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level: PROPER

Questions and Answers List

level questions: PROPER

QuestionAnswer
TYPES OF RPDassresin appliance, resin with wire clasp, resin with castsed clasp
maxillary teeth will be lost before mandibularINTERarch Difference
posterior teeth will be lost before anteriorsINTRAarch Difference
Remaining teeth usuallyMandibular anterior/Mandibular canine
anatomical result of tooth lossbroader mandible and constriction of maxilla
clinical significance of anatomic loss of teethhard time setting the pontics esp with remaining tooth because the jaw relationship is already class III
why does the jaw protrude?compensate to cover/ close the mouth
Changes in facial features due to:altered lip support, reduced facial height
Attached gingiva is replaced withless keratinized oral mucosa
clinical significance of less keratinized oral mucosaprone to trauma, lacerations, or to ulcers
physiologic effects of tooth lossdiminished masticatory effect, speech
serve the role of reducing food to a point that it is ready for swallowing.Teeth or prostheses
ability to reduce food to a certain size in a given time framemasticatory efficiency
index of food reductionmasticatory efficiency
TOOTH REPLACEMENT FROM THE PATIENT’S PERSPECTIVEimproves health/condition but not necessarily cure
improves health/condition but not necessarily cureEXPECTED OUTCOMES
Those that might involve factors related to our control or manipulation as a dentist.UNEXPECTED OUTCOMES
tissue damage, tissue abuse, design of dentures, materials that you use for the denture, or the design if you are fabricating RPDUNEXPECTED OUTCOMES
Related to our control of manipulation:from faulty design not considering the impingement of tissuesTissue damage
Related to our control of manipulation:Allergic reaction sampleTissue damage
Related to our control of manipulation:rushing and randomly make a design leading to unexpected result (Correct design, correct px interview, correct manipulation and being prepared we can remedy the 3)Prosthesis design
Those that we cannot control:accidental trauma, parafunctional habits
A typical sequence is used to discuss tooth replacement options:dental implant supported prosthesis, fixed prosthesis, rpd/cd
Purpose of Classification:facilitate treatment decisions on the basis of treatment complexity
Complexity is determined from the four broad diagnostic categoriesLocation and extent of edentulous areas, Condition of the abutments, Occlusal characteristics and requirements, Residual ridge characteristics
CLASSIFICATION OF PARTIALLY EDENTULOUS ARCH (KENNEDY):Bilateral edentulous area located posterior to the remaining natural teethCLASS I
CLASSIFICATION OF PARTIALLY EDENTULOUS ARCH (KENNEDY):Also called bilateral distal extension casesCLASS I
CLASSIFICATION OF PARTIALLY EDENTULOUS ARCH (KENNEDY):Unilateral edentulous area located posterior to the remaining natural teethCLASS II
CLASSIFICATION OF PARTIALLY EDENTULOUS ARCH (KENNEDY):Also called unilateral distal extension caseCLASS II
CLASSIFICATION OF PARTIALLY EDENTULOUS ARCH (KENNEDY):Unilateral edentulous area with remaining natural teeth both anterior and posterior to itCLASS III
CLASSIFICATION OF PARTIALLY EDENTULOUS ARCH (KENNEDY):Single, but bilateral edentulous area located anterior to the remaining natural teethCLASS IV
Requirements of an Acceptable Method of ClassificationIt should permit immediate visualization of the type of partially edentulous arch that is being considered, It should permit immediate differentiation between tooth-supported and tooth-tissue-supported RPD, It should be universally acceptable
What then defines important differences between these prostheses?technical outcomes, physical outcomes, esthetic outcomes, maintenance needs, initial and future costs, physiologic outcomes
The replacement prosthesis ideally should providefunction, level of comfort as equivalent as possible to normal dentition (gold standard).