30 Questions
What is the purpose of dental treatment according to the text?
To address the needs perceived by the patient and demonstrated by the clinician
What are the four distinct processes involved in diagnosis and treatment planning according to the text?
Chief complaint, diagnostic clinical examination, treatment planning, execution of treatment
What is the ultimate goal of diagnosis and treatment planning according to the text?
Shared decision making to address both desires and needs
What is the purpose of diagnostic clinical examination according to the text?
To ascertain the 'needs' of the patient
What does the text define as the purpose of removable partial denture prosthesis?
To replace some teeth in a partially dentate arch and be removable from the mouth
What is the delineation of each patient's uniqueness based on, according to the text?
Patient interview and diagnostic clinical examination process
What is the first crucial step in dentist-patient interaction?
Understanding the patient's mind
Which factor is significant for the success of prosthodontic treatment?
Psychological factors
What should the treatment plan focus on?
Eliminating disease, preserving oral health, and replacing lost teeth
What precedes the formulation of a treatment plan?
Initial assessment and emergency treatment
What is crucial in cases of diabetes mellitus, cardiovascular disease, and other medical conditions?
Medical and oral examination
Why is habit history, including parafunction evaluation, important for treatment planning?
It helps in understanding the patient's oral habits and potential impacts on treatment
What is essential for effective diagnosis and treatment planning in dental prosthesis evaluation?
Complete oral prophylaxis and intraoral radiographic survey
What is used as an adjunct for comprehensive assessment in dental prosthesis evaluation?
Panoramic radiographs
What does the assessment of residual ridges and occlusion involve in dental prosthesis evaluation?
Vitality tests and palpation of tissue contours
What is evaluated to achieve an appropriately stable foundation for major connector and prosthesis support?
Space for major connector and prosthesis foundation
What provides clues to predict the response of abutment teeth to increased occlusal loading in dental prosthesis evaluation?
Radiographic interpretation
What is considered as prospective abutments in dental prosthesis evaluation, especially in certain scenarios?
Unerupted third molars
Which factor is important in the treatment planning for partial dentures?
Bone volume for implant placement
In which situation are removable partial dentures indicated?
Following recent extractions
What is a consideration when choosing between complete dentures and removable partial dentures?
Functional requirements
What is a factor in the decision to retain a tooth as an abutment?
Location of remaining teeth
What are the options for prosthodontic treatment choices for removable partial dentures?
Valplast RPDs and cast metal frameworks
What is not a contraindication for using a tooth as an abutment?
Endodontic treatment
What is the purpose of mounting the casts in centric relation?
To simulate the patient's mouth movement and achieve an accurate record of the mouth
What is the minimum number of positive contacts required for mounting in maximum intercuspation by hand articulation, according to Hanau's formula?
3-4
What should be carefully evaluated before construction of the cast partial denture (CPD)?
Occlusal vertical dimension and overclosure of the mandible
What is the purpose of recording material for centric relation?
To achieve an accurate record of the mouth in centric relation
What is the purpose of protrusive records in prosthodontics?
To determine horizontal condylar guidance
What does the Prosthodontic Diagnostic Index (POI) by the American College of Prosthodontists (ACP) classify based on?
Location and extent of edentulous areas, abutment conditions, occlusion, and residual ridge
Study Notes
Prosthodontic Diagnostic and Treatment Considerations
- Diagnostic casts provide a view of occlusion from lingual and buccal aspects and are used for occlusal analysis and treatment presentation to the patient.
- Surveying of the cast includes verification of mouth modifications and determination of the most desirable path of placement for retainers and artificial teeth.
- Mounting of the casts simulates the patient's mouth movement and should be done in centric relation to relax muscles and achieve an accurate record of the mouth.
- Recording material for centric relation depends on the number and location of remaining teeth and includes various options such as wax, elastomers, and impression plaster.
- Occlusal vertical dimension should have sufficient posterior contacts and be carefully evaluated for overclosure of the mandible (deep bite) before construction of the cast partial denture (CPD).
- Protrusive records are used to determine horizontal condylar guidance and are adjusted according to Hanau's formula, with a minimum of 3-4 positive contacts required for mounting in maximum intercuspation by hand articulation.
- Occlusal equilibration should be done before the initiation of any restorative procedure and serves as a blueprint for intraoral adjustments.
- Irregular occlusal plane treatment involves various options such as tooth extrusion, endodontic therapy, enameloplasty, crown placement, and extraction with alveoloplasty.
- Fixed restorations may be needed for modification spaces, especially when dealing with isolated abutment teeth, and the advantage of splinting should be weighed against the total cost.
- Orthodontic treatment can provide better removable partial denture design mechanically and esthetically, with considerations for adequate anchorage for tooth movement in partially edentulous arches.
- The Prosthodontic Diagnostic Index (POI) by the American College of Prosthodontists (ACP) classifies partial edentulism based on location and extent of edentulous areas, abutment conditions, occlusion, and residual ridge, with guidelines for its use.
- The POI classification level can change based on future treatment procedures, esthetic concerns, TMD symptoms, and the presence of edentulous maxilla opposing a partially edentulous mandible.
Test your knowledge of prosthodontic diagnostic and treatment considerations with this quiz. Explore topics such as diagnostic casts, mounting techniques, occlusal vertical dimension, fixed restorations, orthodontic treatment, and the Prosthodontic Diagnostic Index (POI).
Make Your Own Quizzes and Flashcards
Convert your notes into interactive study material.
Get started for free
