Dentures Setting Teeth, Speech Considerations & Pps

Front 1

When trying in the upper and lower anteriors, have your patient repeat the letter "s" several times (count from 60-70). This will show you if the anteriors are in the correct vertical and horizontal position.

a. the anteriors are end to end but not touching
b. the anteriors are end to end and touching
c. the lower anteriors are lingual to the upper anteriors
d. the lower anteriors are labial to the upper anteriors

Back 1

a. The anteriors are end to end but not touching

Front 2

When setting the lower anteriors, what is a formula to guide you?

Back 2

IMG

Front 3

What two sounds cause the most problems in a prosthetic context?

Back 3

S & T

Front 4

What is overjet?

Back 4

horizontal overlap

Front 5

What is overbite?

Back 5

vertical overlap

Front 6

After obtaining the vertical dimension of occlusion and centric relation and your casts are mounted, your next step is:

Back 6

Reform the posterior portion of the WOR

Front 7

In setting the upper anterior teeth, a guide to be used is MIG. What does this refer to?

Back 7

Th Middle of the central incisor
The Incisal of the lateral incisor
The Gingival portion of the canine
should be seen when viewing from the intaglio portion of the denture

Front 8

When trying in the upper anteriors, one of the tests for correct tooth position is counting from 40-50. You are looking for the correct position of the incisors in relation to the lower lip. The correct position is:

Back 8

On the Junction of the mucous membrane and the vermillion border of the Lower Lip

Front 9

The 's' sound is what kind of a sound?

Back 9

Linguoalveolar

Front 10

T/F
In setting the upper anterior teeth for a patient, one of the most important landmarks to observe is the lower lip line

Back 10

True

Front 11

When anterior teeth are arranged, there is usually a horizontal overlap (overjet) of 1-2 mm. Why is this done?

Back 11

To allow forward movement of the mandible before any anterior tooth contact is made

Front 12

In setting the upper anterior teeth for your 1st project, how do you position the central incisor?

Back 12

Slightly cant the body of the tooth to the distal with the incisal edge on the occlusal plane of the plane of the upper WOR

Front 13

What is the least favorable palatal throat form?

Back 13

Class III

Front 14

What is the most faorable palatal vault form?

Back 14

U

Front 15

What are the 3 classes of the juntion of the hard and soft palate, as seen from a lateral cross section view?

Back 15

Class I, II, III

Front 16

What palatal junction is mostly flat?

Back 16

Class I

Front 17

What palatal junction is an intermediate angle? (45 deg)

Back 17

Class II

Front 18

What palatal junction is a sharp angle?

Back 18

Class III

Front 19

What are the functions of the PPS?

Back 19

Create positive tissue contact
Compensate for acrylic shrinkage
Keep food away from intaglio surface of denture
Decreases atmospheric pressure
Increases retention
Strengthen posterior border of denture

Front 20

One of the most important areas to capture in the upper impression is the posterior palatal seal area. What is the PPS?

Back 20

A positive shape on the most posterior extent of the intaglio surface of a maxillary complete denture
Shaped like a “cupid’s bow”
Cross – sectional thickness varies from .5 to 1.5 mm

Front 21

What is the posterior extent of the PPS?

Back 21

Posterior Vibrating Line

Front 22

Where is the PPS with respect to the fovea palatinea?

Back 22

At or posterior to the fovea palatinea

Front 23

T/F
The PPS goes to the depth of the hamular notch?

Back 23

True

Front 24

What is the anterior extent of the PPS?

Back 24

Anterior Vibrating Line

Front 25

What technique is used to locate the anterior extent of the PPS?

Back 25

Located by the Valsalva Maneuver

Front 26

What is the lateral extent of the PPS?

Back 26

3-5 mm into the buccal vestibule from the pterygo-maxillary ligament

Front 27

When do you know that your PPS marking is correct?

Back 27

When the tissue does not move away from your mirror when saying aahh

Front 28

How do you mark the PPS on your final impression?

Back 28

Mark the pts palate with a thompson marking stick.

Reinsert the final impression into the mouth and the marking will transfer to the impression

Front 29

How far back is the posterior border of the PPS in a patient with a Class I throat form?

Back 29

4-5 mm posterior to fovea palatinea

Front 30

How far back is the posterior border of the PPS in a patient with a Class II throat form?

Back 30

1-2 mm posterior to fovea palatinae

Front 31

How far back is the posterior border of the PPS in a patient with a Class III throat form?

Back 31

Posterior border is usually at the fovea palatinae

Front 32

What are the dimensions of the PPS carving on the final cast?

Back 32

Estimated depth of glandular tissue
0.5 mm anteriorly
1-1.5 mm posteriorly
0.5 mm midline of palate

Front 33

What should the overbite be for the mandibular central incisors?

Back 33

0.5 mm

Front 34

What should the overjet be for mandibular central incisors?

Back 34

1.5 - 2.0 mm

Front 35

Where should the neck of the Mandibular Central Incisor be?

Back 35

Neck of tooth close to or on the ridge

Front 36

Where should the neck of the Mandibular Lateral Incisors be?

Back 36

Neck of the tooth more prominent

Front 37

How should the body of the lateral incisors be positioned?

Back 37

Body tipped to the distal

Front 38

What is important to have patient do when trying in the anteriors?

Back 38

3rd party critique

Front 39

What is the acronym for mandibuar anterior teeth prominence?

Back 39

IMG
Incisal CI
Middle LI
Gingival C

Front 40

When setting the maxillary anteriors how should the teeth be tipped?

Back 40

Long axis tipped to follow the wax contour

Front 41

What is the acronym for Maxillary anterior teeth prominence?

Back 41

MIG
Middle CI
Incisal LI
Gingival C

Front 42

How far in front of the incisal papilla should the incisal edge be placed?

Back 42

7-9 mm anterior to center of incisal papilla

Front 43

How does the neck lean for maxillary lateral incisors?

Back 43

distal

Front 44

How far is the incisal edge of the maxillary LI off plane?

Back 44

0.5 mm

Front 45

Which teeth are tipped to the distal?

Back 45

Maxillary LI & C
Mandibular LI & C (body)

(I don't know if body and neck are in the same area or not, but I don't think that you can tilt one w/o tilting the other)

Front 46

T/F
The incisal edge of the canine is on the same plane as the central incisor

Back 46

True

Front 47

How do you check the contour of the teeth?

Back 47

With a WOR template

Front 48

T/F
In setting the upper anterior central incisors, the long axis and the orientation of the tooth in wax should coincide.

Back 48

True

Front 49

T/F
When the upper cuspid is set in wax and you view it from the anterior, you should be able to see the entire facial portion.

Back 49

False

Front 50

On the maxillary cast, to locate the approximate position of the tip of the canine a line is drawn passing _____the incisive papilla.

Back 50

Throught the posterior border of

Front 51

In setting the lower anterior teeth in the wax occlusal rim, the term IMG is oftern used. This refers to:

Back 51

Incisal Middle Gingival

Front 52

In replacing the maxillary teeth, where should they be positioned to simulate the normal tooth position?

Back 52

Labial to the ridge for the anteriors and over the ridge for the posteriors

Front 53

The incisive papilla is said to remain stable even after the teeth are removed and therefore is used as a guide to locate the anteroposterior position of the:

Back 53

7-9 mm

Front 54

T/F
There are several tests to establish the correct VDO. On of these is the observation of the S sound and speaking space when the WOR are in place

Back 54

True

Front 55

T/F
Speaking space and the interocclusal space between VDR and VDO is the same

Back 55

False

Front 56

T/F
the vibrating line is a well-defined line demarking the end of the hard palate

Back 56

False

Front 57

After the triad dental base is marked for the outline of the vibrating line, trimmed to this line and placed back on cast, this line is marked on the cast. How far laterally should this PPS line extend beyond the crest of the hamular notch?

Back 57

3 mm

Front 58

T/F
An example of bilabial sounds are the letters B,P & M

Back 58

True

Front 59

T/F
The F & V sounds are classed as lingiodental sounds

Back 59

False

Front 60

T/F the F & V sounds are made when the upper anterior teeth touch the lower lip. If the teeth are too short, the V sound will be more like and F

Back 60

True

Front 61

More important than these sounds is the relationship of the incisal edges to the lower lip. They should touch the lower lip where?

Back 61

The labiolingual center to the posterior 1/3 of the lower lip

Front 62

If the upper anteriors touch the lower lip in the wrong place it could mean either the upper anteriors or the lower anteriors are incorrectly placed

Back 62

True

Front 63

Linguodental sounds means those sounds made by the tongue touching the teeth such as this that these those

Back 63

True

Front 64

The average amount of the tip of the tongue that is visible when making this sound is:

Back 64

3 mm

Front 65

Linguoalveolar sounds are T D S Z V & L and are produced with the tip of the tongue contacting the most anterior part of the palate or the lingual side of the anterior teeth. The important thing here is the relationship of the upper and lower anterior teeth to each other. They should:

Back 65

Approach each other end to end but not touch

Front 66

What are sounds made by contact of the lips?

Back 66

Bilabial Sounds
B,P,M

Front 67

What sounds are affected by:
Insufficient support of the lips by the teeth or the denture base can cause these sounds to be defective.

Anteroposterior position of the anterior teeth and thickness of the labial flange can affect the production of these sounds.

An incorrect VDO or teeth positioning hindering proper lip closure might influence these sounds.

Back 67

Bilabial Sounds
B,P,M

Front 68

What are sounds made between the upper incisors and the labiolingual center to the posterior third of the lower lip?

Back 68

Labiodental Sounds

F&V

Front 69

What happens to labiodental sounds if the upper anterior teeth are too short (set too high up)?

Back 69

The V sound will sound more like and F

Front 70

What happens to labiodental sounds if the upper anterior teeth are too long(set too far down)?

Back 70

The F sound will sound more like a V

Front 71

What is the most important information to look for when a patient is making Labiodental sounds?

Back 71

The relationship of the incisal edges to the lower lip.

Front 72

In Labiodental Sounds: If the upper teeth touch the labial side of the lower lip, they are:

Back 72

too far forward or the lower anterior teeth are too far back in the mouth.

Front 73

What sounds are made with the tip of the tongue extending slightly between the upper and lower anterior teeth?

Back 73

Linguodental Sounds
'th' in this, that, these, & those

Front 74

When making linguodental sounds (th), if about 3mm of the tip of the tongue is NOT visible:

Back 74

the anterior teeth are probably too far forward (except in patients with a class II malocclusion)

Front 75

If more than 6mm of the tongue extends out between the teeth when Linguodental (th) sounds are made:

Back 75

the teeth are probably too far lingual

Front 76

What sounds are made with the valve formed by contact of the tip of the tongue with the most anterior part of the palate or the lingual side of the anterior teeth

Back 76

Linguoalveolar sounds
(TDSZVL)

Front 77

What sounds cause the most problems in a prosthodontic context?

Back 77

S&T

Front 78

The important observation when these sounds are produced is the relationship of the anterior teeth to each other. The upper and lower incisors should approach end to end but NOT touch.

Back 78

Linguoalveolar Sounds

Front 79

What does a failure of the incisal edges to approach exactly end to end indicate in Linguoalveolar Sounds?

Back 79

A possible error in the amount of horizontal overlap of the anterior teeth

Front 80

What is a common speech sound in nearly all languages of the world?

Back 80

S

Front 81

What sounds present little problem for dentures?

Back 81

Linguopalatal (year, she, vision, onion)
Linguovelar (k,g,ng)