Occlusion and Restorative Dentistry 2 Flashcards

1
Q

What can be used to mark tooth contacts?

A

Millers Forceps
Fine articulating paper

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2
Q

When should tooth contacts be marked?

A

Before preparing a tooth or removing a restoration
After placing a crown or a restoration

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3
Q

What are functional cusps?

A

Cusps that occlude with the opposing teeth in ICP
The palatal cusps of the upper posterior teeth and the buccal cusps of the lower posterior teeth

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4
Q

What are non functional cusps?

A

Cusps that do not occlude with the opposing teeth in ICP
The buccal cusps of the upper posterior teeth and the lingual cusps of the lower posterior teeth

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5
Q

What are fossa?

A

Depression or concavity on the tooth surface
Functional cusp of a tooth contacts the fossa of the opposing tooth

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6
Q

What are the ICP contacts?

A

The palatal cusp of an upper molar contacts the fossa of a lower molar
The buccal cusp of a lower molar contacts the fossa of an upper molar

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7
Q

What is overbite?

A

Vertical overlap of the incisors

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8
Q

What is overjet?

A

Relationship between the upper and lowe teeth in a horizontal plane

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9
Q

What is crossbite?

A

Where one or more teeth may be abnormally malpositioned buccally, lingually, or labially with reference to opposing teeth

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10
Q

What is an anterior open bite?

A

Lack of vertical overlap of anterior teeth when posterior teeth are in full occlusion

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11
Q

What is a posterior/lateral open bite?

A

Failure of contact between the posterior teeth when the teeth are in full occlusion

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12
Q

What is canine guidance?

A

When the mandible moves to the working side, there is contact only between the canines
No posterior tooth contacts
Also known as a mutually protected occlusion

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13
Q

Describe a mutually protected occlusion

A

Gold standard
Canine guidance
Posterior disclusion in lateral excursions
No non-working side/working side contacts
No protrusive interferences

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14
Q

What is group function?

A

When the mandible moves to the working side, multiple teeth on that side will contact

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15
Q

When is bilateral group function commonly seen?

A

In toothwear

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16
Q

What is protrusion?

A

Condyle moves forwards and downwards on articular eminence
Only incisors and/or canines touch
No posterior tooth contacts

17
Q

What are occlusal interferences?

A

Un desirable tooth contacts that may produce mandibular deviation during closure to ICP or may hinder smooth passage to and from ICP

18
Q

What are the types of occlusal interference?

A

Working side
Non working side
Protrusive

19
Q

Why should posterior contacts be avoided?

A

Most teeth are not designed to absorb significant lateral forces generated by occlusal interference
Musculature gets a rest as less activity if not undesirable posterior contacts
Can cause occlusal trauma and undesirable tooth movements

20
Q

What is eccentric bruxism?

A

The parafunctional grinding of teeth
An oral habit consisting of involuntary occluding teeth movements other than chewing that may lead to occlusal trauma

21
Q

What is centric bruxism?

A

Clenching
The pressing and clamping of the jaws and teeth together

22
Q

What are the signs and symptoms of bruxism?

A

Tooth wear
Fractured restorations
Tooth migration
Tooth mobility
Muscle pain
Headache
Earache
Pain and stiffness of TMJ and surrounding muscles

23
Q

What are the factors of toothwear?

A

Abrasion
Attrition
Erosion
Abfraction

24
Q

What is occlusal trauma?

A

Injury resulting in tissue changes within the attachment apparatus, including PDL, supporting alveolar bone and cementum as a result of occlusal force(s)

25
Q

What are the different types of occlusal trauma?

A

Primary - intact periodontium
Secondary - reduced periodontium
Fremitus - palpable or visible movement of a tooth when subjected to occlusal forces

26
Q

What is the examination checklist for occlusion?

A

Incisor relationship
Guidance
Overjet/overbite
ICP contacts
Working/nonworking/protrusive contacts
Pathology