Tooth loss and the need for tooth replacement Flashcards
How does tooth loss effect individuals? `
pain/discomfort
social aspects: social interactions
physiological aspects: appearance/ self-esteem
functioning: mastication and speech
What are reasons for tooth loss? `
congenitally missing
trauma
periodontal disease
caries
pulpal disease
oral pathology
What are examples of congenital reasons for missing teeth?
hypodontia
ectodermal dysplasia
cleft lip and palate
What is this congenital disease?
Hypodontia
What is this congenital disease?
Ectodermal dysplasia
What is this congenital disease?
Cleft lip and palate
What is ectodermal dysplasia?
Developmental condition
Missing small and malshaped teeth
What is ectodermal dysplasia?
Developmental condition
Missing small and malshaped teeth
How can pulpal disease be manifest?
internal root resorption -
external root resorption
How is dentine resorbed in pulpal disease?
dendritic cells differentiate into osteoclastic-like cells that resorb the dentine
What is ameloblastoma?
benign tumour that develops in the jaw around molars
What is SDA?
shortened dental arch - 5-5
When can an SDA be suitable?
20 functional units or apposing teeth
patients has no perio or malocclusion
With SDA, is there risk of TMJ pain or occlusion instability?
little risk
How many occlusal units do you need for SDA?
4
- premolar occlusion is 1 unit
- molar occlusion is 2 units
What are the benefits of SDA?
provides adequate chewing function
dental aesthetics is not significantly compromised
some tooth migration may occur but SDAs provide occlusal stability
tooth wear is no different to full dentition - wear is elated to decreased post support
avoids the need for potentially damaging removable partial dentures
Are RPD damaging to oral health?
potentially
Pt needs to control plaque
What are 3 broad reasons RPDs can harm pt?
biological - fungal/bacterial
direct trauma - poorly designed RPD
mechanical - FOPRCES NOT RECIPRICATED
What is a gum stripper denture?
alveolar bone loss die to malfitting denture
What is dental stomatitis?
usually caused by candida