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level: STEPS IN CONSTRUCTING CD P1

Questions and Answers List

level questions: STEPS IN CONSTRUCTING CD P1

QuestionAnswer
FINAL IMPRESSION TECHNIQUE: No custom tray neededMucocompressive technique
CLINICAL VISIT 1Communication, preliminary impression
CLINICAL VISIT 2boarder molding, final impression
CLINICAL VISIT 3jaw relation registration
CLINICAL VISIT 4try in
CLINICAL VISIT 5try in
CLINICAL VISIT 6delivery, adjustment, instruction; recall
LABORATORY STEP 1pouring of cast, custom tray
LABORATORY STEP 2master cast, record base, occlusion rim
LABORATORY STEP 3articulation, setting of anterior pontics
LABORATORY STEP 4setting of posterior pontics, festooning
LABORATORY STEP 5processing; finishing and polishing
objectives of complete dentureto restore masticatory function; to restore contour and dimension; to correct speech defect; to preserve the remaining tissue; to provide patient comfort
what steps are included in communicationinterview, clinical exam, evaluation of available diagnostic records, treatment planning, presentation of treatment plan
COMMON FAULTS AND SOLUTIONS FOR IMPRESSION: Shortage impression of the palate due to insufficient material or failure to seat the impression completely.adding stick compound or remake the impression
COMMON FAULTS AND SOLUTIONS FOR IMPRESSION:Under-extended in tuberosity regionsadding stick compound
COMMON FAULTS AND SOLUTIONS FOR IMPRESSION:Excess impression materialRemove with sharp knife;Heat and reshape impression material
COMMON FAULTS AND SOLUTIONS FOR IMPRESSION:Insufficient impression material.Remake impression or correct with stick compound
COMMON FAULTS AND SOLUTIONS FOR IMPRESSION:Deficiency in the labial sulcus because the lip was not lifted forward to allow the compound to flow into the sulcusSoften the impression compound
COMMON FAULTS AND SOLUTIONS FOR IMPRESSION:Too large trayfolding or cutting excess border
Process by which the shape of the border of the tray is made to conform accurately to the contours of the buccal and labial vestibules; done on real patientsBorder Molding
BORDER MOLDING:The tray is tried into the patient's mouth and the borders are reduced ___ short of the depth of the vestibules and the frenuli attachments2mm
BORDER MOLDING: how to determine that there is sufficient room for bording moldingpulling the lip outward and having the patient raise the tongue
do you move the tongue during border molding?yes w/in functional limit
BORDER - MOLDING MATERIALSModeling compound sticks (Green Stick Compound); Elastomeric Materials (Polyether)
BORDER MOLDING:fusion temperature of that compound (green)140°
used to support the record rim material for recording maxillomandibular recordsRECORD BASE
Occluding surfaces fabricated on interim or final denture bases for the purpose of making maxillomandibular relation records and arranging teethOCCLUSION RIM
To establish the neutral zone or arch formOCCLUSAL CONTOUR RIM (OCR)
To establish the level of the occlusal planeOCCLUSAL CONTOUR RIM (OCR)
Related to the activity of the lips, cheeks, and tongue and includes preliminary circumoral and facial supportNEUTRAL ZONE
area with balance/ equilibrium about the movement of the tongue and lips/cheeNEUTRAL ZONE
determines arch formNEUTRAL ZONE
PATTERN OF RESORPTION (mandibular):Anterior/labial - Crest of the ridge migrates towardlingual
PATTERN OF RESORPTION (mandibular):Premolar area = buccal and lingualcrest remains the same
PATTERN OF RESORPTION (mandibular):Molar area/ lingual - Arch in molar region becomes __ kasi bawas ng bawas sa lingualwider
PATTERN OF RESORPTION (maxillary): facial and buccal surfaces - mx arch becomessmaller
if you just make dentures without considering pattern of resorbtion, you end up with a denture that hascrossbite
To establish the preliminary maxillomandibular relation recordsOCCLUSAL CONTOUR RIM (OCR)
Mouth is closed but teeth are not in contact and mandible is in relaxed positionINTEROCCLUSAL DISTANCE SPACE/IOD (freeway space)
most labial of incisor placement on occlusal rim is ___ from the incisive papilla (filipinos)6-8mm
most labial of incisor placement on occlusal rim is ___ from the incisive papilla (caucasions/book)8-10mm
height of mn occlusion rim2/3 of retromolar pad
what area of the arch has equal resorption on both buccal and lingualpremolar area
PPS for type I4-5mm
PPS for type II3-4mm
PPS for type III1-2mm
the level of occlusal plane is usually ___ when installed in the pxtoo high
When the OCR is placed in the px, it is expected that there are ____openings
the maxillary ocr should be ___ below the upper lip when they slightly open their mouth2-3mm
when fitting the mx ocr on the patient we follow the ___campers line/ ala-tragus line
when fitting the mn ocr the anterior level is guided by ___angle of the mouth/vermilllion border of lower lip
when fitting the mn ocr the posterior level is guided by ___retromolar pad
MAXILLARY OCCLUSION RIM ADJUSTMENT: mediolaterally, the occlusal plane parallels the ___pupils
what do we use to measure he occlusal plane of MX OCRfox plane
MANDIBULAR OCCLUSION RIM ADJUSTMENT: Anterior height even with the corners of the mouth when the lip is relaxed ___horizontal overjet in anterior and posterior in centric position2mm
WAX RIM (ADJUSTED WITH LIP LENGTH):10-20mm3-4mm
WAX RIM (ADJUSTED WITH LIP LENGTH):20-21mm2mm
WAX RIM (ADJUSTED WITH LIP LENGTH): 26-30mm1mm
WAX RIM (ADJUSTED WITH LIP LENGTH:>30mm0
WAX RIM (ADJUSTED WITH Sex and Age): young female2
WAX RIM (ADJUSTED WITH Sex and Age):middle female1
WAX RIM (ADJUSTED WITH Sex and Age): old female0
WAX RIM (ADJUSTED WITH Sex and Age):young male1
WAX RIM (ADJUSTED WITH Sex and Age): middle male0
WAX RIM (ADJUSTED WITH Sex and Age): old male-1
____ should touch upper rim during frivativesLower lip
phonetics test: too compressive "f"excessive height of Mx OR= reduce
phonetics test: If no contacttoo low vertical height of the maxillary occlusion rim = add more
Lips should be unrestrained:Thin lipsmore than 90 degrees
Lips should be unrestrained: thick lipsless than 90 degrees
if the patient cannot close their mouth during OCR try inthe OCR is too long/ too thick
Modiolus should not sag lateral to the corner of the mouth. If sagging, what do you doadd more wax in facial surface
Distance between maxilla and mandible when teeth or wax rims contact in centric position; w/o any muscles contractingOCCLUSAL VERTICAL DIMENSION (OVD)
At rest, lips barely touching; OCR should not touch here; w/o evident contraction of musclesPHYSIOLOGIC REST POSITION (PRP)
Dimension get when the px is in PRPVERTICAL DIMENSION OF REST (VDR)
The difference between OVD and RVD is congruent to the height of ____Free-way space
is the distance or gap existing between the upper and the lower teeth when the mandible is in the physiological rest positionFree-way space
Free-way space is usually ___2-4mm
PRE-EXTRACTION RECORDSradiograph, cast, previous denture
Incisive Papilla to Mandibular IncisorsRIDGE RELATIONS
RIDGE RELATIONS: Distance of the papilla from the incisal edges of the mandibular anterior teeth on diagnostic casts averages approximately ___in the natural dentition4mm
Closest speaking spacesibilants (H,S,Z)
SIBILANTS: If it touches,VD is too high so reduce
Patient should be siiting ____bolt upright
MEASUREMENTS (OVD & PRP): Small dots under ______columella and mid-symphysis
The position assumed by the mandible when the head is in an upright position, the muscles are in equilibriumPHYSIOLOGIC REST POSITION
if you cannot feel the interocclusal distance, what do you do to the ocrreduce
why do you look away when establishing OVDconcentrate senses
nearest relationship of the occlusal surfaces and incisal edges of the mandibular teeth to the maxillary teeth during the function and rapid speechclosest speaking space
what test do you use to evaluate the closest speaking spacephonetics test
rims should be __ apart in phonetics test1mm
if wax rims are too high, there is ___ ovdinsufficient
critical characteristic of occlusal rimflat even contact
how many lines do you scribe to mark that the patient is in centric relation3
VERTICAL DIMENSION: Sore musclesEXCESSIVE OCCLUSAL VERTICAL DIMENSION
VERTICAL DIMENSION: Soft tissue sore spotsEXCESSIVE OCCLUSAL VERTICAL DIMENSION
VERTICAL DIMENSION: Rapid bone resorptionEXCESSIVE OCCLUSAL VERTICAL DIMENSION
VERTICAL DIMENSION: Dentures click during speechEXCESSIVE OCCLUSAL VERTICAL DIMENSION
VERTICAL DIMENSION: Difficulty of swallowingEXCESSIVE OCCLUSAL VERTICAL DIMENSION
VERTICAL DIMENSION: Collapsed AppearanceINADEQUATE OCCLUSAL VERTICAL DIMENSION
VERTICAL DIMENSION: Fatigue when chewingINADEQUATE OCCLUSAL VERTICAL DIMENSION
VERTICAL DIMENSION: Sore muscles or jointsINADEQUATE OCCLUSAL VERTICAL DIMENSION
VERTICAL DIMENSION: Mentolabial sulcus will be deepINADEQUATE OCCLUSAL VERTICAL DIMENSION
The maxillomandibular relationship in which the condyles articulate with the thinnest avascular portion of their respective disks with the complex in the anterior superior position against the slopes of the articular eminences.Centric Relations
TRUE OR FALSE: centric relation is dependent on tooth contactfalse
Centric Relations:This position is clinically discernible when the mandible is directed ________.superiorly and anteriorly
Centric Relations:It is restricted to a purely ___ movement about the transverse horizontal axis.rotary
TRUE OR FALSE: Centric Relation occurs on translatory axisfalse
The most retruded relation of the mandible to the maxillae when the condyles are in the most posterior unstrained position in the glenoid fossae from which lateral movement can be made, at any given degree of jaw separationCentric Relations
Any relation of the mandible to the maxillae other than centric relationEccentric Relation
Is the relation of the mandible to the maxillae when the mandible is thrust forwardProtrusive Relation
Are the relations of the mandible to the maxillae when the mandible is moved either to the right or left sideRight and Left Maxillomandibular Relation
Is the occlusion of opposing teeth when the mandible is in centric relationCentric Occlusion
TRUE OR FALSE: in CD, the path of the mandible follows CGATRUE
Jaw manipulation about the posterior border of movement in the initial ____ of opening is about the terminal hinge axis20-26mm
more than 26mm the condyle moves into ___translatory movement
Is repeatable when the condyles are maximally seated in Centric RelationHinge Axis
Advantages of polyether technique in border moldingReduced overextension, quick
Polyether technique(border moldimg): __ shy of fornix;__thick2mm;2mm
FINAL IMPRESSION TECHNIQUES: Should use flowy impression material; although these materials should be poured quickly to avoid deformationMucostatic technique
FINAL IMPRESSION TECHNIQUE: Obtain an impression of tissues in resting stageMucostatic technique
FINAL IMPRESSION TECHNIQUE: Uses a less viscous material with minimal application of pressure in the impression trayMucostatic technique
FINAL IMPRESSION TECHNIQUE: Denture bearing tissues are compressed during impression takingMucocompressive technique
FINAL IMPRESSION TECHNIQUE: Denture has maximal retention during mastication when using this technique; may be uncomfortable for some patients when not masticatingMucocompressive technique
FINAL IMPRESSION TECHNIQUE: Retention is less when not under loadMucocompressive technique
FINAL IMPRESSION TECHNIQUE: No custom tray neededMucocompressive technique
FINAL IMPRESSION TECHNIQUE: Used in cases of flabby ridgesSelective Mucocompressive
FINAL IMPRESSION TECHNIQUE: Only selected areas of the residual ridge are subjected to compressive stressSelective Mucocompressive
FINAL IMPRESSION TECHNIQUE: Plaster impression material is applied on areas to not be compressedSelective Mucocompressive