Complete Dentures Delivery and Adjustment
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Questions and Answers

What can cause denture stomatitis?

  • Improper storage conditions
  • Excessive fluoride application
  • Exposure to sunlight
  • Contact with tissue (correct)

What is primarily responsible for bad breath associated with plaque buildup?

  • Fusobacteria secreted sulfur compounds (correct)
  • Denture material degradation
  • Bacteria producing lactic acid
  • High sugar intake

Which of the following factors can contaminate dentures during fabrication or repair?

  • Patients' saliva
  • Tools used in the laboratory (correct)
  • Dental materials used
  • Denture cleaning solutions

What risk does the contamination of dentures present?

<p>Transferring pathogens to personnel (A)</p> Signup and view all the answers

What can lead to the transfer of microorganisms from denture to dental personnel?

<p>Handling during the fabrication process (D)</p> Signup and view all the answers

What should be done if there is contact between the upper and lower dentures during articulation checks?

<p>Perform grinding on the corresponding arch. (C)</p> Signup and view all the answers

What is the desired gap between the upper and lower anterior teeth in centric relation?

<p>1 mm (B)</p> Signup and view all the answers

How long does it typically take for a patient to fully adapt to their new dentures?

<p>4-6 weeks (D)</p> Signup and view all the answers

What should the relationship be between the upper denture's tuberosity and the lower denture's retromolar bulge?

<p>They should not contact at all. (B)</p> Signup and view all the answers

What is the appropriate action regarding premature contacts that result from polymerization shrinkage?

<p>Grind them down to 60 microns. (B)</p> Signup and view all the answers

What should the dentures be placed in for the patient after their final delivery?

<p>A liquid-filled container visible to the patient. (D)</p> Signup and view all the answers

What type of balancing should be adjusted after a patient has used their dentures for several sessions?

<p>Bilateral balance. (A)</p> Signup and view all the answers

What should a practitioner prepare for in relation to the patient's reactions to the new dentures?

<p>Unexpected reactions. (A)</p> Signup and view all the answers

What should be communicated to the patient regarding the use and maintenance of their dentures?

<p>They should be informed about usage and cleaning challenges. (C)</p> Signup and view all the answers

What is the recommended frequency for patients to attend dental check-ups after getting new dentures?

<p>Every 6 months or at least once a year (D)</p> Signup and view all the answers

Why are patients with old dentures considered a high-risk group when receiving new dentures?

<p>They may revert to using their old dentures at the slightest dissatisfaction. (D)</p> Signup and view all the answers

What might be a better approach for very elderly patients instead of making new dentures?

<p>Adjusting their old dentures gradually (B)</p> Signup and view all the answers

What characteristic of denture base materials creates environments conducive for microorganisms?

<p>Porous structure (C)</p> Signup and view all the answers

What are micro scratches and pits a result of during the denture fabrication process?

<p>Finishing and polishing procedures (D)</p> Signup and view all the answers

What does disinfection refer to in relation to dentures?

<p>Removal or inactivation of pathogenic microorganisms (B)</p> Signup and view all the answers

Which factor is NOT listed as contributing to the soiling of dentures?

<p>Daily eating habits (D)</p> Signup and view all the answers

What feature of partial dentures does not contribute to retention?

<p>Denture base materials (C)</p> Signup and view all the answers

What is essential for patients to do when starting to use new dentures?

<p>Keep their tongue slightly forward for lower jaw stabilization (C)</p> Signup and view all the answers

What is a consequence of using a denture that has not been properly disinfected?

<p>Presence of harmful microorganisms (D)</p> Signup and view all the answers

Which microorganisms are targeted for destruction during sterilization?

<p>Vegetative and spore forms of bacteria and fungi, as well as resistant viruses (C)</p> Signup and view all the answers

What is the simplest method to clean denture surfaces from mucins and food residues?

<p>Cleaning with soap and a soft brush (A)</p> Signup and view all the answers

What can occur if mucins and food residues are not removed from denture surfaces?

<p>They will lead to plaque formation (C)</p> Signup and view all the answers

What contributes to the staining of dentures as a result of plaque accumulation?

<p>Decomposition of food and cigarette smoke (D)</p> Signup and view all the answers

What is the final outcome of the organic matrix accumulation in dentures?

<p>It undergoes calcification (D)</p> Signup and view all the answers

What effect does sterilization have on acrylic materials?

<p>It causes deformation (C)</p> Signup and view all the answers

Which health concern is associated with a poorly maintained denture?

<p>Increased risk of microbial infection (B)</p> Signup and view all the answers

Why is disinfection preferred over sterilization in some cases?

<p>Sterilization causes deformation in materials like acrylic (B)</p> Signup and view all the answers

What is formed as a result of plaque on denture surfaces?

<p>A habitat for pathogenic microorganisms (B)</p> Signup and view all the answers

What initial stage occurs when mucins and food residues accumulate on denture surfaces?

<p>Accumulation of mucins and food residues (A)</p> Signup and view all the answers

Which area is NOT considered important for relieving pressure in upper dentures?

<p>Genial tubercle area (D)</p> Signup and view all the answers

What should be done if the retention of a denture is weak?

<p>Measure discreetly for relining. (C)</p> Signup and view all the answers

During denture fitting, where is pressure NOT applied?

<p>Incisive papilla (C)</p> Signup and view all the answers

Which area is crucial for assessing the retention of upper dentures?

<p>Vibrating line (D)</p> Signup and view all the answers

What is the primary method for applying pressure while fitting a denture?

<p>By hand (B)</p> Signup and view all the answers

Which of the following is NOT an area where pressure needs to be relieved for the lower denture?

<p>Zygomatic area (B)</p> Signup and view all the answers

In what position should the patient's face be while assessing the denture fit?

<p>From the front and profile views (B)</p> Signup and view all the answers

Flashcards

Pressure Paste Application

The act of applying pressure paste to the inner surface of a denture using a brush.

Hand Pressure Application

Gentle pressure applied with the hand to the denture after it's placed in the patients mouth.

Pressure-Relief Areas for Upper Dentures

Areas on the upper denture where less pressure should be applied, to ensure comfort and stability.

Pressure-Relief Areas for Lower Dentures

Areas on the lower denture where less pressure should be applied, to ensure comfort and stability.

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Denture Retention

The stability of the denture, how well it stays in place.

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Pull Test

A test to assess denture retention by gently pulling the denture downward while it's in the mouth.

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Facial Assessment

To assess denture fit and look for issues with the patient's facial aesthetics.

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Sterilization

A process that eliminates all microorganisms, including bacteria, fungi, spores, and viruses.

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Disinfection

The process of killing or removing harmful microorganisms from surfaces or objects, but doesn't necessarily eliminate all microorganisms, such as spores.

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Denture Plaque

A thin layer of microorganisms, food debris, and saliva that accumulates on the surface of dentures.

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Denture Stomatitis

A condition that affects the tissue in contact with dentures, characterized by inflammation, redness, and soreness.

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Halitosis

Bad breath caused by sulfur compounds produced by the Fusobacteria bacteria.

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Denture Contamination

The contamination of dentures during fabrication, repair, or even while being worn.

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Denture Contamination: Outside to Patient

The process of how dentures can be contaminated by outside factors during fabrication, repair, or handling, and how these germs can be transferred to the patient.

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Denture Contamination: Patient to Others

The process of how dentures already contaminated by the wearer can transfer germs to the dentist, dental assistant, or laboratory during handling.

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Denture Disinfection

The process of removing or inactivating harmful microorganisms on dentures to prevent infection and maintain hygiene.

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Denture Cleaning Agents

Materials used to clean dentures, often containing enzymes or chemicals that break down plaque and food debris.

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Denture Stippling

The textured surface on dentures designed to resemble gum tissue, adding to their natural appearance.

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Denture Adaptation

The ability of a denture to adapt to the changes in the mouth over time, preventing pressure points and discomfort.

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High-Risk Denture Patients

Patients who have previously worn dentures, making them more susceptible to difficulties adapting to new ones.

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Regular Denture Check-ups

Regular check-ups ensure proper denture fit, hygiene, and catch any potential issues early.

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Denture Porosity

The porous structure of dentures can trap food debris and bacteria, making thorough cleaning essential.

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Denture Adjustment

The process of gradually adjusting a denture to fit better, especially for patients who are resistant to new dentures.

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Denture Finishing and Polishing

The process of smoothing and polishing dentures to create a smooth surface that helps prevent plaque buildup and irritation.

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Denture Grinding

The process of adjusting the fit of dentures by removing excess material (usually using a grinder) in specific areas. This is done to ensure proper occlusion and comfort.

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60 Micron Grind

A measurement for the amount of material removed during denture grinding. Typically, material is removed in small increments to fine-tune the dentures.

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Bilateral Denture Balance

The process of making sure that both sides of a denture (left and right) fit and function equally well when the patient moves their jaw from side to side.

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Tuberosity and Retromolar Bulge Contact

A key area on the upper denture that should not touch the lower denture. Proper fit and support are achieved when these areas are not in contact.

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Articulation Paper

A tool used to check if the upper and lower dentures are touching properly during various jaw movements.

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Denture Grinding (based on Articulation Paper)

The process of removing excess material from the dentures to eliminate unwanted contact points detected by the articulation paper.

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Anterior Tooth Gap

The space between the upper and lower front teeth (incisors and canines) when the jaw is closed. This space is important for proper function and aesthetics.

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Centric Relation

The position of the jaw when the teeth are brought completely together. This is a distinct position that should be considered during denture construction.

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Denture Delivery

The final step in the denture process, where the patient receives their completed dentures.

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Study Notes

Delivery of Complete Dentures to the Patient

  • Complete dentures are evaluated by three groups: dentist, patient, and patient's relatives/friends.
  • Dentist evaluation should be sincere and honest, correcting any mistakes immediately.
  • Patient evaluation occurs in two stages: delivery and follow-up. Problems encountered after delivery are important to address. Follow-up visits are crucial; immediate problem resolution is needed. Avoid creating negative thoughts in the patient.
  • Patient's relatives/friends are primarily concerned with aesthetics. Patient preference is key. Bringing friends or family to try-in appointments might be requested.

Recommendations for Patients Starting to use New Dentures

  • New dentures might feel foreign and large in the mouth, causing a sense of fullness in the lips and cheeks, but this is temporary and disappears as the patient adjusts.
  • The lower denture may move or be dislodged more than the upper, requiring more adjustment time.
  • Saliva production may increase temporarily in the first few days after getting new dentures.
  • Speaking with dentures might take some time. Practice reading aloud and working on pronouncing difficult words to enhance communication skills.
  • Begin with soft foods in small pieces. Chew slowly with lips closed and encourage chewing on both sides to improve balance. Avoid biting down with anterior teeth.

Denture Cleaning Agents and Methods

  • Dentures get dirty due to porous base materials, stippling for gum appearance, spaces between teeth, retentive areas from attachments, finishing-polishing scratches, allowing microbial settlement and growth.
  • Disinfection is preferred over sterilization to avoid acrylic deformation.
  • Cleaning should include rinsing with water after each meal and brushing with soap, brushing, ultrasonic devices, microwaves and chemical cleaners.

Other details are provided but not summarized. Some cleaning recommendations mention specific products (e.g., alkaline peroxides, alkaline hypochlorites, diluted acids) but no brands or specific amounts.

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Delivery Of Complete Dentures PDF

Description

This quiz covers the evaluation and delivery process of complete dentures, focusing on the roles of dentists, patients, and relatives. It also provides recommendations for patients adjusting to their new dentures, addressing common concerns and necessary follow-up care.

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