Prosthetic Treatment Flashcards
1
Q
Indications
A
- restore masticatory function
- restore aesthetics and minimize possible psychological problems
- restore vertical facial height
- maintain speech and phonetics
- space maintenance
- cooperative child
- cooperative parent
- cleft palate patients (serve as obturator)
- maintain function and Tonus of masticatory muscles, tongue position and airway development
- prevents habits such as bruxing or tongue thrusting
2
Q
Contra indications
A
- lack of suitable teeth to support prosthesis
- rampant caries or severe periodontal conditions threatening remaining teeth
- lack of patient acceptance due to aesthetic reasons
- poor OH
3
Q
Materials used for dentures in kids
A
- acrylic
- flexible materials like polyamide and nylon (Valplast)
- NO CHROME🙅🏾♀️❌
4
Q
Construction of dentures in kids
A
- Select tray
- Conditioning (take Mx tray home)
- Impression
- silicon based is expensive
- fast setting alginate stiff mix
- Md impression then Mx
- not early in the morning or after a meal
- lean forward
- distract
- leg lifts, breathing
5
Q
Bite registration ✏️
A
🔱Partial
- soft wax bite
- ensure it’s not protruding
🔱Full
- guide into CR or CO
- can be difficult
- protrusion
- neuromuscular development completes only at 7
6
Q
Try in stage 🔗
A
- size of teeth (age appropriate)
- spaces between
- polycarbonate crowns time mimic primary teeth
7
Q
Delivery 🚚
A
- smooth polished and fitting surfaces
- no over it under extensions
- occlusion
- retention
Instructions:
- do not sleep with denture
- remove during sport
- clean with water and soap
- sterident
- maintain OH of remaining teeth
8
Q
Recall 📞
A
2-5 years- 6 monthly
>5 years- 2-3 monthly
Adjust to allow for erupting teeth
9
Q
Evaluation 🔍
A
- not affecting growth of permanent teeth
- not restricting growth
- regular replacement of denture to accommodate for growth
