03 03 Handout Curs Examinare Pauna

8/2/2019 03 03 Handout Curs Examinare Pauna

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EXAMINARE

EDENTAIA TOTALProf. Mihaela PProf. Mihaela Punauna

False teeth, or dentures, were at this timeused only by the rich. This upper denture setis made from hippopotamus ivory.

Ivory upper denture, c.1760

A set ofA set of vulcanitevulcanite dentures worn by Gen. John J. (Blackjack)dentures worn by Gen. John J. (Blackjack)Pershing, commander of the American Expeditionary Forces inPershing, commander of the American Expeditionary Forces inFrance during the First World War.France during the First World War.


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DVODVOFUNCFUNCIONALIONALevaluareaevaluarea

cantitcantitii de os ceii de os ceurmeaz a fiurmeaz a finlocuit de bazanlocuit de bazaprotezeiprotezei

asigurarea poziasigurarea poziionriiionriicorecte acorecte a esuturilor moi.esuturilor moi.


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EXOBUCALEXOBUCAL


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ananurileurile pterigomaxilarepterigomaxilarelimitelimite lateralelaterale ale IPPale IPP

suntsunt zonezone relativrelativ pasivepasive


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Ligamentul pterigomandibularLigamentul pterigomandibularintrintrn tensiune la deschiderea guriin tensiune la deschiderea guriii poate disloca PT superioari poate disloca PT superioar, d, dacacaceasta trece peste el. Cu ctaceasta trece peste el. Cu ctligamentul influenligamentul influeneaz mai multeaz mai multmobilitatea acestei zone, cu att semobilitatea acestei zone, cu att seva micva micora adncimea IPP la acestora adncimea IPP la acestnivel.nivel.

Zonele SCHROEDERZonele SCHROEDER

Mucoas cu o mai mare rezilienMucoas cu o mai mare rezilienn grosimean grosimeacreia se gsesc mici glande salivarecreia se gsesc mici glande salivare..


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FisurFisurn zona IPPn zona IPP

TorusTorusn zona IPPn zona IPP


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The Vibrating line:The Vibrating line:

This occurs at the junction of the hard and softThis occurs at the junction of the hard and softpalate. It is the junction of the moveable and staticpalate. It is the junction of the moveable and staticpalate. The posterior border of the denture usuallypalate. The posterior border of the denture usually

finishes on the compressible tissue just anterior tofinishes on the compressible tissue just anterior tothe junction.the junction.

Linia de expiraLinia de expiraieie, d, denumitenumit iilinia de vibralinia de vibraie anterioarie anterioar

reprezintreprezint joncjonciunea dintreiunea dintrepalatul durpalatul dur i palatul moalei palatul moale iieste reperabil prin palpare cueste reperabil prin palpare cu

ajutorul unei oglinzi sau a unuiajutorul unei oglinzi sau a unuifuloar cu bilfuloar cu bil..

Linia de expiraLinia de expiraieie este vizibileste vizibilcnd:cnd:

VALSALVAVALSALVA -- pacientul sufl pepacientul sufl penas, avnas, avnd nrile pensatend nrile pensate,, vlulvlulfiind cobort sub presiunea aeruluifiind cobort sub presiunea aeruluidin rinodin rino--faringefaringe

SILVERMANSILVERMAN -- prin pronunprin pronunareaareascurtscurti viguroas a fonemeii viguroas a fonemei "AH"."AH".


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Linia de vibraLinia de vibraieie sausau linia delinia devibravibraie posterioarie posterioar

corespunde jonccorespunde jonciunii dintre parteaiunii dintre parteaanterioaranterioar, a, aponevrotic a vluluiponevrotic a vlului"vibran"vibrant pe loct pe loc"" i partea sai partea saposterioarposterioar, m, muscularuscular, m, mai mobilai mobil..

Linia de vibraLinia de vibraieie sausau linia de vibralinia de vibraieieposterioarposterioar

Este limita extrem posterioarEste limita extrem posterioara I.P.P.a I.P.P.

Este mai greu de determinat,conturul ei fiind mai variabil.

MENMENINEREINERE

SILVERMANSILVERMAN -- pronunpronunarea clararea clariiprelungit a fonemeiprelungit a fonemei "AH"."AH".


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ntre aceste dou linii sentre aceste dou linii sentindentinde zonazonade IPPde IPP, a, a crei lrgime variazcrei lrgime variaz, d, dupupSILVERMAN,SILVERMAN, ntre 4ntre 4--12 mm12 mm(valoarea medie fiind de 8,2 mm).(valoarea medie fiind de 8,2 mm).

Universitatea Columbia

American Dental Arts, Inc.


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48 year48 year--old female presented complaining of burning andold female presented complaining of burning anddiscomfort under her maxillary full denture.discomfort under her maxillary full denture.

For the past two years, the patient had been treated forFor the past two years, the patient had been treated fordiabetes mellitusiabetes mellitus and six months ago she had aand six months ago she had a hysterectomyysterectomy..

Papillary hyperplasia (PH) Denture sore mouth (DSM)

Candidal Stomatitis


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ObturatorObturator


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BAZE MOIBAZE MOIMolloplastMolloplast


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JAHANGIRI, JANDINSKI & FLINTONJAHANGIRI, JANDINSKI & FLINTON20022002

Lucitone 199Dentsply Int Inc

PermaSoft -

Myerson

PermaSoft Sealer

- Myerson

CAZUL 6CAZUL 6 -- R. E., 76R. E., 76 aniani, sex F, sex F


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CAZUL 6CAZUL 6 -- R. E., 76R. E., 76 aniani, sex F, sex F

CDCD

CDCD


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CAZUL 7CAZUL 7 -- V. E., 70V. E., 70 aniani, sex F, sex F

PlanseuPlanseu durdur


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SalivaSalivaconsistenconsistenaa

calitateacalitatea

cantitateacantitatea

nu sunt corespunztoarenu sunt corespunztoare


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Saliv artificialSaliv artificialSALIVEZESALIVEZE Mouth SprayMouth Spray

solusoluieie apoasapoas dede electrolielectroliii nnconcentraconcentraiiii similaresimilare cucu celecele din salivadin salivaumanumanclarclar i ui uor vor vscoasscoaspHpH neutruneutru

mirosmiros slab deslab de mentment

03 03 Handout Curs Examinare Pauna

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