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