Oral Functions - Feeding Flashcards

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1
Q

What are the feeding sequence components

A

Ingestion
Transport
Mechanical Processing

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2
Q

What is ingestion

A

Movement of food from the external environment into the mouth

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3
Q

How is ingestion accomplished

A

Biting anterior teeth and using tools such as cutlery and cups

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4
Q

What role do the lips play in ingestion

A

Provide an anterior oral seal

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5
Q

What is transport

A

Moving material from the front of the mouth to the level of the posterior teeth

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6
Q

How is transport accomplished

A

Food is gathered on the tongue tip

Tongue retracts, pulling the material to the posterior teeth - takes about one second

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7
Q

What is transport associated with

A

Retraction of the hyoid bone and narrowing of the oropharynx

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8
Q

Why is mechanical processing necessary

A

Some foods must be broken down and mixed with saliva before they can be swallowed
Moist solid foods such as fruit have to have fluid removed before transport and swallowing

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9
Q

Describe what happens in mechanical processing

A

Foods chewed or masticated by premolar and molar teeth

Some soft foods are squashed by tongue against hard palate

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10
Q

Which groups of muscles are involved in food processing

A

The mandibular muscles
The supra-hyoid muscles
The tongue muscles
The lips and cheek muscles

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11
Q

What role does the tongue play in chewing

A

Controls and transports the bolus within the mouth

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12
Q

Describe bilateral chewing

A

The tongue moves the bolus from side to side of the mouth so muscles on one side aren’t overloaded

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13
Q

How is the bolus kept on the occlusal surfaces

A

The tongue and cheeks act in a reciprocal manner to place the food on the occlusal surfaces of the teeth

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14
Q

What is the difference between how liquids and solids are swallowed

A

Liquids are swallowed from the mouth and there is a posterior oral seal
Solids are swallowed from the oropharynx and there is no oral seal

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15
Q

What are the phases of the chewing cycle and which muscles are active during each stage

A

Opening phase - jaw depressor muscles are active
Closing phase - jaw elevator muscles are active
Occlusal phase - mandible is stationary/teeth joined

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16
Q

Describe variations in the shape of the chewing cycle

A

When chewing brittle food such as carrots, the cycle will have a narrow shape
When chewing tough food such as meat, the cycle will have a wider shape

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17
Q

When designing dentures, when should teeth with cusps be used and why

A

If the patient performs ruminators mandibular movements to achieve a balanced occlusion

18
Q

When designing dentures, when should cuspless teeth be used

A

If dentures have occlusal surfaces which are evenly worn and flat suggesting vertical (chopping) mandibular movements

19
Q

Why should tongue movements be considered when designing prostheses

A

Inaccurate placement of mandibular posterior teeth might interfere with tongue movements and will compromise the retention and stability of the denture

20
Q

Where should teeth be placed when designing prostheses

A

On the tip of the alveolar ridge

21
Q

How does the tongue act during ingestion for patients with dentures

A

The tongue will move to support the denture

22
Q

What does chewing allow for

A

Mechanical breakdown of food
Facilitates swallowing
Ensures adequate digestion of most foods

23
Q

What dietary restrictions should a patient with deteriorated masticatory performance follow

A

Avoid foods that are difficult such as green vegetables and some meats

24
Q

What is the relation between poor mastication and malnutrition in those with GI tract disorders

A

No clear evidence that poor mastication causes malnutrition in people with GI tract conditions

25
Q

What does good masticatory performance correlate to

A

High occlusal contact area

26
Q

What is a shortened dental arch (SDA)

A

A minimum of 20 functional units which is considered to be acceptable for:

  • Masticatory function
  • Aesthetics
  • Maintenance of oral hygiene
27
Q

What are the advantages of SDA

A

Provides sufficient occlusal stability

Provides satisfactory comfort and appearance

28
Q

What should be done for a patient with an SDA

A

Attention must be given to maintaining healthy conditions rather than providing an RPD

29
Q

Would people rather an SDA or an RPD

A

SDA

30
Q

How does the number of people with a functional SDA correlate to age

A

The number of people who have a functional SDA fails dramatically with age

31
Q

What happens to biting forces in complete denture wearers

A

They are reduced and are carried by mucosa of the residual ridge which is not designed to bear masticatory loads

32
Q

How can biting forces be increased in patients complete denture wearers

A

By supporting dentures on teeth or implants

33
Q

How can missing teeth be replaced

A
Mucosa supported prosthesis:
- complete
- partial
Tooth-supported prosthesis:
- removable
- fixed (bridges)
Bone supported prosthesis (implants)
34
Q

What type of dentures are used as mucosa-supported prostheses

A

Acrylic partial dentures

35
Q

What type of dentures are used as tooth-supporting prostheses

A

Cobalt-chrome partial dentures

36
Q

What are the different types of bridges

A

Fixed-fixed bridge
Cantilever bridge
Adhesive bridge/resin bonded bridge

37
Q

Describe a cantilever bridge

A

A pontic connected o a retainer at one end only
Used to replace single teeth
Not recommended when occlusal force on the pontic will be heavy

38
Q

Describe an adhesive/resin bonded bridge

A

An immediate, temporary bridge, followed by a permanent bridge once the tissues have settled
Quick, non-destructive, conserves tooth tissue, aesthetically pleasing and durable

39
Q

Which type of bridge has the highest success rate

A

Cantilever

40
Q

Describe the support of mucosa borne partial dentures

A

Occlusal load transmitted to bone via the oral mucosa - not recommended

41
Q

Describe the support of tooth borne partial dentures

A

Occlusal load transmitted to bone via the rests and PDL - recommended