Final Flashcards
(25 cards)
5 pontic designs
saddle/ridge lap Modified ridge lap Hygienic Conical Ovate
pontic that looks most like a tooth, but obliterates the facial, lingual and proximal embrasures, and is hard to clean and causes tissue inflammation. Should not be used
Saddle/Ridge lap
pontic that possesses all convex surfaces, that does contact the ridge, but is cleansable. Most common pontic design in the appearance zone
Modified ridge lap
Pontic that has no contact with edentulous ridge . Used in nonappearance zones. Can be all metal, and the occlusal gingival thickness should be no less than 3.0mm (
Hygienic
Pontic with a rouned tip that is small in relation to the overall pontic size and is indicated on a thin mandibular ridge in nonappearance zones (
conical
Round end design where esthetics are a concern. Tissue contacting edges is bluntly rounded and is set into a concavity on the ridge. Works well with a broad flat ridge
ovate
3 Pontic materials
Metal ceramic
Cast metal
Resin processed to metal
Should resin pontic be used near tissue
no, resin is porous
Should the pontic be narrower or wider than natural tooth
slightly narrower
What is the only tissue a pontic should contact
keratinized
Can the pontic extend past the mucogingival junction
no, ulcer forms
Ridge classification with loss of faciolingual ridge width, with normal apicocoronal height
class I
ridge classification with loss of ridge height with normal width
class II
ridge classification with loss of both ridge width and height
class III
normal ridge with minimal deformity
class N
most common ridge classification
class III
2 types of pontic connectors
rigid (solder or cast connectors) non rigid (precision or stress breakers
Key in pontic with Keyway in retainer as a nonrigid connector best suited for relieving stress at midspan on long pointics or to align distal path of insertion on tilted abutment. The Key and keyway are not cemented together
dovetail
Nonrigid connector that is placed entirely in the pontic useful on tilted abutments where the dovetail prep would mean very drastic box prep in the abutment. In layman’s term one half of the pontic ( e.g. the bottom half) is attached to a crown, while the other half of the pontic ( e.g. the top half)is attached to another crown. When the individual crowns are placed, their extensions form the entire pontic. The two pieces of pontic are not cemented together
split pontic
Non rigid connector used when abutment teeth have disparate long axis, so they are prepared respective to their long axis, then the wing is made parallel to the long axis of the most mesail prep. The pontic is designed to accommodate the wing, and the pontic is attached to the mesial abutment
cross pin and wing
Strongest type of rigid connector: cast vs soldered
Cast Connector > soldered connectors
Strongest type of rigid connector: pre-porcelain vs post-porcelain
Pre-porcelain > post porcelain
How do you index a FPD with duralay
cut gap b/w retainer and pontic, place duralay on top, invest, heat and flow solder in, must account for metal expansion
What is an advantage of pre-porcelain soldering of PFM FPD
allows diagonal cut across a full pontic to have greater surface area than interproximal cut. Done when a cast FPD had to be made in 2 pieces