Questions and Answers
What condition may result from wearing ill-fitting dentures continuously?
Which treatment is recommended to improve denture comfort at night?
What material is commonly used in both short-term and long-term soft lining for dentures?
What may aggravate the condition of an intractable dry mouth in denture wearers?
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Which of the following is considered a consequence of inadequate denture cleaning?
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What is a potential benefit of using denture adhesive for those with a dry mouth?
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How are chairside reline materials typically composed?
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What condition is characterized by lesions in the area where the denture rests?
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What is a potential consequence of reduced rest vertical dimension in denture wearers?
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How frequently should the first long-term recall appointment for denture wearers be scheduled?
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What should the clinician emphasize to the patient regarding the lifespan of dentures?
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Which of the following is NOT a recommended treatment at long-term recall appointments for denture wearers?
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According to research findings, which complication was most commonly recorded among complete denture wearers?
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What percentage of complete denture wearers experienced any denture irritation or ulceration according to the research?
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What issue does NOT commonly occur with denture bases in denture wearers?
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What should patients be encouraged to do if they experience problems with their dentures?
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What is the purpose of the ‘mirror test’ in diagnosing xerostomia?
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Which strategy is NOT effective in managing xerostomia?
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What type of drug adjustment might be beneficial for patients with xerostomia?
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Why is maintaining excellent denture hygiene particularly important for patients with dry mouth?
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Which of the following reflects an intra-oral sign of xerostomia?
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How can the flow rate of saliva be improved according to the information provided?
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What role does hydration play in the management of xerostomia?
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Which of the following is a local measure for managing xerostomia?
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What is the primary purpose of tissue conditioning with short-term soft lining materials?
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Which component is not a part of the liquid mixture used in powder/liquid short-term soft lining materials?
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For which of the following reasons might a dentist use a temporary soft reline material?
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Which of the following best describes a functional impression in the context of denture fitting?
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What role does dibutyl phthalate serve in the liquid mixture of short-term soft lining materials?
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Why is it essential for traumatized tissue to be examined by a dentist?
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Which method is used to check the reaction of the patient's tissues to an improved denture fit?
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How do short-term soft lining materials aid in recording the neutral zone?
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What can result from the pattern of resorption of the mandible?
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What is one potential risk associated with surgically smoothing the bone of the mandible?
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What type of lining provides an alternative approach to manage discomfort from sharp ridges in the mandible?
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What symptom may arise if the mental nerve is superficially placed during advanced resorption of the mandible?
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In cases where the mental nerve requires more pressure relief than a soft lining can provide, what may be necessary?
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Which type of soft lining is best suited for longer-term use?
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What is a characteristic of cold-curing soft acrylics?
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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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Description
This quiz focuses on the maintenance and recall procedures necessary for denture wearers. It covers topics such as the importance of regular check-ups, common procedures during appointments, and complications faced by complete denture wearers. Gain insights into best practices for denture care and patient education.
