RP - retention and stability of complete dentures Flashcards

1
Q

what is retention?

A

resistance of a denture to vertical movement away from the tissues

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2
Q

what is stability?

A

the resistance of a denture to displacement by functional forces

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3
Q

what are types of displacive forces?

A

gravity
muscle activity
sticky food
function

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4
Q

what is interfacial surface tension?

A

thin layer of fluid present between 2 parallel planes of rigid material - ability of fluid to wet the rigid material

due to an air seal around border of denture
pellicle layer from saliva coating acrylic

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5
Q

what is interfacial viscous tension?

A

the force holding 2 parallel plates together that is due to the viscosity of the interposed liquid (saliva)

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6
Q

when may interfacial viscous tension be compromised?

A

thick mucinic saliva is less able to flow and wet denture base and generate surface

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7
Q

how can you achieve optimum adaptation between denture and mucosa?

A

thin salivary film - close fitting denture

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8
Q

what is adhesion?

A

the physical attraction of unlike molecules for each other
saliva - mucous membrane
saliva - denture base

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9
Q

how is adhesion maximised?

A

bigger area covered greater adhesive force
extend denture over potential load bearing area as possible

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10
Q

what is cohesion?

A

physical attraction between similar molecules (salivary film)

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11
Q

what feature of a denture gives atmospheric pressure?

A

border seal
only achievable in maxillary prosthesis

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12
Q

what features should be considered to achieve optimum retention and stability with complete dentures?

A

fitting surface
polished surface
occlusal surfaces

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13
Q

what do we want the fit surface to cover? primary and secondary

A

primary supporting tissue - basal bone
secondary - soft tissue, rugae, tuberosities

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14
Q

how to achieve an optimum fit surface?

A

border in buccal sulcus - border mould
0.5mm thick at post dam
do not pass the vibrating line (soft palate muscles move)

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15
Q

what landmark marks the vibrating line?

A

palatine fovea

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16
Q

what is the anatomical name for lingual pouch?

A

retromylohyoid fossa

17
Q

what undercuts in the mouth are useful for prosthetics?

A

labial undercut
bilateral soft tissue undercuts
bilateral boney undercuts

18
Q

list factors that can make retention and stability difficult?

A

the atrophic ridge
damaged alveolar ridge - from trauma or surgery (bone replaced by fibrous tissue - flabby ridge)
tori
pt that cant tolerate base extension
insufficient saliva

19
Q

what can you do for a pt that cannot tolerate base extension to try and recover retention and stability?

A

double post dam
can shorten palatal extension slightly

20
Q

what is the neutral zone of tooth positioning?

A

outward forces from tongue balanced by inwards forces of teeth

21
Q

what are aids to denture retention and stability?

A

denture adhesives and linings

22
Q

what can be added to achieve a good base fit?

A

valves - act by sucking air out from under denture base

23
Q

what are anchors?

A

2 implants to prevent rotation