Deck 20: Prosthetic Management

Question 1

When is it not appropriate to use prosthetic management?

A)For patients with a history of cleft who have a delay for surgery due to medical issues
B)For patients who have undergone a successful cleft repair without complications or residual effects
C)For patients with persistent velopharyngeal insufficiency or incompetence after unsuccessful surgeries
D)For patients with other structural disorders not related to cleft palate
E)For patients who have cancer affecting the maxilla or velum

Answer 1

B

Question 2

When working directly with the prosthodontist to modify an appliance for best results, what procedure is most effective to use?

A)Perceptual assessment
B)Nasopharyngoscopy
C)Nasometry
D)Intraoral examination
E)Videofluoroscopy

Answer 2

B

Question 3

A feeding obturator is not capable of which of the following?

A)Helping an infant to achieve suction
B)Keeping the tongue from resting inside of the cleft
C)Covering an infant's unrepaired cleft during feeding
D)Separating the oral cavity from the nasal cavity
E)Reducing regurgitation into the nasal cavity

Answer 3

A

Question 4

What is the most appropriate prosthetic choice for the patient who has had ablative surgery for oral cancer?

A)Palatal lift
B)Head gear
C)Speech bulb obturator
D)Quad helix device
E)Dentures

Question 5

With a palatal lift, which part of the appliance holds the velum in place?

A)Body
B)Tail
C)Mid-piece
D)Prongs
E)Bar

Question 6

In which situations is it most appropriate to consider the use a speech appliance?

A)When there is severe velopharyngeal insufficiency
B)When the patient has primarily obligatory speech distortions
C)When the child is not stimulable for a reduction in nasality with a change in placement
D)When surgical correction is not an option
E)When the cleft of the palate is very wide

Question 7

Which of the following is not true of reduction therapy?

A)It aims to improve velopharyngeal function.
B)The length of the lift is gradually increased.
C)It aims to stimulate movement of the velopharyngeal structures.
D)It aims to avoid surgery, or reduce the severity of the surgery.
E)The length of time wearing it is gradually decreased.