com rem final Flashcards

1
Q

What is a trial denture

A

preliminary arrangement of denture teeth that has been prepared for placement into the pt mouth

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2
Q

during the trial denture app _____ are crude approx of positions of teeth- ____ are arbitrary

A

wax rims and contours

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3
Q

During teh trial placement is it important to determine the

A

OVD

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4
Q

physiologic rest position is ____ mm space between teeth

A

2-4

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5
Q

Stretch relax method is when you

A

put a dot on nose and chin and measure the distance between dots

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6
Q

Swallow relax method should have th pt swallow and the teeth should _____ while swallowing

A

contact

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7
Q

There should be ____ when pt says S and Ch

A

no contact of teeth

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8
Q

When determining the CR occlusion must verify the cast are….

A

mounted corretctly on articulator

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9
Q

What do you do if you have to remount the cast

A

make a new interocclusal record by remounting madnibular cast

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10
Q

To determine the anterior occlusal plane what should you do

A

determined by esthetics and is when the max incisors contact lower lip with F and V sounds

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11
Q

To determine the posterior occlusal plane…

A

mandibular molars are 2/3 up RM pads

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12
Q

What sounds can you use to dermine the OVD

A

S Ch Z T Sh

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13
Q

if teeth touch when speaking S sounds, OVD is ____-

A

too far open

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14
Q

if pt whistles on sibilant sounds

A

contour of anterior palate is too narrow

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15
Q

whens speaking F or V the incisors should

A

hit the wet/dry lip line on lip and have pt count from 50-60

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16
Q

incisal plane paralleles the ______

A

interpupillary line

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17
Q

What is the importance of protrusive record

A

records condylar inclinations
adjust condylar angles
used for balance occlusion

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18
Q

When you are mounting the teeth should _____ perfectly and there should be no space around cusps

A

interdigitate

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19
Q

PMMA- acrylic resin is a

A

coloreless, transparent solid

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20
Q

what are the advantages of acrylic

A

ease in processing
excellent esthetics
adequate strength
low water sorption

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21
Q

When do you use heat activated denture base

A

used in fabrication of all dentures

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22
Q

_____ is a technique to process denture resins with heat activation

A

compression molidng

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23
Q

Internal porosity is caused by

A

temp rise above 100 celcius and is monomor boils

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24
Q

_______ have the same compositions as the denture base resin except for pigmentation to produce tooth shades

A

resin denture teeth

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25
Q

In resin denture teeth the teeth and base are

A

chemically bonded to each other

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26
Q

what is the difference between autopolymerization and heat activated resins

A

autopolymerization uses benzyl peroxide

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27
Q

heat activation has a greater degree of _____

A

polymerization

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28
Q

Chemically activated or autopolymerization has

A

less shrinkage and shorter working time

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29
Q

What is the purpose a tissue conditioner

A

lining the intaglio surface of the denture with conditioners improves retention and stability

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30
Q

tissue conditioners allow the pt to keep wearing dentures when the _____

A

tissues continue to heal

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31
Q

What are the uses for tissue conditioner

A

prevent denture soreness
stabilize temp record base
stabilzie immediate denture healing
final impression material

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32
Q

When is metal base dentures used

A

for repeated fracture of a conventional dentures

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33
Q

what is a disadvantage of metal denture

A

hard to reline

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34
Q

what is the purpose to reline a denture

A

to produce an intaglio surface which fits the mucosa accurately without affecting OVD

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35
Q

What are reasons you would reline

A

tissue changes caused by stress, hereditary factors, defects in dentures

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36
Q

relining is the replacing of the intaglio surface with

A

new resin

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37
Q

rebasing is replacing the ______ with new resin

A

entire denture base

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38
Q

what errors do you want to avoid with relining

A

dont increase OVD
dont let max denture move forward during relin impression step

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39
Q

Diff between function impression and static impressions with relining

A

functional- leave in 1-2 hrs
static- closed mouth technique and removed moments later not hrs

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40
Q

when do you place the posterior palatal seal when reling

A

before processing

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41
Q

most common situation in a single denture

A

max arch is edentuoulous and mand has natural teeth

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42
Q

_____ routine resorption following extraction of teeth results in smaller maxilla

A

centripetal resorption

43
Q

_____ is when the max CD oppsoing mandibular naterior natural teeth

A

combination syndrome

44
Q

effects of combination syndrome

A

max anterior tissue is mobile
inflammatory palatal hyperplasia
maxillary tuberosities enlarged
mandibular resorption
mand anterior teeth supraerupted

45
Q

______ will help prevent rapid bone loss

A

overdentures

46
Q

manibular anterior resorbs ____ as fast as max anterior

A

4x

47
Q

what are the advantages of overdentures

A

dentures support
stability
improved stress distribution
psychological benefit

48
Q

When to use overdenture

A

combination syndrome
conventional denture would have a poor prognosis

49
Q

What is the most frequent tooth used for an abutment

A

canine

50
Q

the maxilla resorbs ___ and

A

up and inward

51
Q

biting force of natural dentition is ____ that of a denture

A

5x

52
Q

What are the sources of occlusal error

A

-inaccurate max-man records
-ill fitting temporary record bases
-change of OVD on articular
-incorrect arrangement of post teeth
-failure to close flask during processing
-too much pressure in closing the flask
-resin shrinkage upon polymerization
-heat generated when polishing

53
Q

What is the goal of the insertion appointment

A

the process of eliminating errors

54
Q

patients should leave out old dentures for at least ____ prior to insertion appointment

A

24 hrs

55
Q

what cast do you remount for clinical remount

A

mandibular

56
Q

what is PIP used for

A

used on itaglio surface to detect undercuts/ accuracy of tissue contact

57
Q

After applying PIP and placing it in mouth, what do you remove

A

islands of pink

58
Q

what is disclosing wax used for

A

check for overextension of denture borders

59
Q

what can cause problems with phonetics

A

thickness of max palate
re-evalulate position of max ant teeth
open OVD

60
Q

What can cause gagging

A

palate is too thick
palate extension too long
lack of tongue space

61
Q

Dentist should ______ exist and work to find it

A

assume errors

62
Q

when do you do a clinical remount

A

prior to making the reocrd

63
Q

Process of clinical remount

A

place 2 cotton rolls between post teeth to deprogram muscles
make interocclusal records
remount dentures on articulator and refine occlusion

64
Q

What are the advantages of clinical remont

A

reduces pt participation
dentist sees better
stable working foundation
absence of saliva

65
Q

Lab remount=

A

still on master cast, straight out of processing

66
Q

clinical remount=

A

on articulator

67
Q

what is the desired occlusion

A

simultaneous contact of all posterior teeth

68
Q

NO contacts on _____ teeth

A

anterior

69
Q

ALl pt with dentures should be seen ____ after insertion of denture

A

24-48 hrs

70
Q

patients who are seen in 24-48 hrs do _____-

A

better with dentures

71
Q

adjust the ____ surface first, then adjust _____

A

intaglio then the occlusion and outside

72
Q

most crucial time in a patients perception of success of dentures is the ______

A

adjustment period

73
Q

When is the time to remedy esthetic problems

A

trial placement period

74
Q

what can cause tissue irritations

A

overextension
trauma from occlusion
pressure from base
tissue abrasion

75
Q

possible causes of loss of retention are

A

occlusion
base contours
teeth not in neutral zone
posterior palate seal
over/under extended
salivary flow

76
Q

soreness in vestibule caused by

A

overextended border of flange

77
Q

sore on crest of ridge caused by

A

occlusion error

78
Q

soreness at frenum caused by

A

frenal notch too shallow or sharp

79
Q

soreness of tissue overlying coronoid process caused by

A

too much thickness at distobuccal corner

80
Q

numbess or burning in anterior palate caused by

A

pressure on incisive papilla

81
Q

numbness or burning in lower premolar area caused by

A

pressure over mental nerve

82
Q

teeth contact during speaking then the

A

OVD too far open

83
Q

If the dentures loosen after 3-4 hrs after the first insertion then there is

A

an occlusal error

84
Q

max CD dislodges when yawing then

A

DB corner too thcik

85
Q

smiling causes max CD to dislodge then

A

denture flange too thick posterior to buccal frenum

86
Q

max CD dislodges when eating then

A

suspect post palatal seal or occlusion

87
Q

Conventional denture is to

A

reline the immediate denture after healing and ridge stable (6months)
fabricated prior to extracting teeth

88
Q

what are the 2 phases of conventional immediate denture

A

phase 2- remove post teeth, alveoplasty, tuberosity reduction
phase 2- extract ant teeth

89
Q

Interim immediate dentures is ued for

A

short period then is replaced by a new set after healing

90
Q

In immediate dentures a ____ is not possible

A

anterior try in so ethetics may be unpredictable

91
Q

denture should be worn _____ without being removed by the patient

A

24 hours

92
Q

what are the benefits of a 2 phase surgery

A

simplifies clinical procedures
reduces post placement care
improves denture comfort

93
Q

complete denture therapy is not a

A

definitive treatment

94
Q

ridge resorbs ___ on mand than max

A

4x

95
Q

Description of traumatic ulcers

A

common with new dentures
can be caused my occlusal issues or overexteneded

96
Q

Description of inflammatory papillary hyerplasia

A

combination syndrome
related to wearing ill fitting denture
candida present

97
Q

angular cheilitits description

A

is inflamattion of lips with redness radiating from angles of mouth
assosciated with candida
decreased OVD and vitamine def

98
Q

descrption of fibrous hyperplasia aka epulis fissuratum

A

little lip f tissue caused by ill fitting dentures. NOT APART of combination syndrome
found on labila vestibule not on lingual

99
Q

description of canida

A

most common on max arch
HIV and diabetes are presisposing conditions

100
Q

3 presentations with HIV are

A

angular cheilitis
erythematous candidiasis
pseudomembranous canidia

101
Q

What is the occlusion desired

A

simultaneous contact of all posterior teeth in CR
No anterior contact
No inferferenecs in eccentric movements

102
Q

a disadvantage to immediate dentures is that there is a lack of

A

a trial dentures so cant determine the anterior esthetics

103
Q
A