Treatment Planning Flashcards
what is the history for complete dentures
patient complaint
denture history
dental history
medical history
social history
what can be included in patient complaints
appearance
eating
pain
looseness
retching
speech
dislike
what should you ask for denture history
age of dentures
matched set
most recent set worn
when first dentures
how many sets of dentures
material used
success or failure
what to ask for dental history
when teeth lost
why teeth lost
any retained roots, pain or swelling
anxiety, mobility and dental attendance
has anything else been tried for current problem
what are some medical problems associated with the elderly likely to come up in a medical history
neuromuscular disease
tremor
stroke
dementia
sjogrens
medication - polypharmacy
xerostomia
radiotherapy
what are important points in social history
mobility
barriers to treatment
alcohol/smoking
capacity to consent
support needed
what do you examine extra orally
signs of TMJ dysfunction
facial pathology
facial contours
overall denture appearance
what do you examine intra orally
mucosal health
if overdenture abutments
periodontal health
periapical status
caries
support in edentulous areas
mouth opening - trismus
peri-oral opening
support
where are the support areas in the upper jaw
hard palate
ridge crest
where are the support areas in the lower jaw
buccal shelf and pear shaped pad
ridge crest and genial tubercles
what do you examine when the denture is in the mouth
occlusal planes
vertical height
occlusion recorded correctly
lip support
overextension/underextension
retention, stability and adaptation
how do you find the freeway space
RVD - OVD
in what position do you record the occlusion
RCP
what is intercuspal position
complete intercuspation of the opposing teeth independent of condylar position
what is retruded contact position
guided occlusal relationship occurring at the most retruded position of the condyles in the join cavities
