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