Complete Dentures: Indications and Function

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Questions and Answers

What is the main function of a complete denture?

Restore partial dentition in the maxilla or mandible

Replace the entire dentition and associated structures of the maxilla or mandible (correct)

Enhance maxillo mandibular relationship

Prevent tooth decay and abscesses

What is an indication for using complete dentures?

Financial resources for alternative treatments

Patient's preference for partial dentures

Gross decay or abscesses (correct)

Minor bone loss and periodontal disease

Which landmark runs horizontally between the lower lip and the chin?

Vermillion Border

Nasolabial Sulcus

Mentolabial Sulcus (correct)

Philtrum

What does the vermilion border indicate?

Transitional epithelium between lips' mucous membrane and skin Signup and view all the answers

What is the philtrum area under the nose called?

Philtrum Signup and view all the answers

What is an anatomical landmark that extends laterally and downward from the ala of the nose to corner of the mouth?

Nasolabial Sulcus Signup and view all the answers

Which oral landmark is considered the primary stress bearing area for upper denture fabrication?

Maxillary tuberosity Signup and view all the answers

What should be relieved in the lower denture for patient comfort?

Mylohyoid ridge Signup and view all the answers

Which structure limits the periphery of the denture and must be considered when designing dentures?

Buccal vestibule Signup and view all the answers

What causes sunken cheeks and the need for a thin denture at the premolar region to prevent lifting?

Displacement of the modiolus due to teeth loss Signup and view all the answers

What are relief areas in a denture designed to eliminate excessive pressure on?

The supporting tissue Signup and view all the answers

What is considered the surface on which a dental prosthesis rests?

Denture foundation Signup and view all the answers

Which structure forms the distolingual border of the lower denture?

Lingual pouch Signup and view all the answers

What is the space distal to the buccal frenulum called?

Buccal vestibule Signup and view all the answers

Which muscle influences the distobuccal corner of the mandibular denture?

Masseter muscle Signup and view all the answers

What forms the palatoglossal arch?

Palatoglossus muscle Signup and view all the answers

Where does the lingual frenulum extend from and to?

Floor of the mouth to lower surface of the tongue Signup and view all the answers

What should not be covered by the denture base in relation to sublingual salivary gland area?

Sublingual salivary gland area Signup and view all the answers

What does over-extension of the distolingual border of the lower denture cause?

Sore throat Signup and view all the answers

What is located between the maxillary tuberosity anteriorly and the pterygoid hamulus posteriorly?

Pterygomandibular raphe Signup and view all the answers

Study Notes

Angle of mouth: Dentures should be made to support the mouth angle and prevent angular cheilitis, a disorder caused by continuous wetting of the mouth angle by saliva.
Modiolus: A meeting point of facial muscles near the mouth angle. With teeth loss, the modiolus is displaced, leading to sunken cheeks and the need for a thin denture at the premolar region to prevent lifting.
Nose: The ala of the nose and the tragus of the ear form the imaginary ala tragus line.
Intraoral Landmarks: The oral cavity is divided into the vestibule and oral cavity proper, with the labial and buccal vestibules. After tooth extraction, the alveolar bone is resorbed, leaving the residual ridge.
Maxillary Anatomical Landmarks: The alveolar ridge, the highest part of the maxillary residual ridge, is considered the primary stress bearing area. The maxillary tuberosity, a rounded prominence, should be included in the impression.
Palatal Landmarks: The palatine vault, the median palatine raphe, the incisive papilla, and the torus palatinus are important landmarks for upper denture fabrication.
Mandibular Anatomical Landmarks: The alveolar ridge, the retromolar pad, the external oblique ridge, and the mental foramen are essential for lower denture design.
Stress Bearing Areas and Relief Areas: Primary stress bearing areas, such as the crest of the ridge, the buccal shelf area, and the flat areas of the palate, are critical for withstanding the forces of occlusion.
Border Structures: Structures that limit the periphery of the denture, including the labial frenulum, labial vestibule, buccal frenulum, and buccal vestibule, must be considered when designing dentures.
Tooth Extraction: The alveolar bone is resorbed after tooth extraction, leaving the residual ridge. The size of the maxillary tuberosity is affected by the extension of the maxillary sinus. Specific landmarks, such as the palatine vault and torus palatinus, need to be considered when fabricating dentures.
Denture Foundation: The denture foundation is the surface on which the dental prosthesis rests. The amount of force applied is inversely proportional to the surface area covered.
Relief Areas: Relief areas are portions of the denture that are reduced to eliminate excessive pressure on the supporting tissue. Key areas include the incisive papilla, median raphe, torus palatinus, sharp bony prominances, and the mental foramen.
Genial Tubercles: Two small prominences on the inner surface of the mandible, located at the symphisis, are essential landmarks for lower denture fabrication. In extreme bone resorption, the denture should be relieved in this area.
Occlusal Plane: The occlusal plane of the mandibular denture must not be higher than half of its vertical height and must be covered by the denture to prevent movement. The denture should not extend beyond the external oblique ridge to avoid displacement.
Mylohyoid Ridge: The lower denture should be relieved in the area of the sharp mylohyoid ridge for patient comfort.
Cannot forget surgical correction for extremely large tuberosities, sharp bony prominences, or unilateral/bilateral torus mandibularis, or excessive bone resorption at the genial tubercles.

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Description

Learn about the indications and function of complete dentures in dental prosthesis with this quiz. Test your knowledge on the use of complete dentures for edentulous patients and in cases of extensive bone loss and periodontal diseases.