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Dentistry: Retention and Stability of Complete Dentures

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180 Questions

What is the primary factor that determines the force of adhesion?

Surface area of the denture

What is the effect of a flat palate on retention and stability?

Increases retention and decreases stability

What is the ideal shape of the palatal vault for denture retention and stability?

U-shaped

What is the effect of thick ropy saliva on the cohesive force?

Decreases the cohesive force

What is the interfacial surface tension dependent on?

Size of the basal surface of the denture

Why is a perfect fit of the denture base essential?

To facilitate the interfacial surface tension

What is the reason behind the positive force holding the denture in place?

difference in pressure between the fitting and non-fitting surfaces

What is retention of a denture?

The quality that resists the force of gravity, adhesiveness of food, and forces associated with jaw opening

What is the consequence of border under extension in width and depth?

air enters under the denture, causing poor retention

What is adhesion in the context of denture retention?

The attraction of unlike molecules to each other

What type of arch form is considered the most favorable for denture retention?

square arch form

What is cohesion in the context of denture retention?

The attraction of like molecules for each other

What is the ideal form of the ridge for maximum support, retention, and stability?

high ridge with flat crest and parallel sides

What type of forces are resisted by the retentive force supplied by atmospheric pressure?

horizontal forces

What is one of the biomechanical factors that affects retention of denture?

Arch size

What is the term for the surface tension between the denture and the surrounding tissues?

Interfacial surface tension

What is the consequence of disharmony in jaw sizes in patients with class II and class III ridge relationships?

reduced retention

What is another term for atmospheric pressure as it relates to denture retention?

Gravity

Which arch form provides the most favorable prognosis for denture stability?

Square arch form

What is the function of the undercut area in denture retention?

To retain the side of the denture inserted first

What is the characteristic of a Class I soft palate?

A gentle curvature with little muscular movement

Which type of vault form is unfavorable for the retention of dentures?

Flat vault

What is the definition of stability in complete dentures?

The quality of the prosthesis to be firm, steady, and resist displacement by functional horizontal or rotational stresses

What type of mucosa provides the most favorable prognosis for denture stability?

Medium thickness mucosa with dense fibrous connective tissue

What is the effect of a flat ridge on denture stability?

It worsens denture stability

What is the ideal position of posterior teeth in relation to the mandibular ridge?

Lingual to the crest of the mandibular ridge

How does a small, narrow tongue affect denture stability?

It adversely affects stability

What is the result of placing posterior teeth on the upward incline of the mandible?

Increased denture movement

What is the effect of a large tongue on denture stability?

It enhances stability

What is the advantage of a shorter interarch distance?

Minimized undesirable leverage action and tongue forces

What is the primary function of adhesion in denture retention?

To create a physical attraction between unlike molecules

Which of the following physical factors affects retention of denture?

Interfacial surface tension

What is the effect of a large interarch distance on denture retention?

It decreases the retention of the denture

What is the role of cohesion in denture retention?

To create a physical attraction between like molecules

What is the effect of disharmony in jaw sizes on denture retention?

It decreases the retention of the denture

What is the purpose of a polished surface of the denture?

To reduce the friction between the denture and the mucosa

What is the characteristic of a Class I soft palate that makes it favorable for denture retention?

It has a gentle curvature and demonstrates little muscular movement

What type of ridge form is unfavorable for the retention of dentures?

Flat ridge form

What is the role of the undercut area in denture retention?

It retains the side of the denture inserted first

What is the effect of a flat vault on denture retention and stability?

It provides little resistance to lateral displacement

What type of arch form is considered the most favorable for denture stability?

Square arch form

What is the effect of a large tongue on denture stability?

It interferes with denture stability

What is the main reason why atmospheric pressure is effective in holding the denture in place?

There is an efficient seal around the denture border.

What is the primary function of the retentive force supplied by atmospheric pressure?

To resist horizontal dislodging forces.

What is the ideal shape of the ridge for maximum support, retention, and stability?

Square

What is the consequence of insufficient post dam in denture retention?

Decreased retention

What is the relationship between the arch size and retention?

Larger arch size increases retention.

What is the role of adhesion, cohesion, and interfacial surface tension in denture retention?

They resist vertical dislodging forces.

What is the ideal mucosa thickness for denture stability?

2-3 mm

What is the effect of a large tongue on denture stability?

Adversely affects denture stability

What is the ideal position of posterior teeth in relation to the crest of the mandibular ridge?

Buccolingually, lingual to the crest of the ridge

What enhances stability as the occlusal surfaces of teeth are closer to the ridge?

Decreased interarch distance

What is the effect of flabby tissue on denture stability?

Reduces denture stability

Why is a broad, thick tongue favorable for denture stability?

It enhances denture stability

What is the direction of the occlusal plane in relation to the denture foundation area?

Parallel

What is the effect of a high occlusal plane in relation to the residual ridge?

Decreased stability

What is the ideal shape of the polished surface of a denture?

Concave

What is the importance of proper relief of hard areas under the denture?

To prevent rocking and instability of the denture

What is the purpose of balanced occlusion in denture construction?

To ensure harmonious contact between upper and lower teeth

Which of the following areas requires relief under the denture?

Median palatine raphe

What is the main purpose of retention in a complete denture?

To resist the force of gravity

What type of attraction occurs between unlike molecules in denture retention?

Adhesion

Which of the following biomechanical factors affects denture retention?

All of the above

What is the result of the interfacial surface tension in denture retention?

Increased retention

What is the role of cohesion in denture retention?

Physical attraction between like molecules

What is the primary factor affecting the retention of a complete denture?

Physical factors

What is directly proportional to the size of the basal surface of the denture?

Interfacial Surface Tension

What is the impact of a flat palate on denture retention and stability?

Increases retention and decreases stability

What is the effect of thick ropy saliva on the denture?

Forces the denture out of its correct position

What is the relationship between surface area and adhesion?

Surface area is directly proportional to adhesion

What is the ideal shape of the palatal vault for denture retention and stability?

U-shaped

What is the effect of closeness of denture adaptation on adhesion?

Increases adhesion

What is the effect of a perfect seal around the border of the denture?

Increases retention

What is the ideal direction of the occlusal plane in relation to the denture foundation area?

Parallel to the residual ridge

Why is a high ridge with flat crest and parallel or nearly parallel sides favorable for denture retention?

It provides more support and retention

What shape of polished surface of denture tends to seat rather than unseat the denture?

Concave

What is the effect of air getting under the denture?

Decreases retention

What is the relationship between arch size and retention?

Larger arch size increases retention

What is the consequence of insufficient relief of hard areas under the denture?

Rocking and instability of the denture

What is the effect of a high occlusal plane in relation to the residual ridge?

Greater leverage action

What is the primary function of the retentive force supplied by atmospheric pressure?

Resists horizontal dislodging forces

What is the consequence of insufficient post dam in denture retention?

Decreases retention

What is the importance of balanced occlusion in denture stability?

It ensures harmonious contact between upper and lower teeth

What is the result of forces directed to an inclined plane?

More dislodging

What type of mucosa offers the most favorable prognosis for denture stability?

Mucosa of even, medium thickness

What is the ideal position of posterior teeth in relation to the crest of the mandibular ridge?

Buccolingually, lingual to the crest of the mandibular ridge

What enhances stability as the occlusal surfaces of teeth are closer to the ridge?

Small interarch distance

What type of tongue is unfavorable for denture stability?

Small, narrow tongue

What happens when posterior teeth are positioned on the upward incline of the mandible?

The tongue space is encroached upon, causing cramping of the tongue and lateral movement of the denture

What is the effect of flabby tissue on denture stability?

It reduces stability

What is the shape of the palatal vault that increases retention and decreases stability?

Flat

What is the relationship between surface area and adhesion?

Adhesion is directly proportional to surface area

What type of saliva adheres well to both denture base and mucosa?

Thick, ropy saliva

What is interfacial surface tension dependent on?

Size of the basal surface of the denture

What is the importance of a perfect fit of the denture base?

It affects interfacial surface tension

What is the effect of thick, ropy saliva on denture retention?

It forces the denture out of its correct position

What is the primary force that resists horizontal dislodging forces in denture retention?

Atmospheric pressure

What is the effect of a good fit of the periphery of the denture to the tissues?

Air cannot get in under the denture

What type of ridge form is ideal for maximum support, retention, and stability?

Square ridge

What is the consequence of border under extension in depth and width?

Air can get in under the denture

What is the role of adhesion, cohesion, and interfacial surface tension in denture retention?

Resisting vertical dislodging forces

What is the effect of disharmony in jaw sizes on denture retention?

It decreases denture retention

What is the primary force that resists the removal of a complete denture?

Adhesion and cohesion

What is the result of the interfacial surface tension in denture retention?

It increases the retention of the denture

What is the role of atmospheric pressure in denture retention?

It helps to retain the denture in place

What is the effect of a large arch size on denture retention?

It increases the retention of the denture

What is the relationship between the vault form and denture retention?

A high vault form decreases the retention of the denture

What is the effect of a polished surface of the denture on retention?

It increases the retention of the denture

What is the purpose of having the occlusal plane as near as possible to the ridge?

To enhance denture stability

What type of mucosa offers the most favorable prognosis for denture stability?

Mucosa of even, medium thickness

What contributes to excessive vertical and horizontal movements of the denture?

Flabby tissue

Why is a concave polished surface of denture preferred?

Because it tends to seat the denture

What is the result of forces directed to an inclined plane?

They are more dislodging

What enhances stability as the occlusal surfaces of teeth are closer to the ridge?

Small interarch distance

Why is balanced occlusion important in denture stability?

Because it enhances stability

What is the ideal position of posterior teeth in relation to the crest of the mandibular ridge?

Buccolingually, slightly lingual to the crest of the ridge

What happens when the polished surface of denture is convex?

The denture tends to unseat

What type of tongue is favorable for denture stability?

Broad thick tongue

Why is proper relief of hard areas under the denture important?

Because it prevents rocking and instability of the denture

What is the consequence of flabby tissue in denture stability?

Reduces denture stability

What is the relationship between the force of adhesion and the surface area of the denture?

The force of adhesion is directly proportional to the surface area.

What is the effect of a V-shaped palatal vault on denture retention and stability?

It decreases retention and increases stability.

What is the primary factor that determines the fit of the denture?

The accuracy of the impression.

What is the role of interfacial surface tension in denture retention?

It resists the separation of the denture from the mucosa.

What is the effect of thick ropy saliva on the retention of the denture?

It decreases the retention of the denture.

What is the ideal shape of the palatal vault for denture retention and stability?

U-shaped

What is the most unfavorable arch form for denture stability?

Flat arch form

What is the primary mechanism by which atmospheric pressure contributes to denture retention?

By creating a pressure difference between the fitting and non-fitting surfaces

What type of residual ridge resists well to lateral forces and enhances denture stability?

Ridge with high vertical walls

What is the effect of a large interarch distance on denture retention?

It decreases the retention by reducing the surface area

What is the ideal shape of the arch for maximum support, retention, and stability?

Square arch

What is the result of the interfacial surface tension in denture retention?

Firm seating of the denture

What is the ideal shape of the polished surface of a denture?

Flat

What is the role of the ridge form in denture retention?

It provides maximum support, retention, and stability

What is the result of forces directed to an inclined plane in denture retention?

Increased retention

What is the effect of disharmony in jaw sizes on denture retention?

It reduces the retention due to poor fit

What is the primary force that resists the removal of a complete denture?

Gravity

What is the primary force that resists vertical dislodging forces in denture retention?

Adhesion and cohesion

What is the effect of a higher occlusal plane in relation to the residual ridge?

Increased leverage action and lesser stability of the denture

What is the consequence of placing posterior teeth on the upward incline of the mandible in terms of denture stability?

Reduced stability due to the cramping of the tongue

What is the purpose of relief of hard areas under the denture?

To prevent rocking and instability of the denture

What is the consequence of a convex polished surface of the denture?

The denture is more likely to be unseated

What type of mucosa is most unfavorable for denture stability?

Flabby tissue contributing to excessive movements

What is the primary factor that enhances stability as the occlusal surfaces of teeth are closer to the ridge?

The minimized undesirable leverage action and tongue forces

What is the ideal direction of the occlusal plane in relation to the denture foundation area?

Parallel to the foundation area

What is the result of a small, narrow tongue on denture stability?

Reduced stability due to the adverse affect on tongue movement

What is the consequence of cusp interference?

Impaired denture stability

What is the purpose of making the occlusal plane as near as possible to the ridge?

To enhance denture stability

What type of polished surface of the denture tends to unseat the denture?

A convex surface

What is the primary advantage of having the occlusal plane as near as possible to the ridge?

Minimized undesirable leverage action and tongue forces

The primary force that resists horizontal dislodging forces in denture retention is adhesion, cohesion, and interfacial surface tension.

False

Border under extension in both depth and width causes poor denture retention due to the loss of atmospheric pressure.

True

A square arch form is the least favorable for denture retention.

False

The retention achieved from atmospheric pressure can resist both vertical and horizontal dislodging forces.

False

A high ridge with flat crest and parallel or nearly parallel sides is the least favorable for denture retention.

False

The larger the arch size, the lesser the support and retention.

False

A flat palate increases retention and stability of a denture.

False

The force of adhesion is proportional to the surface area of the denture base.

True

Thick, ropy saliva reduces the cohesive force between the denture and mucosa.

True

A perfect fit of the denture base is essential for interfacial surface tension.

True

The interfacial surface tension is inversely proportional to the size of the basal surface of the denture.

False

Closeness of denture adaptation decreases adhesion.

False

A flat vault form provides the most favorable prognosis for denture stability.

False

The residual ridge with high vertical walls (square ridge) provides the least favorable prognosis for denture stability.

False

A narrow V-shaped vault is favorable for the retention of dentures.

False

A Class I soft palate has a steep curvature and demonstrates significant muscular movement.

False

The undercut area is unimportant for denture retention.

False

A square arch form provides the least favorable prognosis for denture stability.

False

A thick flabby tissue contributes to denture stability.

False

The small narrow tongue enhances denture stability.

False

The interarch distance has no influence on denture stability.

False

Teeth placed over the crest of the mandibular ridge can cause tongue cramping.

True

A mucosa of even, medium thickness provides an unfavorable prognosis for denture stability.

False

The position of posterior teeth has no impact on denture stability.

False

Forces directed to an inclined plane are more dislodging than forces directed at right angle to the supporting basal seat.

True

The higher the occlusal plane in relation to the residual ridge, the lesser will be the leverage action.

False

The plane of occlusion should be perpendicular to the main direction of the denture foundation area.

False

A convex polished surface of the denture will tend to seat the denture.

False

Insufficient relief of hard areas under the denture will increase denture stability.

False

Balanced occlusion means harmonious contact between upper and lower teeth in only one position of the mandible.

False

Test your knowledge of retention and stability of complete dentures, including the forces that affect denture retention and the factors that influence denture stability. Learn about the importance of retention and stability in denture prosthodontics. Quiz based on the lecture notes of Dr. Fardos Rizk.

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