Treatment Planning & Management Flashcards
7 cards from real CDC practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Treatment Planning & Management flashcards as text
When treatment planning a patient with bruxism who requires ceramic restorations, which occlusal material consideration is most critical?
Answer: Choose a ceramic with high fracture toughness and wear resistance
Bruxist patients exert excessive occlusal forces, requiring ceramics with high fracture toughness such as zirconia or lithium disilicate to resist cracking.
A treatment plan includes a fixed partial denture on a patient with a high caries risk. Which management step should the dental ceramist note as essential before fabrication begins?
Answer: Confirm caries has been controlled and teeth are stable
Active caries must be arrested before definitive restorations are placed to prevent recurrent decay under the prosthesis.
Which radiographic finding would most significantly alter a ceramic crown treatment plan?
Answer: Periapical pathology on the abutment tooth
Periapical pathology indicates endodontic compromise that must be resolved before placing a definitive ceramic restoration.
During treatment planning, what is the purpose of a diagnostic wax-up for a patient requiring multiple ceramic veneers?
Answer: To visualize the proposed final result and guide preparation depth
A diagnostic wax-up allows visualization of the planned esthetic outcome and serves as a template for minimal preparation guides and provisionals.
A patient presents with a severely worn dentition and a collapsed vertical dimension of occlusion. What is the recommended treatment planning sequence?
Answer: Establish correct VDO with provisionals before definitive ceramic restorations
The VDO must be re-established and verified with long-term provisionals before committing to irreversible definitive ceramic work.
Which periodontal condition must be fully managed before a ceramic crown margin can be placed at or below the gingival crest?
Answer: Active periodontitis with bleeding on probing
Active periodontitis causes unstable gingival levels, making subgingival margin placement unpredictable and leading to recurrent disease under the restoration.
When planning ceramic restorations for a patient with an anterior open bite, which occlusal scheme adjustment is most important to communicate to the ceramist?
Answer: The absence of anterior guidance and its impact on incisal edge design
An anterior open bite eliminates anterior guidance, placing potentially destructive lateral forces on posterior ceramics that must be accounted for in the design.