6 - Occlusion 2 Flashcards

1
Q

What do you use to assess tooth contacts?

A
  • articulating paper
  • miller’s forceps
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2
Q

When should you mark tooth contacts?

A
  • before prep
  • removing a restoration
  • after placing a restoration or crown
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3
Q

Define functional cusps.

A
  • cusps that occlude with the opposing teeth in ICP
  • lingual cusps of uppers
  • buccal cusps of lowers
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4
Q

Define non-functional cusps.

A
  • cusps that don’t occlude with the opposing teeth in ICP
  • buccal cusps of uppers
  • lingual cusps of lowers
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5
Q

Define ICP contact.

A
  • when the lingual cusp of an upper molar contacts the fossa of a lower molar
  • when the buccal cusp of a lower molar contacts the fossa of an upper molar
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6
Q

Define overbite.

A

Vertical overlap of incisors

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7
Q

What is the most common overbite?

A

Class II Div 2

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8
Q

Define overjet.

A

Relationship between upper and lower teeth in horizontal plane

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9
Q

Define AOB.

A
  • anterior open bite
  • lack of vertical overlap of anterior teeth when posterior teeth are in occlusion
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10
Q

Define posterior/lateral open bite.

A

Failure of contact between posterior teeth when teeth are in full occlusion

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11
Q

Define canine guidance.

A
  • mandible moves laterally
  • contact only between the working side canine
  • no posterior contacts
  • mutually protected occlusion
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12
Q

Define group function.

A
  • mandible moves laterally
  • multiple tooth contacts on working side
  • bilateral group function seen in severe toothwear
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13
Q

Define protrusion.

A
  • condyles move forwards and downwards
  • only incisors ± canines contact
  • no posterior contacts
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14
Q

Define occlusal interference.

A

Undesirable tooth contacts that may produce mandibular deviation during closure to ICP

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15
Q

What is a working side contact?

A

Posterior tooth contact on the working side (similar cusps contact)

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16
Q

What is a non-working side contact?

A

Posterior tooth contact on the non-working side (dissimilar cusps contact)

17
Q

What is a protrusive interference?

A

Any posterior contact during protrusion

18
Q

Why is it important to avoid posterior contacts?

A
  • molars are designed to absorb force in the direction of the long axis
  • undesirable tooth contacts prevent musculature from resting
  • occlusal trauma
19
Q

Define eccentric bruxism.

A
  • side to side parafunctional grinding of teeth
  • can be rhythmic, spasmodic or functional
  • leads to occlusal trauma
20
Q

Define centric bruxism.

A
  • static clenching
  • pressure and clamping of teeth together
  • associated with physical exertion or acute nervous tension
21
Q

What are the clinical signs of bruxism?

A
  • toothwear
  • fractured restorations
  • tooth migration
  • mobility
  • muscle pain/fatigue
  • headache
  • earache
  • TMJ symptoms
22
Q

What are the different types of toothwear?

A
  • multifactorial
  • abrasion
  • attrition
  • erosion
  • abfraction
23
Q

Define abrasion.

A

Loss of tissue due to outside mechanical force (ie toothbrush)

24
Q

Define attrition.

A

Loss of tissue due to tooth-tooth contacts

25
Q

Define erosion.

A

Loss of tissue due to acid

26
Q

Define abfraction.

A

Loss of tissue due to excess forces being applied causing fracture