Podcast
Questions and Answers
What type of leverage involves the fulcrum in the middle and the force and resistance at opposite ends?
What type of leverage involves the fulcrum in the middle and the force and resistance at opposite ends?
- Second Class Lever
- First Class Lever (correct)
- Third Class Lever
- Complex Lever
Which of the following is not one of the three types of leverage systems?
Which of the following is not one of the three types of leverage systems?
- Second Class Leverage
- First Class Leverage
- Third Class Leverage
- Simple Class Leverage (correct)
How does the design of the mesio-occlusal rest influence the movement of the denture base?
How does the design of the mesio-occlusal rest influence the movement of the denture base?
- It increases harmful effects on the tissues.
- It reduces the denture base movement. (correct)
- It creates excessive leverage on the base.
- It promotes first class leverage benefits.
What happens to the mechanical advantage when the force arm increases?
What happens to the mechanical advantage when the force arm increases?
In a third class lever system, where is the resistance located?
In a third class lever system, where is the resistance located?
What is the primary concern when designing occlusal rests for removable partial dentures?
What is the primary concern when designing occlusal rests for removable partial dentures?
Which statement regarding distal extension prostheses is incorrect?
Which statement regarding distal extension prostheses is incorrect?
What is NOT a characteristic of indirect retainers in partial dentures?
What is NOT a characteristic of indirect retainers in partial dentures?
Which type of direct retainer is characterized by its flexibility?
Which type of direct retainer is characterized by its flexibility?
In the context of indirect retainers, which location is incorrect for their placement relative to the fulcrum axis?
In the context of indirect retainers, which location is incorrect for their placement relative to the fulcrum axis?
What is the optimal feature of minor connectors when placing them for artificial teeth?
What is the optimal feature of minor connectors when placing them for artificial teeth?
Which statement about undercut areas in direct retainers is FALSE?
Which statement about undercut areas in direct retainers is FALSE?
What serves as the primary support mechanism for teeth-supported prostheses?
What serves as the primary support mechanism for teeth-supported prostheses?
In teeth-tissue supported prostheses, what aspect is particularly important when evaluating support?
In teeth-tissue supported prostheses, what aspect is particularly important when evaluating support?
What is a critical consideration when placing occlusal rests in a prosthetic framework?
What is a critical consideration when placing occlusal rests in a prosthetic framework?
What is the effect of mucosal support on free-ended bases in denture design?
What is the effect of mucosal support on free-ended bases in denture design?
Which classification of case indicates that a denture is supported largely by mucosal tissues?
Which classification of case indicates that a denture is supported largely by mucosal tissues?
What is the primary goal of selecting the proper placement for direct retainers?
What is the primary goal of selecting the proper placement for direct retainers?
Which of the following defines the role of terminal supports in dental prosthesis?
Which of the following defines the role of terminal supports in dental prosthesis?
What is the primary consideration when designing the major connector in a prosthesis?
What is the primary consideration when designing the major connector in a prosthesis?
Which statement about occlusal rests is incorrect for Class II prostheses?
Which statement about occlusal rests is incorrect for Class II prostheses?
What does maximum tissue coverage aim to achieve in prosthetic design?
What does maximum tissue coverage aim to achieve in prosthetic design?
What type of fulcrum is formed when there are two abutment teeth located asymmetrically on the arch?
What type of fulcrum is formed when there are two abutment teeth located asymmetrically on the arch?
Which fulcrum is primarily responsible for resisting biting forces in the occluso-gingival direction?
Which fulcrum is primarily responsible for resisting biting forces in the occluso-gingival direction?
What is true about the fulcrum line in distal extension removable partial dentures (RPDs)?
What is true about the fulcrum line in distal extension removable partial dentures (RPDs)?
What occurs when more than two supporting teeth are present in a dental arch?
What occurs when more than two supporting teeth are present in a dental arch?
Which statement accurately describes a radial fulcrum?
Which statement accurately describes a radial fulcrum?
What defines a quadrangular sustentation plane?
What defines a quadrangular sustentation plane?
What is the role of the primary retentive fulcrum in a prosthesis?
What is the role of the primary retentive fulcrum in a prosthesis?
What distinguishes a bilateral diametrical fulcrum?
What distinguishes a bilateral diametrical fulcrum?
In what circumstance will the prosthesis not rotate?
In what circumstance will the prosthesis not rotate?
What is a primary reason for using crowns instead of rest seats?
What is a primary reason for using crowns instead of rest seats?
When placing a rest seat, what is considered optimal in the context of periodontally weak abutment teeth?
When placing a rest seat, what is considered optimal in the context of periodontally weak abutment teeth?
What is the most appropriate configuration for placing direct retainers?
What is the most appropriate configuration for placing direct retainers?
Why is it advised to avoid placing direct retainers in the anterior region of the arch?
Why is it advised to avoid placing direct retainers in the anterior region of the arch?
What is NOT a requirement of a direct retainer?
What is NOT a requirement of a direct retainer?
Which statement is true regarding free-end RPDs and direct retainers?
Which statement is true regarding free-end RPDs and direct retainers?
What is an acceptable maximum height for occlusal rests placed on other teeth?
What is an acceptable maximum height for occlusal rests placed on other teeth?
What configuration is recommended when undercut depths on abutment teeth are below average?
What configuration is recommended when undercut depths on abutment teeth are below average?
Which of the following correctly defines a singulum rest?
Which of the following correctly defines a singulum rest?
What is a significant drawback of using more than two retainers on the same plane?
What is a significant drawback of using more than two retainers on the same plane?
Flashcards
Fulcrum line
Fulcrum line
The imaginary line connecting the points where the clasps on a distal extension partial denture contact the teeth. It's crucial for understanding how the denture will move under different forces.
Fulcrum axis
Fulcrum axis
The imaginary axis around which the distal extension partial denture rotates, caused by forces like chewing.
Rest line
Rest line
The imaginary line connecting the rests on the teeth that support a distal extension partial denture. It acts as a stable base.
Support line
Support line
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Radial fulcrum
Radial fulcrum
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Unilateral fulcrum
Unilateral fulcrum
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Bilateral diametrical fulcrum
Bilateral diametrical fulcrum
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Bilateral diagonal fulcrum
Bilateral diagonal fulcrum
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Sustentation plane
Sustentation plane
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Planes and Axes
Planes and Axes
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Forces in Removable Partial Denture
Forces in Removable Partial Denture
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Lever
Lever
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First Class Leverage
First Class Leverage
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Second Class Leverage
Second Class Leverage
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Third Class Leverage
Third Class Leverage
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Mechanical Advantage
Mechanical Advantage
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Teeth-supported (CI III)
Teeth-supported (CI III)
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Teeth-Tissue Supported (CI I-II-IV)
Teeth-Tissue Supported (CI I-II-IV)
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Teeth Support
Teeth Support
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Mucosal Support
Mucosal Support
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Occlusal Rest
Occlusal Rest
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CL I and CL II Occlusal Rests
CL I and CL II Occlusal Rests
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CL III Occlusal Rests
CL III Occlusal Rests
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CL IV Occlusal Rests
CL IV Occlusal Rests
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Areas that Conflict with Natural Occlusal Contact
Areas that Conflict with Natural Occlusal Contact
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Maximum Tissue Coverage
Maximum Tissue Coverage
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Singulum Rest
Singulum Rest
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Rest Placement for Teeth with Insufficient Enamel
Rest Placement for Teeth with Insufficient Enamel
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Direct Retainers
Direct Retainers
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Ideal Direct Retainer Placement
Ideal Direct Retainer Placement
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Flexibility of Direct Retainers
Flexibility of Direct Retainers
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Direct Retainers for Limited Undercuts
Direct Retainers for Limited Undercuts
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Placing Direct Retainers
Placing Direct Retainers
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Avoid Multiple Retainers on Same Plane
Avoid Multiple Retainers on Same Plane
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Direct Retainers for Free-End RPDs
Direct Retainers for Free-End RPDs
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Indirect Retainers
Indirect Retainers
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Retentive Arm (Clasp)
Retentive Arm (Clasp)
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Optimal Indirect Retainer Placement
Optimal Indirect Retainer Placement
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Minor Connectors
Minor Connectors
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Placing Minor Connectors
Placing Minor Connectors
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Study Notes
Removable Partial Denture Planning
- Planning focuses on retention, stabilization, and equalizing forces via prosthetic components.
- Preservation of remaining tissues and maintaining oral hygiene are also crucial aspects.
Tissue Support
- Length of the residual crest: Increased length leads to increased tissue support for the denture base.
- Contour of the residual crest: Affects the distribution of forces.
- Support bone structure: Contributes to denture support.
- Quality of mucosa: Includes thickness, softness, and mobility, influencing support and stabilization.
Contour of the Residual Ridge
- Plays a vital role in force distribution and stabilization.
- Different ridge contours (flat, wide, thin) affect support.
Quality of the Mucosa
- Thickness and mobility of the oral mucosa influence denture support.
- Soft, thin, mobile mucosa may need support and stabilization.
Tooth Support
- Periodontal health is crucial for alveolar bone support.
- Clinical and radiographic assessments evaluate alveolar bone quantity and quality.
- Infections and luxations affect tooth support.
- Crown-root ratio influences tooth support.
Opposing Occlusion
- The type of opposing jaw occlusion impacts the design of the RPD.
- The number of teeth in the opposing jaw is also a factor.
- Complete dentures affect the RPD design.
Tooth-Tissue Supported RPD Support
- Ability of supporting teeth to withstand axial and tilting/rotational forces when planning prosthetic components.
Planes and Axes
- Movements in the human body occur in three planes (horizontal, sagittal, frontal).
- These planes intersect at right angles.
- Rotational motion of an object occurs in a plane perpendicular to the intersecting planes.
Inclined Plane and Lever Systems
- RPDs transmit chewing forces through inclined planes and levers.
- Occlusal rests should prevent slipping due to these forces.
- Levers have three types of leverage, with first class leverage being the most harmful for RPDs.
RPD Clasp System
- RPI clasp reduces torque on the support tooth.
- Distal extension cases have rotation axes on the mesial rests.
Third Class Lever Systems
- For tooth-supported cases, denture base movements and forces applied to support teeth are minimal.
Distal Extension (Free-end) Prostheses
- These prostheses lack rigid support and are vulnerable to various forces and movements.
- Fulcrum lines, axes, rest lines, and support lines are crucial for planning.
- Fulcrum lines are classified based on planes, structural elements, and position/number of support teeth.
Types of Fulcrum Axis
- Primary (lying between opposing teeth on the same side of the arch)
- Secondary (passing over the occlusal rest and edentulous crest)
- Third (close to the midline, lingual to the anterior teeth)
Types of Fulcrum (structural element of prostheses)
- Primary retentive fulcrum (RF) is formed by displacing forces of gingivo-occlusal direction
- Stabilizing fulcrum passes through rests on abutment teeth; formed by forces in occluso-gingival direction
- Retentive fulcrum formed by displacement forces directed towards the gingivo-occlusal plane
Types of Fulcrum (according to the position and number of support teeth)
- Radial fulcrum formed when one abutment tooth exists
- Bilateral diametrical fulcrum
- Bilateral diagonal fulcrum
Sustentation Plane
- Number of support teeth exceeds two, a sustentation plane aids with placement.
Case Classification/Planning
- Classify cases based on support zones, guiding planes, direct/indirect retainers, major/minor connectors, and denture/artificial teeth.
Support Zones/Areas
- Support zones in teeth
- Support zones in mucosal tissues
Identifying support zones
- Identification of support zones in relation to teeth and mucosal tissues.
- Classification of cases based on support zones.
Rests
- Occlusal rests on molar and premolar teeth, crucial for force transmission.
- Exceptions to rest placement occur in regions of natural occlusal contact and adjacent teeth.
Guiding planes
- Surfaces parallel to each other, guide the path of the prosthesis.
- The number and height of the guide planes affect prosthesis effectiveness.
Identifying Direct Retainers
- Identifying factors include tooth condition, flexibility, use of equator lines, undercut depth, and aesthetic considerations.
- Clasp types (cast, wrought wire) influence amount of flexibility.
Effective use of Equator Lines
- Precise location and depth of undercuts.
- Impact of undercuts on clasp type.
- Importance of modifying undercut size.
- The importance of modifying undercut depth.
Identifying Indirect Retainers
- Stabilizing the denture base and preventing its displacement/separation from tissues.
- Retention fulcrum axis determination followed by placement of an indirect retainer is most distant from this axis.
Placement of Minor Connectors
- Connectors should be rigid, except for bar-gingival clasp.
Planning of denture base and artificial teeth
- Considerations for borders, missing/artificial teeth, and major connectors. Important considerations are anatomical features of the case, location of edentulous areas, need for splinting teeth, and need for indirect retention with major connector.
Major Connector
- Functions in cases when support is adequate.
- Types include palatal bars, antero-posterior bars, and full palatal plates, or in cases of limited periodontal support, a lingual plate can be used, if there is sufficient space between the gingival tissue and floor of the mouth.
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