Prostho Flashcards
Which connectors carry a poor prognosis rigid/ non-rigid connectors?
Nonrigid connectors
Crown-to-Root Ratio
* ideal
* realistic
* minimum
* poor (not used for abutments)
Crown-to-Root Ratio
* 1:2 ideal
* 2:3 realistic
* 1:1 minimum
* 2:1 poor (not used for abutments)
_____________ roots are preferred over ___________roots
Divergent, multiple, curved, and broad roots
are preferred over fused, single, conical, and
round roots
Overdenture
* ______ implants in mandible, __________ implants in maxilla
Overdenture
* 2 implants in mandible, 4 implants in maxilla
Allows minor angle correction cement/screw retained implant
cement-retained implant
Alginate
* __________ controls the setting rate
* __________ minutes - remove tray
* __________ minutes - pour impression
* _________ minutes - cast sets
- Trisodium phosphate controls the setting rate
- 2-3 minutes à remove tray
- Within 15 minutes à pour impression
- 30-60 minutes à cast sets
Maximum Intercuspation (MI)
* dependent/Independent of condylar position?
Maximum Intercuspation (MI)
* Independent of condylar position
single fixed procedure- MI/CR?
complete dentures, multiple teeth being restored or replaced MI/CR?
MI and CR coincide in only ______% of the
population
MI
CR
MI and CR coincide in only 10% of the
population
- ________ facebow= orients maxillary cast to skull via external auditory meatus to stabilize the bow
*_________ facebow= placed on the hinge axis of the mandible
- Arbitrary facebow= orients maxillary cast to
skull via external auditory meatus to stabilize
the bow - Kinematic facebow= placed on the hinge axis
of the mandible
Semiadjustable Articulator
* Allows you to set the Bennett angle (____˚) and HCI
(____˚)
Semiadjustable Articulator
* Allows you to set the Bennett angle (15˚) and HCI
(30˚)
upper and lower members are rigidly
attached ________ articulator
non arcon
Distance between hinge and teeth is significantly shorter than in the patient
Nonadjustable Articulator
- Casts poured from alginate are more
accurately mounted with ______ records - Casts poured from elastomeric
materials are more accurately
mounted with _______
wax
elastomeric materials (PVS) or ZOE paste
Disclusion
* Condylar guidance
– Slope of ______
– Represented by _________ on articular
–__________determinant of occlusion
* Incisal guidance
– Represented by _________ on articulator
–___________ determinant of occlusion
* Canine guidance
– When in ________ movements all posterior teeth are immediately discluded as contact occurs solely between upper and lower canine on the working side
* Anterior guidance
– Refers to both ________ and _________ guidance
Disclusion
* Condylar guidance
– Slope of articular eminence
– Represented by HCI on articular
– Posterior determinant of occlusion
* Incisal guidance
– Represented by pin and guide table on articulator
– Anterior determinant of occlusion
* Canine guidance
– When in lateral movements all posterior teeth are immediately discluded as contact occurs solely between upper and lower canine on
the working side
* Anterior guidance
– Refers to both incisal and canine guidance
- During protrusive, _______ and __________ guidance provide clearance for all posterior teeth
- During lateral, _______ on working side and ________ on balancing side provide clearance for posterior teeth on balancing side
- During protrusive, incisal and condylar guidance provide clearance for all posterior teeth
- During lateral, canines on working side and condyle on balancing side provide clearance for posterior teeth on balancing side
- Mechanical incisal guide table gives insufficient
information to reproduce _____________ - ____________ is made out of acrylic resin
and provides this information
- Mechanical incisal guide table gives insufficient
information to reproduce lingual contours of maxillary
anterior natural teeth - Custom incisal guide table is made out of acrylic resin
and provides this information
- Front teeth protect back teeth—front teeth disclude posterior teeth during _________ and _________ movements
- Back teeth protect front teeth—back teeth have ______ occlusal surfaces and ________ roots to help protect anterior teeth from bite forces
- Front teeth protect back teeth—front teeth
disclude posterior teeth during protrusive and
lateral movements - Back teeth protect front teeth—back teeth
have flat occlusal surfaces and strong roots to
help protect anterior teeth from bite forces
Vibrating Line
– _______mm away from fovea palatini
Vibrating Line
– 2mm away from fovea palatini
Maxillary Edentulous Anatomy
– Distobuccal area presents _____ notch
mandibule
– Distobuccal area presents _____ notch
- Coronoid Notch
Masseteric notch
- Pterygomandibular Raphe
– Connects _________ and ___________ muscles
- Pterygomandibular Raphe
– Connects buccinator and superior pharyngeal constrictor
Mandibular Edentulous Anatomy
* Labial Frenum- ________ muscle
* Buccal Frenum-
* Lingual Frenum-
Mandibular Edentulous Anatomy
* Labial Frenum- orbicularis oris
* Buccal Frenum- orbicularis oris,
buccinator
* Lingual Frenum- genioglossus
- Labial Vestibule-
- Buccal Vestibule-
- Labial Vestibule- mentalis
- Buccal Vestibule- buccinator
Retromolar Pad
– Contains attachments from__________ muscles
Retromolar Pad
– Contains attachments from temporalis, buccinator, superior pharyngeal constrictor, and pterygomandibular raphe
Alveololingual Sulcus
* Anterior Region
– From __________ to ________
* Middle Region
– From __________ to distal end of ___________
– Flange is deflected __________ away from mandible due to ___________ in this area and
* Posterior Region
– Extends into____________
– Although mylohyoid attaches higher posteriorly, the posterior fibers are directed more __________ so the denture seats deeper and the lingual flange is longer
– Flange is deflected __________ toward the ramus of the
mandible to form typical S-form of lingual sulcus
– Denture extension in this area is limited by __________ and ___________
Alveololingual Sulcus
* Anterior Region
– From lingual frenum to premylohyoid fossa
* Middle Region
– From premylohyoid fossa to distal end of mylohyoid
ridge
– Flange is deflected medially away from mandible due to prominence of mylohyoid ridge in this area and contraction of mylohyoid medially
* Posterior Region
– Extends into retromylohyoid fossa
– Although mylohyoid attaches higher posteriorly, the posterior fibers are directed more vertically so the denture seats deeper and the lingual flange is longer
– Flange is deflected laterally toward the ramus of the
mandible to form typical S-form of lingual sulcus
– Denture extension in this area is limited by palatoglossus and superior constrictor muscles.
- Buccal Shelf
– Provides __________ for denture
– Lies __________ to occlusal forces
– ___________ attaches here
- Buccal Shelf
– Provides support for denture
– Lies perpendicular to occlusal forces
– Buccinator attaches here
Frenectomy
* ____________ (most to least
common)
Labial > buccal > lingual
Free Gingival Graft
* Necessary for some _____denture teeth
Free Gingival Graft
* Necessary for some overdenture teeth
Combination Syndrome symptoms
Combination Syndrome symptoms
* Overgrowth of tuberosities
* Papillary hyperplasia in hard palate
* Extrusion of lower anterior teeth
* Loss of bone under the partial denture bases
Vertical Dimension
of Rest (VDR)
* Distance between
____________ and ___________ at rest
* In this position there
is usually __________mm of
space between upper
and lower premolars
Vertical Dimension
of Rest (VDR)
* Distance between
nose and chin at rest
* In this position there
is usually 3mm of
space between upper
and lower premolars
Interocclusal
Space
* Difference between
these two distances
(ideally ________mm)
2-4mm
- VDR = _______ + __________
- VDR = VDO + 3mm
Muscles of mastication fatigue seen in Excessive/ Insufficient VDO
Excessive
Facebow transfers the relationship between
the __________ and _________ from the patient to
the articulator
Facebow transfers the relationship between
the hinge axis and maxilla from the patient to
the articulator
- Camper’s line= imaginary line from _____ to
_________
- Camper’s line= imaginary line from ala of nose to
tragus of ear
_______________ guidance should be avoided in
complete denture occlusion to prevent
dislodgment of denture bases
Anterior
lateral movement of both
condyles toward the working side, basically “TMJ
looseness” is called
Bennett movement
- Curve of Spee= __________ curve to ensure
loading into long axis of each tooth
– More __________ inclination as you move distally - Curve of Wilson= __________ curve along posterior
cusp tips to ensure loading into long axis of each tooth
– More ___________ inclination as you move distally
- Curve of Spee= anteroposterior curve to ensure
loading into long axis of each tooth
– More mesial inclination as you move distally - Curve of Wilson= mediolateral curve along posterior
cusp tips to ensure loading into long axis of each tooth
– More lingual inclination as you move distally
Fricative or Labiodental Sounds
* Contact between __________ and
____________
* Help determine ____________
- Contact between maxillary incisors and
wet/dry line of lower lip - Help determine position of incisal edges of maxillary
anterior teeth
Linguodental Sounds
* Contact between ____________ and __________
* Help determine _____________
- Contact between tip of tongue and upper and
lower teeth - Help determine labiolingual position of
the anterior teeth
– Tongue is not visible= teeth are
set too ____________
– Tongue sticks out= teeth are set too
________
– Tongue is not visible= teeth are
set too far forward
– Tongue sticks out= teeth are set too
far back
Sibilant or Linguoalveolar Sounds
* Contact between ___________ and ___________
* Help determine
- Contact between tip of tongue and the anterior
palate or lingual surface of the teeth - Help determine vertical length and overlap of
anterior teeth
Whistling - __________ arch form
* Lisp where s becomes sh- _________ arch form
* Closest speaking space= also want to evaluate
vertical dimension during pronunciation of
_______ sound, the interincisal separation should be __________mm
Whistling à too narrow arch form
* Lisp where s becomes shà too wide arch form
* Closest speaking space= also want to evaluate
vertical dimension during pronunciation of s sound, the interincisal separation should be 1 to 1.5mm
Bilabial Sounds
* Contact between
* ___________ can affect production of these sounds
Bilabial Sounds
* Contact between both lips
* Insufficient lip support by the teeth or labial
flange can affect production of these sounds
Guttural Sounds
* Contact between __________ and __________
- Contact between back of tongue and throat
Support
* Resistance to __________ forces
Stability
* Resistance to __________forces
Retention
* Resistance to ____________ forces
Support
* Resistance to vertical seating forces
Stability
* Resistance to horizontal dislodging forces
Retention
* Resistance to vertical dislodging forces
Adhesion
* Attraction of _______ molecules
Cohesion
* Clinging of ___________ molecules
Adhesion
* Attraction of unlike molecules
Cohesion
* Clinging of like molecules
Underextension
* Denture flange is
* Lack of
Underextension
* Denture flange is too short
* Lack of retention
Liquid
* monomer
* inhibitor
* cross-linking agent
* activator
Liquid
* Methyl methacrylate (MMA)= monomer
* Hydroquinone= inhibitor
* Glycol dimethacrylate= cross-linking agent
* Dimethyl-p-toluidine= activator
Powder
* powder
* initiator
* Pigment
Powder
* Polymethyl methacrylate (PMMA)= powder
* Benzoyl peroxide= initiator
* Salts of iron, cadmium, or organic dyes=
pigment
- Ideal ratio of monomer to polymer is _________
1:3
Shrinkage always occurs, but more shrinkage if
excessive __________
monomer
- Porosity is due
Porosity is due to underpacking with resin at
time of processing or being heated too rapidly
more stain and wear
resistant- acrylic /porcelain
porcelain
Class _________
* Unilateral bounded edentulous space (BES)
Class III
* Unilateral bounded edentulous space (BES)
Rule #5:
Rule #8:
Rule #5: Most posterior edentulous area
determines the classification.
Rule #8: Class IV cannot have any
modifications by definition.
Maxillary Major Connector
Most rigid:
Least rigid
- Complete palatal plate
- Horseshoe
Add strength and maintain tissue contact to
prevent food impaction
Beading
When depth of lingual
vestibule is ≥7mm __________
– When depth of lingual
vestibule is <7mm __________
- Lingual bar
Lingual plate
Additional tooth loss
anticipated with __________ major connector
Lingual plate
When there is a missing
canine
Labial bar (swinglock)
Rest
provide ___________
2. Minor connector=
3. Clasp arms
– Retentive clasp arm=
– Reciprocal clasp arm=
Support
2. Minor connector= stability
3. Clasp arms
– Retentive clasp arm= retention
– Reciprocal clasp arm= stability
Occlusal Rest
* ___________ shape
* _____ MD width
* ________ intercuspal width
* __________mm deep for base metal
* Angle formed with vertical minor connector is
__________˚
Occlusal Rest
* Rounded, semicircular outline form (spoonshaped)
* One-third MD width
* One-half intercuspal width
* 1.5mm deep for base metal
* Floor inclines apically toward center
* Angle formed with vertical minor connector is
<90˚
Cingulum Rest
* _____________ shape
* __________mm MD length
* __________mm labiolingual width (ledge)
* _________mm deep
* Contraindicated for _________________
Cingulum Rest
* Inverted V or U shape
* 2.5-3mm MD length
* 2mm labiolingual width (ledge)
* 1.5mm deep
* Contraindicated for mandibular incisors
Incisal Rest
*___________ shape
*_________mm MD length
* ____-mm deep
Incisal Rest
* Rounded notch at incisal angle
* 2.5mm MD length
* 1.5mm deep
Guide Planes
* __________ buccolingual width
* Extends ________mm vertically down from marginal
ridge
Guide Planes
* One-third buccolingual width
* Extends 2-3mm vertically down from marginal
ridge
In adolescents aged 12 to 19 years, dental caries is most prevalent in__________ Americans
Hispanic Americans
Clasps should encircle a tooth at least 180˚ is Extracoronal/intracoronal?
Extracoronal
- Contacts tooth below height of contour/survey line _______ clasp
Contacts tooth above HOC/survey line _________ clasp
Retentive Clasp
Reciprocal Clasp
Ring Clasp
* Used when ____________ is adjacent to BES
Ring Clasp
* Used when undercut is adjacent to BES
Cobalt-Chromium
* _______% shrinkage which causes irregularities and
porosity
Cobalt-Chromium
* 2.3% shrinkage which causes irregularities and
porosity
thinnest gingival tissue is ____________ surfaces of molars and premolars
thinnest gingival tissue is lingual molars and facial premolars
Tooth preparation ________ has more operator control.
Taper or parallelism
If you have a short clinical crown
prep…
– __________ for retention
– ___________ for resistance
– Buccal grooves for retention
– Proximal grooves for resistance
- Minimum metal thickness
– ______mm - at the margin
– __________mm - non contact areas
– _______mm - contact areas - Minimum porcelain thickness
– __________mm - Minimum PFM thickness= NON-CONTACT AREAS
– __________mm (______mm porcelain, ________mm metal) - Optimal PFM thickness= CONTACT AREAS
– __________mm (________mm porcelain, _____mm metal)
- Minimum metal thickness
– 0.5mm à at the margin
– 1.0mm à non contact areas
– 1.5mm à contact areas - Minimum porcelain thickness
– 1.5mm - Minimum PFM thickness= NON-CONTACT AREAS
– 1.5mm (1.2mm porcelain, 0.3mm metal) - Optimal PFM thickness= CONTACT AREAS
– 2.0mm (1.5mm porcelain, 0.5mm metal)
Reduction= amount of occlusal tooth structure
removed during the preparation
1.5 – 2mm
which margin provides the best marginal seal?
Featheredge
Light Chamfer
* ________ mm thick
___________ restorations
Light Chamfer
* 0.3-0.5 mm thick
* Gold crowns
Heavy Chamfer
* ________ mm thick
* ___________ crowns
- 1.0-1.5 mm thick
- PFM crowns and some all-ceramic crowns
Shoulder
* __________ mm thick
* ___________ restorations
Shoulder
* 1.0-1.5 mm thick
* Porcelain of PFM restorations
- Occlusal point contacts preferred to be __________
and ____________ to prevent wear
broad and flat
- NEVER USE
- Bad hygiene
Saddle/Ridge-Lap
- Anteriors
- Good esthetics
Modified Ridge-Lap
- Anteriors
- Superior esthetics
- Requires surgery
- Requires good ridge
Ovate
____________ connector is indicated when it is impossible to obtain a common path of insertion between abutments
- Nonrigid
Connectors for PFM bridges should have a
minimum of _________mm height
3mm
Impregnated cords
* AlCl=
* FeSO4=
Impregnated cords
* AlCl= Hemodent
* FeSO4= ViscoStat
High acuurate impreesion material?
Most inccurate impression material?
Agar
Algiante
Setting Time increases/ decreases?
* Cold water
* More water
↑ Setting Time
* Cold water
* More water
- Imbibition=
- Syneresis=
- Imbibition= absorption of
water - Syneresis= loss of water
__________ impression material is
– Hydrophilic
– Imbibition
___________ min to pour
Polyether
* 60 minutes to pour
Best fine detail, elastic recovery, dimensional stability
Addition Silicone (PVS)
Inhibited by the sulfur in
latex gloves and rubber dam
Addition Silicone (PVS)
↑ Water
* __________ strength
* __________ porosity
* ____________expansion
* ____________ setting time
* _________ spatulation time
↑ Water
* Less strength
* More porosity
* Less expansion
* Increased setting time
* decreased spatulation time
Gypsum
* _______ second vacuum mix or _________ second hand spatulate
* Setting time is __________ minutes
* Disinfect with
Gypsum
* 20 second vacuum mix or 30 secondhand spatulate
* Setting time is 45 to 60 minutes
* Disinfect with 1:10 bleach solution,
glutaraldehyde, or iodophor spray
Ability to resist fracture during pulling is ___________ strength
Tensile Strength
Deforms easily under tensile strength is called
eg:
Ductility
* Deforms easily under tensile strength
* Wires are prime example
- Ability to be burnished
eg:
Percentage Elongation
* Gold is prime example
- Deforms easily under compressive
stress
eg:
Malleability
* Deforms easily under compressive stress
* Gold is prime example
Coefficient of Thermal Expansion
– Composite-
– Amalgam -
– Gold-
– Tooth-
– Porcelain-
– Composite 30 (unfilled resin is worst)
– Amalgam 25
– Gold 14 (best)
– Tooth 11.4
– Porcelain 6
- Bis-Acryl Composite=indirect/dirsect material?
direct
Provisional cements have __________ which
inhibits polymerization of resin
Eugenol
Metal-Ceramic Failures
* Adhesive failures (between _________materials)
– Porcelain-metal if _______
– Oxide-metal if
– Porcelain-oxide if
* Cohesive failures (between _______ material)
– Porcelain-porcelain if
– Oxide-oxide if
– Metal-metal if _______ material
Metal-Ceramic Failures
* Adhesive failures (between different materials)
– Porcelain-metal if oxide was not formed
– Oxide-metal if metal is contaminated
– Porcelain-oxide if porcelain is contaminated
* Cohesive failures (between same material)
– Porcelain-porcelain if inclusions or voids
– Oxide-oxide if oxide layer is too thick
– Metal-metal never happens
- Glass-infiltrated ceramics are etched with __________ and treated with __________ and bonded to the tooth
- Ceramics with no glass content (zirconia and alumina) are luted to the tooth with ________
- Glass-infiltrated ceramics are etched with
hydrofluoric acid and treated with silane coupling
agent and bonded to the tooth - Ceramics with no glass content (zirconia and
alumina) are luted to the tooth with cement
Porcelain veneer
* ______mm gingival third reduction
* _________mm facial reduction
* ________mm incisal reduction
* __________ preparation
- 0.3mm gingival third reduction
- 0.5mm facial reduction
- 1-2mm incisal reduction
- Intra-enamel preparation
Maryland Bridge
* Conventional bridge requires more removal of ___________
* Resin-bonded bridge can experience __________
Maryland Bridge
* Conventional bridge requires more removal of
tooth structure
* Resin-bonded bridge can experience debonding
Color appears different under different
lighting
Metamerism
________K and ________% CRI is ideal light
5500K and 100% CRI is ideal light
Opalescence
* Light effect of a translucent material
appearing ________ in reflected light and ________in transmitted light
Opalescence
* Light effect of a translucent material
appearing blue in reflected light and redorange in transmitted light
- Value first - seen at __________in crown
- Chroma second
- Hue last
- Value first - middle third of crown
- Chroma second - cervical third of crown
- Hue last - incisal third of crown
Object emits visible light when exposed to ultraviolet light is called
Fluorescence
Staining=__________ of fluorescence and _________ metamerism, usually decreases value
Staining= loss of fluorescence and increases
metamerism, usually decreases value
You can always add more color and make
something __________, but not the reverse
You can always add more color and make
something darker, but not the reverse
Order to to follow after crown delivery from lab:
- Shade (esthetics)
- Proximal contacts
– Open à send crown back
– Heavy à adjust before moving on - Margins
- Fit
- R&R form
- Occlusion
- Contour
- Cement
Zinc Polycarboxylate
* Chelation to ______
* __________ pulpal irritation
Zinc Polycarboxylate
* Chelation to calcium
* Minimal pulpal irritation
Resin Modified Glass Ionomer
* _________ strength and __________ solubility than GI
Not to be used with __________ crowns due to __________ (exception to this rule is __________)
Resin Modified Glass Ionomer
* Higher strength and lower solubility than GI
Not to be used with all-ceramic crowns due to
expansion from water absorption (exception
to this rule is zirconia)
Self-adhesive resin ____________ restorations
Metal
PFM
Zirconia
All-ceramic
Conventional resin
All-ceramic
Some zirconia
– Gypsum-bonded investments -
– Phosphate-bonded investments -
– Silica-bonded investments -
– Gypsum-bonded investments à gold
– Phosphate-bonded investments à PFM
– Silica-bonded investments à base metal
- Melting metal into the investment is called
Casting
- Very hot cast metal immediately placed in cool water to make more ___________for finishing
Malleable
Porosity Issues
* Porosity of porcelain -
* Porosity of acrylic -
* Shrinkage porosity of metal -
* Back-pressure porosity of metal-
Porosity Issues
* Porosity of porcelain à inadequate condensing of porcelain
* Porosity of acrylic à too fast heating
* Shrinkage porosity of metal à too thin sprue prevents molten metal from flowing effectively into the mold
* Back-pressure porosity of metal à too short sprue prevents venting of gas, gas was still present in an area prohibiting fluid from flowing in
Thering claspis used when theundercut is _________ to the bounded edentulous space(BES) and not _________ the tooth.
Thering claspis used when theundercut is adjacent to the bounded edentulous space(BES) and not across the tooth.
Akers claspsare the most commonly used design and uses a retentive and reciprocal arm that engages an undercut _____________from the bounded edentulous space.
away
ideal amount of taper for a crown preparation is ___________°
6°-10°
a high elastic modulus indicates a ______material
morestiff
Characterizationis the act of reproducing __________ defects on a crown
natural
Feldspathic porcelainis a predominantly glass-ceramic material that is_______ esthetic but has a__________ flexural strength
highly, low
When preparing teeth for veneer placement, extension of thepreparation into ________can result indecreased resin cement bond strengthand thus should be avoided.
dentin
When the bond surface is more than 50% in dentin, the risk of veneer failure is __________.
high
Does error in shade matching affects the Opaqueness crown? yes/no?
NO
Anerror inshade matchingmay change the value and hue of the crown, butshouldnotaffect the opaquenessof the crown.
adhesives containzinc, whichcan cause __________ if used excessively.
neuropathy
The alveolar bone of themaxillaresorbs in a___________ direction. The resorption pattern of themaxillacauses the arch to also becomeprogressively _______________.
superoposterior
Narrower
The alveolar bone of themandibleresorbs in an_________________ direction. The resorption pattern of themandiblecauses the arch to also becomeprogressively _________________.
inferoanterior
wider
Chroma
saturation or intensity of color
____________is a rare-earth ceramic that is often added tozirconiaas a stabilizing agent.
Yttria
3Yis the ____________ and most ____________, while5Yis the ___________ and most _____________.
3Yis the strongest and most opaque, while5Yis the weakest and most translucent.
______________refers to the circumferential band of tooth structure in crown preparationsthat helpsprevent fracture.
Ferrule
To observe the rule of the ferrule,at least _________________mmof coronal tooth structure must be maintained.
1.5 mm to 2.0 mm
__________curedresins aremore porousthan ____________resins due to their higher amount of excess residual monomer.
Chemically
heat-cured
The best way to curedenture acrylicin order to preventcandida growthis ____________.
to performinjection molding with heat cure resin
The___________ of a post is theleastpractical to improve the post’s retention.
diameter
Primary stress baring areas
Maxilla-
mandible-
Maxilla-alveolar ridge and palate
Mandible- buccal shelf
Secondary stress-bearing area
Max-
Man-
Max- tuberosities, rugae
Man- Residual ridge
The maxilla and mandible can be related together with an_______________ ,nota facebow.
interocclusal record
CAD/CAM dentistry plays an important role in ______________ analysis during prosthodontic treatment planning.
occlusal