Post Insertion Problems with Dentures

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Questions and Answers

What is the purpose of post insertion visits and denture adjustments?

To estimate the cost of the denture adjustments

To evaluate and eliminate any issues with the dentures (correct)

To educate the patient about the dentures

To check if the dentures are ready for insertion

What is the importance of the patient's attitude towards wearing dentures?

It reflects the effectiveness of post insertion education

It has no impact on the success of denture treatment

It determines the cost of denture adjustments

It affects the patient's level of satisfaction with the dentist (correct)

What should be considered during the evaluation of dentures after they are returned from the lab?

The color of the dentures

The patient's level of expectation (correct)

The time taken for the denture fabrication

The cleanliness of the dentures

What is the purpose of the recall appointment in relation to dentures?

To ask about the patient's experience with eating Signup and view all the answers

What is the most appropriate intervention for a patient experiencing atrophy of taste buds?

Increase fluid intake Signup and view all the answers

What is the most likely cause of angular cheilitis in denture patients?

Candida Albicans infection Signup and view all the answers

Which intervention is most suitable for a patient with burning palate or lip due to excessive incisive papilla pressure?

Use PIP under function and relieve pressure area Signup and view all the answers

What is the most appropriate action for a denture wearer experiencing burning tongue and poor oral hygiene?

Instruct pt in correct oral hygiene Signup and view all the answers

Which evaluation should be conducted for denture recall on a yearly basis?

Overall evaluation of tissue for disease or trauma Signup and view all the answers

What are the indications for a denture to be re-lined or rebased?

Satisfactory Occlusion Signup and view all the answers

Which intervention is most appropriate for a denture wearer with dry mouth due to medication?

Artificial saliva Signup and view all the answers

What was the cause of the patient's discomfort in one area of their mouth during the dental examination?

Sharp edges and blebs Signup and view all the answers

What did the dentist recommend to relieve the pressure and sharp edges for the patient?

Adjustments to the denture Signup and view all the answers

What did the patient express dissatisfaction about regarding the denture?

Excessive flange thickness and palate thickness Signup and view all the answers

What did the dentist recommend regarding the adaptation to the new denture before making any adjustments?

Waiting for the patient to adapt to the new denture Signup and view all the answers

What caused the sore throat and difficulty swallowing reported by the patient?

Maxillary overextension posteriorly and mandibular disto-lingual overextension Signup and view all the answers

What did the dentist recommend regarding the sore throat and difficulty swallowing reported by the patient?

Using pressure indicating paste to locate the overextension and reduce it Signup and view all the answers

Why did the patient report dissatisfaction with their ability to chew with the new denture?

Overextension, underextension, occlusal errors, and inadequate posterior palatal support Signup and view all the answers

What did the dentist recommend regarding dissatisfaction with chewing with the new denture?

Remake of the denture to restore the vertical dimension Signup and view all the answers

Study Notes

The patient reported discomfort in one area of their mouth during a dental examination.
The cause of the discomfort was identified as mucosal irritation.
Potential sources of irritation included: sharp edges and blebs, overextension of borders, impingement on the frenum, unrelieved undercuts, isolated pressure areas, and occlusal discrepancies.
The dentist recommended adjustments to the denture to relieve the pressure and sharp edges, and also suggested correcting the occlusal discrepancy to improve the fit.
The patient expressed dissatisfaction that the denture was too full, which was attributed to excessive flange thickness and palate thickness, as well as improper tooth placement.
The dentist recommended waiting for the patient to adapt to the new denture before making any adjustments, but suggested reducing the flange thickness and palate thickness, and potentially resetting the teeth or remaking the denture.
The patient reported a sore throat and difficulty swallowing, which was caused by maxillary overextension posteriorly and mandibular disto-lingual overextension, resulting in an excessive vertical dimension and insufficient saliva.
The dentist recommended using pressure indicating paste to locate the overextension and reduce it, as well as correcting the vertical dimension on the articulator or remaking the denture, and prescribing artificial saliva.
The patient reported that they were not able to chew very well with the new denture, and suggested that food preparation and selection were more important with the new denture wearer.
The dentist recommended a remake of the denture to restore the vertical dimension, and suggested that the stimulation of saliva glands would subside in about one week.
The patient reported that the denture was coming loose, which was caused by overextension, underextension, occlusal errors, and inadequate posterior palatal support.
The dentist recommended using pressure indicating paste to locate the border areas for reduction, adding modeling compound around the border if necessary, and adjusting the occlusion or repositioning the teeth.
The patient reported that they were biting their cheek, lip, or tongue, which was caused by insufficient horizontal overlap, improper tooth placement, and insufficient vertical dimension.
The dentist recommended repositioning the teeth or remaking the denture, reducing the acrylic thickness if necessary, and considering referral to a speech pathologist if speech difficulties persisted.
The patient reported that they were having difficulty speaking or sounding like they used to, which was caused by incorrect placement of the upper anterior teeth, a loss of air through the palatal vault, or a bulky denture.
The dentist recommended repositioning the anterior teeth or remaking the denture, placing soft wax on the palate to correct the problem if necessary, and considering referral to a speech pathologist if changes didn't correct the speech difficulties.
The patient reported that their teeth were noisy, which was caused by insufficient inter-occlusal distance, loose dentures, or occlusion errors.
The dentist recommended reducing the vertical dimension by equilibration of the teeth on the articulator, relining or remaking the denture, and educating the patient about the importance of leaving the dentures out at night for proper care.
The patient reported that they had an earache or jaw joint pain, which was caused by occlusion errors, vertical dimension discrepancies, or bruxing and clenching.
The dentist recommended adjusting the occlusion, correcting the vertical dimension, and educating the patient about the importance of not wearing the dentures at night and avoiding excessive clenching.
The patient reported that they were having trouble tasting food as well as before they had dentures, which was caused by inadequate coverage of the palate.
The dentist recommended educating the patient about the importance of proper denture coverage and the possibility of using a cast metal palate to allow for temperature perception.

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Description

Learn about the importance of post insertion visits and denture adjustments, symptoms and lesions associated with the post insertion phase of dentures, and how to adjust the dentures to alleviate associated symptoms.