Prosthetic Importance of Extra-oral Landmarks
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Questions and Answers

What is the primary purpose of recontouring the thin and sharp mylohyoid ridge?

  • To improve flange placement and border seal (correct)
  • To enhance food mastication
  • To facilitate better speech clarity
  • To increase the strength of the ridge
  • What do the genial tubercles attach to on the mandible?

  • Sternocleidomastoid muscle
  • Masseter muscle
  • Genioglossus and geniohyoid muscles (correct)
  • Temporomandibular joint
  • How does the position of the tongue change after teeth extraction?

  • The tongue shrinks in size
  • The tongue spreads laterally (correct)
  • The tongue becomes less active
  • The tongue moves backward
  • What is the purpose of the inter-pupillary line in dental prosthetics?

    <p>To assist in the orientation of the anterior occlusal plane (D)</p> Signup and view all the answers

    What structural consideration should be taken when setting teeth after extraction?

    <p>The teeth should be set on the crest of the ridge (B)</p> Signup and view all the answers

    Which line is used for the orientation of the posterior occlusal plane?

    <p>Ala-tragus line (D)</p> Signup and view all the answers

    What effect does aging have on the naso-labial sulcus?

    <p>It becomes deeper and more prominent (A)</p> Signup and view all the answers

    What is the role of the labial frenum in denture design?

    <p>It allows for lip movement without denture displacement (D)</p> Signup and view all the answers

    How does the loss of teeth affect the vermillion border?

    <p>It results in the border becoming less visible (C)</p> Signup and view all the answers

    What occurs to genial tubercles in cases of extreme alveolar bone resorption?

    <p>They migrate close to the crest of the ridge (D)</p> Signup and view all the answers

    Where does the canthus-tragus line run?

    <p>From the outer canthus of the eye to the tragus of the ear (D)</p> Signup and view all the answers

    What anatomical feature should be considered in the design of a denture for optimal fit?

    <p>Genioglossus muscle attachment points (D)</p> Signup and view all the answers

    What does the mento-labial sulcus indicate?

    <p>The maxillo-mandibular relationship (A)</p> Signup and view all the answers

    What type of muscle is the tongue classified as?

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

    What is the significance of properly positioning the anterior teeth in relation to the naso-labial sulcus?

    <p>It restores proper appearance of the sulcus (C)</p> Signup and view all the answers

    Which line indicates an arbitrary location of the condyles or rotational axis?

    <p>Canthus-tragus line (A)</p> Signup and view all the answers

    What is the significance of the labial vestibule in denture construction?

    <p>It reflects the mucosa of the lip to the alveolar ridge. (B)</p> Signup and view all the answers

    What muscle primarily limits the length of the labial flange of a denture?

    <p>Orbicularis oris muscle (D)</p> Signup and view all the answers

    Why is it important to create a buccal notch in the denture flange?

    <p>To facilitate functional movement of the buccal frenum. (C)</p> Signup and view all the answers

    Which area does the buccinator muscle relate to in denture construction?

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

    What anatomical landmark is located superior to the first and second molar teeth?

    <p>Root of the zygomatic process (B)</p> Signup and view all the answers

    What is the pterygo-maxillary notch frequently associated with?

    <p>A band of dense connective tissue (A)</p> Signup and view all the answers

    What can inadequate clearance in the buccal flange lead to?

    <p>Dislodgment of the denture (C)</p> Signup and view all the answers

    Which structure is NOT directly related to the denture flange in the buccal vestibule?

    <p>Orbicularis oris muscle (B)</p> Signup and view all the answers

    What is one purpose of copying the rugae on the palatal surface of a denture?

    <p>To enhance comfort and reduce difficulty with taste and speech (C)</p> Signup and view all the answers

    When dealing with a small torus palatinus, what should be done with the denture base?

    <p>The denture base should be relieved over this area. (D)</p> Signup and view all the answers

    What is the location of the fovea palatinae in relation to the palate?

    <p>On each side of the midline, posterior to the junction of hard and soft palate (B)</p> Signup and view all the answers

    What is the composition of the residual alveolar ridge?

    <p>Cancellous bone covered by soft tissue (C)</p> Signup and view all the answers

    Why should the lower denture not extend beyond the external oblique ridge?

    <p>To avoid denture displacement by the masseter muscle (B)</p> Signup and view all the answers

    What is the function of the buccal shelf of bone?

    <p>It serves as a base for denture retention. (C)</p> Signup and view all the answers

    What occurs in cases of severely resorbed residual ridges?

    <p>It may appear as a cord-like soft tissue requiring intervention. (B)</p> Signup and view all the answers

    What surgical action is typically required for a torus palatinus if it is large?

    <p>It needs to be surgically removed. (D)</p> Signup and view all the answers

    What is the function of the vibrating line in dentural anatomy?

    <p>It indicates the posterior extension of the maxillary denture. (D)</p> Signup and view all the answers

    How should the labial frenum be accommodated in denture design?

    <p>It should be opposed with a labial notch in the denture border. (A)</p> Signup and view all the answers

    What is the significance of the buccal frenum in denture design?

    <p>It requires clearance to prevent denture dislodgement. (A)</p> Signup and view all the answers

    What primary function does the buccal shelf serve in relation to dentures?

    <p>It is a primary stress bearing area. (C)</p> Signup and view all the answers

    Which structure does the posterior palatal seal extend between?

    <p>One hamular notch to the other hamular notch. (B)</p> Signup and view all the answers

    What will happen if the buccal flange of the denture does not have adequate clearance for movement?

    <p>Displacement of the denture may occur. (B)</p> Signup and view all the answers

    Where is the mental foramen typically located?

    <p>In the premolar region of the buccal surface. (C)</p> Signup and view all the answers

    What is the significance of the retromolar pad in denture design?

    <p>It helps with denture support and provides a soft tissue seal. (A)</p> Signup and view all the answers

    What characterizes the relationship between the labial mucous membrane reflection area and the denture flange?

    <p>It influences the thickness and length of the labial flange. (A)</p> Signup and view all the answers

    What is the function of the hamular notch in denture support?

    <p>It marks the extension area for posterior palatal seal. (B)</p> Signup and view all the answers

    Which statement about the torus mandibularis is correct?

    <p>It varies in size and shape, sometimes requiring surgical intervention. (B)</p> Signup and view all the answers

    What anatomical feature does the mylohyoid ridge represent?

    <p>The attachment of the mylohyoid muscle. (C)</p> Signup and view all the answers

    Which of these muscles influences the labial flange of the denture?

    <p>Orbicularis oris (C)</p> Signup and view all the answers

    What problem can arise from a large torus mandibularis relative to denture fitting?

    <p>Inability to fit the denture properly, necessitating relief or surgery. (B)</p> Signup and view all the answers

    What is true about the location of the mental foramen in cases of severe ridge resorption?

    <p>It usually shifts to the crest of the ridge. (D)</p> Signup and view all the answers

    Why is relief of the denture necessary near the mental foramen?

    <p>To avoid numbness of the lower lip. (D)</p> Signup and view all the answers

    Flashcards

    Interpupillary line

    An imaginary line connecting the pupils of the eyes when the patient looks straight ahead. Helps in positioning the front teeth in a denture.

    Ala-Tragus Line (Camper's Line)

    An imaginary line running from the wing of the nose to the earlobe. Helps in positioning the back teeth in a denture.

    Canthus-Tragus Line

    An imaginary line running from the outer corner of the eye to the earlobe. Assists in placing the hinge point (condyles) of the jaw.

    Naso-Labial Sulcus

    A crease running from the wing of the nose downward to the corner of the mouth. Its depth changes with age.

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    Vermillion Border

    The line separating the lip skin from the mouth lining. It changes with age and tooth loss.

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    Mento-Labial Sulcus

    A depression between the lower lip and the chin; its shape hints at facial skeletal structure.

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    Angle Class I

    A normal jaw relationship where the mento-labial sulcus is gently curved.

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    Orbicularis Oris Muscle

    The muscle responsible for lip closure; changes with age and loss of teeth.

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    Vibrating line

    An imaginary line marking the border between the movable and immovable parts of the soft palate.

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    Posterior palatal seal

    The part of the denture that rests on the soft palate to create a seal and prevent food from entering under the denture.

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    Labial notch

    A notch on the denture flange that allows the labial frenum to move freely without displacing the denture.

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    Labial mucous membrane reflection area

    The area where the mucosa of the lip transitions to the mucosa of the alveolar ridge.

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    Buccal frenum

    A fold of mucous membrane located in the premolar region that connects the cheek to the gum.

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    Buccal notch

    A notch in the denture flange that accommodates the movement of the buccal frenum.

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    Buccal mucous membrane reflection area

    The area where the cheek mucosa transitions to the gum mucosa, extending from the buccal frenum to the retromolar pad.

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    Retromolar pad

    A prominent anatomical landmark located at the posterior end of the mandibular ridge, behind the last molar.

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    Mylohyoid ridge

    A sharp ridge located on the medial side of the mandible, which should be recontoured during denture construction for better flange placement and border seal.

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    Genial tubercles

    Two small projections on the medial side of the mandible, located on each side of the symphysis. Represent attachment points for muscles that control tongue movement.

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    Tongue: Role in denture construction

    A powerful muscle located in the floor of the mouth, responsible for speech, swallowing, and taste. It plays a crucial role in denture stability and must be accommodated during denture design.

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    Highest convexity of the tongue

    The line that marks the highest point of the tongue, which should be lower than the occlusal plane of dentures to allow for proper tongue movement and food placement.

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    Labial frenum

    A fold of mucous membrane in the midline of the upper lip, it can be single or multiple. It moves with the muscles of the lips and must be accommodated during denture fabrication.

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    Labial frenum: Denture Design

    The denture border must be designed to allow for movement of the labial frenum without dislodging the denture or causing irritation.

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    Denture border

    The area around the denture, where the denture meets the surrounding tissues. This area is crucial for denture stability.

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    Labial frenum and denture border

    The denture border design should allow for movement of the labial frenum without disturbing the seal or causing irritation.

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    What is a Torus Palatinus?

    A bony bulge present in the midline of the palate. Its size and form can vary. If small, relieve the denture base over it; if large, surgically remove it.

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    What are Fovea Palatinae?

    Two small pits or depressions on either side of the midline, just behind the junction of the hard and soft palate. They are openings for minor salivary gland ducts.

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    What is the Residual Alveolar Ridge?

    The part of the alveolar process and its covering soft tissue remaining after tooth extraction. The highest point is called the crest of the ridge.

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    What is the External Oblique Ridge?

    A dense bony ridge descending from the ramus of the mandible downwards and forwards, fading at the mental foramen.

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    What is the Buccal Shelf of Bone or Buccal Plateau?

    A nearly horizontal shelf of bone located between the crest of the residual ridge and the external oblique ridge in the molar area. It's made of dense, compact bone.

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    What is the Palatal Mucosa?

    The covering of the palatal mucosa, which contains the palatine rugae and serves as the base for dentures.

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    What are Palatine Rugae?

    These ridges on the palate help with speaking, sucking, and swallowing.

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    Why are the Fovea Palatinae important for dentures?

    The denture should extend 2mm posterior to these pits to ensure proper fit and function.

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    Labial vestibule

    The area where the lining of the lip transitions to the lining of the alveolar ridge. It extends from the labial frenum to the buccal frenum.

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    Buccal Vestibule

    The reflection of mucous membrane from the cheek to the alveolar ridge, distal to the buccal frenum.

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    Buccinator Muscle

    A muscle located in the cheek responsible for sucking and chewing. Strong and helps in keeping food on teeth during chewing.

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    Pterygo-maxillary Notch (Hamular Notch)

    A notch located between the maxillary tuberosity and the pterygoid hamulus. A band of loose connective tissue providing flexibility.

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    What is the mental foramen and where is it located?

    A bony prominence on the outer surface of the mandible, located between the roots of the first and second premolars. It serves as a passageway for nerves and blood vessels to the lower lip.

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    What is the retromolar pad and where is it located?

    A pear-shaped soft tissue pad located at the back of the lower jaw, directly behind the last molar. It contains important structures like glands, tendons, and muscles.

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    What is the mylohyoid ridge and where is it located?

    A bony ridge on the inside surface of the mandible, running from the third molar towards the midline. It marks the attachment of the mylohyoid muscle.

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    What is the function of the mental foramen?

    It is located on the buccal surface of the mandible in the premolar region between the roots of the first and second premolars and through it mental nerves and vessels pass.

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    What is the composition of the retromolar pad?

    A pear shaped pad of soft tissue present bilaterally at the distal end of the residual mandibular ridge.It contains mucous glands, temporal tendon, pterygo-mandibular raphe, fibers of buccinator muscle and superior constrictor muscle of pharynx.

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    What is the torus mandibularis?

    It is a bony prominence sometimes present on the inner surface of the mandible in the premolar region.It varies in size and shape.It is either unilateral or bilateral.

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    What is the clinical significance of the mylohyoid ridge?

    It should be included in the denture bearing area.

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    How can the torus mandibularis affect dentures?

    When it is covered with thin mucosa, relief of the denture base in this area could be made to avoid impingement of the mucosa.

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    Study Notes

    Extra-oral Landmarks of Prosthetic Importance

    • Inter-pupillary Line: An imaginary line running between the pupils of the eyes when a patient is looking straight ahead. Used to orient the anterior occlusal plane of artificial teeth.
    • Ala-Tragus Line (Camper's Line): An imaginary line stretching from the ala of the nose to the tragus of the ear. Used for orienting the posterior occlusal plane of artificial teeth.
    • Canthus-Tragus Line: An imaginary line from the outer corner of the eye (canthus) to the tragus of the ear. Used in determining the arbitrary location of the condyles (rotational axis).
    • Naso-labial Sulcus: A crease running from the ala of the nose downward and laterally to the corner of the mouth. Deepens with age, and proper positioning of the anterior teeth and contouring of the upper denture flange help recreate it and improve appearance
    • Vermillion Border: The transitional epithelium between the lip's mucous membrane and facial skin. Loss of teeth/alveolar bone resorption can cause the border to shrink inward.
    • Mento-labial Sulcus: A horizontal depression between the lower lip and chin. Its curvature indicates the relationship between the maxilla and mandible. Different angles indicate various jaw relationships (Class I, II, and III).
    • Philtrum: A diamond-shaped area at the center of the upper lip, beneath the nose.
    • Angle of the Mouth (Comissure): The point where the upper and lower lips meet. Inflammation and salivation from this area is known as angular cheilitis. This may result from prolonged edentulism, dentures with reduced jaw measurements, or Vitamin B12 deficiency.
    • Modiolus: The point of intersection of facial muscles. Located below and behind the mouth angle. Loss of teeth and alveolar bone resorption can cause the modiolus to recede. Proper denture construction rectifies this.

    Intra-oral Landmarks of Prosthetic Importance

    • Residual Alveolar Ridge: The portion of the alveolar process remaining after tooth extraction, covered in soft tissue. The ridge's highest point is the crest. Dense connective tissue supports the denture.
    • Maxillary Tuberosity: A rounded bony prominence behind the distal end of the maxillary ridge. Contributes to retention and support of the maxillary denture.
    • Median Palatine Raphe: A thin mucoperiosteal ridge on the hard palate covering the median suture. Lack of relief in this area can lead to denture rocking.
    • Incisive Papilla: A pear-shaped elevation of soft tissue in the midline of the hard palate, behind the upper central incisors. It covers the incisive foramen and should be relieved in the denture to avoid pressure.
    • Palatine Rugae: Ridges of dense fibrous tissue radiating from the anterior one-third of the hard palate on both sides of the midline. Important for mastication and taste.
    • Torus Palatinus: A bony bulge in the midline of the hard palate. Can be surgically removed if necessary to create proper denture fit.
    • Fovea Palatinae: Two small pits on each side of the hard palate behind the meeting of hard and soft palate. Minor salivary glands open into these areas.
    • Mandible sections include various features, like the condyle, condyloid process, ramus, angle, external oblique line, lingual, buccal shelf, mental foramen, mandibular notch, mylohyoid line, genial tubercle, and Fovae.
    • Residual Alveolar Ridge (Crest): The remaining bone structure after tooth extraction. Soft tissue covering the crest can vary in density and is sometimes susceptible to tissue breakdown.
    • External Oblique Ridge: A distinct bony ridge descending from the ramus of the mandible and fading at the mental foramen.
    • Buccal Shelf (Buccal Plateau): A horizontal shelf of bone, found between the ridge crest and external oblique ridge (typically in the molar area) Dense compact bone, supporting the denture and acting as a primary stress bearing area.
    • Mental Foramen: Located on the buccal surface of the mandible between the first and second premolars. Mental nerves and vessels pass through it.
    • Retromolar Pad: A pear-shaped pad of soft tissue located at the distal end of the mandibular residual ridge.
    • Torus Mandibularis: A bony prominence on the inner surface of the mandible in the premolar region.
    • Internal Oblique Ridge (Mylohyoid Ridge): A bony ridge on the medial surface of the mandible, running from the third molar to the mandibular border, marking the attachment to muscle
    • Genial Tubercles (Mental Spine): Two small projections on the medial surface of the mandible that mark the attachment of the genioglossus and geniohyoid muscles.
    • Tongue: Muscular organ in the floor of the mouth. It shapes the mouth's cavity and supports the lower incisor teeth. Oral cavity anatomy and function are influenced by the position and form of the tongue during mastication, swallowing, and speech.
    • Limiting Structures of the Denture include various anatomical features like frenula, ridges, muscles, openings(foveae), and tissue that affect the denture's form and placement.

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    Description

    This quiz explores key extra-oral landmarks that hold significant importance in prosthetics. It covers various reference lines and anatomical features that help in the proper orientation and positioning of artificial teeth. Test your understanding of these essential concepts in prosthetic dentistry.

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