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Questions and Answers
What is the primary purpose of conducting a patient interview in dental assessment?
Which of the following is NOT part of the sequence of the oral examination?
What is a key objective of prosthodontic treatment?
What is the first step in a patient interview regarding their dental health?
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Which examination tool is NOT typically used in a digital examination of oral health?
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What is the primary consideration when examining the state of the remaining teeth and supporting structures for partial dentures?
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What should be done if a residual ridge is found to be unstable?
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During the examination of the oral cavity, which condition can complicate the design and location of clasp retainers?
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What is indicated by the presence of tori or bony exostoses in relation to denture framework design?
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Which factor is crucial to assess the support provided by the residual ridge and remaining teeth?
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Study Notes
Patient Interview
- A significant part of the patient's experience, allowing for a personal connection and understanding of the issue.
- Interview should include:
- Chief complaint
- Medical history review
- Dental history review, with attention to previous prosthetic experiences
- Discussion of Patient expectations
Shared Decision Making
- The patient and the clinician should collaborate to decide the most appropriate prosthodontic treatment.
Objectives of Prosthodontic Treatment
- Restore lost function within the patient's tissue tolerance.
- Maintain or improve the appearance of the mouth.
- Preserve and maintain the health of the remaining teeth and oral tissues
Oral Examination
- Visual and digital examination of teeth and surrounding structures.
- Sequence of oral examination:
- Relief of pain, discomfort, and caries lesions with temporary fillings.
- Thorough and complete oral prophylaxis for a clean surface and accurate diagnostic casts.
- Complete intraoral radiographs to:
- Locate areas of infection or other disease processes.
- Reveal root fragments, foreign objects, bone spicules, and irregular ridge formations.
- Reveal the presence and extent of caries.
- Permit evaluation of existing restorations.
- Reveal the presence of root canal fillings and evaluate their future prognosis.
- Permit an evaluation of periodontal conditions.
- Evaluate the alveolar support of abutment teeth.
- Impression for accurate diagnostic casts to be mounted for occlusal examination on a semi-adjustable articulator.
- Examination of teeth and the residual ridge using instruments and visual means.
- Consider the overall health of the periodontium and abutment teeth:
- Condition of the gingiva.
- Adequate zones of attached gingiva.
- Presence or absence of pockets.
- Condition of the supporting bone.
- Mobility patterns.
- Evaluate and address mucogingival involvements, osseous defects, and mobility patterns.
- Evaluate and educate the patient regarding their oral hygiene habits.
Interpretation of Examination Data:
- Roentgenographic interpretation:
- Focus on prognosis of remaining teeth that may be used as abutments.
- Evaluate the quality of alveolar support for abutment teeth.
- Value of interpreting bone density:
- Evaluate the quality and quantity of alveolar bone: height and remaining bone structure.
- Roentgenographic findings should be confirmed by clinical examination.
- Root morphology:
- Evaluate the ability of abutment teeth to resist rotational forces.
- Teeth with multiple and divergent roots are more resistant to stress loads.
Indications for RPD
- Partial edentulous spaces, particularly Class I and Class II that have an edentulous space on the opposite side of the arch for retention and stabilization.
- Replacement of teeth after recent extractions when fixed restorations are not appropriate.
- Long spans that can be totally tooth-supported with adequate abutments and framework rigidity.
- Bilateral stabilization.
- Periodontal splinting for teeth weakened by periodontal disease.
- Excessive loss of residual bone.
- Economic considerations.
Differential Diagnosis for Fixed or Removable Partial Denture:
- Removable partial denture is generally the preferred method for replacing missing teeth, either tooth or implant supported.
- The choice should consider the patient's economic limitations and personal desires.
- Unilateral RPD should be discouraged as it places excessive stress on abutment teeth and has a risk of aspiration if dislodged.
Types of RPD Base Material
- Gold alloy
- Chromium cobalt alloy
- Titanium
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Description
This quiz covers essential aspects of prosthodontics, including patient interviews, shared decision-making, and objectives of treatment. Learn about the importance of medical and dental history, patient expectations, and effective oral examinations. Prepare to enhance your understanding of how to restore function and maintain oral health.
