Quiz 1 Flashcards

1
Q

Laboratory remount

A

To correct Errors in occlusion form processing

To return denture to correct VDO

To restore centric contacts and bilateral balanced occlusion

Master cast is recovered from deflasking procedures

Denture is still attached to the cast

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2
Q

Avoid grinding

A

Functional cusps

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3
Q

Selective grinding

A

Confine your initial reductions to cusp inclines central fossa and marginal ridges

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4
Q

Maxillary functional cusp

A

Lingual

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5
Q

Mandibular functional cups

A

Buccal cusp

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6
Q

Contacts confined to

A

Central floss and marginal ridges

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7
Q

Goals of selective grinding

A

Obtain evenly distributed centric contacts on central fossa and marginal ridges

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8
Q

Occlusal index jig

A

Presses the face bow orientation of the maxillary cast

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9
Q

Reasons for occlusal jig

A

Mast cast is destroyed during deceasing and retrieval of the processed denture

Preserves the face bow transfer

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10
Q

Denture polish goals

A

Remove surface scratches

Obtain highly polished smooth surfaces

Minimize the potential for harboring of candida

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11
Q

Decasting procedure

A

Carefully pry off the denture from the cast

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12
Q

Overpolishing

A

Results in losing the gingival contours developed during festooning procedures

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13
Q

Polished dentures goals

A

CD borders must be rounded and smooth

The palate must be highly polished and have proper thickness

Intaglio surfaces must not be polished

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14
Q

Most common frenum to become irritated from denture overextension

A

Maxillary labial frenum

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15
Q

PPS

A

A reasoned area that will maintain intimate contact with he tissues.

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16
Q

Post insertion CD problems generally occur in one of 4 categories

A

Fit/pressure related
Size/extension related
Occlusion related
Random/other

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17
Q

24 hour post insertion appointment

A

Schedule adjustment appointments until areas of inflammation subside and patient is comfortable

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18
Q

__________ annual appointments to evaluate if any adjustment required

A

6 months to yearly appointments

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19
Q

Occlusion should be checked

A

First

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20
Q

Soreness may develop _________ because of heavy occlusal contacts

A

Crest of the ridge

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21
Q

Soreness may develop _________ because of shifting of denture base

A

Slopes of RR

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22
Q

Overextension results in

A

Trauma of the tissues producing tenderness swelling ulceration and inflammation

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23
Q

Difficulty in swallowing overextension of _______or ______

A

Overextension of DL flange of mandibular denture

Overextension in posterior of maxillary denture

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24
Q

Overextension of DL flange of mandibular denture to

A

Reduce using PIP

Patient should place tongue to oppposite side of mouth to check for overextension

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25
Q

Overextension in posterior of maxillary denture

A

Locate using PIP relieve and polish

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26
Q

Excessive vertical dimension can make

A

Swallowing difficult

Need to correct VDO by resetting teeth/remake

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27
Q

Dislodgment

A

Overextension or underextension

28
Q

Dislodgment overextension Tx

A

Use PIP to identify specific area for reduction

29
Q

Dislodgment underextension Tx

A

Add green stick compound or PVS to border and or posterior palatal seal; if this corrects the problem reline the denture

30
Q

Inadequate posterior palatal seal

A

Correct posterior palatal seal area with acrylic/reline

31
Q

Teeth place too far buccally or occlusal plane too high

A

Reposition teeth

32
Q

Occlusal errors

A

Remount/equilibrium occlusion

33
Q

Atypical tongue postion

A

Educate pt to keep tip of tongue forward

34
Q

Denture Reline

A

Resurfacing the intaglio of an existing denture with new denture base material thus providing an accurate adaptation tot he new foundation areas

35
Q

Whistling

A

Are escape in rugae area

Add wax in area to correct, modify denture accordingly

36
Q

Speech difficulties

A

Lisping or slushy speech anterior teeth’s et too far forward or insufficient IOD

37
Q

Noisy Denture Teeth

A

Inadequate IOD/Excessive VDO

Loose Dentures

Patient with poor NMC.lack of motor skills

38
Q

Gagging

A

Thick posterior border of maxillary denture and lingual flanges

Over extended posterior denture border

Loose dentures

Poor occlusion

Psychogenic factors

Inadequate Vertical dimension

39
Q

Soreness of the lining mucosa located at the periphery of the denture:

A

Cause overextions of peripheries

40
Q

Soreness located on the masticatory mucosa

A

Traumatic occlusion

41
Q

Soreness located not he specialized mucosa

A

Tongue biting

42
Q

Overextension of denture borders

A

Reduce round and polish

43
Q

Sharp peripheral borders

A

Round and polish

44
Q

Impingement on frenulum

A

Relieve and polish

45
Q

Cheek biting solution

A

Increase horizontal overlap by reducing buccal surface of fending mandibular tooth-provides an escape for buccal mucosa

46
Q

Cheek lip and tongue biting

A

1-2 mm overlap

47
Q

Inadequate horizontal overlap

A

Round lower buccal cusps or reset teeth

48
Q

Insufficient vertical dimension

A

Remake denture

49
Q

Teeth placed too far lingually

A

Move teeth buccally/remake denture

50
Q

Insufficient room posteriorly between tuberosity and retromolar pad

A

Reduce acrylic thickness; use metal base if insufficient restorative space; consider surgery

51
Q

Soreness on residual ridge or palate

A

Excessive Verticl dimension

Solution reduce posterior teeth via selecting bring replace teeth in or arch at correct VDO or remake dentures

52
Q

Inadequate interocclusal clearance =

A

Excessive VDO

53
Q

Excessive VDO results in

A

Soreness and discomfort under the denture

Increased ridge resorption due to trauma

May induce TMD

Generalized soreness and discomfort

54
Q

Brushing solution

A

Educate patient

Remove dentures to allow oral soft tissues to reset

55
Q

Thin mucosa over bony exostosis and tori

A

Relive denture and refer to oral surgery

56
Q

discomfort upon insertion or removal of denture past undercuts

A

Use PIP to locate and relieve area of denture that interferes/binds

57
Q

Reflective occlusal contacts that cause soreness under lingual and labial flange of mandibular denture

A

Rebound dentures on articualtor and correct occlusion

58
Q

Soreness on RR or palate generalized

A

Occlusal discrepancy

Remount dentures on articulator and equilibrate and refine occlusion

59
Q

Clinical remounts Save _____ and reduce _____

A

Save chair time and reduce poster insertion visits

60
Q

Clinical remounts

A

Corrects occlusal discrepancies

Allows extra oral occlusal adjustment

Minimizes related removal and replace the of the dentures

Allows identification of interferences not seen intraorally and undesired denture base contacts

61
Q

Failure to correct occlusion before the patient wears the dentures

A

can cause destruction for he residual alveolar ridge

62
Q

Chronic displacement of the complete denture bases leads to

A

Soreness and inflammation which in turn cause accelerated bone loss of the residual ridges

63
Q

Clinical remount can help correct

A

Both processing changes and errors

64
Q

Denture occlusion must observe

A

Uniform simultaneous bilateral centric contacts

65
Q

_____lessen displacement and tipping of denture bases

A

Smooth gliding non interfering contacts to any eccentric postion lessen displacement and tipping of denture bases

66
Q

Goals of clinical round

A

To eliminate defective contacts

Provide evenly distributed simultaneously balanced occlusal contacts at the correct VDO

67
Q

Advantages of a clinical remount

A

Stable foundation without shifting denture bases

better visualization of occlusal contacts

Absence of salvia provide accurate occlusal contacts

Reduced clincal time and adjustment appointments