Boomers and Beyond: Dilemmas and Considerations for Treatment Planning Flashcards Preview

Geriatrics Final > Boomers and Beyond: Dilemmas and Considerations for Treatment Planning > Flashcards

Flashcards in Boomers and Beyond: Dilemmas and Considerations for Treatment Planning Deck (19):
1

gerodontics

branch of dentistry concerned with the MANAGEMENT and TREATMENT of the geriatric patient

2

endodontic considerations for geriatric patient

1. more calcifications
2. smaller canals
3. larger more complex restorations impact access
4. time and physical constraints of patients
5. longer/more appointments due to adjusting to accommodate patient limitations

3

prosthodontic considerations for geriatric patient

1. time and physical constraints of patients
2. functional status of patient (i.e. oral hygiene, ability to remove appliances, medications)
3. tooth loss not related to age but due to longer period of time at risk for disease or accident
4. shortened dental arch (premolars forward)
5. quality of life issues (i.e. social interaction, nutrition/mastication)

4

characteristics of "old teeth"

1. enamel cracks
2. cervical erosion
3. exposed roots
4. stain discolorations
5. smooth facial surface
6. enamel fractures
7. wedge shaped defects along incisal edge

5

restorative considerations for geriatric patient

1. recurrent caries
2. root caries

6

surgery considerations for geriatric patient

1. well planned and managed
2. consult with MD
3. drugs (i.e. interactions and metabolism)
4. implants

7

T/F: implants for geriatric patients are age dependent not medical status dependent

false, medical status dependent NOT age dependent

8

cast metal partials provide support to what?

periodontically involved teeth

9

pros of cast metal partials

1. easy to adjust clasps
2. easy to add teeth esp if you have plated teeth adjacent to spaces

10

cons to cast metal partials

1. can be more difficult to insert and remove
2. may need to recontour teeth for guide planes
3. clasps in anterior can pose an esthetic problem

11

pros of thermoplastic partials (Flexite, IFLEX & Valplast)

1. have gum or tooth colored clasps that are much less visible than metal clasps
2. are thin and flexible, may be easier to wear and harder to break
3. flexibility allows denture to adapt to shape of mouth, making it easier to speak and eat properly, increasing self-confidence

12

what are thermoplastic partials (Flexite, IFLEX & Valplast) made out of?

nylon resin designed to blend in with the patients natural gum color, this means the denture is less visible so better esthetics

13

T/F: the resin material of thermoplastic partials (Flexite, IFLEX & Valplast) used to crease the gums have a lifetime warranty against fractures and breakages

true

14

the resin material of thermoplastic partials (Flexite, IFLEX & Valplast) are stain resistant and are a good choice for anyone who what?

suffers from allergies as it doesn't contain any harsh chemicals commonly found in denture acrylics

15

cons of thermoplastic partials (Flexite, IFLEX & Valplast)

1. difficult to finish, fit and adjust
2. can't add teeth to partial
3. don't provide support to periodontically involved teeth

16

1st appointment for geriatric patient

1. diagnostic models
2. shade
3. construct stabilized bite rims
4. impression trays

17

2nd appointment for geriatric patient

1. final impression via either closed or open tray
2. prepare abutments if desired (can also be done by lab)
3. bite at proper vertical
4. lab can cast bar and construct stabilized base

18

3rd appointment for geriatric patient

1. try in bar (cemented or screw retained)
2. try in base and check for fit and retention
3. take final bite registration

19

4th appointment for geriatric patient

deliver denture