misc Flashcards

1
Q

what should be removed before a new RPD

A

tori
exotoses
sharp mylohyoid ridhes
epulis fissarium

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2
Q

denture stomatitis

A

localized or generalized inflam of denture bearing area

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3
Q

presentation denture stomatitis

A

redness and buring area with or without discomfort

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4
Q

most likely cause of denture stomatits

A

trauma with secondary fungal infection

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5
Q

tx of stomatitis

A

improved OH
tissue rest
nystatin
resilient conditioners
new better fitting RPD

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6
Q

acute atrophic candidasis present as:

A

red atrphic patch or erythmatous and painful mucosa

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7
Q

common form of? symptoms ?

antibiotic sore mouth

A

common form of atrpophic candidasis
* oral burning
* bad taste
* sore throat with broad spec abx

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8
Q

what can also lead to atrophic candidasis

A

Fe anemia

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9
Q

chronic atrophic candidasis includes:

A

denture stomatitis

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10
Q

pap hyperplasia found where

A

palate

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11
Q

pap hyper causes

A

local irritation to poor fitting denture
poor OH
leaving in 24 hrs

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12
Q

tx pap hyper

A

educate on OH
adivse denture out at night
soak 30 min in 1% sodium hypochlorite
tissue conditioner
brush area lightly with soft brush

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13
Q

epulis fissuratum

A

inflam fibrous hyperplasia adj to border

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14
Q

cause epulis fiss

A

over extended or ill fitting flange due to long term neglect, resorption, traumatic occ via natural teeth

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15
Q

tx epulis

A

surgical removal

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16
Q

hyper tissue and new RPDS

A

must be removed prior to construction

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17
Q

tx hyper tissue

A

tissue rest
soft reline
change in habits
surgery

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18
Q

impression with hyper tissue

A

capture in passive state

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19
Q

why remove hyper before new RPD

A

provode RPD with a firm, stable base

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20
Q

kellys combo

A

refers to specific pattern bone resorb in ant maxilla due to CD opposed by man RPD

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21
Q

lose of support in combo

A

both max and man are resorbed (opposite directions)

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22
Q

combo occ forces focused where?

A

in ant sextants

23
Q

result combo syndrome

A

tipping of occ plane

24
Q

combating combo syndrome

A

continous reline or implant placement in posterior, helps to stabilize the occ plane with more equitable force distrib

25
tissue conditioners
soft materials applied to intaglio to allow better force distrib used to tx unhealthy/abused tissues
26
tissue conditioner state
soft/deformable,
27
tissue conditioner duration
about 1 week, replace every 3-5 days will bcome solid after this and become irritant themself
28
tissue conditioner composed of:
powder (acrylic monomer) and liquid (ethyl alc and aromatic ester) mixed to form a gel
29
mechanism of how cond works
distrib forces and acts as a cushion
30
when to apply tissue cond
intaglio checked with PIP, occ refined then cond placed
31
how to keep cond off cameo
seperator applied
32
distribution of cond
even layer added to intaglio with spatula
33
seating RPD with cond in mouth
light finger pressure, maintain as material flows border tissues manipulated to mold conditioner
34
when using conditioner, if post artificial teeth present pt must:
must close teeth together while material still flowing to establish proper occ
35
once cond seated and aligned pt must:
sit 4-5 min
36
when RPD with cond out of mouth ot should:
submerge in cleansing solution or water, do not allow it to dry
37
how is WW fabricated
drawing the metal from which its made into a wire
38
# allows? elong % of WW
more than 6, allows clasps to bend
39
WW vs cast metal
CM is any metal that is melted and cast into a mold when casting s cold worked to provide req article it is wroght metal mechanical properties of WW are superior to CM
40
WW has ____% greater strength, hardness, tensile strength then the cast alloy it was made from
25
41
ww flex, adjustability, toughness and ductility
better than CM
42
success of WW clasps depends on
physical properties and changes that can occur in fab
43
how can WW properties be compromised by the lab
improper heating and cooling
44
too much heat and WW
can cause recrystalizaton or grain growth= least desireable occurance WW
45
Cr-Co popularity due to:
low density/weight stiffness low cost tarnish resistant
46
Co-Cr alloys comapred to gold/palladium alloys
more rigid
47
compostion for Co-Cr alloys
cobalt, chromium, nickel, carbon
48
cobalt in the alloy property
strength, rigidness and hardness
49
chromium in alloy allows:
corrosion and tarnish resistance
50
nickel in alloys allows
ductility
51
gold alloy flex?
approx 2x Co-Cr
52
Co-Cr advantages
stiff low cost low weight/density
53
possible cause of failure in Co-Cr alloys
cold working shrinkage porosity low % elongation excessive C in alloy