Toothwear and Occlusion Flashcards

1
Q

what is occlusion?

A

the study of the relationships between the upper and lower teeth when they are closed together

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2
Q

what is the functional purpose of bringing the teeth together?

A

for chewing and swallowing

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3
Q

what are the parts of the masticatory system?

A

teeth, periodontal tissues, jaws, temporo-mandibular joints, muscles of mastication, nervous control

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4
Q

what must occur for occlusion to occur?

A

the muscles of mastication have to move the jaws into position to allow the teeth to contact

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5
Q

where are forces transmitted during chewing?

A

down the long axes of the teeth into the robust base of the skull

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6
Q

what does the pulp do during chewing?

A

sends signals to the brain which sends signals to the muscles of mastication to regulate the movement of the jaws (sensitive feedback)

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7
Q

what does sensitive feedback do?

A

regulate the amount of force applied to the teeth which is important in tooth preservation

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8
Q

what does the resting position rely on?

A

neuromuscular memory

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9
Q

what is intercuspal position?

A

the position in which the teeth are maximally meshed together and the position the mandible aims for at the end of chewing

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10
Q

what is the occlusion pattern on posterior teeth?

A

the lower buccal cusps and upper palatal cusps occlude against the fossae and marginal ridges of the opposing teeth

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11
Q

what is the occlusion pattern on anterior teeth?

A

the lower incisal egses and canine tips occlude against the cingulum area of the opposing teeth

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12
Q

what happens if forces are not directed down the long axes of the teeth?

A

there can be teeth tilting and pain

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13
Q

what is balanced occlusion?

A

even, bilateral contacts in ICP

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14
Q

what does balanced occlusion provide?

A

stability

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15
Q

what does the mandibular condyle do during protrusion?

A

moves downwards and forwards in the mandibular fossa

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16
Q

what are the steps of chewing?

A

1 - jaw opens , 2 - moves left or right , 3 - jaw comes back up

17
Q

when does group function occur?

A

when the mandible swings laterally and there are several teeth contacting

18
Q

who is group function most commonly seen in?

A

patients with toothwear or unstable occlusions

19
Q

what is canine guidance?

A

when the mandible moves laterally with the tips of the canines being the only teeth in the arch which are touching

20
Q

what is an articulator?

A

a device in which dental casts are held in relationship to each other and which can replicate to varying extents mandibular movement

21
Q

what do you do when examining occlusion?

A

look at tooth position in each arch - are there irregularities that might impact on the occlusion? look at the teeth in ICP - does it look stable, are there unopposed, drifted or over-erupted teeth? locate the contact points in ICP - where are they, how many are there? which teeth provide guidance in protrusion and lateral excursions?

22
Q

what are the 3 types of toothwear?

A

attrition, erosion, abrasion

23
Q

what is attrition?

A

the loss of tooth substance caused by contact between occluding surfaces

24
Q

what is attrition caused by?

A

parafunctional rather than functional activity

25
Q

what does parafunction mean?

A

purposeless clenching or grinding of the teeth (bruxism)

26
Q

what are facets?

A

little bits of the teeth that are worn away that coincides with the opposing tooth

27
Q

what is erosion?

A

the loss of tooth substance by a chemical process (acid) not involving bacterial action

28
Q

what can be seen in tooth erosion?

A

dentine

29
Q

what are the causes of tooth erosion?

A

diet, regurgitation, environmental

30
Q

what is the effect of tooth erosion on amalgam restorations?

A

they appear to be raised above the clinical height of the crown as they are not affected by the acid

31
Q

what is abrasion?

A

loss of tooth substance caused by abnormal rubbing from a non-dental object

32
Q

what causes abrasion?

A

most commonly a toothbrush with overbrushing/trauma

33
Q

in abrasion, how does the dentine surface get brushed away?

A

because the gum has receded

34
Q

why may restorations fail?

A

secondary caries, fracture of the restoration or tooth pulp death, incompatibility with periodontal tissues, poor appearance

35
Q

what is gingivitis associated with?

A

poorly fitting crown margins

36
Q

what should an intra-oral exam include?

A

assessment of the occlusion - both static and functional, looking for signs of toothwear, evaluation of existing restorations