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Flashcards in quiz 1 Deck (99):
1

What are 2 physical factors for retention that the dentist can control?

1. optimal extension of the denture base
2. maximmaly intimate contact of the denture base to its basal seat

2

Define treatment planning

process of matching treatment options with the patients specific needs( needs to be signed by a faculty member)

3

what are common things to examin during the clinical exam of an edenticulous patient?

Edentulous ridges, undercuts, vestibular attachments, tori, frena attachment, tongue size, salivary flow

4

What are extra oral and intra oral examinations?

inside the mouth and outside the mouth

5

What is looked for during an extraoral evalutaion?

Facial contours and symmetries, the appearence of teeth and their relationships with the lips , jaw movement.

6

what is looked for during an intraoral evaluation?

soft tissue( mucoperiosteum) and bone health.

7

how is mucosa health diagnosed?

shape, color, and texture

8

why is saliva important?

thick saliva dislodges dentures and thing doesnt provide enough film for retention.

9

what are tori and where are they usually?

benign bony enlargments. Midline of hard palate or lingual aspect of madibular premolar area

10

a complete examination during the first apointment includes what 3 things?

general exam, extraoral exam, intraoral exam.

11

If your mirror sticks to a patients buccal mucosa during and inraoral exam what might be going on with the patient?

xerostomia or dry mouth

12

while examining the tonge where should you pay special attention to?

side of tongue and floor of mouth. ( cancers grow here)

13

name the 4 structures that are sometimes mistaken for lesions

1.stensens duct- the duct of the largest saliva glans
2. circumvallate papillae- V shape of rounded bumps on tongue
3. lingual tonsils- on the back of tongue
4. plica fimbriata- folds on underside of tongue

14

what are some variations in the mouth that are normal

fissured tonug, fordyce granules( extra sebaceous glands), varicosities( enlarged veins under tongue)

15

leukoplakia

asymptomatic white patch. More common in males . Precursor to cancer

16

erythroplakia

asymptomatic red velvety patch near floor or retromolar pad area. Precursor to cancer

17

risk factors for oral cancer

tobacco, alcohol, exposure to sunlight, age, gender, race

18

Class 1 of edentulous patient

residual bone height of 21mm or more, muscle location favors dentures, class 1 maxillomandibular relationship

19

Class 2 of edentulous patient

residual bone height of 16-20mm, muscle attachments have limited influence on denture base stability, Class 1 maxillomandibular relationship

20

Class 3 of edentulous patient

residual bone height is 11-15mm, muscle have moderate influence on denture stability, class 1,2,or3 maxillomandibular relationship, surgery is required

21

Class 4 of edentulous patient

residual bone height of 10mm or less, muscle influence retention, class 1,2,or 3 maxillomandibular relationships, surgery, history of dyesthesia or parasthesia

22

if a patient wants only a new mandibular denture do you do it?

you advise them that it is best to get a maxillary as well

23

what are the four general diagnostic criteria for dentures?

mandibular bone height, maxillomandibular ridge relationship, residual ridge morphology, muscle attachments

24

buccal shelf

bordered by the external oblique ridge near the posterior teeth area. It is the primary area of support when the alveolar ridge is flat. Denture border should extend 1-2 mm beyond the oblique ridge

25

mylohyoid ridge area

oblique ridge on lingual side of mandible. Provides attachment for mylohyoid muscle. Denture should go 4-6 mm beyond the ridge

26

retromolar pad area

fibrous connective tissue. Temporalis, buccinator, and masseter attach here and stimulate late it which keeps it from resorbing. This is a landmark for the occlusal plane. Denture reaches 2/3 retromolar pad

27

retromylohyoid fossa

a space distal to mylohyoid muslce. Forms the distolingual border of the denture base ( S-shape).

28

sublingual gland area

above the mylohyoid muscle. Serves as border of the denture base in sublingual region.

29

Labial flange area

bordered by orbicularis ors and metalis muscles. Denture border must not impinge on these muslces nor the inferior labial frenulum

30

incisive papilla

covers naso-palatine foramen. It has sensory nerves and vessels. Denture should not impinge on this

31

Rugae

vestigal masticaroty organs of fibrous connective tissue. Anterior 1/3 of palate

32

buccal space

extends posteriorly from the buccal frenum. Denture border must not overextend the height nor the width here. It will pop out if it does

33

hamular notch

between maxillary tuberosity and the hamulus of the medial pterygoid plate. Forms lateral posterior border of denture

34

vibrating line

from one hamular notch to the other. This is the junction of the hard and soft palate

35

whats an undercut?

bone growths that dont allow the denture to fit correctly

36

why does impression material need to be fluidy when put in the mouth?

so it flows around the anatomy to get a good impression

37

3 key properties for impression materials

accuracy, dimensional stability, tear resistance

38

taking an impression of a patient

rinse and dry the mouth( not to dry), explain to the patient always!!!

39

do you want to overextend a impression?

yes, to make sure you get everything

40

what is a reversible hydrocolloid?

heat reverses its form

41

Alginate

irreversable hydrocolloid, extracted from brown seaweed, hydrophilic so moist surfaces arnt a problem, fill tray with 3mm of paste and dissinfect with iodophor, bleach or a glutaraldehyde.

42

how to disinfect an alginate impression

wrap it in a soaked paper towell in a sealed plasatic bag for 10 min.

43

how long should the stone cast and impression stay inact?

minimum of 30-60 min.

44

2 things that affect the shelf life of alginate impression materials

storage temperature andmoisture contamination of ambient air

45

whats a diagnostic cast?

the first step of preposthetic surgery. This is studied to determine the amount of surgery needed if needed at all.

46

Making the diagnostic cast

pour within 15 mins of making the impression. Dental plaster is usually used because its cheap

47

why are casts poured in 3 pours?

1st- liquidy to get in all the grooes
2nd- a little thicker
3rd- is for the base

48

whats the first part of the process of making a custom tray

make an impression, then make a stone cast. Use resin dough ( triad) around the cast and cut is short 2mm above the vestibule, give the frenum 1 mm of clearence

49

why must someone block out the undercuts?

to make sure the custom trays dont get stuck. Make sure you dont over block out eiter

50

what does the air barrier do?

hardens the tray.

51

after the tray is hard whats next?

trim the borders so theyre smooth. Then you border mold

52

whats the purpose of the border mold?

it helps create a suction

53

which custom tray do you drill a hole in?

maxillary, this allows pollysulfide to flow out

54

before putting the polysulfide filled tray on the cast, what must you put on the cast?

2 coats of Al- Cote, this allows it to come off easier.

55

tightly attached mucosa

covers the crest of the residual ridge and the anterior 2/3 of the palate, When compressed it rebounds and dislodges the denture,

56

loosely attached submucosa

covers the soft palate and lines the vestibules, pressure is not passed to the supporting bone, forms the denture border seal

57

differentiated mucosa

posterior 1/3 of the hard palate and retromolar pad, pressure is directed on the boney support

58

what does the different colors( white, gray, gree, red, black) mean in impression compounds?

white has the lowest melting temperature and black has the highest.

59

what is tissue rest?

before putting dentures in you need to let the tissue recover for at least 24 hours.

60

tissue manipulation for maxilla impression

patient moves mandible side to side for maxillary impression ( this involves slight manipulation of lips and cheeks)

61

tissue manipulation for mandible impression

hold tray in position while patient puckers lips and lifts and moves tongue around

62

whats the purpose for boxing?

to make a base and preserve vestibular contours of the final impression

63

How do you make a final impression?

1:1 ratio of pumice and plaster. Mix the powders together first then add water ( at lecom we just use plaster)

64

what must you put on before the red boxing wax?

sticky wax

65

how thick should the base of the cast be?

9-15mm, if its thinner it can break easier, if thicker it doesnt fit in the processing flask

66

the finished microstone cast should have what lenght in the landing area and vestibular depth?

landing area -9mm
vstibular depth- 2mm

67

whats a record base?

temporary device representing the base of the denture and used for making jaw relation records. ( not part of final denture)

68

whats the neurtral zone?

where there is no forces applied to the denture

69

what are occlusal rims used for?

determine the neutral zone, establish level of occlusal plane, make maxillomandibular relation records

70

when using the triad for a record base do you cut 2mm short of vestibule?

no, go to the depth of the vestibule( remember to block out undercuts)

71

whats used to make the wax occlusion rims?

dental wax/ base plate wax, ( pink stuff)

72

what is baseplate wax made of?

75% paraffin or ceresin, beeswax, other waxes

73

Important factors to consider making occlusison rims

use sticky wax to attach the base plate wax, fold base plate wax many times, anterior segment of maxillary is slightly flared labially

74

whats the distance of the incissive papilla and labial surface of central insicor of baseplate model?

5-8mm

75

when fully occluded the 2 basplates measure what?

40mm ( 22 for maxillary, 18 for mandibular)

76

occlussal rim thickness by the incisors, premolars, molars should be what

incisors-3-5mm
premolars- 5-7 mm
molars- 8-10 mm

77

where is the frontal axis?

right through the middle of your face between the central incisors

78

where is the sagittal axis?

passes the TMJ and extends. both ways.

79

What are the 2 basic types of movement in the jaw?

rotation and translation. Rotation happens before the translation

80

know what is happening during each border movement

Centric relation, maximum intercuspation, edge-to-edge incisal, maximum protrusion, maximum opening

81

terminal hinge axis position

where the mandible stops before it starts translation.

82

maximum protrusion position

most anterior position

83

edge to edge contact

where incisors from both arches are edge to edge

84

what is mandibular opening?

line going from maximum protrustion to maximum opening

85

what does the articulator do?

reproduces the movement of te jaws, Maintains the relationship of the maxilla and mandible to the condys

86

what 3 types of records are used to transfer maxillomandibular relationships in a edenticulous patient?

1. interocclusal relationhsips
2. graphic records
3. hinge-axis records

87

what measurements are used to get interocclusal relationships?

condylar guidance( condyle to eminence)
bennett shift( medial to lateral)

88

describe the bennet shift

Lateral shift of the mandible

89

graphic records

recording movements between the static interocclusal records. This isnt possible in the edentulous patient because the recording devices are not firmly fixed to the riedges and may move

90

what are hinge- axis records?

the arc of the jaw as it opens and closes( facebow)

91

overjet and overbite relationships determine what?

phonetics and esthetics

92

what is vertical dimension

the distance between the mandible and maxilla when the dental arches are in maximal intercuspation

93

what is centric occlusion?

maximal intercuspation of teeth. Specifically the relationship of the maxilla and mandible while teeth are in maximal contact

94

what is centric relation?

is the position of the mandible while in its most superioanterior position. This is where the condyles articulate with the thinnest avascular portio of their respective disks. ( this position is independent of tooth contact)

95

is malocclusion strictly dental?

no it can be skeletal as well

96

who was the father of malocclusion?

edwar hartley angle

97

malocclusion type 1

the relationship of the first molars is normal and the upper and lower jaws are in a normal relationship
to each other, but the other teeth are crowded, irregularly spaced, or overlapped.

98

malocclusion type 2

the lower molars fit the upper molars, but are not in correct position. The bottom jaw grows into a more backward position than normal.

99

malocclusion type 3

occurs when the lower molars are too far forward and don't fit into the upper molars.( usually most complicate and difficult to correct