Complete edentulism
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Questions and Answers

According to the ACP Guidelines, what is the purpose of the classification system for completely edentulous patients?

  • To improve professional communication
  • To standardize criteria suitable for use in outcomes assessment and research
  • To provide an objective method for patient screening in dental education
  • To identify, diagnose and classify the completely edentulous patient (correct)

    • What is one of the benefits of the ACP classification system for completely edentulous patients?

  • Improved diagnostic consistency (correct)
  • Improved inter-operator consistence
  • Standardized criteria suitable for use in outcomes assessment and research
  • An objective method for patient screening in dental education

    • Why was the ACP classification system developed?

  • To improve professional communication
  • To provide an objective method for patient screening in dental education
  • To identify, diagnose and classify the completely edentulous patient
  • To standardize criteria suitable for use in outcomes assessment and research (correct)

    • What is the purpose of initial preprosthetic treatment and/or adjunctive therapy?

    <p>To change the initial classification level</p> Signup and view all the answers

    In the given situation, how is each arch diagnosed?

    <p>With the appropriate classification system</p> Signup and view all the answers

    What is the defining characteristic of Residual Ridge Morphology - Maxilla TYPE A?

    <p>Labial and buccal vestibular depth that resists vertical and horizontal movement of the denture base</p> Signup and view all the answers

    According to the text, what is included in Type D of Muscle Attachments-Mandibular?

    <p>+genio &amp; mentalis m Type C-no ant b&amp;l vest (22-27)</p> Signup and view all the answers

    What does Class III in Maxillomandibular Relationships indicate?

    <p>Correction of dentofacial deformities</p> Signup and view all the answers

    What does Residual Ridge Morphology - Maxilla TYPE C indicate?

    <p>Loss of anterior labial vestibule</p> Signup and view all the answers

    What is the classification system used for bone height in the mandible?

    <p>21 mm or greater, 16-20 mm, 11-15 mm, 10 mm or less</p> Signup and view all the answers

    Which classification indicates the degree of overlap between the upper and lower teeth?

    <p>Classes I, II, III</p> Signup and view all the answers

    What does the Maxillary ridge morphology classification consider?

    <p>Presence or absence of vestibular buccal support, hamular notch, tori, and redundant tissue</p> Signup and view all the answers

    Which muscle attachments are classified in the mandible?

    <p>Types A-E</p> Signup and view all the answers

    What type of tongue anatomy is considered in the diagnosis and treatment planning?

    <p>Both a and b</p> Signup and view all the answers

    Which conditions are categorized under preprosthetic surgery?

    <p>All of the above</p> Signup and view all the answers

    What can change the initial classification level in treatment planning?

    <p>Initial preprosthetic treatment and/or adjunctive therapy</p> Signup and view all the answers

    Which modifier is evaluated in the diagnosis and treatment planning?

    <p>Both a and b</p> Signup and view all the answers

    Which classification system provides a checklist for complete edentulism based on bone height, ridge morphology, muscle attachments, and maxillomandibular relationships?

    <p>Prosthodontic Diagnostic Index (PDI) Classification System</p> Signup and view all the answers

    What is the classification for the completely edentulous patient that is considered 'Severely Compromised'?

    <p>Class IV</p> Signup and view all the answers

    What bone height range corresponds to '10 mm or less' in the Prosthodontic Diagnostic Index (PDI) Classification System?

    <p>$10 mm or less$</p> Signup and view all the answers

    Which type of ridge morphology in the maxilla is characterized by 'no buc vest, poor hamular notch, and no tori'?

    <p>Type B</p> Signup and view all the answers

    What is the classification for maxillomandibular relationship where 'surgical correction is needed' due to 'limited interarch space'?

    <p>Class II</p> Signup and view all the answers

    Which modifier denotes 'Severe' oral manifestations of systemic disease in the Prosthodontic Diagnostic Index (PDI) Classification System?

    <p>Severe</p> Signup and view all the answers

    What is the ICD-9-CM Diagnostic Code for 'Hx of paresthesia or dysesthesia'?

    <p>$525.41$</p> Signup and view all the answers

    Which guideline states that 'any single criterion of a more complex class places the patient into the more complex class'?

    <p>$1$. Any single criterion of a more complex class places the patient into the more complex class.</p> Signup and view all the answers

    'Correction of dentofacial deformities' falls under which category of 'Conditions Requiring Preprosthetic Surgery'?

    <p>$Correction of dentofacial deformities$</p> Signup and view all the answers

    Which muscle attachment type has adequate attached mucosa in all regions except the anterior buccal vestibule?

    <p>Type A</p> Signup and view all the answers

    In the Prosthodontic Diagnostic Index (PDI) Classification System, which class is for bone height-mandibular and ridge morphology-maxilla?

    <p>Class I</p> Signup and view all the answers

    According to the research, which condition requires preprosthetic surgery for minor soft tissue procedures, minor hard tissue procedures, implants, and correction of dentofacial deformities?

    <p>Class III maxillomandibular relationship</p> Signup and view all the answers

    What type of tongue anatomy was described as having a large size and occluding the interdental space?

    <p>Large and hyperactive tongue</p> Signup and view all the answers

    Which modifier was mentioned in the research as related to oral manifestation of systemic disease, psychosocial conditions, and TMD symptoms?

    <p>Modifiers</p> Signup and view all the answers

    According to the guidelines provided in the research, what changes the initial classification level?

    <p>Initial preprosthetic treatment and/or adjunctive therapy</p> Signup and view all the answers

    What does Class II ass I allow with regard to tooth position outside the normal ridge relation?

    <p>More definitive tooth position</p> Signup and view all the answers

    Which factor can interfere with the posterior extension of the denture base in the maxilla?

    <p>Prominent midline sutures</p> Signup and view all the answers

    What type of maxillary ridge morphology provides limited resistance to vertical and horizontal movement of the denture base?

    <p>Type C</p> Signup and view all the answers

    Which classification system is mentioned for assessing the complexity of complete denture cases?

    <p>Prosthodontic diagnostic index (PDI)</p> Signup and view all the answers

    What type of muscle attachments can influence the fit and function of a complete denture?

    <p>Type A</p> Signup and view all the answers

    What is relevant to the design of the denture base in relation to the reduction of the post-malar space during mandibular movements?

    <p>Coronoid process</p> Signup and view all the answers

    Which factor provides minimal support and stability for the denture base in the maxilla?

    <p>Mobile anterior ridge</p> Signup and view all the answers

    What aspect can influence the design and fabrication of complete dentures and can be classified as Class I, II, III?

    <p>Maxillomandibular relationships</p> Signup and view all the answers

    What can offer limited resistance to the vertical and horizontal movement of the denture base in the maxilla?

    <p>Palatal morphology</p> Signup and view all the answers

    What can interfere with the fit and function of a complete denture based on its amount and location of attached mucosa and muscle impingement?

    <p>Muscle attachments</p> Signup and view all the answers

    What is relevant to the design of the denture base based on its reduction of the post-malar space during mandibular movements?

    <p>Coronoid process</p> Signup and view all the answers

    Which aspect can influence the design and fabrication of complete dentures and can be classified as Class I, II, III?

    <p>Maxillomandibular relationships</p> Signup and view all the answers

    What is the Prosthodontic Diagnostic Index (PDI) used to classify?

    <p>Ridge morphology in the maxilla</p> Signup and view all the answers

    What is the classification for bone height in the mandible with a measurement of 16-20 mm?

    <p>Class II</p> Signup and view all the answers

    What type of muscle attachment in the mandible is associated with 'no anterior buccal vestibule, poor hamular notch, and no tori'?

    <p>Type B</p> Signup and view all the answers

    Which condition requires 'implants with bone graft - complex' according to the text?

    <p>Correction of dentofacial deformities</p> Signup and view all the answers

    What tongue anatomy is associated with 'large (occludes interdental space) and hyperactive with retracted position'?

    <p>Both A and B</p> Signup and view all the answers

    What type of modifiers are associated with 'severe psychosocial' conditions?

    <p>Severe</p> Signup and view all the answers

    Which Prosthodontic Diagnostic Index (PDI) classification system is related to 'resists vertical & horizontal, hamular notch, and no tori'?

    <p>Class I</p> Signup and view all the answers

    What is the classification for bone height in the mandible with a measurement of 10 mm or less?

    <p>Class IV</p> Signup and view all the answers

    Which type of muscle attachment in the mandible is associated with 'adequate attached mucosa'?

    <p>Type A</p> Signup and view all the answers

    Study Notes

    • The text discusses various factors affecting the fit and stability of complete dentures, particularly in the maxilla (upper jaw).
    • Prominent midline sutures and bony undercuts in the maxilla can interfere with the posterior extension of the denture base.
    • A hyperplastic, mobile anterior ridge in the maxilla offers minimal support and stability for the denture base.
    • Palatal morphology in the maxilla can provide limited resistance to the vertical and horizontal movement of the denture base.
    • The reduction of the post-malar space by the coronoid process during mandibular opening and/or excursive movements is relevant to the design of the denture base.
    • Maxillary ridge morphology can be categorized as Types A, B, C, and D based on resistance to vertical and horizontal movement and presence or absence of tori and vestibules.
    • Muscle attachments in the mandible can influence the fit and function of a complete denture and are classified as Types A, B, C, D, and E based on the amount and location of attached mucosa and muscle impingement.
    • Maxillomandibular relationships can influence the design and fabrication of complete dentures and can be classified as Class I, II, III, and conditions requiring preprosthetic surgery.
    • A prosthodontic diagnostic index (PDI) classification system and complete edentulism checklist are mentioned for assessing the complexity of complete denture cases.
    • Factors such as bone height, ridge morphology, muscle attachments, maxillomandibular relationships, and various classifications systems are discussed in relation to complete denture design and fabrication.
    • The text refers to specific studies and publications in the Journal of Prosthodontics for further information.

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