RPDs

Question 1

During the pt interview, the dentist should follow a sequence that includes:

Answer 1

• Chief complaint and its history
• Med hx review
• Dental hx review, especially related to previous prosthetic experiences
• Pt expectations

Question 2

Tongue thrust habit can cause

Answer 2

extensive stress on the teeth retaining and supporting the RPD

Question 3

If tongue thrusting persists, the RPD should

Answer 3

be designed to distribute the forces to as many teeth and supporting structures as possible

Question 4

What are problems that require immediate attention?

Answer 4

• Large carious lesions
• Ill fitting dentures

Question 5

It is your responsibility to discuss with the patient:

Answer 5

• S+S of dental disease
• Equiptment and techniques for proper home care
• Pt responsibilities in preventing further dental dz and their importance for the long term success of tx

Question 6

Wht do you do if the pt does not have enough teeth to mount lower cast to the upper cast?

Answer 6

Fabricate record bases and occlusal rims

Question 7

What are exam findings that indicate possible need for periodontal treatments?

Answer 7

• Pocket depth >3mm
• Furcation involvement
• Deviations from normal color and contour in gingiva
• Marginal exudate
• Potential abutment teeth with less than 2mm of attached gingiva
• Pulling of muscle or frenum of attached gingiva

Question 8

What is papillary hyperplasia caused by?

Answer 8

Inflammatory response in the submucosa, consists of numerous papillary growths

Question 9

What is epulis fissuratum?

Answer 9

• Hyperplastic soft tissue growth caused by an ill fitting or overextended border of removable prosthesis

Question 10

Denture stomatitis is characterized by

Answer 10

generalized erythema, usually including all the tissues covered by a prosthesis

Question 11

What are contributing factors to denture stomatitis?

Answer 11

Poor fit of the prosthesis, poor oral hygiene, continuous wearing of prosthesis

Question 12

How is denture stomatitis treated?

Answer 12

Nystatin, mycelex troches, good oral hygiene