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Diagnostic criteria for classification system. |
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1. bone height-mandibular 2. maxillomandibular relationship 3. residual ridge morphology-maxilla 4. muscle attachments |
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ideal or minimally compromised |
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substantially compromised |
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The diagnostic criteria are ordered by their ____ nature and not in their rank of significance. |
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the underlying bony foundation is... |
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denture foundation area tissues remaining for reconstruction loss of facial muscle support/attachment decrease in total facial height residual ridge morphology |
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what diagnostic measurement reveals the most information of all of the criteria? |
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the measurement of the residual bone height should be made where in order to minimize variance in techniques? |
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portion of the mandible of the least vertical height |
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TYPE 1 residual bone height = |
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TYPE II residual bone height = |
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TYPE III residual bone height = |
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TYPE IV residual bone height... |
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maxillomandibular relationship classification relates to? |
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Definition
the position of the artificial teeth to the residual ridge and the opposing dentition. |
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CLASS I maxillomandibular relationship allows... |
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Definition
tooth postion that has normal articulation with the teeth supported by the residual ridge |
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CLASS II maxillomandibular relationship requires... |
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tooth position outside the normal ridge relation in order to attain phonetics and articulation...ie , anterior or posterior tooth position not supported by the residual ridge/anterior vertical overlap that exceeds the principles of articulation |
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CLASS III Maxillomandibular relationship requires... |
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Definition
tooth position outside the normal ridge relation in order to attain phonetics and articulation;i.e., crossbite—anterior or posterior, tooth position not supported by the residual ridge. |
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CLASS III Maxillomandibular relationship requires... |
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Definition
tooth position outside the normal ridge relation in order to attain phonetics and articulation;i.e., crossbite—anterior or posterior, tooth position not supported by the residual ridge. |
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Residual ridge morphology of the maxilla is the most ___ criteria for the maxilla since the measurement of the residual bone height by radiology is not reliable. |
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Residual ridge morphology of maxilla TYPE A |
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Definition
-anterior labial and posterior buccal vestibule depth that resists vertical and horizontal movement of the denture base - palatal morphology that resists vertical and horizontal movement of the denture base - sufficient tuberosity definition - hamular notch definition is well defined to establish posterior extension of the denture base - absence of tori or exotoses |
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Residual ridge morphology of maxilla TYPE B |
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Definition
- loss of posterior buccal vestibule - tuberosity and hamular notch are poorly defined compromising the delineation of the distal extension - Maxillary palatal and/or lateral tori are rounded and do not affect the posterior extension of the denture base - Palatal vault morphology that resists vertical and horizontal movement of the denture base |
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Residual ridge morphology of maxilla TYPE C |
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Definition
- loss of anterior labial vestibule - prominent midline suture - maxillary palatal and/or lateral tori with bony undercuts that do not affect the posterior extension of the denture base - hyperplastic, mobile anterior ridge that offers minimum support and stability of the denture base - palatal vault morphology that offers minimal resistance to vertical and horizontal movement of the denture base - reduction of the post malar space by the coronoid process during mandibular opening and or excursive movements |
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residual ridge morphology of maxilla TYPE D |
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Definition
- loss of anterior labial and posterior buccal vestibules - maxillary palatal and or lateral tori rounded or undercut that interferes with the posterior border of the denture - hyperplastic, redundant anterior ridge - palatal vault morphology that does not resist vertical or horizontal movement of the denture base - prominent anterior nasal spine |
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The location and influence of the muscle attachments affecting a complete denture are most commonly associated with the _____ denture. |
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The location and influence of the muscle attachments affecting a complete denture are most commonly associated with the _____ denture. |
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The location and influence of the muscle attachments affecting a complete denture are most commonly associated with the _____ denture. |
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The location and influence of the muscle attachments affecting a complete denture are most commonly associated with the _____ denture. |
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although muscle attachment is the most significant measurement, it is also .... |
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Definition
the most difficult to quantify |
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adequate attached mucosal base without undue muscular impingement during normal function in all regions |
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- adequate attached mucosal base in all regions EXCEPT anterior buccal vestibule (cuspid to cuspid) - high mentalis muscle attachment |
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-adequate attached mucosal base in all regions except anterior buccal and lingual vestibule (cuspid to cuspid) - high genioglossus and mentalis muscle attachments |
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MUSCLE ATTACHEMENTS TYPE D |
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- adequate attached mucosal base ONLY in the posterior lingual region - all other regions are detached |
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MUSCLE ATTACHMENTS TYPE E |
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- no attached mucosa in any region - cheek and lip movement = tongue movement |
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1. RBH 21 mm or greater 2. MaxMand relationship = class I 3. RRM Type A 4. muscle attachments Type A or B |
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1. RBH 16-20 mm 2. mandmax relationship Class I 3. RRM Type A or B 4. muscle attachments Type A or B |
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Definition
1. RBH 11-15 mm 2. mandmax relationship Class I, II, or III 3. RRM Type C 4. muscle attachments = Type C |
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1. RBH <10 mm 2.. maxmand relationship class I, II, or III 3. RRM type D 4. muscle attachments type D or E |
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1. RBH <10 mm 2.. maxmand relationship class I, II, or III 3. RRM type D 4. muscle attachments type D or E |
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what are the conditions requiring preporosthetic surgery? (9) |
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Definition
1. minor soft tissue procedures 2. minor hard tissue procedures 3. implant placement (simple) - no augmentation required 4. multiple extractions leading to complete edentulism for immediate denture placement 5. limited interarch space - 18-20 mm 6. moderate psychosocial considerations and or moderal oral manifestations of systemic diseases or localized soft tissue conditions 7. TMD symptoms present 8. large tongue with or without hyperactivity 9. hyperactive gag reflex |
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what are the major conditions which require preprosthetic surgery? (7) |
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1. implant placement (complex) - augmentation required 2. surgical correction of dentofacial deformities 3. hard tissue augmentation 4. major soft tissue revision (vestibular extensions with or without soft tissue grafting) 5. history of paresthesia or dysensthesia 6. insufficient interarch space with surgical correction required 7. acquired or congenital maxillofacial defects |
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what is the refractory patient? |
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a patient who has chronic complaints following appropriate therapy. these patients continue to have difficulty in achieving their treatment expectations despite the thoroughness or frequency of the treatment provided |
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in those instances when a patient's diagnostic criteria are mixed between two classes, any single criteria of a more complex class will move the patient into ___________ |
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utilization of this system is indicated for _______ classification of patients. |
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