RPD - Design and Construction Flashcards
(49 cards)
articulator
a hinged instrument to which the maxillary and mandibular casts are attached and which reproduces recorded relationships of the mandible to the maxilla
- assist the study of occlusion and the formation of the occlusal surfaces of prostheses and restorations
different types
surveyor
instrument used to survey casts
- may also be used to prepare parallel surfaces on restorations
drive the design for partial denttures
OSCE station
6 reasons why patients can have missing teeth
- caries (tooth decay
- periodontal disease (gum disease)
- endodontic infection
- trauma
- cancer
- congenitally absent (hypodontia)
4 consequences of missing teeth
- anatomical
- aesthetic
- functional
- psychological
what are the extra oral anatomical consequences of missing teeth?
change in facial appearance
- maxilla shrinks backwards
- mandible goes forwards
- exaggerate class 3
TMJ problems
what are the intra oral anatomical consequences of missing teeth?
- alveolar resorption
- tooth movement
- tooth wear
what is a term used for unwanted tooth movement due to missing teeth?
drifting
tiliting
how can aesthetics be effected by missing teeth?
loss of hard and soft tissue which support the face
how can function be effected by missing teeth?
mastication
speech
what is the most difficult thing for dentists to manage in regards to patients missing teeth?
the psychological effect
- mental health
- effect quality of life
7 ways we can replace missing teeth
- Resin bonded bridgework
- Conventional bridgework
- Implant crowns
- Implant bridgework
- Removable partial dentures
- Complete dentures
- Implant retained dentures
describe resin bonded bridgework
mesial cantilever is the most successful (abutment teeth on both sides of pontic)
fixed-fixed
descrive conventional bridgework
cantilever
fixed-fixed
need to do a lot of preparation
- more destructive
retainers usually metal ceramic crowns
what is the preferred method of placing an implant crown?
with a screw rather than cement
- can remove easier if something goes wrong
what is implant bridgework?
similar to conventional bridgework apart from use implant screws on abutments rather than retainer clasps
removable complete denture
conventional denture
- no attachments for stability
implant retained complete denture
abutments are attached to implants to be attached
- ‘snaps in place’
implant supported complete denture
screw retained and removable
what does ‘saddle’ mean?
area with no teeth
bi-lateral free-end saddle
anterior teeth only, no posterior teeth on either side
uni lateral free-end saddle
anterior teeth and one side of posterior teeth present
bounded saddle
gap in running row of teeth
e.g. between canine and molar (missing premolars); between canines
do we replaces all missing teeth?
no
depends on ones missing (need 20 teeth according to WHO)
shortened dental arch
A dentition where most posterior teeth are missing
- Satisfactory oral function without use of RPD
Priority given to maintaining an anterior and premolar dentition in one or both jaws
- In the right circumstances, non-replacement of posterior missing teeth can provide a stable and acceptable dentition