palodent is more useful with small composite preparations
like this one than with amalgam.

A

true

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2
Q

A BIG DRAWBACK OF THE ORIGINAL PALODENT IS THAT IT DOESN’T ALLOW______. ALL SECTIONAL MATRICES REQUIRE A RUBBER DAM FOR SAFETY, IN CASE A RING BREAKS OR FLIES OFF.

A

WEDGING

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3
Q

A type of sectional matrix: Three different choices of concave-convex bands , to
be held in place by one of the ring clamps.

A

the original palodent system

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4
Q

Another SECTIONAL MATRIX system, Palodent Plus
has four choices of band and two choices of ring
clamp.

A

The palodent Plus

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5
Q

The _____ ______ system provides a set of pinned pliers
that engage holes in the band, for use in manipulating the
band, both at placement time and when removing it.

A

Palodent Plus

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6
Q

The Palodent Plus system allows a wedge to be placed_____ the ring clamp is seated.

A

before

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7
Q

T/F the T band is mostly used in pedodontics.

A

true

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8
Q

What are two matirx options for used on a severely damaged tooth?

A

The copper band matrix and the AUTOMATRIX SYSTEM

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9
Q
1. Insert Tightening
Wrench into “Scroll”
of Band Material
2. Tighten “Scroll” by
Rotating Handle of
Wrench Clockwise
3. Bend the “Scroll”
Portion Sideways
Around the Clip to
Stabilize Tightness
A

THE AUTOMATRIX SYSTEM–INSTALLATION

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10
Q
  1. Be Sure the Plastic Trap is in Place on the Removal Tool, and Snip off the Top of the Retaining Clip.
  2. Remove the Rest of the Clip
    Apically and Remove Band
A

THE AUTOMATRIX SYSTEM—

REMOVAL AFTER AMALGAM PLACEMENT

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11
Q

Which matrix must be held in place by your nondominant hand when there are no
undercuts on the side walls of the tooth (as when tooth has been
prepared for a crown).

A

THE AUTOMATRIX SYSTEM

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12
Q

T/F: THE AUTOMATRIX SYSTEM Doesn’t work well when tooth defects
go far apically

A

True

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13
Q
  1. Select a band of the proper
    diameter. It will not fit
    down all the way until it
    has been adjusted.
  2. Use the crown and bridge scissors .
    Festoon the gingival margin of the band
    until it follows the general outline of the
    gingival attachment to the tooth.
  3. The band fits down
    well now , but still
    sticks up too far.
  4. Use the scissors to trim the top of the band so it
    only sticks up a millimeter or two above adjacent
    teeth. Note the use of the nail of the non-dominant
    hand to stabilize the band while packing amalgam.
A

THE COPPER BAND—ADAPTATION TO THE TOOTH

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14
Q

t/ F: Because of the stiffness and thickness of the copper band, it is useful primarily on teeth already prepared for crowns.
True contact with neighboring teeth is nearly impossible to
obtain with a copper band matrix.

A

true

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15
Q

____ ____ ____ must be stabilized with your non-dominant hand while
packing amalgam, or when cutting the band for removal.

A

THE COPPER BAND MATRIX—

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16
Q

T/ F: Copper bands are subject to strain hardening if you “work”
the metal very much.

A

true

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17
Q

Occlusion is both____ and____ (maximum

intercuspation + lateral & protrusive movements)

A

static and dynamic

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18
Q

t/f: Although the masticatory system is highly adaptable,
many patients are highly sensitive to abrupt changes
in tooth contacts brought about by restorations.

A

true

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19
Q

Four inclines are present on all cusps: What are they?

A

facial,

lingual, mesial and distal

20
Q

The fossa is relatively shallow, so that a point of
occlusion can fall at its___ point, directly over the
central pit in maximum intercuspation.

A

lowest point (ideal fossa form)

21
Q

The fossa is
relatively open_______, so that there are no inclined
plane contacts in maximum intercuspation.

A

laterally (ideal fossa form)

22
Q

The ____ ____ lie somewhat horizontally &
suspend the tooth root in its alveolar socket,
converting forces down the long axis of the root into
tension applied to the bony alveolar wall.

A

Sharpey’s fibers

23
Q

Bone tends to be resorbed in areas of ____ and

strengthened or enhanced in areas of_____.

A

compression

tension

24
Q
t/f: The ideal occlusion in maximum
intercuspation finds occlusal
contacts at the tips of cusps in
one arch occluding with cusp
seats at the bottom of fossae or
at the crests of marginal ridges
(or--less ideally-- on some
plateau perpendicular to the
long axes of the teeth)
25
ideal occlusion in maximum intercuspation puts the forces where??
the long | axes of the teeth. Teeth and their periodontal ligaments are best designed to absorb forces down the long axes
26
Most of the time, the lingual cusps of the maxillary and the facial cusps of the mandibular teeth are the____ cusps.
supporting
27
Cusps that project beyond the | opposing teeth are called_____ cusps.
nonsupporting
28
What two cusps are mostly likely non supporting cups.
Usually the facial cusps of the maxillary and lingual cusps of the mandibular
29
t/f: IDEALLY, masticatory forces should be directed parallel to the long axes of the posterior teeth in maximum intercuspation
true dawg.
30
t/f: Supporting cusps should not contact opposing teeth in a manner which results in lateral deflection of teeth.
true.
31
Deflection of the mandible in maximum intercuspation closure. (Possible TMJ troubles). • Trauma to supporting bone. Not necessarily a cause of bone loss, but a secondary contributing factor to bone loss in periodontal disease. • Forces which could eventually cause cracks and fractures in the teeth. • Trauma to the periapical tissues, which could eventually cause sensitivity to pressure and temperature, especially cold.
results of Contacts on inclined | planes in maximum intercuspation
32
Do We Always Adjust Away Contacts on Natural Tooth Structure That Don’t Conform to the Text Book Ideal ?
no sir we do not.
33
What are some Maximum Intercuspation Solutions When the Teeth Are Not Ideally Positioned?
1. A cusp seat 2. A reasonable solution is to make one tooth with pointed cusps, narrow buccolingually, and to flatten the cusp tips on the opposing tooth 3. plateau
34
When the mandible is moved laterally or in a protrusive or lateral-protrusive direction, some teeth (at least one upper and one lower) will be carrying the load. By necessity, the teeth doing this function will be receiving forces on inclined planes that are not down their long axes. Teeth that do this function are said to provide guidance for the jaw, and by so doing, they relieve other teeth of stress.
Guidance
35
The side toward which the mandible is | moving.
Laterotrusive (working) side
36
The side away | from which the mandible is moving.
Mediotrusive (non-working, or “balancing”) side:
37
In general—due to leverage factors-- it is better if guidance can occur on teeth further forward in the mouth, especially on the cuspids, and if it can occur on the_____ side.
laterotrusive
38
It has a mechanical advantage—it magnifies the force applied to the area where work is being done, relative to the force put into the lever system.
THE CLASS II LEVER.
39
What is an example of a class II lever?
nutcracker
40
``` It has a mechanical disadvantage. LESS force is applied to the area where work is being done, relative to the amount of force put into the lever system. ```
Class III lever`
41
``` Most of our musculoskeletal system is intended to function as a class _____ lever system—INCLUDING THE JAWS & TEETH. ```
class III Lever
42
Why is it Better to Keep Guidance Further | Anteriorly and on the Laterotrusive Side?
Since the T.M.J. is the fulcrum, a class III lever situation exists, and the teeth further anteriorly receive the least force. They are the best positioned to handle forces outside their long axes and—therefore—to do the guiding function. Anterior teeth on the laterotrusive side are the best positioned of all to do this job because they are furtherest from the pterygoid muscles that are driving the lateral excursion.
43
``` Teeth—especially the____-- on the mediotrusive side are actually subject to force magnification because they are receiving forces generated by a class II lever system. Ideally, they should clear in mediotrusion. ```
molars
44
THE IDEAL TEETH FOR GUIDANCE IN LEFT | LATERAL ARE THE LEFT ______.
CUSPIDS
45
Horizontal overlap is | termed_____
overjet
46
Vertical overlap is | termed_______
overbite