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Extrusion: vertical occlusal migration of the teeth without the alveolar socket, consequent
clinical crown at the expense of root elongation
6. 45 - Attitude to treatment for teeth that have migrated vertically
postextractional
- When the vertical displacements are low coronary remodeling on enamel occlusal surface
may be enough. (cusp reduction)
- An extrusion that exceeds 2mm will be solved by proper grinding of the tooth until proper
occlusal height is reached. Endodontic treatment might be necessary
- When there is an egression and we need to place the cemento-enamel junction in accordance
to the other teeth a surgical intervention might be necessary for crown lengthening
7. 46 - Ecuatoarele
Anatomic equator:
The line that connects the maximum convexities of the axial walls of a tooth which is placed
in a vertical direction on the plate of the surveyor
Ecuatoul of the remaining tooth (clinical situation):
The outline of the remaining teeth in the arch, making it different from the anatomical equator
in the way of the natural inclination of the remaining teeth in the arch
Malposition equator:
Represents the equator line of the teeth adjacent to the edentulous area that have undergone
migrations. It is used in wire clasp design for acrylic removable denture
Prosthetic Equator:
Contour line of the maximum convexity in the adjacent teeth using a surveyor to determine
the pathway. This shaft is set in advance according to the position of all abutment teeth so that
the simultaneous implementation of their equal effects on all movable clasps clasps of partial
dentures.
It is divided into two areas: supraecuatoriala /subecuatoriala
8. 47 - What is prosthetic equator and is important to the design of crochet
Prosthetic Equator:
Its the maximum contour line of the axial walls of the tooth, drawn with the paralelograph
depending on the insertion axis of the prosthesis. This axis will be determined before,
depending on the position of all the abutment teeth in such a way that it will allow
simoultanious insertion of all the clasps of the RPD.
Divided in 2 areas: supraequator/infraequator
-A) addressed to the mobile mucosa from the edges of the prosthetic field which because of
their high inseration, prevent the expansion of the saddles or prevent the correct positioning of
the main connectors
Lingual frenulum, lip frenulum, lateral frenulums
-B) plastic surgery of the vestibular and lingual channels has the objective of increasing the
surface of the fixed gingival mucosa and can only be done when the edentulous ridges are not
fully resorbed. Plus patients have to wear prosthesis after the intervention in order to ensure a
optimal healing and prevent hipertrofia
-C) hypertrophy and hyperplasia - present in the palate or sides of the residual ridge will be
removed surgically
D) fibromatosis of the tuberosities - often accompanied by an overgrowth of bone substrate,
indicating a muco-bone remodeling surgery
13. 115 - PROprosthetic preparations on the abutment teeth, that dont present
caries and which will not be covered by crowns
- making of the guidance planes
- remodeling of the abutment teeth
- preparing of the slots for the external occlusal rest
14. 116 - What are the plans for guidance and what are their objectives?
Guidance planes = the proximal surfaces of the abutment teeth, next to the edentulous
spaces, which allow the insertion and removal without transmitting nonfiziological
forces on the abutment teeth.
You eliminate the retentive proximal areas in order to enhance the hygiene and also
improves the horizontal maintaining and stability, by the friction between the
secondary connectors and the proximal sides.
15. 118 remodeling of the abutment teeth
- reduce the convexity of the buccal side in order to replace the prosthetic equaor towards the
area/line where the middle 1/3 and the gingival 1/3 come together.
-Creation of artificial undercuts for a better retention for the flexible arm of the clasp
- reduce the convexity of the lingual side in order to replace the prosthetic equator closer to
the gingiva, permitting the placement of the rigid arm at the same level with the flexibla arm
and thus ensuring RECIPROCITY
- Reduce the retentivities of malpositioned teeth which dont allow the correct insertion of the
major connector and the oral (rigid) arm
- remodeling of the abrased teeth, where the equator is close to the occlusal side
16. 121 - Preparation of posterior teeth with abrasion and high equator
- Restoring external slopes of the cusps in order to move prosthetic equator towards the
gingiva and also reduce the receptive surface of the masticatory force
- restoring the inner slopes of the cusps and restoring also the morphology of the occlusal
surface in order to enhance masticatory efficiency
17. 121 Preparation of the slots of the external occlusal rests
The occlusal rests = elements of the RPD which placed in the proper slots will direct the
occlusal foresin the ling axis of the abutment tooth, and thus stimulating the absorbtion of the
stress by the parodontal ligaments, without inducing pathological shit to the underlying bone.
In the case of RPD with mixed support (bone and mucosa), a part of the occlusal forces go to
the bone and mucosa, but the occlusal rests are the ones that limit the vertical movement of
the RPD.
Also the rests have a role in maintaining the RPD in adequate position.
Depending on the topography of the teeth which will receive the rests, there are 3 categories
of rests: occlusal supracingularis incisal
Occlusal: - will be applied in the mezial/distal fosetas of the M or PM in specially prepared
slots
-
Triangular shape of the slot, with the tip towards the center of the tooth.
The edges and tips will be smoothened
M-D dimension = 1/3 or of the whole M-D diameter
of the B-L diameter
The base of the slot will be tilted towards the center of the tooth in such
a way that the angle between it and the proximal tangent must be under
90dgr. This will result in transmitting of the forces towards the center
of the tooth. (if angle more that 90dgr = disorthodontic forces)
The thickness of the rest must be at least 0,5 mm at the tip and 1-1,5
mm at the marginal crest
The depth of the preparation is 1,5-2mm
The width (B-L) is 3-3,5 mm
28 168 - Which are the limits of the metalic component of a mixed A in terminal
edentations maxillary?
-posterior: distal of the most proeminent part of the tuberosity
-lateral: 2/3 of the width of the alveolar crest (generally this goes 3mm from the middle of the
crest on the buccal side, and 5mm from the middle of the crest on the palatal side)
-oral: the acrilic component in 2 steps (internal side and external). Also the INNER
TERMINAL LINE must be under 90dgr
-mezial: 3mm from the neck of the adjacent tooth that is next to the edentolous space
29 170 - Which are the limits of the metalic component of a mixed A on the mandible?
-distal: lenght of 2/3 of the lenght of the edentolous space
-the distance of the metalic piece from the underlying fibromucosal structure is 0,8 - 1mm and
this is obtained through FOLIATION
- mezial: the metalic component will end in a step which is 0,8mm on the external side and on
the internal side it will unite with the acrilic component
- anterior: is continued with the major connector
30.What is the main characteristic of the prosthetic A in lateral and frontal small
edentations, and what is their classification?
Main characteristic: the support is dento-parodontal
Classification: - mixed, with both sides acrilic
- mixed, with the mucosal side metalic
- metalic
31. The common conditions of the acrilic component of the A
- coveres the metalic component of the mixed A on both sides or just on the external one and
together they form the final prosthetic A
- the acrilic component is represented by: POLIMETHILACRILAT pink (termopolimerised)
32. The applying of the artificial frontal teeth
There are 2 ways:
1. Teeth out of acrilic resin, compozit resin or porcelain, applyed on A with an acrilic
component
(the most used teeth are the acrilic ones, which are prefabricated ; the porcelain ones create
abrasion)
2. Acrilic teeth armed applye on the extension of the metalic A (with special retention for
these artificial teeth)
(this is a very rezistant and esthetic solution for replacing frontal teeth)
- the major connector offers support for the other elements of the RPD (the retentive arm of
clesp, the occlusal rests, the elements of indirect maintaining)
- the muccosal side of the connector will have the marginal lines thickened out (in relief), this way it
will ensure a better marginal closing and avoid food coming in
- the connector will only keep distance from the underlying fibromuccosal palatal tissue in case of a
proeminent torrus or a proeminent medial RAFEU. all the rest of it will have an intimate contact with
the palate
39 199 - How to you obtain the profilaxy of the marginal parodontius in a mucosal
plate with high width?
through: DECOLETATION (the distance from the marginal P will be 5-6 mm)
and through: DESPOVARARE (meaning avoiding) the sensible areas: maxillary torus (0,3 1mm)
median rafeu (0,2-0,4mm)
palatal ruga (0,2-0,3 mm)
40 201 - Indication, ADV and DISADV of the palatal plate cut in "U" shape
Ind: different types of edentations, but in patients with big palatal torus, when it cant be
surgically remodeled
ADV: in big edentolous spaces , even in frontal edentation
DISADV: has reduced rezistance to flexion!
41. 202 - Reduced distal mucosal dental plate: indications, av, disadvantaged
Ind: different edntations associated with palatine torus which is big and on the posterior 1/3 or
posterior 2/3
-Type support
-Tilting of the frontal alveolar process
-Resilience alveolar ridge mucosa
210 - Lingual bar
The most used mandibular major connector
Position: placed towards the lingual slope of the alveolar ridge between marignal periodontal
tissue of remaining teeth and lingual sac, marked by the highest placement of the functional
floor of the mouth
Upper limit is placed at a distance of 3mm of the periodontal tissue
Lower limit is at the highest positions of the functionality floor of the mouth or by other
authors to 1mm above the insertion of the floor of the mouth
Profile: Designed to provide mechanical rigidity and stiffens. Without creating discomfort
Height: 4-5mm
Thickness: 1mm upper limit, 3m lower limit
Limits rounded. In order to use the lingual bar: 9-10mm of height are necessary in the central
frontal area of the alveolar ridge
Depovarare: no contact of the denture with muco-ossos structures
Spacing: from 0.3-2mm alveolar proc muc
46. 212 how much is the spacing between the lingual bar and the attached mucosa
Dist :0.3-2mm
Depending on: the removable denture support (dental-paradotal support min 0.3mm, dentalmucosal depending on the retention of the lingual process) and also the retention of the
lingual process and resiliency of the alveolar mucosa
47. 214 - Areas of minimum resistance of the lingual bar
This areas are placed in the middle of its length with the metallic saddles and also almost at
the junction with the minor connectors which impose prevention measures against its
fractures
In the interdental area it reaches the contact points without effecting the periodontal
embressure which are placed under
Covers the incisal edge or the incisal rest placed in a correctly prepared places ensuring the
support for the dental connector and meanwhile dental periodontal support of the denture
added to muco-ossos (mixed)
At the terminal endings the dental connector continuous with the saddles
Thickness: average 1.7 to 2 mm
53. 224 - Buccal bar
Used very rarely when the situation dosent allow the use of a lingual major connector
-Malpositions or lingulized reaming frontal teeth which would impose placing of the lingual
bar in a big distance from the alveolar ridge occupying the functional space of the tongue
-Presence of large mandibular torus impposible to surround by the lingual bar or spacing
through dental plate
- A very retentive alveolar ridge which will impose a big spacing of the lingual bar
Form sections: semi pear shaped
Being placed on the external slope of the mandible the length of the buccal bar is bigger than
the lingual bar or dental plate which is why to ensure the right stiffness and mechanical
resistance its width and thickness will be increased
Towards the prosthetic saddle the buccal bar will have two steps on the external and mucosal
surface with 1mm of width to ensure progressive transferring from metal to acrylic elemt of
the saddle
Disadvantages: thickness and width create discomfort, bad esthetics and irritative lesions.
This is why buccal bar is used as last choice or as a modification to the dental plate (swing
block)
54. 227 - Features of cast clasps
Features:
Have contact with the abutment tooth favoring food retention and forming bacterial plaque
It creates abrasion on the hard tissues on which they are applied through daily maneuvers
Transmitting high forces to the abutment teeth because of their stiffness
Their flexibility depends on the retentive arm length and thickness
The activity of the retentive arm can be done only in buccu-lingual direction
If the flexible arm fractures the cast clasp must be replaced with a wire one
58. How do you correct an angle of gingival convergence that is too big?
- by placing the tip of the retentive arm closer to the prosthetic equator
- by remodeling the dental surface and reducing this angle
60. Preparation of the teeth with high gingival convergence angle.
hmm its not really the answer to the question, but what the hell
so the angle is established between the analitic pole of the paralelograf device and the axial
surface of the tooth, but under its prosthetic equator.
The higher this angle is, the harder it is to remove the RPD, and this can be an advantage or a
disadvantage depending on the situation
61. The means which oppose clogging (it actually means what elements keep the RPD from
moving towards the gingiva; aka the vertical moving of it in direction to the gingiva! very
important this question!)
about the terminal RPD, the ones which have mixed support, because otherwise if u would
have abutment teeth on both sides of the edentulous space, then the rests would be the ones
opposing the clog.
1. Taking the impression under compression, which will give out the functional form of the
muccosa of the alveolar crest
2. the maximum extension of the saddles, within the limits of the prosthetic field
3. the maxillary major connectors with large covering surface
4. the reoptimising of the saddles; by repairing it and rebuilding the base from time to time
5. avoid incising (byteing) food with the prosthetic teeth
62. The factors that influence the support on the abutment teeth (this is basically the elements
that oppose the vertical moment towards the gingiva, but! like i said in the previous statement,
this time i think its about the ROD with dento-parodontal support)
1. The rests
2. the BODY of the clasp
3. the opposing arm (the rigid one)
4. the over equatorial part of the retentive arm
**so basically what u got here are all the elements which stay above the equator, which makes
it logical because they cant pass under the equator so thats why they ensure the support
63. Support - the number of rests and their placement depends on what?
- class of edentation
- the number of edentulous spaces
- the topography of the remaining teeth
- the concept of the prosthesis
- the value of the dento-parodontal support
64. How do you obtain transversal stability of an RPD?
- by applying the rigid elements of the clasps bilaterally, on both hemiarches
- through the friction of the elements of the RPD and the guiding planes, in reduced frontal
edentations
- by extending the rigid arms on 2 or more teeth
- by using ento-muccosal major connectors
65. How do you obtain saggital stability of an RPD?
- by placing the rigid elements of the clasps on the proximal sides of the abutment teeth, in
lateral or terminal edentations, and then placing counterbalancing elements in the anterior
area of the arch
66. What kind of support will a class III Kennedy RPD have?
- obviously dento-parodontal support, ensured by the rests placed on the fossetas adjacent to
the edentulous space and all the over equatorial elements of the clasp
67. The major role of the elements of indirect maintaining!
= will stop the tipping movements of the RPD (movements of BASCULARE)
68. The main and secondary roles of the elements of indirect maintaining
1. stopping the tipping of the RPD
2. contributes to the support and stabilising the RPD
69. The effectiveness of the elements of indirect maintaining depends on?
- the making of the clasp, in such an ensemble which will ensure the perfect conditions of
good retention:
1. the retentive arm must take contact with the underequatorial part of the tooth only in
its terminal part (just the tip)
2. th rest must ensure the proper support for the clasp, in such a way that the elastic arm
will stay in its optimal position
3. the secondary connector must be rigid in order to ensure its adequate function
4. !! very important: the opposing arm (the rigid one) must take contact with the tooth
before the rigid one does, and must maintain this contact until the RPD is in final position
5. the components of the clasp must ensure a sufficient encircling on the tooth, so that
the movement of this tooth is avoided
70. Group characteristics of all the circular clasps FML!!
- tight contact with abutment tooth and have a high encircling surface (they say under 180dgr,
weird) and thus obtain good maintaining by friction, but can cause demineralisation of the
enamel in patients with low hygiene
- produces discomfort because it stays on the abutment tooth, making it feel bigger in mouth
- the retentive arm is visible (usually on the vestibular side it stays), so its nonesthetic
- the design of the retentive arm is of a bent line (never straight), and the tip of it, although it
initially goes towards the gingiva, will be towards the occlusal side (just the tip). This design
will give the arm a certain flexibility
- the retentive arms will exploit the retentivities of the buccal and oral sides of the tooth, it
will never end at the middle of these surfaces
- usually for these circular clasps, a area with retentive value of 0,25 is sufficient
- in case of terminal dentition, where the saddle is "in extension", because it can fuck up the
abutment tooth, the clasps will be placed starting from the opposing foseta, and in this way it
will use the disto-buccal retentive area of the tooth (i hope u understand this shit because its
quite complicated to explain in writing)
uni- or bidental
1 to 4 are biactive
5 to 6 are mono active
The Ney biactive:
Characteristics: are biactive clasps, both arms are retentive
- the 2 arms are placed approximately at the same level horizontally => good reciprocity
- are indicated on teeth with favourable retentivities placed on the vestibulary side as well as
oral side (obviously, because they're biactive daah)
- ensures just a relative stability because of the flexibility of both arms
Ney monoactive:
- are clasps with similar posterior action like the ring clasp with 3 arms or 4 arms
- a characteristic of this is the eccentric position of the body of the clasp and its secondary
connector, from which the opposing rigid arm starts, which continues with the occlusal rest
and the retentive arm (hmm i realise this must be tricky for u to understand without any
pictures, you should google some)
82. Components of the RPI clasp ! Important!
occlusal rest
proximal plate
retentive arm divided in "I"
97. A V C clinical faze ??? wtf - the steps which succeed after the application of the RPD in
mouth
applying and adaptation of prosthesis on prosthetic field
the control of the adaptation of the patient with RPD
dispensary (exemption) of patient
98. The Covering (CAPTUSIRE) indications, methods of identifying the necessity of
covering (the rotation test)
- the metallic skeleton is in perfect condition
- extension and marginal modelling of the saddles correctly done
- the artificial teeth with good morphology and position
- balanced occlusion (or need minimal adjusting)
The necessity of covering will be known by the rotation test:
- applying alternative pressures on the distal extremity of the saddle and of the indirect
maintaining elements (counterbalancing). if RPD tilts => test is positive
if the tilting is more than 2mm => needs covering
- applying soft alginate on the muccosal side of the saddle and maintaining the prosthesis
through pressure on the support elements. by measuring the thickness of the alginate, u will
know the necessity of reoptimising it
99. Rebaseing (adding to the base)
- rotation test is positive, the ugly aspect of the edges of the prosthesis and food retention
demonstrates a lack in the adaptation of the prosthesis at the periphery of the prosthetic field
-the unaesthetic aspect of the base of the RPD resulted from multiple coverings and repairings
- the acrylic component is ugly colour or has a high degree of porosity