Podcast
Questions and Answers
What condition may result from wearing ill-fitting dentures continuously?
What condition may result from wearing ill-fitting dentures continuously?
- Denture stomatitis (correct)
- Oral cancer
- Gingivitis
- Excessive salivation
Which treatment is recommended to improve denture comfort at night?
Which treatment is recommended to improve denture comfort at night?
- Sleeping with dentures in
- Leaving dentures out (correct)
- Using a stronger adhesive
- Rinsing with warm salt water
What material is commonly used in both short-term and long-term soft lining for dentures?
What material is commonly used in both short-term and long-term soft lining for dentures?
- Acrylic resin
- Polyethylmethacrylate (correct)
- Silicone polymer
- Composite resin
What may aggravate the condition of an intractable dry mouth in denture wearers?
What may aggravate the condition of an intractable dry mouth in denture wearers?
Which of the following is considered a consequence of inadequate denture cleaning?
Which of the following is considered a consequence of inadequate denture cleaning?
What is a potential benefit of using denture adhesive for those with a dry mouth?
What is a potential benefit of using denture adhesive for those with a dry mouth?
How are chairside reline materials typically composed?
How are chairside reline materials typically composed?
What condition is characterized by lesions in the area where the denture rests?
What condition is characterized by lesions in the area where the denture rests?
What is a potential consequence of reduced rest vertical dimension in denture wearers?
What is a potential consequence of reduced rest vertical dimension in denture wearers?
How frequently should the first long-term recall appointment for denture wearers be scheduled?
How frequently should the first long-term recall appointment for denture wearers be scheduled?
What should the clinician emphasize to the patient regarding the lifespan of dentures?
What should the clinician emphasize to the patient regarding the lifespan of dentures?
Which of the following is NOT a recommended treatment at long-term recall appointments for denture wearers?
Which of the following is NOT a recommended treatment at long-term recall appointments for denture wearers?
According to research findings, which complication was most commonly recorded among complete denture wearers?
According to research findings, which complication was most commonly recorded among complete denture wearers?
What percentage of complete denture wearers experienced any denture irritation or ulceration according to the research?
What percentage of complete denture wearers experienced any denture irritation or ulceration according to the research?
What issue does NOT commonly occur with denture bases in denture wearers?
What issue does NOT commonly occur with denture bases in denture wearers?
What should patients be encouraged to do if they experience problems with their dentures?
What should patients be encouraged to do if they experience problems with their dentures?
What is the purpose of the ‘mirror test’ in diagnosing xerostomia?
What is the purpose of the ‘mirror test’ in diagnosing xerostomia?
Which strategy is NOT effective in managing xerostomia?
Which strategy is NOT effective in managing xerostomia?
What type of drug adjustment might be beneficial for patients with xerostomia?
What type of drug adjustment might be beneficial for patients with xerostomia?
Why is maintaining excellent denture hygiene particularly important for patients with dry mouth?
Why is maintaining excellent denture hygiene particularly important for patients with dry mouth?
Which of the following reflects an intra-oral sign of xerostomia?
Which of the following reflects an intra-oral sign of xerostomia?
How can the flow rate of saliva be improved according to the information provided?
How can the flow rate of saliva be improved according to the information provided?
What role does hydration play in the management of xerostomia?
What role does hydration play in the management of xerostomia?
Which of the following is a local measure for managing xerostomia?
Which of the following is a local measure for managing xerostomia?
What is the primary purpose of tissue conditioning with short-term soft lining materials?
What is the primary purpose of tissue conditioning with short-term soft lining materials?
Which component is not a part of the liquid mixture used in powder/liquid short-term soft lining materials?
Which component is not a part of the liquid mixture used in powder/liquid short-term soft lining materials?
For which of the following reasons might a dentist use a temporary soft reline material?
For which of the following reasons might a dentist use a temporary soft reline material?
Which of the following best describes a functional impression in the context of denture fitting?
Which of the following best describes a functional impression in the context of denture fitting?
What role does dibutyl phthalate serve in the liquid mixture of short-term soft lining materials?
What role does dibutyl phthalate serve in the liquid mixture of short-term soft lining materials?
Why is it essential for traumatized tissue to be examined by a dentist?
Why is it essential for traumatized tissue to be examined by a dentist?
Which method is used to check the reaction of the patient's tissues to an improved denture fit?
Which method is used to check the reaction of the patient's tissues to an improved denture fit?
How do short-term soft lining materials aid in recording the neutral zone?
How do short-term soft lining materials aid in recording the neutral zone?
What can result from the pattern of resorption of the mandible?
What can result from the pattern of resorption of the mandible?
What is one potential risk associated with surgically smoothing the bone of the mandible?
What is one potential risk associated with surgically smoothing the bone of the mandible?
What type of lining provides an alternative approach to manage discomfort from sharp ridges in the mandible?
What type of lining provides an alternative approach to manage discomfort from sharp ridges in the mandible?
What symptom may arise if the mental nerve is superficially placed during advanced resorption of the mandible?
What symptom may arise if the mental nerve is superficially placed during advanced resorption of the mandible?
In cases where the mental nerve requires more pressure relief than a soft lining can provide, what may be necessary?
In cases where the mental nerve requires more pressure relief than a soft lining can provide, what may be necessary?
Which type of soft lining is best suited for longer-term use?
Which type of soft lining is best suited for longer-term use?
What is a characteristic of cold-curing soft acrylics?
What is a characteristic of cold-curing soft acrylics?
What effect does surgical smoothing of the bone have on patients who prefer to avoid surgery?
What effect does surgical smoothing of the bone have on patients who prefer to avoid surgery?
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Study Notes
Denture Maintenance and Recall
- Replacement dentures are often needed due to tissue damage and abnormal mandibular postures.
- Initial long-term recall appointment should occur within one year after dentures are fitted.
- Subsequent check-ups every 2-3 years help monitor tissue health and denture quality.
- Patients should be encouraged to seek earlier appointments if problems arise.
- Dentists must inform patients about the limited lifespan of dentures and dangers of inadequate dentures.
Treatment at Recall Appointments
- Common procedures during recall appointments include:
- Adjustment of the impression surface.
- Correction of denture base extension.
- Occlusal adjustment with or without check record.
- Reline or rebase of the dentures.
- Construction of replacement dentures.
Complications for Complete Denture Wearers
- Research indicates several prosthetic complications:
- Loss of retention (62.5%).
- Denture irritation or ulceration (51.6%).
- Debonded/fractured artificial teeth (26.6%).
- Fracture in the denture base (31.3%).
- Denture stomatitis (9.4%).
- Presence of epulis fissuratum.
Management of Xerostomia (Dry Mouth)
- Xerostomia exhibits signs like dry mucosa and absence of saliva pooling.
- The "mirror test" assesses buccal mucosa dryness during examinations:
- Mirror adheres to dry mucosa indicates dryness.
- Collaboration with general practitioners or oral medicine specialists is important for management.
- Adjusting xerostomic medications may help increase salivary flow.
Importance of Hydration and Oral Hygiene
- Maintaining good hydration is essential for salivary performance.
- Chewing and exercise can improve salivary flow through better blood circulation.
- In cases of severe xerostomia, artificial saliva may provide relief.
Local Measures for Xerostomia
- Use of artificial saliva can alleviate symptoms when salivary flow is low.
- A high level of denture and oral hygiene is critical to prevent complications:
- Issues like denture stomatitis and unpleasant tastes may arise from poor hygiene.
- Treatments for conditions caused by ill-fitting dentures include:
- Nightly removal of dentures.
- Reline with tissue conditioner.
- Nystatin mouth rinse for fungal infections.
Modification of Denture Impression Surfaces
- Hard and soft materials modify impression surfaces effectively.
- Type classification:
- Hard materials, including short-term and long-term soft lining.
Hard Materials Composition and Clinical Applications
- Common hard materials consist of polyethylmethacrylate and butylmethacrylate.
- Clinical applications for hard materials include:
- Tissue conditioning to promote healing.
- Temporary soft relines to improve fit.
- Diagnosis of tissue reactions to denture fit.
- Functional impressions under stress conditions.
Addressing Resorption and Nerve Trauma
- Bone resorption may lead to sharp bony ridges requiring careful management.
- Temporary measures like soft linings can alleviate discomfort from superficial mental nerves.
- In cases where soft linings are insufficient, denture adjustments may be necessary to relieve pressure.
Types of Soft Linings
- Soft linings made from silicone rubber or soft acrylic, with heat-curing and cold-curing variations.
- Cold-curing soft acrylics are temporary, while silicone options can provide longer-term solutions.
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