the single denture Flashcards
(32 cards)
natural teeth generate a _____ chewing force against opposing dentures
greater
natural teeth _______ in function as a denture does
do not move
______ puts natural teeth far from optimal positions
drifting/tilting
routine resorption pattern following extraction of teeth results in a SMALLER MAXILLA when compared to denture arch
centripetal resorption
maxilla resorbs:
mand resorbs:
up and inward
mand down and out
horizontal arch discrepancy is created when:
maxilla arch narrows and becomes shorter in A-P direction
what may be required to direct occlusal forces to the bearing area when a horizontal arch discrepancy is created
cross-bite
-max complete denture opposed by mandibular anterior natural teeth
the combination syndrome
-maxillary anterior tissue mobile/hyperplasia
-inflammatory palatal hyperplasia (IPH)
-maxillary tuberosities enlarged
-mand posterior bone resorption
-mandibular anterior teeth supraerupted
combination syndrome
combination of curve of spee and the curve of wilson
curve of monson
what two planes are curve of monson
coronal and sagittal planes
____ for mand
___ for max
concave for mand
convex for max
in CR form a segment of a sphere of 4 inch radius with the center of the spehere at the glabella
curve of monson
reduce, restore or remove
occlusal plane (to level out)
a reciprocal arrangement of elevations and depressions
occlusion
single denture fractures:
bitting force of natural dentition is about ___ times that of the denture wearers
5 times
going over root or implant
overdenture
alveolar resorption.
mand anterior resorbs ___times as fast as max anterior
4 times
rapid bone less emphasizes the need for any procedure which will slow the bone loss
preventive prosthodontics
retaining mand ____ for overdentures preserved alveolar bone
canines
overdenture advantages:
1
2
3
4
5
6
- denture support is increased and soft tissue trauma is decreased
- stability of denture is increased
- maintenance of periodontal propriception improves chewing efficiency
- psychological benefit to patient
- residual ridge integrity
- retention
when overdentures?
- when conventional denture would have poor prognosis
- when opposing an arch of natural teeth
- when combination syndrome is a factor
disadvantages of overdentures:
1
2
3
4
5
6
7
8
- likely time dependent transition to CD, depends on patient’s oral hygiene and nature of selective abutments
- age related and inability to follow proper hygiene
- presence of refractory periodontal disease
- caries
- frequent recall appts
- available interarch space
- weakness in arylic denture base
- cast coping- increases lab procedures/expenses
cost more than conventional denture
denture is bulkier in some areas
denture is more subjective to fracture
caries/perio sequelae
disadvantages of overdentures