Bridgework 3 Flashcards

1
Q

what is holistic treatment planning

A

looking at the whole mouth not only a specific tooth and plan for the future

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2
Q

what occlusal information must be gathered

A

initial classification
canine guidance or group function
opposing tooth overerupted
will bridge interfere with occlusion
signs of parafunction present

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3
Q

what must be considered when designing bridges

A

prep
materials
abutments
cleansability
appearance

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4
Q

what is looked at when evaluating abutments

A

root configuration
angulation of abutment
perio health
surface area for bonding
pulpal damage risk
quality of endodontics
remaining tooth structure present
core

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5
Q

what is included in bridge design

A

abutment teeth selected
retainer type selected
pontic and connector
plan occlusion
prescribe material

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6
Q

what is the function of a pontic

A

restore appearance of missing tooth
stabilise occlusion
improve masticatory function

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7
Q

what must be considered with pontic design

A

cleansability
appearance
strength

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8
Q

what must the occlusal surface of the pontic be

A

resemblant to tooth it replaces
narrower to enable cleaning
sufficient occlusal contact

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9
Q

what are the different types of pontic

A

wash through
dome shaped
modified ridge lap
ridge lap-saddle

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10
Q

what materials are used for bridges

A

metal
metal ceramic
all ceramic
ceromeric

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11
Q

what is lava 3m espe

A

3-4 unit fixed bridge milled zirconium oxide frame with feldspathic porcelain overlying

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12
Q

what is parallelism

A

two or more teeth to be prepared in a manner to provide a common path of insertion for increased retention

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13
Q

how do you check parallelism

A

direction vision
large mouth mirror
straight probe used like surveyor

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14
Q

what is used to definitively cement metal and metal ceramic bridgework

A

aquacem

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15
Q

what is used to cement adhesive bridges

A

panavia

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16
Q

what is used to cement all ceramic bridges

A

nexus

17
Q

why do we avoid distal cantilever bridges if possible

A

occlusal forces on pontic can produce leverage forces on abutment tooth causing it to tilt

18
Q

when would you consider a distal cantilever

A

if it is premolar abutment and unopposed or opposed by a denture