Prosthodontics Flashcards
How much of the retromolar pad should be covered by a complete dentrue
2/3
What are the stages in conventional complete denture design (7)
Assessment
Primary impressions
Master impressions
Registration
Trial insertion
Insertion/Delivery
Maintenance/Review
What makes it easier to see a patients vibrating line
Get them to say ah
How do you know an impression tray is too small
The flanges hit the ridge or do not cover all the areas
How do you know which kind of impression material to use? (3)
If there are undercuts use an elastic material
If there are bounded saddles - alginate.
Free end saddles - alginate + compound
Where should you stand to take a maxillary impression
Behind the patient
Where should you stand to take a mandibular impression
In front of the patient
How should you assess/inspect a primary impression (4)
- Denture bearing area covered?
- Peripheral seal achieved?
- Adequate surface detail?
- No or minimal voids
What are the steps in a complete denture registration visit? (7)
- Measure vertical dimension and establish face height
- Adjust upper block for retention
- Adjust upper for tooth position
- Adjust upper for occlusal plane
- Lower tooth position
- Registration
- Selection of teeth
What equipment is needed at a complete denture registration visit? (4)
- Iron
- Wax knife
- Foxes bite plane
- Willis bite gauge
What does LIMBO stand for (Complete dentures)
Lip Support
Incisal Level
Midline
Buccal Corridor
Occlusal Plane
What should you mark on an occlusal record block (Complete dentures) (3)
- Midline
- Canine line
- High lip line
How do you calculate freeway space?
Resting vertical dimension - OVD
How do you decide what width of teeth to use for complete dentures?
Using a transparent flexible mirror, measure from the distal side of each canine and use this to select teeth
What different types of posterior teeth are available for dentures (3)
Cuspless
Hybrid (12 degree angle)
Cuspled teeth (33 degree angle)
What should you do with a trial wax denture before the patient arrives
Test it on an articulator
How can you tell if a complete denture is underextended
Insert the denture and move the tissues away
If the denture drops, it is under/over extended
What is a post dam
A lip on the back of a denture to give a better peripheral seal
Instructions for patients that have been given a complete denture (3)
- Remove the denture at night
- Clean it regularly
- Build up difficulty of food
Kennedy Class I
Bilateral free end saddle
Kennedy Class II
Unilateral free end saddle
Kennedy Class III
Bounded Saddle
Kennedy Class IV
Anterior bounded saddle crossing midline
Modification of Kennedy classes
How many extra saddles there are, not included in the classification
Craddock’s Class 1
Tooth borne support
Craddock’s Class 2
Mucosa borne support