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ORE Part 1

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21.2 Partial Dentures

Adaptation

  • Polishing teeth before seating partial dentures improves the adaptability and fit of the occlusal rests, ensuring better comfort and function for the patient. This step is crucial for achieving optimal adaptation of the denture. [Q0180]

Classification

  • Class I of the Kennedy classification involves bilateral free-end saddles, meaning the denture extends to both sides of the dental arch without support from the teeth. This design helps in distributing occlusal forces evenly. [Q3466]
  • Class I of the Kennedy classification involves dentures supported exclusively by soft tissues, requiring careful consideration of tissue health to maintain stability. This type of support is crucial for the proper function of the denture. [Q3467]
  • Class II of the Kennedy classification is supported only by teeth, offering more stability compared to tissue-supported designs. This support type reduces the risk of tissue irritation and enhances the durability of the denture. [Q3469]
  • Class III involves a bounded saddle supported by teeth on both sides, providing stable and firm support for the partial denture. This configuration minimizes movement and improves the patient’s comfort and chewing efficiency. [Q3470]
  • Class III is supported only by teeth, which prevents tissue irritation and enhances the stability and longevity of the denture. Proper planning and design are essential for optimal function. [Q3471]
  • Class IV involves an anterior scenario crossing the midline, requiring precise design to maintain aesthetics and functionality. This classification demands careful assessment of the patient’s oral structure. [Q3473]
  • Class I in Kennedy classification refers to bilateral edentulous areas located posterior to the remaining natural teeth, demanding careful design to ensure even distribution of occlusal forces. This configuration helps maintain balance and stability. [Q4004]
  • The most posterior edentulous area defines the basic classification in Kennedy classification, which helps in determining the appropriate design and support mechanisms for the denture. Accurate classification is crucial for successful treatment planning. [Q4020]
  • This is a Class III Kennedy classification, as there is a single edentulous area that does not cross the midline, providing a more stable base for the partial denture. Proper design helps in distributing forces evenly. [Q4120]
  • Partial dentures can indeed be classified according to the support available, ensuring the design meets the specific needs of the patient’s oral anatomy. This approach helps in achieving optimal function and comfort. [Q4526]
  • Class 2 in Kennedy classification describes a single edentulous area located posterior to the remaining natural teeth, ensuring the stability and even distribution of occlusal forces. This classification aids in precise treatment planning. [Q5479]

Components

  • Minor connectors are smaller connectors that join the major connector with other parts of the denture, playing a crucial role in maintaining the structural integrity of the partial denture. Proper placement of these connectors ensures stability and function. [Q0280]
  • Reciprocation is the principle where one part of the framework opposes the action of the retainer, helping to stabilize the denture during function. This mechanism is essential for maintaining the fit and comfort of the denture. [Q0281]
  • Indirect retainers minimize the movement of the denture base away from the supporting tissues, ensuring better stability and comfort for the patient. This design feature is crucial for maintaining the proper position of the denture. [Q0282]
  • Major connectors of upper partial dentures should be at least 5 mm away from the gingival margin to prevent tissue irritation and ensure patient comfort. Proper design of major connectors is essential for the overall success of the denture. [Q0545]
  • The auxiliary occlusal rest should be placed adjacent to the edentulous space for proper support, helping to distribute occlusal forces evenly and maintain the stability of the denture. This placement is vital for the denture’s function. [Q0890]
  • An occlusal rest is typically spoon-shaped with a rounded margin, providing support and stability to the prosthesis by distributing occlusal forces evenly. Proper design of occlusal rests is essential for patient comfort and denture durability. [Q0955]
  • A bounded saddle occurs between two abutment teeth, providing a stable support structure for the partial denture. This design helps in maintaining the denture’s position and function during use. [Q3036]
  • A direct retainer is a component of partial dentures made from cast cobalt chromium, which helps in securing the denture in place. Proper design of direct retainers is crucial for the retention and stability of the prosthesis. [Q3095]
  • Occlusal rests in dentures are typically made of metal for durability and support, ensuring the stability of the denture during function. The material choice for occlusal rests is essential for the longevity and performance of the denture. [Q4462]
  • Occlusal rests are commonly used in dentures for stability, providing support and maintaining the position of the denture. Proper design and placement of occlusal rests are critical for the overall function of the denture. [Q4613]
  • In RPI (Rest, Proximal plate, I-bar), “P” stands for Proximal plate, which helps in distributing occlusal forces and maintaining the stability of the denture. Understanding the components of RPI is crucial for designing effective partial dentures. [Q5442]

Load Management

  • Using teeth with a narrow buccal-lingual dimension helps reduce the load on free-end saddle partial dentures, minimizing stress on the supporting structures. This approach is important for the longevity and comfort of the denture. [Q0193]
  • A distal free-end saddle denture tends to lose its fit over time due to resorption of the alveolar ridge, necessitating more frequent relining compared to tooth-supported dentures. Proper maintenance and periodic adjustments are essential for long-term success. [Q0319]
  • Yes, a load further from the fulcrum increases the effort needed to stabilize the denture, potentially causing discomfort and instability. Proper load management is crucial for maintaining the function and comfort of partial dentures. [Q4203]
  • Clasps distribute the load and help retain the denture in partial dentures, preventing undue stress on any single part of the denture. This distribution is vital for the overall stability and functionality of the prosthesis. [Q4955]
  • Load refers to the weight or forces acting on partial dentures, affecting their stability and function. Proper load management is essential for ensuring the longevity and comfort of the denture. [Q5079]
  • Extending dentures beyond functionally justified areas can cause discomfort, making it crucial to design dentures within the necessary functional boundaries. This consideration is important for patient comfort and prosthesis success. [Q5283]
  • If the effort is greater than the load, it can lead to discomfort and reduced function, emphasizing the need for balanced load management in partial denture design. Proper design considerations help in achieving optimal patient outcomes. [Q5834]

Material Properties

  • Clasp distortion suggests that the ultimate tensile strength of the material was too low, indicating the need for selecting appropriate materials for durability. Proper material selection is essential for the long-term success of partial dentures. [Q0283]
  • Chrome-cobalt partial dentures should not be immersed in hypochlorite solutions as it can corrode the metal framework, leading to potential structural failures. Proper care and maintenance of the dentures are crucial for their longevity. [Q0664]
  • Phosphate-bonded investments are preferred for casting cobalt-chromium partial dentures due to their high-temperature resistance, ensuring precise and durable frameworks. Proper casting materials are essential for the quality of the final prosthesis. [Q3856]
  • Chrome-cobalt alloy is the most common material used for partial dentures, offering strength and durability. Understanding the properties of this material helps in designing effective and long-lasting dentures. [Q4365]

Occlusion

  • The floor of the occlusal rest should slope from the marginal ridge towards the center of the abutment, ensuring proper distribution of occlusal loads. This design helps in maintaining the stability and function of the partial denture. [Q0151]
  • Light contact on the balancing side helps maintain occlusal stability in partial dentures, preventing uneven wear and improving function. Proper occlusal design is essential for the longevity and comfort of the denture. [Q0181]
  • Using wax if the remaining teeth occlude helps accurately establish the vertical dimension of occlusion for partial dentures, ensuring proper bite and function. Accurate vertical dimension is crucial for patient comfort and denture performance. [Q0349]
  • Occlusal rests should be less than 0.5 mm thick to minimize occlusal interference, ensuring a comfortable and functional fit. Proper thickness of occlusal rests is essential for avoiding occlusal issues. [Q5152]
  • Occlusal rests should distribute both occlusal and torque forces evenly, preventing undue stress on any single area and ensuring stability. Proper design of occlusal rests is crucial for the overall function of the denture. [Q5153]

Path of Insertion

  • Path of insertion refers to the direction in which a dental prosthesis is placed onto the supporting teeth or tissues until it reaches its final position, ensuring proper fit and stability. Understanding the path of insertion is crucial for effective prosthesis design. [Q0148]
  • Path of removal describes the movement of a dental prosthesis from its rest position until it is completely disengaged from the supporting structures, ensuring easy and damage-free removal. Proper design of the path of removal is essential for patient comfort. [Q0149]
  • The path of insertion is crucial for both aesthetic and retentive purposes, ensuring that the denture looks natural and stays securely in place. Proper planning of the path of insertion is vital for the success of the denture. [Q5175]

Planning and Construction

  • Study casts are essential for constructing custom trays for accurate impressions, providing a precise foundation for the final prosthesis. Proper use of study casts ensures the accurate fit and function of the denture. [Q0087]
  • Incorrect design is a frequent error in the construction of partial dentures, affecting their fit and function. Ensuring accurate and thoughtful design is essential for the success of the prosthesis. [Q0320]
  • The design consideration for an upper partial denture without an anterior flange is primarily based on the amount of labial alveolar bone resorption to ensure adequate support and aesthetics. Proper design is crucial for maintaining function and appearance. [Q0929]

Plaque Accumulation

  • Lingual bars tend to accumulate less plaque compared to lingual plates, making them preferable in some cases for maintaining oral hygiene. Proper design and material choice help in reducing plaque accumulation and improving patient outcomes. [Q0286]
  • Plaque accumulation around the margins of partial dentures is the main cause of gingivitis in these patients, highlighting the importance of good oral hygiene practices. Educating patients on proper care can prevent periodontal issues. [Q0838]

Preparation

  • Restoration of the exposed dentine is necessary to protect the tooth and provide a proper foundation for the RPD, ensuring long-term success and comfort. Proper preparation of the supporting teeth is crucial for the stability of the prosthesis. [Q0473]
  • Holding the metal base frame against the abutment tooth ensures proper seating during impression setting, preventing misfits and ensuring stability. Accurate initial processes are essential for the success of the final denture. [Q0474]

Retention

  • Guiding planes ensure predictable clasp retention in partial dentures by providing parallel surfaces that guide the prosthesis during placement and removal. This helps maintain stability and minimizes movement. [Q0154]
  • The ideal undercut for cobalt chrome retentive arm clasps is 0.25mm, which ensures proper retention without causing undue stress on the tooth. Accurate measurement of undercuts is essential for the longevity of the denture. [Q0185]
  • The retentive part of the clasp should be positioned below the survey line to provide optimal retention by engaging the undercut area. This placement helps in securing the denture effectively. [Q0192]
  • For retentive clasps, the clasp arm should be gingivally located to provide adequate retention and minimize stress on the tooth. Proper positioning ensures the clasp functions effectively without damaging the tooth structure. [Q0194]
  • When seated, the retentive clasp tips should exert no force on the teeth to prevent unnecessary stress and potential damage. This ensures the denture remains comfortable and stable. [Q0285]
  • The retentive position of a clasp on a tooth is located below the height of contour, which helps in providing retention for removable partial dentures. This positioning is crucial for the stability of the prosthesis. [Q0318]
  • Proper guiding planes are created parallel to the path of placement to ensure stability and retention of the RPD. This design feature aids in the accurate and secure fitting of the denture. [Q0464]
  • A chrome cobalt clasp can extend 0.25 under the surveyor line to ensure proper retention and minimal tissue irritation. This precise extension helps maintain the comfort and effectiveness of the clasp. [Q0469]
  • All these factors affect the flexibility of the retentive clasp arm, including material properties, design, and undercut engagement. Understanding these influences helps in designing effective clasp mechanisms. [Q0824]
  • Undercut area does not directly influence the flexibility of the retentive clasp arm, which depends more on material properties and design. Accurate understanding of these factors is essential for effective clasp design. [Q0869]
  • The lingual plate provides additional indirect retention by distributing forces across a broader area, stabilizing the denture. This feature enhances the overall retention and functionality of the RPD. [Q0900]
  • Precision attachments achieve retention through frictional resistance, ensuring a secure yet removable connection. This method provides excellent retention and stability for partial dentures. [Q0901]
  • A clasp arm should engage a predetermined amount of undercut to provide optimal retention without over-stressing the tooth. Accurate engagement is crucial for the durability and comfort of the denture. [Q0902]
  • Indirect retainers are placed away from direct retainers to enhance the retention and stability of removable partial dentures. This strategic placement helps distribute occlusal forces more evenly. [Q0985]
  • Gold alloy clasps typically employ a horizontal depth of 0.5 mm to ensure proper retention and flexibility. This specification is critical for the effective function of the clasp. [Q3836]
  • 0.6 mm wire is always used in the permanent molar region for Adams clasps to provide adequate strength and retention. This wire thickness ensures the clasp’s durability and effectiveness. [Q4053]
  • Yes, the final third part of the clasp has to cross the survey line to be retentive, ensuring it engages the undercut for stability. This design principle is essential for effective retention. [Q5004]
  • Yes, the final third part of the clasp is the flexible and retentive part, crucial for engaging the undercut and securing the denture. Proper design of this segment is vital for functionality. [Q5005]
  • The thicker part of the clasp provides bracing action against lateral thrusts, ensuring stability during function. This design feature helps maintain the denture’s position and comfort. [Q5227]
  • The tip of the clasp arm should be placed close to the horizontal line of survey for optimal retention, ensuring effective engagement with the undercut. This placement is critical for stability. [Q5230]
  • The tip of the clasp should be placed in a combined area between the horizontal survey and tilted survey lines for balanced retention and stability. This strategic positioning ensures the clasp functions effectively. [Q5231]
  • The tissue support base should be brought above the survey line for better retention, ensuring it engages effectively with the undercut. This placement enhances the stability of the denture. [Q5232]
  • The tissue-supported base should be wider than the minimum distance between teeth to ensure adequate stability. This design consideration helps distribute forces evenly and maintain comfort. [Q5233]
  • Undercut areas are typically found between the survey line and the gingival margins of teeth, providing optimal sites for clasp engagement. This understanding is crucial for effective denture design. [Q5245]
  • Undercuts can be managed by angling the denture during insertion, ensuring it fits securely and comfortably. This technique is essential for overcoming anatomical challenges. [Q5337]
  • Undercuts can occur in any plane, not just vertically, and need to be identified accurately for effective denture design. Recognizing their orientation is critical for proper clasp placement. [Q5339]
  • Undercut areas for insertion/removal differ from those for displacement, requiring careful survey and design to ensure proper function. Accurate assessment of these areas is crucial for effective denture fit. [Q5340]
  • Undercuts can frequently be present in soft tissues, posing challenges for denture design and insertion. Managing these undercuts is essential for patient comfort and denture stability. [Q5341]

Stress Distribution

  • Stress breakers help protect abutment teeth from excessive occlusal forces by distributing the load more evenly. This protection is crucial for the longevity of both the teeth and the denture. [Q0100]
  • Tensile action stress transfer promotes bone growth and maintenance within physiological limits, ensuring the health and stability of the supporting structures. This mechanism is important for the long-term success of the denture. [Q0152]

Surveying

  • The depth of rest seats cannot be determined by a survey analysis, requiring direct measurement and assessment. Accurate determination of rest seat depth is essential for effective denture support. [Q0153]
  • Tilting the cast during surveying helps identify undercuts and determine the optimal path of insertion for removable partial dentures. This technique ensures the proper fit and function of the prosthesis. [Q0186]
  • Tripod markings help orient the cast to the surveyor for accurate analysis and fabrication of dental prostheses. This method ensures that the design is consistent and functional. [Q0827]
  • In cast surveying, the area below the survey line is called the undercut area, which is crucial for determining the path of insertion and retention. Understanding this area is essential for effective denture design. [Q3420]
  • Casts should generally be surveyed horizontally first for accurate analysis, ensuring a clear understanding of the undercuts and path of insertion. This initial step is critical for proper denture design. [Q4947]
  • Tilting the cast and surveying again is essential to identify undercuts and ensure proper path of insertion and removal. This process helps in achieving an accurate and functional denture fit. [Q5278]

Plaque Accumulation

  • Maintaining tissue support of the distal extension helps to avoid periodontal damage to abutment teeth, ensuring the longevity and stability of the denture. Proper support is crucial for patient comfort and health. [Q0088]

Other

  • Using a digital scanner can help take an impression in an anxious patient, providing a quick and comfortable experience. This technology improves patient cooperation and accuracy of impressions. [Q3958]
  • Immediate dentures are contraindicated in patients with these conditions due to infection risks, requiring careful consideration and alternative treatment planning. Patient safety is paramount in prosthodontic care. [Q4031]
  • A faster setting material can help manage gag reflex in apprehensive patients, making the impression-taking process more comfortable and efficient. This approach improves patient compliance and impression accuracy. [Q4043]
  • No, increasing age is not always a disadvantage in making full dentures, as many older patients adapt well to new prostheses with proper care. Age-related considerations should be addressed individually for optimal outcomes. [Q4150]
  • A sty (or stye) is a lesion near the eye, commonly an infection of the eyelid gland, requiring prompt treatment to prevent complications. Understanding common lesions aids in comprehensive patient care. [Q4236]
  • Mental factors are important in adapting to new dentures for all patients, influencing their acceptance and comfort with the prosthesis. Addressing psychological aspects can enhance overall treatment success. [Q4326]
  • Periodontal therapy is the best treatment for this condition, addressing both the periodontal health and the stability of the partial denture. Comprehensive care ensures long-term success and patient satisfaction. [Q4599]
  • One-piece post crowns are rarely indicated for lower incisors due to their size and structure, requiring careful consideration of alternative treatments. Proper selection of restoration types is crucial for effective outcomes. [Q4473]