Dental Impressions Overview

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Questions and Answers

What is a primary purpose of making a preliminary impression?

  • To diagnose systemic health issues
  • To create a master cast for denture fabrication
  • To determine the conditions of the mouth (correct)
  • To enhance food retention beneath the denture

What is the main advantage of a mucostatic impression technique?

  • High retention from mechanical locking
  • Minimal pressure to maintain tissue health (correct)
  • Ease of achieving a detailed reproduction
  • Preservation of oral tissues under pressure

Which type of impression uses selective pressure on readily displaceable tissues?

  • Selective pressure impression (correct)
  • Mucostatic impression
  • Final impression
  • Custom tray impression

What does the use of an individual tray during the final impression provide?

<p>An accurate impression and master cast (C)</p> Signup and view all the answers

What is a disadvantage of short flanges in impression making?

<p>They can lead to lesser stability of function (C)</p> Signup and view all the answers

In which condition are impressions particularly helpful due to flabby, sharp, and thin ridges?

<p>Flabby and unstable tissues (C)</p> Signup and view all the answers

What method combines principles of mucostatic and mucocompressive techniques?

<p>Selective pressure impression (A)</p> Signup and view all the answers

What is the retention mechanism primarily relied upon in mucostatic impressions?

<p>Interfacial surface tension (B)</p> Signup and view all the answers

What is the primary purpose of the closed mouth method in impression making?

<p>To utilize trays without handles for functional impressions (D)</p> Signup and view all the answers

Which impression technique relies on recording tissues under functional pressure for better denture support?

<p>Functional impression technique (A)</p> Signup and view all the answers

Which of the following is NOT a component of the procedure for making a functional impression?

<p>Use of a handle on the impression tray (A)</p> Signup and view all the answers

In the functional impression technique, what does 'border molding' refer to?

<p>Manipulation of soft tissues to define the peripheral borders (D)</p> Signup and view all the answers

What is a significant disadvantage of impressions taken under high pressure?

<p>Retention is usually short-lived (B)</p> Signup and view all the answers

What is the primary purpose of study or diagnostic casts?

<p>For treatment planning and study (D)</p> Signup and view all the answers

Which method emphasizes changes in muscle movement for the operator's observation?

<p>Open mouth method (D)</p> Signup and view all the answers

What distinguishes refractory casts from other types of casts?

<p>They are made from materials that withstand high temperatures (D)</p> Signup and view all the answers

What is a key characteristic of the impressions made using the closed mouth method?

<p>They lead to improved denture stability during function (D)</p> Signup and view all the answers

What is the role of the border molding in the impression making process?

<p>To enhance retention and support of the denture (B)</p> Signup and view all the answers

What type of material is typically used for the primary impression in functional impression techniques?

<p>Impression compound (D)</p> Signup and view all the answers

What is the posterior palatal seal created by?

<p>Pressure on the soft tissues and hard palate (D)</p> Signup and view all the answers

What is a master or working cast primarily used for?

<p>For mounting on an articulator (A)</p> Signup and view all the answers

Which aspect is NOT part of the posterior palatal seal creation process?

<p>Creating an investment cast (A)</p> Signup and view all the answers

In the context of impression making, what does 'wax block out' refer to?

<p>Blocking out undercuts in the impression (A)</p> Signup and view all the answers

What characterizes a study cast compared to other casts?

<p>It is a life-size representation for study and planning (A)</p> Signup and view all the answers

What is the primary purpose of creating tentative blueprints in denture construction?

<p>To assist in determining various parameters during the construction process (D)</p> Signup and view all the answers

What is meant by the term 'High Lip Line' in denture construction?

<p>The highest position a lip can assume while smiling (D)</p> Signup and view all the answers

Which aspect does the OCR specifically help to determine during denture construction?

<p>The arch form and occlusal plane level (D)</p> Signup and view all the answers

What does the 'Neutral Zone' concept refer to in the context of denture construction?

<p>The equilibrium zone where natural teeth stabilize (D)</p> Signup and view all the answers

What is the main purpose of marking the corners of the mouth on the occlusion rims?

<p>To provide anterior landmarks for the height of the 1st premolars (D)</p> Signup and view all the answers

What role does 'lip and cheek support' play in denture aesthetics?

<p>It helps to establish the natural contours of the face (D)</p> Signup and view all the answers

How does the preliminary registration of jaw relations benefit denture construction?

<p>It ensures proper alignment and occlusion of the denture (D)</p> Signup and view all the answers

Where does bone reduction typically occur in the maxillary residual ridge?

<p>On the labial and buccal areas (B)</p> Signup and view all the answers

Which statement best describes Wilfred Fish's contribution to denture construction?

<p>He introduced the concept of the Neutral Zone (D)</p> Signup and view all the answers

Which anatomical structure is referred to as the "meeting place" of eight muscles?

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

What is the usual position of maxillary teeth when placed in the neutral zone?

<p>Labial and buccal to the edentulous ridge (A)</p> Signup and view all the answers

What factor does NOT affect the selection of the size of teeth in denture construction?

<p>The materials used for denture base (C)</p> Signup and view all the answers

Which line should the occlusion rim be parallel to anteriorly?

<p>Interpupillary line (C)</p> Signup and view all the answers

What is the primary factor in establishing the vertical dimension of occlusion (VDO)?

<p>Presence of healthy natural dentition (B)</p> Signup and view all the answers

What happens during the contraction of the buccinator muscle in relation to the modiolus?

<p>It fixes the modiolus in place (B)</p> Signup and view all the answers

How might the occlusion rims need to be adjusted after determining the preferred vertical dimension of occlusion?

<p>They might have to be slightly augmented or reduced (A)</p> Signup and view all the answers

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Study Notes

Impression Making

  • Reduced lip support can happen due to short flanges.
  • Preliminary Impression is made for diagnostic purposes and to create a study cast/diagnostic cast.
  • Final Impression is made using a custom tray which provides a detailed reproduction of the jaw.
  • Mucostatic Impression is made with minimal pressure and uses free-flowing material to preserve tissue health.
  • Functional Impression is made with pressure and aims for stability during function.
  • Selective Pressure Impression combines principles of both mucostatic and mucocompressive techniques.

Impression Types

  • Mucostatic Impression emphasizes tissue preservation.
  • Mucocompressive Impression aims for better support and retention during function.

Impression Techniques

  • Open mouth method is used with trays that have handles.
  • Closed mouth method is used with trays that do not have handles.

Border Molding

  • Hand manipulation uses the dentist's hands to manipulate the lips and cheeks.

Laboratory Samples

  • Study/Diagnostic Cast is a life-size replica for study and treatment planning.
  • Master/Working Cast is used for mounting dentures on an articulator.
  • Refractory Cast is used in denture fabrication and can withstand high temperatures.

Posterior Palatal Seal

  • Created at the posterior periphery of the denture.
  • Provides retention and stability for the upper denture.

Occlusion Rim

  • Used to determine the arch form, occlusal plane, and jaw relations.
  • Contributes to esthetics and lip support.

Neutral Zone

  • Concept by Wilfred Fish.
  • Describes the stable position of natural teeth.
  • Aims to place artificial teeth in the same location as natural teeth.
  • Maxillary teeth should be labial and buccal to the edentulous ridge.

Occlusal Plane

  • The surface where food is triturated.
  • Usually parallel to the interpupillary line anteriorly and Camper's line posteriorly.
  • Mandibular molars are usually at the level of the 2/3rds of the retromolar pad.

VDO (Vertical Dimension of Occlusion)

  • Established in the presence of healthy natural dentition.
  • Simulates tooth length and lip support.

Lip Support

  • Important for esthetics and function.
  • Maxillary occlusion rim should be contoured to provide proper lip support. I

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