Occlusal Rims Flashcards

1
Q

incisal edge on the occlusal rim

A

approximately 6mm forward of the incisive papilla

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2
Q

midline is determined?

A

by the face - and once determined - the midline should be transferred to the facial aspect of the cast

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3
Q

direction of maxillary anterior ridge resorption?

A

occurs from anterior towards posterior/superior

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4
Q

mandibular anterior teeth are centered where?

A

on the crest of ridge

anterior crest of ridge line – centered to the lower crest of ridge

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5
Q

maxillary posterior ridge crest lines - importance and locaion

A

draw at the peak of the residual ridge

maxillary posterior teeth are generally set slightly buccal to the crest ridge line

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6
Q

maxillary posterior teeth set where?

A
slightly buccal to the crest of ridge to prevent cheek biting 
so maxillary teeth should be offset approx. 2mm to the buccal of the mandibular teeth (for class I patient)
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7
Q

mandibular posterior ridge crest lines

A

these are centered to the ridge and the posterior teeth are generally set centered or slightly lingual to the crest of ridge - also helps with minimizing cheek biting and stabilize the denture

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8
Q

posterior limit of teeth on mandibular

A

end right before the maxillary tuberosity at the rise of the ramus and parallel to the ridge crest line

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9
Q

what determines the height of the occlusal plane?

A

the retromolar pad landmark determines the height

denture teeth are never set higher than 2/3 the height of RMP or denture will become unstable

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10
Q

width of anterior bicuspid area and posterior on maxillar

A

4 mm
6mm - bicuspid
8 mm - posterior
(always 2mm on the lingual aspect of the dividing line on posterior)
all 4mm on anterior aspect is anterior to the incisive papilla

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11
Q

lingual surface of occlusal rim?

A

narrowed and tapered occlusally to replicate teeth

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12
Q

during which visit will you check for lip fullness, lip length, smile line, canine line, phonetics, ridge relationship, VDO, VDR, flush contact?

A

During Intermaxillary Record visit - occlusal rim : clinical adjustment

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13
Q

all maxillary teeth are set?

A

buccal or slightly buccal to the ridge

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14
Q

all mandibular teeth are set?

A

centered to the ridge

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15
Q

posterior of maxillary on rim?

A

parallel to residual ridge

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16
Q

posterior of mandibular on rim?

A

1/2 to 2/3 height of RMP

17
Q

why is mandibular occlusal rim low? short?

A

low =to STABILIZE denture
short = distribute stress

these are reasons the rims do not fully cover the record bases
bases cover these areas but rims do not

18
Q

why do we fabricate wax occlusal rims?

A

adjustable

helps us figure out where to place teeth to restore the function, esthetics, and preserve bone

19
Q

how do we make occlusal rims?

A

start with what we already know to satisfy esthetics and proper function

  1. patient landmarks
  2. patient expectations
  3. initial patient exam
  4. carefully crafted record bases and rims