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Treatment Planning Flashcards

1
Q

What are 2 good factors NOT to place implants?

A
  1. Lack of bone

2. Lack of restorative space

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2
Q

What are some patient limitations regarding implant placement?

A
  1. Surgical Risk
  2. Disease
  3. Hygiene
  4. Available Treatment Time
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3
Q

What are 4 indications for tooth replacement?

A
  1. Esthetics
  2. Phonetics
  3. Function
  4. Occlusal Stability
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4
Q

What are 9 factors in influencing selection of pros treatment planning?

A
  1. Length of Edentulous Span
  2. Distal Extension
  3. Complete Edentulism
    4, Periodontal health
  4. Radiographic Crown:Root Ratio
  5. Extensive Bone Loss of Residual Ridge
  6. Shortened Life Span Expectancy
  7. Caries Index/Oral Hygiene Limitations
  8. Patient Desires/Economic Consierations
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5
Q

For a short edentulous span think…

A

Implants/Fixed/Removable

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6
Q

For a medium edentulous space think…

A

Implants/Fixed

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7
Q

For a long edentulous space think…

A

Removable

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8
Q

When missing a single tooth you can restore with:

A
  1. Implant
  2. Conventional FDP
  3. Resin bonded FDP
  4. Removable Dental Prosthesis
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9
Q

Are single tooth implants successful?

A

Yes!

  • 97% 10 years
  • Low caries
  • Improved hygiene
  • Decreased abutment tooth loss
  • Psychological Advantage
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10
Q

For the posterior what is the max amount of pontics you would desire?

A

2

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11
Q

For the anterior what is the max amount of pontics you would desire?

A

4

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12
Q

What is the most common cause of FDP failure?

A

Caries

  • Mean life span is 10 years
  • 15% abutments will require RCT
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13
Q

How much distance would one want between implant and tooth?

A

1.5 - 2 mm

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14
Q

How much distance would one want between implants?

A

3 mm

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15
Q

For implant retained FDP - what are the advantages of splinting them together?

A
  • Eases fabrication/delivery
  • Strong sytem

If abutments are parallel then you do not have to splint them together - this aids in hygiene…

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16
Q

What are indications for Removable Dental Prosthesis?

A
  1. Long spans
  2. Correct Large Ridge Defects
  3. Minimally Invasive
  4. Proven Cost Effective Treatment
  5. Endodontically treated abutments 4x more likely to fail
17
Q

What happens to bite force when one wear an RDP?

A
  1. Bite force decreased from 200 psi to 50 psi

2. Masticatory efficiency decreased

18
Q

What are some consequences of using an RDP?

A
  1. Abutment teeth need constant repair (60% at 5 years, 80% at 10 years)
  2. Increased mobility, plaque, BOP and caries on abutment teeth.
  3. Abutment tooth loss of 44% within 10 years
  4. Accelerated bone loss in edentulous regions
19
Q

What are some considerations for a prosthesis extending from 7-10?

A
  1. Arch curvature
  2. Cantilever Length
  3. Residual Ridge
  4. Pontic Site
  5. Canine Stability
20
Q

For D extension what are your treatment options?

A
  1. RDP
  2. Removable Partial Overdenture
  3. Implant Retained FDP
21
Q

For D extension, RDP is most conventional treatment - you will have success if you have…

A
  1. Proper survey & design
  2. Adequate Abutments
  3. Broad Stress Distribution
  4. Well Adapted Bases
  5. Altered Cast Impression
22
Q

What are some advantages of a removable partial overdenture?

A
  1. Stability/Retention
  2. Bone Preservation
  3. Diminished Forces to Abutment Teeth
  4. Improved Tissue Health
23
Q

What 2 things must be present when evaluating a patient for a FDP/distal extension?

A
  1. Sufficient Bone
  2. Enough Restorative Space

-assuming occlusion is stable-

24
Q

What 3 options can you deliver to a patient with complete edentulism?

A
  1. Conventional Complete Dentures
  2. Overdentures
  3. Fixed-Detachable (Hybrid)
25
Q

For overdentures, what percent are unstable on the mandible?

26
Q

What is a hybrid prosthesis?

A

4-5 implants between mental foramina
No soft tissue contact
Implants placed on the mandibular arch better aid for the speech of the patient

27
Q

For a hybrid prosthesis, you can cantilever up to how much?

A

1.5 to 2 X AP spread

28
Q

Are implants successful in patients whose periodontal disease has been controlled?

29
Q

What is the optimum crown to root ratio?

30
Q

What is the minimal crown to root ratio?

31
Q

What are 3 advantages of an RDP?

A
  1. Predictable
  2. Cost-Effective
  3. Esthetic
32
Q

For a shortened life expectancy what is likely the best treatment option?

A

Removable :(

33
Q

For patients with caries index/oral hygiene limitations what is your go to option?

A

Removable IS the only appropriate option

34
Q

If you could travel in the future an look side to side to what removable appliances people were wearing - what would you see?

A

Implant Supported RDPs/Dentures

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