Restorative. Prosthetics. Treatment planning partial dentures

Question 1

12 steps in Treatment planning partial dentures

Answer 1

1. reason for attendance RFA (referral/ self-referred)
2. complaining of co (according to pt)
3. history of presenting complaint hpc (how long/ pain/ type/ have dentures ever been satisfactory)
4. relevant medical history
5. drugs (name, dose, freq, interactions)
6. family/ social history (age, sex, occupation, smoker, drinker, availability)
7. relevant dental history (date of extractions, prev success of dentures, DIET inc sugar, acid)
8. extra-oral (9)
9. intraoral 6
   10.systemic examination (teeth, gums, dentures)
10. special investigations (radiographs, haematological, microbiological, vitality testing)
11. diagnosis
    13= treatment plan (study casts, provisional tx plan)

Question 2

why may gastrointestinal disease be relevant to dentistry

Answer 2

vomiting –> erosion

Question 3

why may arthritis/visual impairment be relevant to dentistry

Answer 3

may not be able to brush teeth / dentures

Question 4

notation for

a. once a day
b. twice a day
c. three times a day
d. four times a day

Answer 4

a. once a day: OD
b. twice a day: BD
c. three times a day: TDS
d. four times a day: QDS

Question 5

use and 2 interactions of miconidazole

Answer 5

antifungal, used in candidosis

• displaces warfarin –> inc INR, thinner blood
• simvastatin –> neuropathy, retinopathy

Question 6

what to include in extraoral exam 9

Answer 6

• biological v chronological age
• facial symmetry (may cause denture imbalance)
• skeletal classification (angles)
• movement of mandible/TMJ (clicks)
• muscles of mastication
• overclosing
• angular cheilitis (caused by overclosing/ skin folds)
• basal cell carcinoma (always ask, maybe refer)
• lymph nodes (lymphoma, metastasis)

Question 7

6 things to check in intraoral examination

Answer 7

• lips (mobility, length)
• cheeks
• tongue (size, lateral spread)
• lateral border of tongue (use gauze)
• hard/ soft palate
• fauces

Question 8

what to include in systemic examination

Answer 8

• teeth 3: decay, restorations, occlusion
• gums: inflamed or healthy
• dentures: present denture in and out of mouth

Question 9

what to note about occlusion

Answer 9

• dental arches
• number/ distribution of teeth
• intercuspal position stable, teeth dont slide
• drifting/ rotation
• overeruption

Question 10

what to note about current dentures

Answer 10

• material
• quality
• appearance and fit (in mouth)

Question 11

4 special investigations

Answer 11

• radiographs (periapicals of teeth used as rests)
• haematological investigations
• microbiological swabs
• vitality testing

Question 12

appointment sequence for designing partial dentures

Answer 12

1. all of this sequence + primary impressions for study models
2. jaw record, maybe face bow. survey
3. present denture design to supervisor