Tooth Preparation Flashcards
What are the 4 phases of the restorative treatment plan?
- Immediate treatment
- Initial (hygienic or preparatory phase)
- Reconstructive (corrective) phase
- Maintenance
What methods can be used to alter or design a denture?
- Initial prosthetic treatment
- Repairs and additions
- Temporary relines
- Occlusal adjustment
- Treatment of denture stomatitis
What aspects of mouth preparation must be considered when designing a denture?
- Remove retained roots/unerupted teeth
- Remove pathology
- Improve contours of Edentulous areas - by reducing bony prominences and hyper plastic soft tissue
- Eliminate prominent fraenal attachments
What aspects of periodontal treatment or important to assess when designing a denture?
- Establishing health in periodontal tissues
- Assess patient motivation
- Detailed OHI
- Scaling and root planing
- Periodontal surgery
When can orthodontic treatment be useful in mouth preparation for dentures?
- To optimise space
- To optimise abutment alignment
- Cleft patients, hypodontia patients, periodontal patients
How should fixed orthodontic treatment be considered in relation to RPD design?
- It should follow denture design and precede denture construction
- Establish clinical integrity of teeth before master impressions are recorded
- Facilitates provision of crowns (and/or teeth)
With guide planes, rest seats etc
Why is tooth preparation for rpds necessary?
- Provide rest seats
- Establish guide surfaces
- Modify unfavourable survey lines
- Create retentive areas
What is the purpose of rest seat preparation?
- Produce favourable tooth surface for support
- Prevent interference with occlusion
- Reduce prominence of the rest
What features are useful for tooth preparation on maxillary canines?
What tool should be used for preparation
Well developed Cingulum allows prep to stay within enamel.
Use a cylindrical diamond stone with a rounded tip
Anterior mandibular teeth have poorly developed cingulum and the lingual surface is too vertical to avoid penetrating enamel, what alternative method is suggested for rest seats
Incisal rest seats
What is a more aesthetically pleasing alternate to an incisal rest seat?
- Produce a rest seat in composite applied to cingulum area
2. Bond a cast metal cingulum to tooth
What is the purpose of a rest seat on a posterior tooth?
Reduce marginal ridge
What shape should a posterior tooth rest seat be and why?
Saucer shaped to allow some horizontal movement and dissipation of occlusal forces
How deep should a posterior rest seat be?
Deep enough to allow a rest of at least 1mm thick
What are guide planes?
Two or more parallel axial surfaces on abutment teeth, which limit the path of insertion of a denture
