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Treatment Planning Flashcards

(34 cards)

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1
Q

What are 2 good factors NOT to place implants?

A
  1. Lack of bone

2. Lack of restorative space

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2
Q

What are some patient limitations regarding implant placement?

A
  1. Surgical Risk
  2. Disease
  3. Hygiene
  4. Available Treatment Time
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3
Q

What are 4 indications for tooth replacement?

A
  1. Esthetics
  2. Phonetics
  3. Function
  4. Occlusal Stability
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4
Q

What are 9 factors in influencing selection of pros treatment planning?

A
  1. Length of Edentulous Span
  2. Distal Extension
  3. Complete Edentulism
    4, Periodontal health
  4. Radiographic Crown:Root Ratio
  5. Extensive Bone Loss of Residual Ridge
  6. Shortened Life Span Expectancy
  7. Caries Index/Oral Hygiene Limitations
  8. Patient Desires/Economic Consierations
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5
Q

For a short edentulous span think…

A

Implants/Fixed/Removable

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6
Q

For a medium edentulous space think…

A

Implants/Fixed

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7
Q

For a long edentulous space think…

A

Removable

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8
Q

When missing a single tooth you can restore with:

A
  1. Implant
  2. Conventional FDP
  3. Resin bonded FDP
  4. Removable Dental Prosthesis
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9
Q

Are single tooth implants successful?

A

Yes!

  • 97% 10 years
  • Low caries
  • Improved hygiene
  • Decreased abutment tooth loss
  • Psychological Advantage
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10
Q

For the posterior what is the max amount of pontics you would desire?

A

2

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11
Q

For the anterior what is the max amount of pontics you would desire?

A

4

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12
Q

What is the most common cause of FDP failure?

A

Caries

  • Mean life span is 10 years
  • 15% abutments will require RCT
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13
Q

How much distance would one want between implant and tooth?

A

1.5 - 2 mm

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14
Q

How much distance would one want between implants?

A

3 mm

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15
Q

For implant retained FDP - what are the advantages of splinting them together?

A
  • Eases fabrication/delivery
  • Strong sytem

If abutments are parallel then you do not have to splint them together - this aids in hygiene…

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16
Q

What are indications for Removable Dental Prosthesis?

Study These Flashcards
A
  1. Long spans
  2. Correct Large Ridge Defects
  3. Minimally Invasive
  4. Proven Cost Effective Treatment
  5. Endodontically treated abutments 4x more likely to fail
17
Q

What happens to bite force when one wear an RDP?

Study These Flashcards
A
  1. Bite force decreased from 200 psi to 50 psi

2. Masticatory efficiency decreased

18
Q

What are some consequences of using an RDP?

Study These Flashcards
A
  1. Abutment teeth need constant repair (60% at 5 years, 80% at 10 years)
  2. Increased mobility, plaque, BOP and caries on abutment teeth.
  3. Abutment tooth loss of 44% within 10 years
  4. Accelerated bone loss in edentulous regions
19
Q

What are some considerations for a prosthesis extending from 7-10?

Study These Flashcards
A
  1. Arch curvature
  2. Cantilever Length
  3. Residual Ridge
  4. Pontic Site
  5. Canine Stability
20
Q

For D extension what are your treatment options?

Study These Flashcards
A
  1. RDP
  2. Removable Partial Overdenture
  3. Implant Retained FDP
21
Q

For D extension, RDP is most conventional treatment - you will have success if you have…

Study These Flashcards
A
  1. Proper survey & design
  2. Adequate Abutments
  3. Broad Stress Distribution
  4. Well Adapted Bases
  5. Altered Cast Impression
22
Q

What are some advantages of a removable partial overdenture?

Study These Flashcards
A
  1. Stability/Retention
  2. Bone Preservation
  3. Diminished Forces to Abutment Teeth
  4. Improved Tissue Health
23
Q

What 2 things must be present when evaluating a patient for a FDP/distal extension?

Study These Flashcards
A
  1. Sufficient Bone
  2. Enough Restorative Space

-assuming occlusion is stable-

24
Q

What 3 options can you deliver to a patient with complete edentulism?

Study These Flashcards
A
  1. Conventional Complete Dentures
  2. Overdentures
  3. Fixed-Detachable (Hybrid)
25
For overdentures, what percent are unstable on the mandible?
50%!
26
What is a hybrid prosthesis?
4-5 implants between mental foramina No soft tissue contact Implants placed on the mandibular arch better aid for the speech of the patient
27
For a hybrid prosthesis, you can cantilever up to how much?
1.5 to 2 X AP spread
28
Are implants successful in patients whose periodontal disease has been controlled?
Yes!
29
What is the optimum crown to root ratio?
2:3
30
What is the minimal crown to root ratio?
1:1
31
What are 3 advantages of an RDP?
1. Predictable 2. Cost-Effective 3. Esthetic
32
For a shortened life expectancy what is likely the best treatment option?
Removable :(
33
For patients with caries index/oral hygiene limitations what is your go to option?
Removable IS the only appropriate option
34
If you could travel in the future an look side to side to what removable appliances people were wearing - what would you see?
Implant Supported RDPs/Dentures

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