Introduction

Question 1

Prosthodontics is that body of knowledge and skills pertaining to:
(2)

Answer 1

• The restoration and replacement of the natural dentition with
artificial substitutes.
• The restoration of the dental arches with fixed or removable
dental prostheses.

Question 2

Prosthodonticsis

Answer 2

the dental specialty pertaining to the diagnosis, treatment planning, rehabilitation, and maintenance of the oral function, comfort, appearance, and health of patients with clinical conditions associated with missing or deficient teeth and/or maxillofacial tissues by using biocompatible substitutes.

Question 3

Fixed Prosthodontics:

Answer 3

the branch of prosthodontics concerned with the replacement and/or restoration of teeth by artificial substitutes that cannot be removed from the mouth by the patient.

Question 4

Branches of Prosthodontics (4)

Answer 4

1. Fixed Prosthodontics
2. Removable Prosthodontics
   a) Complete Denture Prosthodontics
   b) Partial Denture Prosthodontics
3. Implant Prosthodontics
4. Maxillofacial prosthetics

Question 5

Scope of Fixed Prosthodontics

Answer 5

“Restoration of a single tooth to rehabilitation of the entire occlusion”

Question 6

Scope of Fixed Prosthodontics

fxn (5)

Answer 6

• Restore function and esthetics of single teeth
• Replacement of missing teeth
• Improve comfort and mastication
• Complete / maintain the integrity of dental arches
• Self image

Question 7

Reasons for Tooth Destruction and Loss (5)

Answer 7

• Caries
• Periodontal disease
• Trauma
• Erosion (GERD) (Bulimia)
• Worn Dentition (Attrition) (Bruxism)

Question 8

Reasons for Tooth Destruction and Loss

6

Answer 8

• Cysts, malignancies and tumors
• Radiation therapy for tumors
• Grossly mal-aligned teeth
• Iatrogenic extraction
• Congenitally missing teeth
• Failure to erupt (impacted teeth)

Question 9

Sequelae of tooth loss (4)

Answer 9

resorption
tilting
drifting
occlusal disharmony

Question 10

Resorption:

Answer 10

The 
socket remodels until 
it assumes the shape 
of the rounded 
edentulous ridge.

Question 11

Occlusal disharmony:

Answer 11

leads to discomfort,
pain or damage to
TMJ

Question 12

•Crown:

Answer 12

a cemented extracoronalrestoration covering the

outer surface of a prepared tooth.

Question 13

Extracoronal Cemented Restorations

•Crown (3)

Answer 13

• “Sleeve” retention
• Slight convergence of opposing walls
• “Path of insertion”

Question 14

Partial veneer crown:

Answer 14

an extracoronal restoration

covering a portion of the clinical crown.

Question 15

Extracoronal Cemented Restorations

•Partial veneer crown (2)

Answer 15

• “Sleeve” retention with additional
internal retentive features
• Grooves

Question 16

•Inlay:

Answer 16

a cemented intracoronalrestoration is fabricated indirectly and cemented into the prepared cavity of the tooth.

Question 17

“Wedge” retention:

Answer 17

slight divergence of

opposing internals walls.

Question 18

Onlay:

Answer 18

an inlay modified with an
occlusal veneer (replacing 1 or more
cusps).

Question 19

Fixed Dental Prosthesis (FDP or FPD)

Answer 19

•Dental prosthesis replacing one or more missing teeth which is
cemented/ rigidly attached to remaining teeth (or implants).

Question 20

implant Restorations

Answer 20

•Single Crown or FDP attached to an osseointegrated implant(s)

Question 21

Elements of Fixed Prosthodontics Diagnosis
(Fixed Prosthodontics Work-up)
(6)

Answer 21

• Patient History
• TMJ and Occlusal Evaluation
• Intraoral Examination
• Diagnostic Casts
• Radiographic Evaluation
• (Esthetic Analysis)

Question 22

• Diagnostic Casts (2)

Answer 22

• Diagnostic Waxing

* Custom Trays, Matrix for Interim Restorations

Question 23

Patient History

3

Answer 23

• Medical History
• Dental History
• Chief Complaint

Question 24

Hodgkins disease / radiation therapy →

2

Answer 24

Xerostomia

Radiation induced caries

Question 25

Intraoral Examination: Periodontal Condition | 5

Answer 25

``` •Plaque – where and how much •Attached gingiva •(3mm - abutments) •Inflammation •BoP / Pockets •Gingival architecture •Mobility ```

Question 26

TMJ / Occlusal Evaluation (3)

Answer 26

* Joints * Muscles of mastication * Assessment of pain

Question 27

• Joints

Answer 27

• Sounds; opening limitations / deviations

Question 28

• Muscles of mastication

Answer 28

• Palpation of extraoral and intraoral muscles of mastication

Question 29

• Assessment of pain

Answer 29

•Type and origin of pain

Question 30

Determination of the presence or absence of physiologic health. (2)

Answer 30

* Normal (treatment to maintain occlusion) | * Dysfunctional (improvement / restorations?)

Question 31

Intraoral Exam: Evaluation of Occlusion | 11

Answer 31

``` • Presence and location of caries • Previous restorations and prostheses • Evaluation of the occlusion • Relationship of spaces, if more than one • Bony defects • Health of tissues • Wear facets • Occlusal prematurities; interferences; buttressing bone • Difference between CRCP (CO) and MIP • Existence and amount of anterior guidance • Occlusal Scheme ```

Question 32

• Occlusal Scheme | 3

Answer 32

* Canine Guidance * Group Function * Bilateral Balance

Question 33

Accurate representation of dental arches

Answer 33

Diagnostic Casts

Question 34

Diagnostic Casts | • Mounted on a

Answer 34

semi-adjustable articulator with a | facebow transfer

Question 35

Diagnostic casts provide information for

Answer 35

diagnosing | problems and arriving at a treatment plan

Question 36

Patient communication: Determine --- and expected ---.

Answer 36

compromises | results

Question 37

Make duplicate

Answer 37

mandibular and maxillary casts | Custom Tray / Vacuum Matrix

Question 38

Full Mouth Radiographs | Correlate facts collected from

Answer 38

intraoral | exam and diagnostic casts