Online stuff Flashcards
What part of denture provides support
support: resistance of occlusally directed loads
- ->occlusal rests (stop mucosal damage)
what is bracing/ how is it provided
mechanical function, prevents lateral shifting of partial denture
supplied by bracing arm and rigid 2/3 of retentive clasp above survey line
what part of denture provides retention
clasp tips
what part of clasp enters undercut and why
terminal 1/3
stop damage to tooth/peri tissues
3 functions of surveying
poi
unwanted undercuts- block out
wanted undercuts- clasping teeth, mucosa for retention
when surveying, what to use as guide plane
a. mandibular with posterior saddles
b. maxillary with anterior saddles
a. mandibular: lingual surface (to accomodate lingual bar/plate) –> p
b. maxillary: labial contour –> posterior border lower
3 principles of clasping
-Active arm (retentive) will engage undercut for direct retention.
Reciprocal arm (bracing/lateral resisiting) prevents active arm displacing/traumatising tooth.
Occlusal rest distributes occlusal load through the teeth.
4 things clasp flexibility/effectiveness is dependent on
- material
- cross-sectional shape
- clasp length
- taper/angle of approaching arm
- position of retainer in relation to displacing force
undercut depths for each clasp material
0.25mm cobalt chrome
0.5mm ss, cast gold
0.75 wrought gold
(alphabetical order nearly)
CENTRIC JAW RELATION
a. define
b. alternative names
c. when its important
a. The relation of the mandible to the maxilla with the mandible in its most retruded position.
b. Retruded Jaw Relation, (RJR) and Retruded Contact Position (RCP).
c. position needed for bite registration
CENTRIC OCCLUSION
a. define
b. alternative names
A. maximal contact between opposing teeth
b. intercuspal occlusion, maximum intercuspation
4 things to do at jaw registration stage
- The centric jaw relation
- Lip support and other muscular support
- Mould and shade of teeth
- The occlusal rim surfaces to conform to the patient’s existing occlusion and dentition
main purpose of jaw registration stage
relationship between arches –> can articulate master casts
define freeway space
The space between the maxillary and mandibular occlusal surfaces when then mandible is in the rest position
define embrasure
The space between two adjacent teeth which opens out from their contact point
2 things used to record bite registration
- impression material paste
- modelling wax
what does fox’s occlusal plane do
aid in carving the maxillary rim until it is parallel to the line joining the inferior border of the ala of the nose to the midpoint of the tragus of the ear (alar tragal line)
when survery, function of tipping cast
a. laterally
b. antero-posteriorly
a. laterally: undercuts of a suitable depth may be generated on posterior teeth for clasping
b. antero-posteriorly: anterior (labial) undercut areas can be minimised or moved out of the denture bearing area (aesthetics)
what is path of displacement at 90 degrees to
horizontal occlusal plane
3 things that influence POI of a denture
-Retention
Guide surfaces
Aesthetics
minimum length of direct retainer and why
1cm (2/3 of this is retentive, 1/3 active in undercut)
what are face bows used to record
pt’s hinge axis of condyle
types of face bow
simple (Denatus/ denar)
Kinematic face-bow, also known as: adjustable, hinge axis locating and hinge-bow
function of
a. pantograph
b. face bow
a. pantograph: record protrusive and lateral border movements of the condyles
b. face bow: hinge axis of condyles
how to decide location of axis of rotiation of condyle
line canthus of eye –> tragus
what is the frankfort plane
line between inferior margin of orbit to superior margin of EAM
arcon/non-arcon articulators and which is better
arcon: condylar sphere in lower member (static difference between condyles and mandibular teeth in all directions –> more accurate
non-arcon: condylar sphere in upper member
Which articulator would you consider if there are sufficient teeth and the intercuspal position was stable for constructing dentures? why
average value
simple hinge not good enough, no need to overcomplicate with semi/fully adjustable
which articulator to use to create full path of border movements
fully adjustable
define balanced occlusion
Simultaneous contacts of the occluding surfaces of the teeth in various jaw positions.
Static
define balanced articulation
Simultaneous contacts of the occluding surfaces of the teeth during function.
Dynamic
4 advantages of balanced articulation
-Minimise trauma to supporting structures
Preserve remaining structures and reduce lateral forces to residual ridges
Enhance denture stability
Restore masticatory efficiency to a reasonable level
how to achieve balanced articulation with partial dentures
creating balancing contacts and working contacts between the upper and lower posterior artificial teeth
types of balanced occlusion
Anatomic occlusion
Lingualised occlusion
what governs articulation of artificial teeth and points 5
Hanau’s Quint: 3 incl Condylar inclination Incisal guidance Occlusal plane inclination Compensating curve Cuspal inclination
which 3 of these can be adjusted by the dentist
Incisal Guidance – part of the articulator
Cuspal Inclination – on the occlusal surfaces of the artificial teeth
Compensating Curve – created during setting of the teeth
what is ideal incisal guidance
prob with partial dentures
minimal to stop tipping
partial dentures- minimal control due to natural overjet/overbite
what is the compensating curve
posterior teeth aligned with curve of spee
curve of mandibular incisal/occlusal surfaces
what is curve of wilson
curve between buccal and lingual cusps of mandibular posterior teeth
what is the BULL rule
if there are occlusal anomolies in finished dentures –> only the Buccal Upper and Lingual Lower cusps must be ground until balances is achieved
3 options of williams classification
tapering
square
ovoid
when is palatal vault used 2
They can act as a guide in determining arch form
They can act as an aid in determining tooth alignment
what does willis gauge measure 2
resting face height (when in rest position)
occluding face height (when in centric occlusion)
value of freeway space
2-3mm
how much incisor shows beneath resting lip line
2mm
ala tragal line
a. alternative name
b. what it is parallel to
a. camper’s line
b. occlusal plane
define curve of spee
An arc of a circle 65 mm to 70 mm radius that touches the tips of all the mandibular teeth when the skull is viewed laterally (ie on L or R side; when continued it touches the anterior surface of the condyles.
define curve of monson
lateral curve of the occlusion of natural teeth in which each cusp and incisal edge touches or conforms to a segment of the surface of a sphere 4 inches (102 mm) in radius with its centre in the region of the glabella
6 principles of every design
- restoration of contact points completes arch (see next q)
- denture base large as poss in mucosa-supported
- gingivally free (wide embrasures) for OH, 3mm
- flanges for antero-posterior stability
- stops on distal molar to prevent drifting
- free occlusion (minimise occlusal forces)
4 reasons to restore contact points
- aids retention
- protects gingiva
- limits tooth movement
- reduces stagnation areas
every principles: 3 ways to gain retention
friciton
adhesion
cohesion
how to note tooth for immediate replacement on denture design
mark with X on diagram
write ‘for immediate replacement’
define indirect retention
retention obtained by the extension of a
partial denture base to provide the fulcrum of
a class II lever
anterior and perpendicular to axis of rotation
define direct retention
component of denture that resists withdrawal along path of insertion
4 factors influencing POI
- retention
- guide surfaces
- aesthetics
- dead space interferences
3 types of rest and where they are
molar/premolar: occlusal rests
max canines: cingulum rests
mandibular canines: incisal rests
2 essential features of a rest
- rigid
- does not interfere with occlusion
3 ways to gain retention
- mechanical (clasps)
- physical (saliva)
- muscular
4 design criteria for effective clasp
- flexible clasp arm
- reciprocation
- encirclement
- passivity
when is indirect retention needed
free-ended saddles (class I or II)
define reciprocation
to balance horizontal forces from retention
when denture being taken in/out
define major connector and minor connector
major connector: links saddle areas
minor connector: links rests, clasps etc to major connector
5 major connectors of maxilla
ring horseshoe palatal coverage palatal strap palatal bar
what max major connectors can be used with
a. anterior teeth need replacing
b. torus
a. ring, palatal coverage, horseshoe
b. horseshoe or ring
what type of denture is tooth and mucosa supported
free end dentures
other teeth provide tooth support, posterior saddles mucosa supported
3 outcomes of not surverying
loose/tight denture
loss of pt confidence
wasted surgery time
2 types of surveyor and which we use
Nesser: black bit at top
Krupp: all silver. we use this
3 rules of clasps(esp retentive arms)
- use with occlusal rests –> maintain the retaining arm in the desired vertical position
- use RECIPROCATION to stop tooth movement when active arm is working (ie resisting displacement away from tissues)
- does not compromise OH
what does indirect retention prevent
rotation