complete dentures retention and stability Flashcards

(32 cards)

1
Q

define retention

A

resistance of a denture to vertical movements away from the tissues

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2
Q

define stability

A

resistance of a denture to displacement by functional forces

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3
Q

what is interfacial surface tension?

A

fluid between 2 rigid materials

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4
Q

explain interfacial surface tension in a denture

A

Border of the denture is surrounded by air and saliva is between the denture and the soft tissues giving interfacial surface retention

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5
Q

the strength of interfacial surface tension is determined by what?

A

the ability of the fluid to wet the 2 materials

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6
Q

watery saliva or mucous saliva provides better interfacial surface strength?

A

watery saliva as better wettability

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7
Q

what is interfacial viscous tension?

A

the force holding two plates together that is due to the viscosity of the liquid

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8
Q

what is the relationship between viscosity and interfacial viscous tension?

A

as viscosity increases interfacial viscous tension increases

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9
Q

what is the relationship between interfacial viscous tension and the thickness of the liquid layer?

A

Viscous tension decreases as the thickness of the liquid layer increases

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10
Q

why is denture adaptation important in maintaining interfacial viscous tension?

A

maintains a thin layer of saliva

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11
Q

what is adhesion?

A

the physical attraction of unlike molecules for each other

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12
Q

where is adhesion present in a denture in the mouth?

A

saliva to denture base
saliva to mucous membrane

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13
Q

what makes adhesive forces bigger?

A

bigger area covered

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14
Q

what is cohesion?

A

the physical attraction between similar molecules

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15
Q

where is cohesion present in a denture in the mouth?

A

in the saliva

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16
Q

remember: quick tip
Adhesive forces are bread encasing the cohesive forces (filling)

17
Q

explain atmospheric pressure in a denture

A

mucosa can be distorted to acts as a suction cup to resist displacement

the pressure underneath the denture is lower than atmospheric pressure

18
Q

what is important in a denture to maintain atmospheric pressure?

A

border seal in maxilla

19
Q

how is optimum stability and retention gained in a complete denture fitting surface? 3

A

adequate extension

adequate postdam seal in maxilla

use undercuts to create a path of insertion that is not straight

20
Q

where is the location of the post-dam seal?

A

just anterior to the palatine fovea

21
Q

how is optimum stability and retention gained in complete denture polished surfaces?

A

contouring of the buccal, lingual and palatal surfaces so work in harmony with muscle function

22
Q

how is optimum stability and retention gained in complete denture occlusal surfaces? 3

A

arch form
occlusal plane level
tooth position

23
Q

where should the teeth be positioned in the maxilla?

A

slightly buccal to ridge

24
Q

where should the teeth be positioned in the mandible?

A

directly over the ridge

25
what is the neutral zone?
outward forces of the tongue are balanced with inward forces of the cheeks
26
what is balanced occasion?
all teeth meet evenly to prevent the denture tipping
27
factors in the fitting (basal) surface that make retention and stability difficult 3
atrophic or damaged ridge pt can't tolerate base extension - gagging insufficient saliva - disease or medication
28
if a pt can't tolerate base extension how is this managed?
Double post dam can be used instead (second post dam placed 1mm inside original)
29
what factors in the occlusal surface make retention and stability difficult?
tongue spread lingual overhangs - encroach on tongue space so can be flicked out
30
what pt are more likely to have tongue spread?
haven't had natural teeth or prosthesis for a while tongue can spread laterally
31
3 aids to denture stability and retention?
denture adhesive and linings valves anchors - implants
32
what 4 things are required for implants
adequate bone 2 implants to prevent rotation excellent OH money: expensive