TUT 8

Question 1

How do acrylic and CoCr compare in periodontal patients?

Answer 1

• CoCr is less periodontally destructive but more difficult to add to
• acrylic is more periodontally destructive but easier to add to

Question 2

How do you design a partial denture to aid periodontal health?

Answer 2

• connectors away from gingival margins
• reduce tissue coverage where possible

Question 3

What key teeth are important in partial denture design?

Answer 3

• lone standing molars
• canines or premolars

Question 4

How can you aid the transition to edentulism?

Answer 4

• partial denture wearing experience
• prevents flabby ridge if lower bilateral free end saddles

Question 5

What is made more difficult by mobile teeth in prosthodontics?

Answer 5

• impressions
• tooth position
• path of insertion
• fit of CoCr

Question 6

What is the result of providing no prothesis?

Answer 6

• less periodontally damaging
• lack of posterior support (increased mobility of remaining teeth, flabby ridge)
• lack of denture wearing experience

Question 7

What should be covered in informed consent in a periodontal patient required prosthodontics?

Answer 7

• prognosis of dentition
• risks and benefits of denture vs no denture
• monitor and maintain remaining dentition

Question 8

What are common causes of xerostomia?

Answer 8

• anti-depressants
• polypharmacy
• sjogrens

Question 9

What are the complications of xerstomia?

Answer 9

• caries
• retention difficulty
• pain and discomfort (lack of lubricant)
• associated mucosal problems (candida or cheilitis)

Question 10

What are the common causes of anaemia?

Answer 10

B12, folate or iron deficiency

Question 11

What are the complications of anaemia in the mouth?

Answer 11

• atrophy of mucosa
• pain and discomfort (lack of lubricant)
• associated mucosal problems (candida or cheilitis)

Question 12

What are common causes of tremors?

Answer 12

• parkinsons
• CVA
• Huntington’s chorea

Question 13

What are the complications of tremors in prosthodontics?

Answer 13

• stages of denture construction difficult
• jaw registration
• simple treatment plan required

Question 14

What are the common drugs that are anti-resorptive agents?

Answer 14

• bisphosphonates (alendronic acid)
• RANKL inhibitors (denusomab)
• anti-angiogenic (atixinib)

Question 15

What are the complication of frailty in prosthodontics?

Answer 15

• home visits
• falls and delirium