19. Case Design Workshop Pt. II Flashcards by J L

Mouth Preparation

MUST Have Mounted ____ Casts

diagnostic

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Surgical Preparation
 Extractions
 periodontally \_\_\_\_
teeth
 residual \_\_\_\_
 teeth that are detrimental to the design of \_\_\_\_
 \_\_\_\_ teeth

hopeless
roots
PRDP
impacted

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Surgical Preparation
Severely malposed or extruded teeth
 \_\_\_\_
 orthodontic correction 
 \_\_\_\_ segment
osteotomy
 need interarch distance of \_\_\_\_mm

extraction
dentoalveolar
3

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Surgical Preparation
Enlarged ____
- metal base of 1mm

tuberosity

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Surgical Preparation
Bony exostoses or tori
 \_\_\_\_ and friable mucosa
 \_\_\_\_ with the path of insertion
 compromise the \_\_\_\_ of denture components

thin
interference
extension

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Surgical Preparation
\_\_\_\_ soft tissues 
soft flabby ridges
 folds of redundant tissue 
 surgical \_\_\_\_ needed

 Muscle \_\_\_\_ and frena
Bony spines and knife-edge ridges 
 \_\_\_\_
 vestibular deepening 
 \_\_\_\_ augmentation

displaceable
stent
attachment
rounded
ridge

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Surgical Preparation
 ____
 overdenture abutments

implant

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Periodontal Preparation
 Periodontal disease and plague control
 ____ care instruction and recall
 definitive ____ treatments

home

periodontal

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Periodontal Preparation
 Insufficient attached gingiva
 resistance of the ____

 ____ gingival pockets
 exposure of more of the clinical crown

periodontium

suprabony

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Mouth Preparation Surgical and Periodontal
Depending on the extent of the surgery and its impact on the PRDP success there should be ____ months between any surgical and final restorative procedures

3 to 6

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Endodontic
 Non-vital teeth require ____ canal treatment
 Endodontically treated teeth may require:
-____ post
-____ cast restoration

root
intraradicular
extracoronal

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Orthodontic
Correction of:
1. \_\_\_\_ inclination of teeth
2. \_\_\_\_- or infra-eruption
3. \_\_\_\_ plane
4. Inadequate \_\_\_\_ spaces

axial
supra
occlusal
edentulous

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Tissue Conditioning
Done before the ____ phase when:
-____ and irritation of mucosa covering the denture bearing areas
-____ of normal anatomic structures

final impression
inflammation
distortion

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Tissue Conditioning
Home Care program:
1.Saline solution mouth rinses \_\_\_\_/day 
2.Soft tissue massage with \_\_\_\_ toothbrush 
3.Remove denture at \_\_\_\_

3-4
soft
night

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Tissue Conditioning

Eliminate deflective or interfering occlusal ____ of old denture
Proper ____ of denture base
Relieve denture base ____ mm
Follow manufacturer instructions
Repeat every ____ days usually ____ times

contacts
extension
2
4-7
3-4

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Restorative Preparation
 Removal of \_\_\_\_
 Replacement of \_\_\_\_
restorations
 Restoration of structurally \_\_\_\_ teeth

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caries
defective
compromised

Restorative Preparation
 Occlusal plane modification (A) 
 Correction of malposed teeth or
unacceptable contour 
 \_\_\_\_
 \_\_\_\_ crown

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enameloplasty

survey

Restorative Preparation
Splinting of natural teeth 
 composite, e.g. A-splint 
 cast restoration
contraindicated with less than \_\_\_\_ % bone support (A)
 PRDP, e.g. \_\_\_\_ PRDP or multiple rests

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swing lock

Restorative Preparation
 Exposure of dentin during abutment preparation
 ____
 ____ susceptibility

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sensitivity

caries

Abutment Preparation
 Sequence
1. \_\_\_\_
2. \_\_\_\_adjustment
3. \_\_\_\_ or depressions
4. \_\_\_\_ seats

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guiding planes
heigh of contour
retentive grooves
rest

Abutment Preparation
1. Guiding planes
 tooth surfaces where ____ connectors or guide plates will be placed
 ____ diamonds or burs

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minor

cylindrical

Abutment Preparation
1. Guiding planes
 occlusogingivally: 
 occlusal \_\_\_\_ 
 (\_\_\_\_ mm)
flat

 faciolingually:
 ____ surface
 ____ in harmony with existing tooth contour

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1/3-2/3
2-4
proximal
rounded

Abutment Preparation
1. Guiding planes
 \_\_\_\_ surfaces for reciprocating arms
 occlusogingivally: \_\_\_\_ mm  at the gingival portion of
the \_\_\_\_ (A)

 anterior teeth
 to reestablish the normal ____
 to reduce unsightly ____ (B)

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lingual
2-4
middle 1/3
width
spaces

Abutment Preparation
2. Height of contour adjustment
 ____ diamonds or burs
 permits circumferential clasp location ____ the height of contour (A)

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tapered

above

Abutment Preparation 2. Height of contour adjustment  eliminate ____ facioproximal and linguoproximal line angles (B)  mesiobuccal of ____ distobuccal of ____ mesiolingual of ____  limited by the thickness of enamel: not more than ____”

``` sharp upper molars premoalrs lower molars 0.03 ```

``` Abutment Preparation 3. Retentive groove or depression  increase depth of ____  proportional to ____ required  ____ diamonds ```

undercut retention tapered

Abutment Preparation 3. Retentive grooves  ____ mm occlusogingivally; ____ mm mesiodistally  gently sloping contoured depression: no ____ defined dimple or pit  parallel to the ____ margin  ____ angle area

``` 1.5-2 3-4 sharply gingival line ```

``` Abutment Preparation 4. Rest seats  occlusal rest seat  ____ mm at the marginal ridge  ____ mm deeper at the deepest portion  less than ____°  #4 or 6 round carbide or diamond bur  ____ line angle  tapered diamond bur ```

1.5 0.5 90 round

Occlusal Rest Seat Size Guidelines  Size varies from ____ the M-D diameter  ____ the cusp tip to cusp tip distance or ____ the B-L width of tooth

1/3 to 1/2 1/2 1/3

Abutment Preparation  embrasure occlusal rest seat  ____ mm deep ____mm wide

1.5-2 | 3-3.5

``` Abutment Preparation cingulum rest seat Crescent or inverted V- shaped  #37 inverted cone bur  ____ internal line angle  one marginal ridge to the opposite  Mesiodistal width: ____ mm  Faciolingual width: ____ mm  Incisogingival depth: ____ mm ```

round 2.5-3 2 1.5

Abutment Preparation cingulum rest seat ``` ledge  axial wall: parallel to the path of ____  gingival f loor: ____ mm wide  ____°  Flat end diamond bur or tapered fissure bur ```

insertion 1-1.5 90

``` Abutment Preparation ball or lug rest seat  like a small occlusal rest seat  #4 or 6 round bur  marginal ridge reduction  junction of ____ and ____ ```

middle 1/3 | gingival 1/3

``` Abutment Preparation incisal rest seat  usually ____  ____ notch with facial and lingual ____ Tapered and/or flame- shaped diamond ```

distoincisal rounded bevels

Rest Seats on Amalgam Restoration Amalgam should be ~ ____ mm thick between rest and tooth Conservative amalgams do not seriously compromise ____ &/or lingual walls Large amalgams mean ____ buccal or lingual/palatal walls ____ thin walls could result in fracture

1.5 buccal thin clasping

``` Survey Crowns Crowns that are used as abutments  more ideal ____ contour  definite ____  optimum ____  effective ____ ```

retentive guiding plane occlusal rest reciprocation

Survey Crowns  rest seat and guiding planes in ____ additional ____ for rest seat in the crown preparation

metal | reduction

Survey Crowns crown ledge or shoulder  restores the ____ contour  more effective ____

lingual | reciprocation

19. Case Design Workshop Pt. II Flashcards

(38 cards)