Intro to Occlusion/Articulators Flashcards

1
Q

What are the different types of restorative materials for teeth? (5)

A
  • DENTAL AMALGAM
  • COMPOSITE MATERIALS
  • GOLD RESTORATIONS (GOLD FOIL)
  • GOLD CASTINGS (INLAYS, ONLAYS, CROWNS)
  • CERAMICS (CROWNS, BRIDGES–FPD, VENEERS)
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2
Q

The following are the concerns with______ as a restorative material:

  • poor esthetics
  • weakening of tooth from removal of tooth structure
  • recurrent caries
  • no adhesive bonding
  • sensitivity of properties to manipulation
  • brittle nature
  • biocompatibility (not a concern most of the time)
  • wastewater pollution with mercury
A

dental amalgam

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3
Q

What are the advantages of dental composite?

A
  • aesthetics (tooth-colored)
  • bonding to tooth structure (strengthens structure)
  • more conservative in preparation of tooth
  • less expensive than ceramic
  • reduced mercury exposure
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4
Q

What are the disadvantages of composite?

A
  • composite shrinks (secondary caries)
  • durability (may not last as long as amalgam)
  • chipping
  • more skill and training
  • needs to be completely dry
  • takes longer
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5
Q

What does bonding allow the dentist to do with composite?

A

change shape, color, and contours of teeth

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6
Q

What is the oldest type of filling material available?

A

gold foil

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7
Q

What is the benefit of gold foil?

A
  • can last the lifetime of patient
  • can be placed in one visit in small cavities and will last longer than any other material
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8
Q

What is the disadvantages of gold foil?

A
  • gold is expensive
  • potentially not esthetic
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9
Q

How long will PFM crowns last?

A

Depends on the study!

  • 95% success rate between 5-10 years
  • 97.5% success rate at 7 years
  • 95.5% success rate at 7 years

(aka 90+% if done well)

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10
Q

What are the options for tooth replacement?

A
  • complete dentures (with implants)
  • partial dentures (with implants)
  • fixed bridges and single teeth (with implants)
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11
Q

What are the advantages of high strength ceramics?

A
  • broad range of indications
  • excellent clinical performance
  • accepted metal alternative*
  • less tooth reduction required*
  • thinner coping thickness*
  • shading coping options*
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12
Q

mechanical device that simulates mandibular movements of condyles in their fossae

A

articulator

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13
Q

What are the 4 uses of an articulator?

A
  • diagnosis
  • treatment planning
  • communicate with patients/patient education (help see/understand)
  • fabrication of prostheses/restorations
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14
Q

What are the components of an articulator? (5)

A
  • upper member
  • lower member
  • anterior or incisal pin
  • condylar mechanisms
  • mounting ring (guide and retention system)
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15
Q

(the features of a ____ articulator)

  • allow only opening/closing movements
  • can be used for single posterior* restorations
  • can create a change in closure angle (the final restoration will present premature contacts!)
A

non adjustable/”hinge” articulators

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16
Q

What are the features of semi-adjustable articulators?

A
  • articulators used the most
  • allow opening and closing movement as well as excursive (lateral) and protrusive movements
17
Q

What are the types of semi-adjustable articulators?

A

Arcon
- condyles in lower member
- condylar inclination in the upper member
Non Arcon
- condyles on upper membrane
- condylar inclination on the lower member

18
Q
  • condyles in lower member
  • condylar inclination in the upper member
A

Arcon (semi-adjustable articulators)

19
Q
  • condyles on upper membrane
  • condylar inclination on the lower member
A

Non Arcon (semi-adjustable articulators)

20
Q

What type of articulator is ours?

A

Arcon Articulator (a type of semi adjustable)

21
Q

What is the transverse horizontal axis (terminal hinge axis)?
Where is it on a human–specific locations w/ measurements

A
  • imaginary axis which passes through each of the mandibular condyles
    -about 8 mm under the soft tissues in front of the tragus (on each side of face)
22
Q

it is around this axis that pure rotational movement of condyles occurs

A

transverse horizontal axis (terminal hinge axis)

23
Q

(facebow) Usually the anatomic references are the ____ and one other selected anterior point

A

mandibular condyles transverse horizontal axis

24
Q

Name the plane associated with the Orbitale-tragion horizontal line

A

Frankfort horizontal plane

(orb– lower margin of eye socket, tragion–notch above tragus of ear/upper margin of zygomatic bone at that point

25
What is the bergstrom point? What plane is it associated with?
a point 10 mm anterior to the center of a spherical insert in the external auditory meatus and 7 mm below the frankfort horizontal plane
26
What is the ear-bow?
indexes to external auditory meatus and registers the relation of the max arch to these and a horizontal reference plane
27
What is the 3rd point of reference on an ear-bow (facebow)?
arbitrary point - orients the maxillary cast to a reference plane - on the anterior face...from incisal edge (should be repeatable and reproducible)
28
What are the different options for the 3rd point of reference with a facebow? | 4 were described in lecture
orbitale nasion maxillary incisor incisal edge** (ours) lower edge of the nostril (it is parallel to upper and lower arms of articulator)
29
When should you use a facebow?
- cusp teeth are present - interocclusal records are made at an increased occlusal vertical dimension - when occlusal vertical dimension will be subject to change and alteration in occlusal surfaces is necessary
30
What is the purpose of a facebow?
orient the maxillary cast to the rotational axis in three planes - result in a reproducable articulation of the subsequent maxillary casts
31
What are the two types of facebows?
Kinematic - locates the true transverse horizontal axis Arbitrary - locates the axis by using anatomical landmarks (utilizes average measurements to approximately located the axis of rotation)
32
Facebow that locates the axis by using anatomical landmarks (utilizes average measurements to approximately located the axis of rotation)
Arbitrary
33
Facebow that locates the true transverse horizontal axis
Kinematic face bow
34
3 types of crowns:
1) cast gold 2) PFM 3) high strength ceramic
35
–accepted metal alternative –less tooth reduction required –thinner coping thicknesses –shaded coping options offer improved esthetics
High strength ceramics
36
T/F: Dental implants are a root substitute
True