Pros Flashcards

1
Q

Limiting structures maxillary arch

A

Buccal sulcus
Buccal frenum
Labial sulcus
Labial frenum
Vibrating line
Hamular notch

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2
Q

Relief areas of maxillary arch

A

Palatine raphe
Crest of alveolar ridge
Palatine fovea

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3
Q

Support areas maxillary arch

A

Rugae
Tuberosity
Hard palate

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4
Q

Limiting structures mandibular arch

A

Labial frenum
Labial sulcus
Buccal frenum
Buccal sulcus
Retromolar pads
Lingual frenum
Alveololingual sulcus

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5
Q

Supporting structures mandibular arch

A

Buccal shelf
Residual alveolar ridge

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6
Q

Relief areas mandibular arch

A

Mylohyoid ridge
Genial tubercle

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7
Q

Objectives of complete dentures

A

Provide adequate masticatory function
Restore natural appearance
Restore normal speech
Comfort and preservation of supporting structure

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8
Q

Component parts of complete denture

A

Denture base, flange and border
Teeth

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9
Q

Denture surfaces

A

Polished surfaces
Fitting surface
Occlusal surface

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10
Q

Complete denture retention

A

The resistance to displacement of the denture base away from the ridge

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11
Q

Factors affecting physical retention of complete dentures

A

Adhesion
Cohesion
Atmospheric pressure
Gravity

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12
Q

Adhesion denture retention

A

Forces of attraction existing between dissimilar bodies in close contact - attraction between saliva and denture base

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13
Q

Cohesion denture retention

A

The forces of attraction existing between similar bodies in close contact - surface tension of saliva

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14
Q

Atmospheric pressure denture retention

A

The physical factor of hydrostatic pressure due to the weight of the atmosphere on the earth’s surface

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15
Q

Gravity denture retention

A

Working against the upper denture and for the lower denture

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16
Q

4 types of denture retention

A

Physical
Anatomical
Physiological
Mechanical

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17
Q

Anatomical factors affecting denture retention

A

Shape of edentulous area
Undercuts
Anatomy of border tissues

18
Q

Physiological retention of dentures

A

Neuromuscular control - polished surfaces of the denture must be shaped to enable the musculature to fit naturally against the denture to reinforce the peripheral seal. The external form of the denture should allow the cheek and tongue to rest on the buccal and lingual flanges to hold in place
Viscosity and volume of saliva

19
Q

Mechanical factors affecting denture retention

A

Balanced occlusion
Contour of polished surface
Position of the occlusal plane
Position of the teeth in respect to the ridge

20
Q

Denture stability

A

Quality of a denture to be firm, steady and constant in position when forces are applied to it (especially to resistance against horizontal or rotary movements)

21
Q

Stages of conventional complete dentures

A

Assessment
Primary impressions with stock trays
Master impressions with special trays
Occlusal rims and bases
Jaw registration and tooth selection
Wax tooth trial
Denture delivery

22
Q

Effects of edentulism

A

Loss of masticatory function
Appearance
Self esteem
General health effects
QoL
Speech
Ridge resorption
Soft tissue changes to lip and chin
Reduction in facial height

23
Q

Post extraction absorption

A

Happens rapidly particularly in first 6 months
May be dependent on pre-extraction status of teeth
Occurs throughout life

24
Q

Why consider edentulism for a patient?

A

Caries and its sequelae - rampant
Advanced perio - hopeless teeth
Severe and debilitating tooth wear
Failing dentitions
Occlusal collapse
Appearance
Head and neck cancer radiotherapy
Pre chemo
Pre transplant - infection risk
Pre cardiac surgery such as prosthetic valve

25
Q

When are conventional dentures made?

A

No previous denture / previous one unsuccessful

26
Q

What information is required for complete denture construction?

A

Pt complaints
Denture history
Dental history
Medical history
Social history

27
Q

Common patient complaints of dentures

A

Appearance
Eating
Pain/discomfort
Looseness
Retching
Speech

28
Q

Denture history

A

Age of dentures
Matching set
Most recent set worn
Favourite set
First set of dentures
How many sets
Material
Success or failure

29
Q

Dental history for dentures

A

When were teeth lost
Why were teeth lost
Retained roots/pain/swelling
Anxiety, mobility, attendance
Has anything else been tried for the current problem

30
Q

Relevant medical conditions for dentures

A

Neuromuscular problems
Tremor e.g. parkinsons
Stroke
Dementia
Dry mouth
Medication
Sjogren’s syndrome
Radiotherapy

31
Q

Social history

A

Alcohol/smoking
Barriers to treatment
Capacity
Support needed
Mobility

32
Q

Extra oral exam

A

TMJ
Facial pathology
Facial contours
Appearance of dentures

33
Q

Intra oral exam

A

Mucosal health
If overdenture abutments (retained roots)
Periodontal health
Periapical status
Caries

34
Q

Common soft tissue conditions in denture wearers

A

Angular chelitis
Denture stomatitis
Denture hyperplasia

35
Q

Support

A

Resistance of vertical movement towards the ridge

36
Q

Freeway space

A

RVD - OVD

37
Q

Intercuspal position

A

The complete intercuspation of the opposing teeth independent of condylar position, sometimes referred to as the best fit of the teeth regardless of the condylar position

38
Q

Retruded Contact Position

A

Guided occlusal relationship occurring at the most retruded position of the condyles in the joint cavities

39
Q

Adaptation

A

The degree of fit between a prosthesis and supporting structures

40
Q

Jaw reg steps

A

Adjust upper block for retention
Adjust upper block for tooth position
Adjust upper block for occlusal planes
Lower tooth position and horizontal jaw relationship
Measure vertical dimension and establish face height
Record registration
Select shade, mould, setting

41
Q

Possible causes of poor denture hygiene

A

Poor manual dexterity
Inability to self care
Xerostomia
Poor diet
Lack of knowledge
Poor neuromuscular control

42
Q

Effects of poor denture hygiene

A

Caries
Periodontal disease
Denture stomatitis
Halitosis
Pain