Dental Anatomy and Dentures

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Questions and Answers

What is the function of bite registration material in the context of dentures?

  • To create a cushion for the gums
  • To enhance the color of the denture
  • To provide flexibility to the denture
  • To register a patient's vertical dimensions (correct)

Which structure serves as the landmark on the hard palate that runs from the incisor area to the back of the throat?

  • Palatine fovea
  • Retromolar pads
  • Maxillary tuberosity
  • Mid Palatine Raphe (correct)

What is the role of the retromolar pads in the mandibular ridge?

  • They determine the final fit of the denture
  • They are pear or triangular shaped pads located posteriorly (correct)
  • They are landmarks for the anterior ridge
  • They are responsible for the movement of the tongue

What does the term 'sulcus' refer to in the context of oral anatomy?

<p>The deepest line of a groove in the vestibule (B)</p> Signup and view all the answers

Which feature is described as a small bump at the anterior of the mid palatine raphe?

<p>Incisive papilla (D)</p> Signup and view all the answers

What is the primary use of Type 1 impression plaster?

<p>Taking impressions (C)</p> Signup and view all the answers

Which type of dental stone is used for master casts in removable prosthodontics?

<p>Type 3 (D)</p> Signup and view all the answers

What is one of the roles of accelerators in gypsum products?

<p>To speed up the setting time (C)</p> Signup and view all the answers

Which additive is a common retardant in gypsum products?

<p>Borax (A)</p> Signup and view all the answers

What happens to the water when gypsum is heated to produce the hemihydrate?

<p>It drives off as steam (A)</p> Signup and view all the answers

What is meant by hygroscopic expansion in gypsum products?

<p>Expansion when underwater (D)</p> Signup and view all the answers

What is a key characteristic of alginate as an impression material?

<p>Elastic and irreversible (C)</p> Signup and view all the answers

Which type of dental gypsum has the highest strength and finest particle size?

<p>Type 5 (D)</p> Signup and view all the answers

What is the purpose of the canine line in denture setup?

<p>Affects the selection of tooth moulds (B)</p> Signup and view all the answers

Which structure is involved in the irreg​ular bony ridge on the lingual surface of the mandible?

<p>Retromylohyoid ridge (D)</p> Signup and view all the answers

What is the role of the vertical dimension of occlusion (VDO) in denture fabrication?

<p>Determines the amount of vertical separation when the mandible is at rest (C)</p> Signup and view all the answers

During denture setup, which tooth is typically placed first?

<p>First premolar (C)</p> Signup and view all the answers

What is a consequence of the loss of teeth regarding alveolar ridge?

<p>The alveolar ridge experiences immediate shrinkage followed by gradual reduction (B)</p> Signup and view all the answers

What does acrylization refer to in the denture fabrication process?

<p>The process of packing acrylic materials (C)</p> Signup and view all the answers

Where are the lingual cusps of molars set during denture setup?

<p>In the lingual fossa of lower premolars (B)</p> Signup and view all the answers

Which factor is involved in establishing the midline during denture setup?

<p>Opposing arch (C)</p> Signup and view all the answers

What must be done first in the steps of denture fabrication?

<p>De-articulate (B)</p> Signup and view all the answers

What is the significance of measuring 6mm from the center of the ridge line at the mesial of the retromolar pad?

<p>To define the position of the acrylic ridge (A)</p> Signup and view all the answers

Flashcards

Gypsum

Gypsum is a mineral that contains calcium sulfate dihydrate (CaSO4*2H2O) used in dentistry for making impressions, models, and dies.

Type 1 Gypsum (Impression Plaster)

Type 1 gypsum, also known as Impression Plaster, is used to take preliminary impressions and is characterized by its rigidity and fast setting time. It is also used as a luting agent for gothic arch pin tracers.

Type 2 Gypsum (Model Plaster)

Type 2 gypsum, commonly known as Model Plaster, is used for preliminary casts, has rough particles, and sets slower than Type 1. It is used for creating simple models.

Types 3 & 4 Gypsum (Dental Stone)

Types 3 & 4 gypsum, collectively known as Dental Stone, feature a smoother crystal structure, setting time control, and are colored for distinction. They are used for more detailed and durable models.

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Type 5 Gypsum (Die Stone)

Type 5 gypsum, referred to as Die Stone, has the highest strength and finest particle size. It is used for creating dies, which are precise replicas of teeth used for making crowns or bridges.

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Gypsum Accelerators

Accelerators are substances that speed up the setting time of gypsum. Common examples include potassium sulfate, salt (NaCl), and warm water.

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Gypsum Retardants

Retardants slow down the setting time of gypsum. Examples include borax, sodium citrate, increased water, and a small amount of food.

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Setting Expansion and Hygroscopic Expansion

Setting expansion refers to the slight increase in volume that occurs when gypsum sets. Hygroscopic expansion occurs when gypsum sets underwater, leading to a much larger expansion.

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Bite Registration

A type of material used to record the patient's vertical dimension, particularly for dentures, to ensure the correct height of the bite.

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Maxillary Tuberosity

The curved, dome-shaped bone at the back of the upper jaw. This marks the posterior end of the maxillary denture.

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Palatine Fovea

These are two tiny pits on either side of the midline of the roof of the mouth.

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Posterior Palatal Seal Area (Vibrating Line)

This marks the transition between the hard and soft palate, determining the back boundary of the maxillary denture.

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Retromolar Pads

These are two pear-shaped or triangular bumps on the lower jaw, located at the back of the ridge.

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Retromylohyoid Ridge

An irregular bony ridge located on the lingual surface of the mandible, near the retromolar pad.

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Denture Set Up

The process of arranging artificial teeth on a denture base, simulating the natural shape and arrangement.

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Acrylization

A process used in denture fabrication where a layer of acrylic resin is applied to create the final denture base.

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Occlusal Plane

The horizontal line established during denture setup, representing the level of the biting surfaces of the teeth. It is determined by the clinician using occlusal rims and references from the existing natural teeth.

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Canine Line

The line passing through the tips of the canine teeth, used to determine the correct placement and size of artificial teeth in a denture.

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Vertical Dimension of Rest (VDR)

A vertical distance between the upper and lower jaws when the teeth are at rest.

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Potsdam

A ridge of acrylic resin placed on the inner surface of the denture, in contact with the underlying tissues.

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High Lip Line

The position of the upper lip when the patient is displaying a full smile.

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Low Lip Line

The position of the upper lip when the patient is at rest, with their mouth closed.

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Study Notes

Denture Midterm Study Notes

  • Gypsum Products: Calcium sulfate dihydrate (CaSO4·2H2O) is used in various dental gypsum products.

Impression Plaster Type 1

  • Use: Used for taking impressions.
  • Properties: Must not have undercuts to maintain rigidity.
  • Application: Used as a luting agent for intraoral gothic arch pin tracer.
  • Chemical Change: Heated gypsum loses 3 water molecules to become calcium sulfate hemihydrate (CaSO4·½H2O).
  • Setting: Water evaporates as steam (exothermic) to form beta-hemihydrate.
  • Model Plaster Type 2: Used for preliminary casts and has rough particles.

Dental Stone Type 3 and 4

  • Use: Used for master casts for removable prosthodontics (dentures, implants), and orthodontics.
  • Properties: Contains modifiers to regulate setting time and expansion.
  • Distinguishing Features: Can be distinguished by color from plaster; dehydrated in a solution of calcium chloride.
  • Crystal Structure: Smoother crystal structure than plaster.

Dental Gypsum Type 5

  • Use: For die stones and investments.
  • Properties: High strength, very fine particle size; may contain binder for added strength.

Accelerators

  • Examples: Potassium sulfate, NaCl (sodium chloride, a pinch of salt), and warm water.

Retardants

  • Examples: Borax, and sodium citrate to increase the setting time.

Impression Materials

  • Alginate: Preliminary impression material.
  • Polyvinyl Siloxane (PVS): Final impression material.
  • Bite Registration Impression Material: Used for bite registration.

Handling Alginate

  • Disinfection: Disinfect the impression.
  • Packaging: Wrap in moist paper towel to prevent drying out and preserve its form.

Lab Handling

  • Disinfection: Receiver disinfects impression again.
  • Inspection: Inspect impression for distortions and voids.
  • Pouring: Pour with stone or plaster.
  • Trimming: Trim the impression.
  • Storing: Store in a ziplock bag, in a fridge for 12-72 hours.

Terminology (Edentulous Landmarks)

  • Maxillary Residual Ridge: Area where teeth were; often called alveolar ridge.
  • Mid Palatine Raphe: Line down the center of the palate.
  • Incisive Papilla: Small bump at the anterior edge of the raphe.
  • Rugae: Bumpy areas on the palate.
  • Maxillary Tuberosity: Rounded area of bone at the posterior of the ridge.
  • Hamular Notch: Groove posterior to the tuberosity.
  • Palatine Foveae: Two depressions on either side of the raphe near the posterior of the mouth.
  • Frenum: Muscle attachments to the ridge. (Buccal, Labial, Lingual).

Bite Registration

  • Centric Occlusion: Point of contact of occlusal surfaces on posterior teeth.
  • Centric Relation: Position of the mandibular condyle in the glenoid fossa.
  • Vertical Dimension of Rest (VDO): Amount of separation between the mandible and maxilla when at rest.

Full Set Up

  • Cuspid Line to Cuspid Line: Measuring the distance from cuspid to cuspid.
  • Cuspid Line to Ridge: Measuring from the cuspid line to the ridge.

Custom Tray

  • Position: 45-degree angle at the incisal papilla for the maxilla, 90 degrees at the center of the ridge for the mandible.
  • Measurements for tray: Length (18mm), width (10mm), thickness (6mm).
  • Setting Time: 4 minutes, place again for 1 minute.

Tooth Loss

  • Bone Resorption: Loss of alveolar ridge due to lack of function.
  • Vertical Dimension Loss: Loss of vertical dimension due to tooth loss.
  • Misalignment: Teeth become misaligned.
  • Overeruption Teeth erupt further into the mouth over time.

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