Pros textbook Flashcards
How do missing teeth affect a patient’s facial appearance?
The loss of teeth causes jawbone resorption.This causes patient’s maxilla to move backwards and the patients mandible to move forwards.
Why does alveolar resorption occur?
There is a lack of downwards pressure on the alveolar bone due to tooth loss which causes bone loss.
What is the saddle?
The area in the mouth which has no teeth.
What type of saddle is this?

A Free end saddle
There are no teeth at the end.
What type of saddle is this?

A bounded saddle-
Where the gap has teeth on either side.
Discuss tooth borne support?
Tooth borne is when everything rests on the teeth rather than the soft tissue.
This is the most desirable as it prevents tissue damage.
Discuss mucosa borne support?
Mucosa borne support is where everything rests on the mucosa.
These dentures are replacing lots of teeth

Describe a denture patient assessment.
- Full denture history- Why do they have dentures/how long for/ how many/ denture preferences.
- Medical history
- Social history
- Examination (of patient and denture seperately then together)
Why is knowing how the patient lost their teeth beneficical for producing dentures?
If the patient lost their teeth due to periodontal disease this will cause the ridges to change quicker. You want to know this.
Describe these missing teeth using kennedy class:

Kennedy class I
This is a bilateral free end saddle
(free end on both sides= bilateral)
Describe these missing teeth using kennedy class:

This is kennedy class II.
This is a unilateral free end saddle.
Describe these missing teeth using kennedy class:

This is kennedy class III.
This shows a unilateral bounded saddle.
Describe these missing teeth using kennedy class:

This is kennedy class IV.
This is a anterior bounded saddle.
(The saddle crosses the midline and is surrounded by teeth)
Describe these missing teeth using the craddock class:

This is Craddock class I.
This is tooth borne support.
Describe these missing teeth using craddock class:

This is craddock class II.
This is mucosa borne support
This is where the vertical biting force is against the soft tissue saddle.
Describe these missing teeth using craddock class:

This is craddock class III
This is mixed tooth and mucosa borne support.
1 saddle is supported by teeth, the other is a free-end.
What are the three main things we consider when looking at dentures?
- Support- does the denture resist movement vertically towards the tissue? (Does the denture push up towards the tissue)
- retention- is the denture easily displaced away from the tissue? (Can the denture be moved away from the tissue easily)
- Stability- Does the denture resist horizontal movement. (Can the denture be moved from side to side?)
What is this picture showing? and discuss it

This is denture stomatitis.
This is a mixed infection of bacteria and yeast caused by wearing a denture all the time. The exact shape of the denture is showing the gum at A.
What is partial edentiulism?
This describes a patient with some but not all teeth missing in the arch
What are the visits required for a denture patient?
Assessment and primary impressions
Master impression
May need jaw reg if using record blocks
Framework trial (RPD only)
Tooth trial
Delivery & fit
review
What are you looking for in an examination of the patient’s mouth?
Ridge form (can tissue be displaced)
free end saddles
bounded saddles
Undercuts
Compare edentate trays to dentate trays.
Edentate trays are shallower than dentate trays for patients without teeth
What material(s) are used for an impression with free end saddles?
Alginate and compound
What material(s) are used for an impression without free end saddles?
alginate


























































