Prosthetics and the Aged Pt

Question 1

Not everyone can wear this.

Answer 1

A denture

Question 2

This is caused by strangeness of a new denture.

Answer 2

Excessive salivation

Question 3

This causes lingual mandibular pain.

Answer 3

Overextension into the masseter area of the mandibular denture.

Question 4

What does pressure over the zygomatic process indicate?

Answer 4

DB border of the maxillary denture base is too wide.

Question 5

Causes coronoid interference.

Answer 5

Thick flange in the retrozygomal area.

Question 6

An alternative to a remount.

Answer 6

Coble Balancer

Question 7

Can cause generalized soreness from a denture.

Answer 7

1) Post-menopausal endocrine changes.
2) Nutritional deficiencies.
3) Low tissue tolerance (rule out diabetes and pemphigus).

Question 8

Clearance needed between posterior denture bases distal to the last teeth in order to avoid cheek biting.

Answer 8

3-4 mm

Question 9

Causes burning sensation on the upper lip and sides of the nose.

Answer 9

Impingement on the nasopalatine nerves coming out of the incisive foramen.

Question 10

Can cause sore throat from a denture:

Answer 10

1) Over extension and ulceration of the soft palate.
2) Over extension of the hamular notch.
3) DB of max denture overextended.
4) DL of mandibular denture overextended.
5) Denture on the pterygomandibular raphe above the retromolar pad.

Question 11

How does a short flange affect a maxillary denture?

Answer 11

Causes it to be loose.

Question 12

How does a denture with long flanges look when you seat it?

Answer 12

The flange touches the vesitbular depth, but the denture continues to seat.

Question 13

The pterygomandibular raphe can displace the denture when you do this movement.

Answer 13

Open wide

Question 14

How to check for an incorrect posterior palatal seal.

Answer 14

Press on the linguals of the anterior teeth.

If the denture drops, you have a poor seal.

Question 15

How do you re-make the posterior palatal seal if it’s too short?

Answer 15

1) Carve out the posterior palatal seal on the existing denture.
2) Put impression wax in the area.
3) Replace with acrylic.

Question 16

How does a mandibular lingual flange that’s too thick affect the denture?

Answer 16

Tongue will lift it, and dislodge it.

Question 17

You’re checking this component of the mouth when the patient lifts their tongue.

Answer 17

Overextension of the lingual frenum area of the denture.

Question 18

You want the contacts to be on this part of the ridge for good denture occlusion.

Answer 18

Center of the ridge.

Question 19

Too much overjet causes this.

Answer 19

Lisping

Question 20

Can cause lisping:

Answer 20

1) Too much overjet
2) Not enough tongue space.
3) Palatal contour too constricted.
4) Triagnular spaces between the embrasures of max and mand teeth.

Question 21

The more teeth missing, the less ___________ to the denture.

Answer 21

adaptation