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90 notecards = 23 pages (4 cards per page)

Viewing:

Chapter 3: Alignment and Occlusion of the Dentition

front 1

The major opposing forces that influence tooth position originate from the (...).

back 1

surrounding musculature

front 2

If the tongue is either unusually active or large, it can displace the neutral space (...), resulting in (...) of the anterior teeth which presents clinically as (...).

back 2

labially; labial flaring; anterior openbite

front 3

This patient presents with labial flaring of the anterior teeth due to excessive labially directed forces produced by the tongue when swallowing.

  1. Both the statement and reason are true.
  2. Both the statement and reason are false.
  3. The statement is true, but the reason is false.
  4. The statement is false, but the reason is true.
  5. The statement and the reason are both true, but unrelated.

back 3

(c) The statement is true, but the reason is false.

The anterior teeth are displaced labially by the constant resting or posturing position of the tongue, not the actual activity of swallowing; the tongue thrusting forward during a swallow is more likely associated with the patient’s attempt to seal the mouth, which is necessary for efficient swallowing.

front 4

The tooth position in the oral cavity where the labiolingual and buccolingual forces are equal.

back 4

neutral space

front 5

(...) between adjacent teeth helps maintain the teeth in normal alignment.

back 5

proximal contact

front 6

If proximal contact is lost, the adjacent tooth will (...) to restore it.

back 6

drift mesially

front 7

Another important factor that helps to stabilize tooth alignment is (...), which prevents the extrusion or supereruption of teeth.

back 7

occlusal contact

front 8

If occlusal contact is lost, the opposing tooth will (...) to restore it.

back 8

super erupt

front 9

Refers to the relationship of the teeth to each other within the dental arch.

back 9

intraarch tooth alignment

front 10

The plane that would be established if a line were drawn through all the buccal cusp tips, lingual cusp tips, and incisal edges of the mandibular teeth.

back 10

plane of occlusion

front 11

The occlusal planes of the dental arches are curved in a manner that permits (...) during function.

back 11

maximum utilization of tooth contacts

front 12

When examining the arches from the lateral view, the mesiodistal axial relationship can be seen. In the mandibular arch both the anterior and the posterior teeth are inclined (...).

back 12

mesially

front 13

When examining the arches from the lateral view, the mesiodistal axial relationship can be seen. In the maxillary arch, the anterior teeth are inclined (...), while the most posterior molars are inclined (...).

back 13

mesially; distally

front 14

The curved line following the plane of occlusion from the lateral view, which is convex for the maxillary arch and concave for the mandibular arch.

back 14

curve of Spee

front 15

When observing the dental arches from the frontal view, the buccolingual axial relationship can be seen. In the maxillary arch, the posterior teeth have a slight (...) inclination.

back 15

buccal

front 16

When observing the dental arches from the frontal view, the buccolingual axial relationship can be seen. In the mandibular arch, the posterior teeth have a slight (...) inclination.

back 16

lingual

front 17

The curved line following the plane of occlusion from the frontal view, which is convex for the maxillary arch and concave for the mandibular arch.

back 17

curve of Wilson

front 18

Bonwill, one of the first to describe the dental arches, noted that an equilateral triangle with 4-inch sides existed between the (...) and the (...).

back 18

centers of the condyles; mesial contact areas of the mandibular central incisors

front 19

In 1932, Monson utilized Bonwill’s triangle and proposed a theory that a sphere existed with a radius of 4 inches whose center was an equal distance from the (...) and from the (...).

back 19

occlusal surfaces of the posterior teeth; centers of the condyles

front 20

The area of the tooth between the buccal and lingual cusp tips of the posterior teeth, where the major forces of mastication are applied.

back 20

occlusal table

front 21

The occlusal table represents approximately (...)% of the total buccolingual dimension of the posterior tooth and is positioned over the (...).

back 21

50% to 60%; long axis of the root structure

front 22

The occlusal table is considered the (...) of the tooth, since it falls between the cusp tips. Likewise, the occlusal area outside the cusp tips is called the (...).

back 22

inner aspect; outer aspects

front 23

The inner aspects of the tooth that extend from the cusp tips to the central fossa areas are called the (...), while the outer aspects of the tooth that extend from the cusp tips to height of the contour are called the (...).

back 23

inner inclines; outer inclines

front 24

Tooth inclines are also identified with respect to the surface toward which they are directed. (...) inclines are those that face the mesial portion of the tooth, while (...) inclines are those that face the distal portion.

back 24

mesial; distal

front 25

Refers to the relationship of the teeth in one arch to those in the other.

back 25

interarch tooth alignment

front 26

The distance of a line that begins at the distal surface of the third molar, extends mesially through all of the proximal contact areas around the entire arch, and ends at the distal surface of the opposite.

back 26

arch length

front 27

Both arches have approximately the same length, with the (...) arch being only slightly smaller, as a result of the narrower mesiodistal distance of the incisors.

back 27

mandibular

front 28

The distance across the arch.

back 28

arch width

front 29

The width of the (...) arch is slightly less than that of the (...) arch; thus when the arches occlude, each maxillary tooth is positioned more (...) than the occluding mandibular tooth.

back 29

mandibular; maxillary; facially

front 30

In the normal occlusal relationship of the posterior teeth, the mandibular (...) cusps to occlude along the central fossa areas of the maxillary teeth. Likewise, the maxillary (...) cusps occlude along the central fossa areas of the mandibular teeth

back 30

buccal; lingual

front 31

Occasionally, because of discrepancies in skeletal arch size or eruption patterns, the teeth occlude in such a manner that the maxillary buccal cusps contact in the central fossa area of the mandibular teeth. This relationship is referred to as (...).

back 31

cross-bite

front 32

The buccal cusps of the mandibular posterior teeth and the lingual cusps of the maxillary posterior teeth are called the (...). cusps.

back 32

centric (or supporting)

front 33

The centric cusps are responsible for maintaining the (...). These cusps also play a major role in (...) since contact occurs on both the inner and the outer aspects.

back 33

vertical dimension of occlusion (VDO); mastication

front 34

The centric cusps are broad and rounded. When viewed from the occlusal, their tips are located approximately (...) the distance into the total buccolingual width of the tooth.

back 34

one-third

front 35

The buccal cusps of the maxillary posterior teeth and the lingual cusps of the mandibular posterior teeth are called the (...) cusps.

back 35

noncentric (or guiding)

front 36

The noncentric cusps are relatively sharp, with definite tips located approximately (...) the distance into the total buccolingual width of the tooth.

back 36

one-sixth

front 37

The small area of the centric cusp (about 1 mm) that functions against the inner incline of the noncentric cusp is called the (...).

back 37

functional outer aspect

front 38

Since the contact between the noncentric cusps and the functional outer aspect assists in cutting food during mastication, the noncentric cusps have also been called the (...) cusps.

back 38

shearing

front 39

The major role of the noncentric cusps is to minimize (...), to maintain the bolus of food on the occlusal table for mastication, and to guide the mandible into (...).

back 39

tissue impingement; maximum intercuspal position (MICP)

front 40

The relationship of the teeth in full occlusion, so that tight definite occlusal relationship results.

back 40

maximum intercuspal position (MICP)

front 41

An imaginary line that extends through all the buccal cusp tips of the mandibular posterior teeth.

back 41

buccoocclusal (B-O) line

front 42

An imaginary line that extends through all the lingual cusp tips of the maxillary posterior teeth.

back 42

linguoocclusal (L-O) line

front 43

An imaginary line that extends through the central developmental grooves of the maxillary and mandibular posterior teeth.

back 43

central fossa (C-F) line

front 44

The proximal contact areas are generally located slightly (...) to the C-F line. This allows for a greater (...) embrasure area and a smaller (...) embrasure area, which provides a spillway for food and improves the efficiency of mastication.

back 44

buccal; lingual; buccal

front 45

The (...) line of the mandibular teeth occludes with the C-F line of the maxillary teeth.

back 45

B-O

front 46

The (...) line of the maxillary teeth occludes with the C-F line of the mandibular teeth.

back 46

L-O

front 47

Occlusal contacts occur when the centric cusps contact the opposing central fossa line. Viewed from the facial, these cusps typically contact in one of which two areas?

back 47

(1) central fossa area or (2) marginal ridge and embrasure area

front 48

When the normal interarch tooth relationship is viewed from the lateral, it can be seen that each tooth occludes with two opposing teeth, except for the (...) and the (...), which occlude with only one opposing tooth.

back 48

mandibular central incisors; maxillary third molars

front 49

Throughout the arch, any given tooth is found to occlude with its (...) in the opposing arch plus (...), which helps distribute occlusal forces.

back 49

namesake; an adjacent tooth

front 50

In the normal relationship, the mandibular teeth are positioned slightly (...) to their counterparts. This is true of both the posterior and the anterior teeth.

back 50

mesiolingual

front 51

In examining the occlusal relationships of the posterior teeth, much attention is centered around the first molar. The mandibular first molar is normally situated slightly (...) to the maxillary first molar.

back 51

mesial

front 52

The variation in molar relationship was first described by (...) and is therefore called an (...) molar relationship.

back 52

Angle; Angle Class I, II, or III

front 53

In an Angle Class I molar relationship:

  1. The mesiobuccal cusp of the mandibular first molar occludes in the (...).
  2. The mesiobuccal cusp of the maxillary first molar is aligned over the (...).
  3. The mesiolingual cusp of the maxillary first molar is situated in the (...).

back 53

  1. embrasure area between the maxillary second premolar and first molar
  2. buccal groove of the mandibular first molar
  3. central fossa area of the mandibular first molar

front 54

In an Angle Class II molar relationship:

  1. The mesiobuccal cusp of the mandibular first molar occludes in the (...).
  2. The mesiobuccal cusp of the mandibular first molar is aligned with the (...).
  3. The distolingual cusp of the maxillary first molar occludes in the (...).

back 54

  1. central fossa area of the maxillary first molar
  2. buccal groove of the maxillary first molar
  3. central fossa area of the mandibular first molar

front 55

When compared to the Class I relationship, each occlusal contact pair in a Class II relationship is situated to (...) by approximately the mesiodistal width of (...).

back 55

distally; a premolar

front 56

In an Angle Class III molar relationship:

  1. The distobuccal cusp of the mandibular first molar is situated in the (...).
  2. The mesiobuccal cusp of the maxillary first molar is situated over the (...).
  3. The mesiolingual cusp of the maxillary first molar is situated in the (...).

back 56

  1. embrasure between the maxillary second premolar and first molar
  2. embrasure between the mandibular first and second molar
  3. mesial pit of the mandibular second molar

front 57

When compared to the Class I relationship, each occlusal contact pair in a Class III relationship is situated to (...) by approximately the mesiodistal width of (...).

back 57

mesially; a premolar

front 58

What is the most commonly found molar relationship?

back 58

Class I

front 59

A Class II or III (...) describes a condition that is not Class I, yet is not extreme enough to satisfy the description of Class II or III.

back 59

tendency

front 60

Like the maxillary posterior teeth, the maxillary anterior teeth are normally positioned labial to the mandibular anterior teeth. Unlike the posterior teeth, both maxillary and mandibular anteriors are inclined to the (...).

back 60

labial by 12 to 28° from a vertical reference line

front 61

Although a great amount of variation occurs, the normal relationship will find the (...) of the mandibular incisors contacting the (...) of the maxillary incisors.

back 61

incisal edges; lingual surfaces

front 62

Anterior contacts commonly occur in the lingual fossae of the maxillary incisors approximately (...) mm gingival to the incisal edges.

back 62

4 mm (i.e. 3 to 5 mm of the mandibular incisors are hidden)

front 63

The anterior tooth contacts that provide guidance of the mandible through the various lateral movements are called (...).

back 63

anterior guidance

front 64

The distance between the labial incisal edge of the maxillary incisor and the labial surface of the mandibular incisor in the intercuspal position.

back 64

horizontal overlap (sometimes called overjet)

front 65

The distance between the incisal edges of the opposing anterior teeth, which is approximately 3 to 5 mm in normal occlusion.

back 65

vertical overlap (sometimes called overbite)

front 66

When a person has an underdeveloped mandible (Class II molar relationship), the mandibular anterior teeth often contact at the gingival third of the lingual surfaces of the maxillary teeth. This anterior relationship is termed a (...).

back 66

deep-bite (or deep overbite)

front 67

If in an anterior Class II relationship the maxillary central and laterals are at a normal labial inclination, it is considered to be (...),

back 67

Class II, division 1

front 68

If in an anterior Class II relationship the maxillary incisors are lingually inclined, the anterior relationship is termed (...).

back 68

Class II, division 2

front 69

In people with pronounced mandibular growth, the mandibular anterior teeth are often positioned forward and contact with the incisal edges of the maxillary anterior teeth (molar Class III relationship). This is termed an (...) relationship.

back 69

end-to-end (or edge-to-edge)

front 70

In extreme cases of (...) occlusion, the mandibular anterior teeth can be positioned so far forward that no contact occurs in the intercuspal position.

back 70

Class III

front 71

When the posterior teeth in maximum intercuspation and the opposing anterior teeth do not overlap or even contact each other, there is negative vertical overlap. This anterior relationship is termed an (...).

back 71

anterior openbite

front 72

The temporomandibular joints and associated musculature permit the mandible to move in which three planes?

back 72

sagittal, horizontal, and frontal

front 73

The term (...) has been used to describe any movement of the mandible from the intercuspal position that results in tooth contact.

back 73

eccentric

front 74

What are the three basic eccentric movements of the mandible?

back 74

protrusive, laterotrusive, and retrusive

front 75

A (...) mandibular movement occurs when the mandible moves forward from the intercuspal position.

back 75

protrusive

front 76

Any area of a tooth that contacts an opposing tooth during protrusive movement is considered to be (...).

back 76

protrusive contact

front 77

In a normal occlusal relationship, the predominant protrusive contacts occur on the anterior teeth, between the (...) of the mandibular incisors against the (...) of the maxillary incisors.

back 77

incisal and labial edges; lingual fossa areas and incisal edges

front 78

The (...) of the teeth are the surfaces responsible for the characteristics of anterior guidance.

back 78

guiding inclines (GI)

front 79

Posterior protrusive contacts can occur between the (...) of maxillary cusps and the (...) of mandibular cusps.

back 79

distal inclines; mesial inclines

front 80

During (...) mandibular movement, the right and left mandibular posterior teeth move across their opposing teeth in different directions.

back 80

laterotrusive

front 81

Any area of a tooth that contacts an opposing tooth on the working side during laterotrusive movement is considered to be (...).

back 81

laterotrusive (or working-side) contact

front 82

Laterotrusive contacts can occur:

  1. between the (...) of the maxillary buccal cusps and the (...) of the mandibular buccal cusps, and
  2. between the (...) of the maxillary lingual cusps and the (...) of the mandibular lingual cusps.

back 82

inner inclines ; outer inclines; outer inclines; inner inclines

front 83

Any area of a tooth that contacts an opposing tooth on the non-working side during laterotrusive movement is considered to be (...).

back 83

mediotrusive (or non-working-side) contacts

front 84

Mediotrusive contacts can only occur between the (...) of the maxillary lingual cusps and the (...) of the mandibular buccal cusps.

back 84

inner inclines; inner inclines

front 85

In earlier literature, mediotrusive (non-working-side) contacts were also called (...).

back 85

balancing contacts

front 86

A (...) movement occurs when the mandible moves posteriorly from the intercuspal position.

back 86

retrusive

front 87

Compared to the other movements, retrusive movement is quite small (1 or 2 mm), because it is (...).

back 87

restricted by the ligamentous structures

front 88

Posterior retrusive contacts can occur between the (...) of the maxillary cusps and the (...) of the mandibular cusps.

back 88

mesial inclines; distal inclines

front 89

Each centric cusp can potentially provide eccentric contact with the opposing tooth on (...) of its inclines. Each noncentric cusps can contact an opposing tooth on (...) of its inclines.

back 89

all four; only one (inner)

front 90

In a normal occlusal relationship, the first anterior teeth from the midline to participate in laterotrusive movements are the (...).

back 90

canines