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128 Cards in this Set
- Front
- Back
prosthesis that restores one or more, but not all natural teeth and is supported by natural teeth/mucosa
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removable partial denture
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tooth borne partial denture relies upon ____ for support
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abiutment teeth only
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mucosa-tooth borne pd depends upon ____for support
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abut teteh, and mucosa of residual ridge/basal bone areas
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a rigid extension of a PD, that prevents movement toward mucosa and transmit functional forces to teeth
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rest
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a rest is a _____ component of a partial denture that prevents movement toward_____, and transmits ______to _____.
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rigid
mucosa functional forces teeth |
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form of a rest on the opposite side of a fulcrum line, prevents distal extension area from lifting off too much and rotating out of the mouth
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indirect retainer
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an indirect retainer is a ____ that is posititoned ____an its' purpose is to _____.
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rest
opposite of fulcrum line keep area from dislodging |
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a rest opposite a distal extension (over a fulcrum line) is a direct/indirect retainer?
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indirect
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a clasp is a ___retainer
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direct
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a direct retainer is a ____
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clasp
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a ____is a component of a PD used to retain (prevent dislodge)
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clasp or direct retainer
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a clasp or direct retainer is a component of a PD that is used to____
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retain/prevent dislodge
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name all the types of direct retainter (clasp)
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suprabulge
infrabulge wrought wire |
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which of the 3 direct retainers (clasp) is the toughest/most flexible w/out fatigue?
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wrought wire
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joins components on one side of arch to those on the other
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major connector
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a major connector does...
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joins components on one side of arch to the other
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this type of major connector is wider side to side than a-p
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palatal strap
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this type of major connector is more square/ovoid, covers most of palate
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maxillary palatal plate
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this type of major connector feels more natural to the patient
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maxillary a-p palatal strap
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size of a maxillary a-p palatal strap is
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nickel-dime sized
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what is the last resort of a major connector, if a patient has a large, inoperable tori?
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u-shaped palatal connector
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what type of major connector would you use on the mandible that must be 4mm away from teeth?
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lingual bar
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what type of major connector would you use if there isn't a depth of vetibule 4mm away from teeth?
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lingual plate
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can you put a lingual plate on edentulous spaces?
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NO
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what type of major connector is used if lower teeth are angled toward the tongue, or if pt has mandibular tori?
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labial bar
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what is the difference between a labial and lingual bar, and what are they?
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they are major connectors
labial is used if teeth have lingual angulation, or large mand tori. lingual bar is used most commonly, and muts be 4mm away from teeth |
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what type of mandib major connector is used for periodontal patients or diastemas?
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kennedy bar
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this is used as a link between major connector or base and other units of prosth
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minor connector
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minor connector connects ____and ____
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major connector or base and other units of prosth
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this is a plate of metal in contact w/ proximal surface of abutment tooth, against a guiding plane
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proximal plate
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what is aproximal plate? plate of metal in contac w/ ____of____, and coincides with the _____
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proximal surface
abutment tooth guiding plane |
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denture base supports ____, replaces _____/_____. it is made of_____-
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artificial dentition
gingiva/alveolar structure metal or acrylic |
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9 reasons to use a RPD vs FPD
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long edentulous area
restoration of hard and soft tissues inadequate perio support compromised abt teeth need for extension base cross-arch stability pt reasons for not FPD (x2) eas of plaque removal/cleaning |
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8 applegate rules
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1 - after extraction
2 - 3rd molar missing/won't be replaced, isn't considered 3 - 3rd molar present, its considered 4 - 2nd molar (same as 2 and 3) 5 - most posterior edent area used for classifying 6 - edentulous areas other than class are mods 7 - extent of mod is not considered, only # of spaces 8 - no modifications in kc4 |
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a paralleling instrument, registers whether or not things are parallel?
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surveyor
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what is a surveyor?
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a paralleling instrument - measures if things are parallel or not
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procedure to analyze and delinieate contours of abut teeth/associated structures before making an RPD
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surveying
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surveying i sa procedure to analyze/delinieate contours of ____ and ____ before making an ____
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abut teeth and assoc structures
an RPD |
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6 purposes of surveying
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1 - determine path of draw
2 - determine guide plane 3 - delineate H.O.C 4 - evaluate undercuts 5 - delinieate retentive areas 6 - tripod cast to permit reorientation |
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2 relative orientationsof the path of draw?
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parallel to long axis of tooth as possible
perpendicular to occlusal plane |
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where is an undercut?
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between h.o.c and gingival margin
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tripod marks must depend on 4 things...
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1 - vertical surfaces
2 - widely spread 3 - surveyor arm fixed 4 - cast is fixed |
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effects of tilting a cast - 4
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1 - align potential guiding plane areas = better path of draw
2 - redistribute undercut 3 - develop symmetrical gingival embrasure 4 - eliminate soft tissue interface |
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rigid extension of a PD, contacts tooth in a prepared seat to transmit forces down long axis?
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rest
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3 functions of a rest
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transmit functional forces down long axis of tooth
prevents force on mucosa indrect retainer |
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@ the junciton of a rest/minor connector, the thickness of metal must be...
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1.5mm
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rests should be extnded as close to _____as possible, in order to____
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center of tooth
prevent tippping |
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internal line angles of rest seats should be (sharp/roudned)
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rounded
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occlusal rests outline are...
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rounded triangular, w/ apex toward center of occ surface
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what is the size of an occlusal rest?
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1/3 of the f-l width, or 1/2 cusp to cusp
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shape of the floor of an occlusal rest
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spoon shaped
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marginal ridge of an occlusal rest should be reduced....
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1.5 mm
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what type of angle connects the minor connector and the occlusal rest?
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acute
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interproximal occlusal rest
need a lingual extension for____ need a buccal extension for____ |
lingual - strength of minor connector
buccal - embrasure clasps |
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Interproximal occlusal rest
need a ____extension for strength of minor connector need a ____extension for embrasure clasps |
lingual - strength of minor connector
buccal - embrasure clasps |
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shape of a interproximal occlusal rest when viewed from the side?
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U-shaped
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T or F
cingulum rests are often found in mandibular anterior teeth |
F
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T or F
cingulum rests are often found on maxillary anterior teeth |
T
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what is the location (along the height of the tooth) of a cingulum rest?
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junction of gingival/middle 1/3
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incisal rests are used as (2 thiings)
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auxillary rests
indirect retainers |
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2 bad things about incisal rests
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esthetics
mechanical leverage |
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what type of rest is describe as a "little pothole"
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marginal ridge
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marginal ridge rests are common in...
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anterior teeth (w/ marginal ridge access)
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incisal rest must be ___wide and ___deep
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2.5 mm wide
1.5 mm deep |
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2 requirements of major connectors
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rigidity
tissue preservation |
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borders of maxillary major connectors must be ____from gingival margins
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6mm
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borders of maxillary major connectors must be 6mm from
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gingival margins
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If 6mm from gingival margins is not available, you must use a
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metal plating
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borders of maxillary major connectors should (pass through/go over) rugae when possible
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pass through
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metal of a maxillary major connector (should/shouldn't) be in intimate tissue contact
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should be
EXCEPT where it corsses ging margin |
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exposed borders of major connectors should be...
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beaded
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palatal strap's are usually for (tooth or tooth-mucosa) borne RPD?
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tooth borne (KCIII)
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drawback of a palatal strap?
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strap is often flexible
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anterior-Posterior dimension of a palatal strap/
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8-12 mm
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can a palatal strap be used for a tooth-mucosa borne rpd?
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yes, if has a short extension base
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What type of major connector can be used for Any kennedy class, is very versatile?
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a-p palatal strap
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what contributes to the increased rigidity of a a-p palatal strap?
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straps in 2 planes - alv ridge nad palate
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palatal plates are used for kennedy class____
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I
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what is a specific situation that calls for a u-shaped palatal connector?
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large torus can't be removed LESS THAN 6mm FROM VIBRATING LINE
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if you have a large torus on palate less than 6mm from vibrating line you would use a ____connector?
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u-shaped palatal connector
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Mandibular connectors must have sup borders ___mm from gingival margins
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4mm
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space needed to place a lingual bar (mandibular connector)
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4 mm from gingiva, 4mm for the bar itself. so 8mm total
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does mandibular lingual bar contact tissue?
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NO
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are mandibular lingual bars polished on tissue surface?
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YES
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cross section of lingual bar?
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1/2 pear shaped
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dimensions of a lingual bar
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4mm sup-inf
2mm a-p |
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when is a lingual plate indicated?
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if less than 8mm from gingival margin to floor - tori/raised floor
OR if loss of teeth anticipated |
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where does a lingual plate contact patient?
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@ or above survey line - prevent food impaction
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where does a lingual bar contact patient?
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it doesnt
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where are rests needed for a lingual plate
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at each end
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why is a labial bar less rigid?
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its longer because it's outside the arch
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why would you need a double lingual (kennedy) bar?
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if direct retention needed from mandibular anteriors
large interproximal spaces present |
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where is the 2ndary bar of a kennedy bar located?
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between cingula and contact area (it's on the teeth)
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how much space is needed between vertical components of adjacent minor connectors?
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5mm
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whats this
an extra coronal direct retainer, engages an abutment tooth for retention, stability and support of partial denture |
clasp
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clasp
extra coronal ____retainer, that engages a ____ for ___, ____ and ____ of ____. |
direct retainer
engages an abutment tooth stability retention support of a partial denture |
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3 components of a clasp unit
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bracing arm
rest retentive clasp arm |
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which part of the retentive component of a clasp engages an undercut?
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terminal 1/3
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are there any flexible parts of a pd?
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only the terminal 1/3 of a retentive clasp arm
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the bracing part of a clasp is the ___component
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reciprocical
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does a bracing arm go into an undercut?
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no
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6 requirements of a clasp
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retention
bracing support reciprocation encirclement passivity |
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what is this? what doe sit apply to? what is it provided by?
resistance to vertical dislogment |
retention
a requirement of a clasp terminal 1/3 of retentive clasp arm |
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what is this? what doe sit apply to? what is it provided by?
resistance to horizontal forces, gives stability |
bracing
a requirement of clasp bracing clasp arm |
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what is thicker, retenetive clasp arm or bracing clasp arm?
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bracing
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what is def of bracing?
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resistance to horizontal forces
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what is this? what doe sit apply to? what is it provided by?
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requirement of clasp
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what is this? what doe sit apply to? what is it provided by?
resistance to vertical seating forces preventing trauma to peridental structures |
requirement of clasp
support provided by REST |
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what is this? what doe sit apply to? what is it provided by?
resistance to horizontal forces exerted by an active retentive element |
requirement of clasp
reciprocation the force is due to the retentive clasp arm upon INSERTION AND REMOVAL until it passes the H.O.C the BRACING ARM reciprocates the force |
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what is this? what doe sit apply to? what is it provided by?
prevents horizontal tooth movement FROM within the clasp |
requirement of clasp
encirclement engagement of the clasp by more than 180 degrees |
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what is this? what doe sit apply to? what is it provided by?
no active force on the tooth when clasp in place |
requirement of clasp
passivity only a force on the tooth if a dislodging force is applied |
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definition of encirclement?
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prevents horiz tooth movment from within the clasp
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definition of passivity
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no active force on the tooth when clasp is in place
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definition of reciprocation
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resistance to horizontal forces exerted on the tooth by the active retentive element
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What is support?
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resistance to vertical seating forces, prevents trauma to peridental structures,
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what is bracing?
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resistance to horizontal forces = STABILITY
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what is another term for stabilty in relation to aclasp?
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bracing
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3 types of suprabulge clasps
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circumferential
embrasure ring |
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when is a ring suprabulge clasp used?
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a tilted molar and MO rest
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4 desgin considerations of an infrabulge clasp
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never impinge on soft tissue
crosses ging margin @ 90 degrees proceeds 3mm before turning to framework never over deep undercut |
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in relation to the buccal surface, where does an I-bar touch the tooth?
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mid muccal or mesiobuccal
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for how long (mm) does the i-bar contact the tooth?
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starting @ .010 undercut, for 1.5 to 2.0 mm
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when are wrought-wire clasps used?
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tooth-mucosa borne RPDs
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what gauge wire do you use for wrought wire clasp? is this thicker or thinner than usual
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19 gauge
thinner |
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what undercut is needed for wrought wire?
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.020
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what is an indirect retainer (clasp) give definition
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component of RPD
assists direct retainers in preventing dis[placement of DISTAL EXTENSION functions thru LEVER ACTION |
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fulcrum line passes through...
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the RESTS!! not the teeth
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where is the most effective indirect retainer?
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on the longest perp line from the fulcrum line
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