Prostho Lec midterms Flashcards
`branch of dentistry pertaining to the restoration and maintenance of oral function, comfort, appearance and health of the patient by the restoration of the natural teeth or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes or by both.
Prosthodontics
branch of prosthodontics concerned with the replacement or restoration of teeth and contiguous structures for edentulous or partially edentulous patients by artificial substitutes that are removable from the mouth
Removable partial denture
Dental prosthesis to be used in the course of the treatment for short time intervals for the reasons of esthetics, mastication, and occlusal support and convenience for conditioning of the patient to the acceptance of an artificial.
Substitute for missing natural teeth until a more definitive dental treatment can be provided.
Serves as band aid (prevent further bleeding)
Training denture
Temporary
Interim denture
Indications of Interim Denture:
- Insufficient time for complete mouth rehabilitation
- Poor health of the patient
- Premature loss of teeth in young patient
- Recent extraction cases
artificial teeth (any replacement of natural teeth)
Pontics
Prosthesis that serve as temporary denture to which teeth will be added as more teeth are lost and that will be replaced after post-extraction tissue changes have occurred.
It can become an interim denture when all teeth have been removed from the dental arches.
TRANSITIONAL DENTURE
Dental prosthesis used for treating or conditioning the tissues that are called on to support and retain the denture base.
Socket is usually left open after extraction so treatment denture is put on the socket to delay bone resorption.
Treatment denture
Indication of Treatment Denture:
- Establish new occlusal relationship
- Restoration of new vertical dimension
Vertical dimension- height of teeth in relation to the ridge when they are in occlusion.
Teeth do not become longer but
supraverted because there is no tooth
contact. (Supraversion)
Tooth are suspended on socket by PDL. - Conditioning of abused tissues prior to construction of a definitive prosthesis
A synonym for a prosthesis that is usually temporary clasps less and made of acrylic resin, and that replaces anterior teeth only.
Retained mechanically by clasp arms (metal embracing the tooth or AKA direct retainers)
Temporary denture
Butterfly Partial Denture
A term used to designate a temporary prosthesis made as an interim measure to help the patient become accustomed to an artificial replacement.
Provisional Denture
A prosthesis used to provide the patient with a tide over cosmetic facade until missing anterior teeth can be restored with a more definitive type of a replacement.
AIM: Appearance
Temporary Denture
Classification of RPD according to location:
- UNILATERAL RPD
- BILATERAL RPD
Replaces missing tooth or teeth in one side of the arch only (except for extensive class II Kennedy’s classification)
UNILATERAL RPD
Replaces missing tooth or teeth on both sides of the dental arch.
Extended from one side to other sides by clasp arms
BILATERAL RPD
Classification of of RPD according to supporting structures:
- Tooth borne
- Tissue borne
- Tooth-Tissue borne
receives support from the abutment teeth which are located anteriorly and posteriorly from the edentulous
TOOTH BORNE
derives support entirely from tissues or underlying mucosa and bone. (RPD without clasp)
TISSUE BORNE
supported by both abutment teeth, mucosa and underlying bone. This is referred to as “true RPD” and has at least a free and extension base.
Support from tissues without clasp (ex. Butterfly PD)
Denture rests on top of mucosa
TOOTH-TISSUE BORNE
Classification of RPD according to materials used
- One-piece casting- all metal
- Once-piece casting (skeleton type)
- Individually cast clasp assembly- denture
has undergone casting procedure (casting-
metal clasp) - Wire clasp assembly- for certain occasions,
emergency; not used in RPD because it’s
not rigid - Retention plate partial denture – made up of acrylic resin (no metal clasps) – aka Butterfly PD
all metal in Classification of RPD according to materials used:
One-piece casting
Once-piece casting in Classification of RPD according to materials used:
(skeleton type)
Denture has undergone casting procedure (casting metal clasp)
Individually cast clasp assembly
Made up of acrylic resin (no metal clasps) – aka
Butterfly PD
Retention plate partial denture
Consists of parts of partial denture (except
for denture base and pontics) that are
casted in one piece.
ONE-PIECE CASTING
- Same as one piece casting except for the
skeleton like framework which was to be
filled mostly by resin materials. - Combination of metal clasp for hard palate
and acrylic resin on soft palate
ONE-PIECE CASTING (SKELETON TYPE)
- Only the clasps assembly are casted and
the rest are filled by resin materials.
INDIVIDUALLY CAST CLASP ASSEMBLY
- Utilizes orthodontic wires for its clasps and
the rest are to be filled up by resin materials.
WIRE CLASP ASSEMBLY
- Without any clasps assembly, uses the full
coverage of the palate as the means of
support and retention of denture. - Minor connector- connects the clasps into
the body - PURPOSE: Aesthetics
RETENTION PLATE PARTIAL DENTURE
Indication of RPD:
- Distal extension areas – distal free end
cases. (no posterior) - Long edentulous areas (multiple extractions
of natural tooth – 3 or more) - Restoration of facial contours
(sunken appearance) - As a transitional prosthesis
- Alteration of vertical dimension
- Children and adolescent
- Shortened life expectancy
- Unblemished abutment
- Extreme atrophic residual ridge (diminish
bone after extraction) - Patient with diabetes. (rate of bone
resorption is faster – add acrylic if ridge
resorb) - Obliteration of cleft palate. (obturatorremovable appliance/ restoration)
- Cross arch bracing