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Questions and Answers
What is the approximate mean age of patients suffering from burning mouth syndrome?
What is the approximate mean age of patients suffering from burning mouth syndrome?
Which of the following is NOT a common site of complaint for burning mouth syndrome?
Which of the following is NOT a common site of complaint for burning mouth syndrome?
What psychological issue may develop in patients diagnosed with burning mouth syndrome?
What psychological issue may develop in patients diagnosed with burning mouth syndrome?
How many types of burning mouth syndrome have been classified?
How many types of burning mouth syndrome have been classified?
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What is a characteristic of Type 1 burning mouth syndrome?
What is a characteristic of Type 1 burning mouth syndrome?
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Which group of patients is most likely to fall into Type 2 burning mouth syndrome?
Which group of patients is most likely to fall into Type 2 burning mouth syndrome?
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Which factor may contribute to increased anxiety levels in patients with burning mouth syndrome?
Which factor may contribute to increased anxiety levels in patients with burning mouth syndrome?
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What percentage of patients diagnosed with burning mouth syndrome are likely classified into Type 1?
What percentage of patients diagnosed with burning mouth syndrome are likely classified into Type 1?
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What is the primary issue with the flabby ridge in complete denture wearers?
What is the primary issue with the flabby ridge in complete denture wearers?
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Which area is most frequently affected by the flabby ridge?
Which area is most frequently affected by the flabby ridge?
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What is a common belief about the cause of the flabby ridge?
What is a common belief about the cause of the flabby ridge?
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What is the recommended surgical approach to manage a flabby ridge?
What is the recommended surgical approach to manage a flabby ridge?
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Which impression technique is focused on maximizing support from the flabby tissue?
Which impression technique is focused on maximizing support from the flabby tissue?
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What is a possible consequence of surgically removing the fibrous tissue?
What is a possible consequence of surgically removing the fibrous tissue?
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Why is it advisable to keep patients with a flabby ridge under regular review?
Why is it advisable to keep patients with a flabby ridge under regular review?
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Which of the following statements about the flabby ridge is incorrect?
Which of the following statements about the flabby ridge is incorrect?
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What speech sounds are affected by the contact between the lower lip and the upper anterior teeth?
What speech sounds are affected by the contact between the lower lip and the upper anterior teeth?
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Which consonants are produced with the contact of the lateral margins of the tongue to the posterior teeth?
Which consonants are produced with the contact of the lateral margins of the tongue to the posterior teeth?
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What may restrict the movement of the tip of the tongue and impair speech?
What may restrict the movement of the tip of the tongue and impair speech?
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What happens if the occlusal vertical dimension of dentures is too great during speech?
What happens if the occlusal vertical dimension of dentures is too great during speech?
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What is one consequence of excessive palatal thickening in the canine region?
What is one consequence of excessive palatal thickening in the canine region?
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Which speech sounds are primarily produced when the mandible is closest to the maxilla?
Which speech sounds are primarily produced when the mandible is closest to the maxilla?
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What condition can develop if it is difficult for the tongue to achieve a complete lateral seal?
What condition can develop if it is difficult for the tongue to achieve a complete lateral seal?
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Which of the following is a primary function of the tongue in speech production?
Which of the following is a primary function of the tongue in speech production?
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What is a suggested way to distract a patient during impression taking?
What is a suggested way to distract a patient during impression taking?
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Which of the following approaches is used for managing a severe gag reflex?
Which of the following approaches is used for managing a severe gag reflex?
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What percentage of all repair work in dental laboratories is accounted for by midline fractures of complete upper dentures?
What percentage of all repair work in dental laboratories is accounted for by midline fractures of complete upper dentures?
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What role does acupuncture play in managing gag reflexes?
What role does acupuncture play in managing gag reflexes?
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What is the primary reason for fatigue fractures in dentures?
What is the primary reason for fatigue fractures in dentures?
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What factor is essential for the success of hypnosis in treating gag reflex issues?
What factor is essential for the success of hypnosis in treating gag reflex issues?
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Which area is most commonly the starting point for cracks in fatigue fractures of dentures?
Which area is most commonly the starting point for cracks in fatigue fractures of dentures?
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What unique approach might be beneficial for patients with a history of denture intolerance?
What unique approach might be beneficial for patients with a history of denture intolerance?
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Why is it important to distract a patient during the setting of an impression?
Why is it important to distract a patient during the setting of an impression?
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What is a common situation that might lead to impact fractures in dentures?
What is a common situation that might lead to impact fractures in dentures?
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How does the age of a denture correlate with the likelihood of midline fractures due to fatigue?
How does the age of a denture correlate with the likelihood of midline fractures due to fatigue?
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Which method is NOT mentioned as a management approach for gag reflex issues?
Which method is NOT mentioned as a management approach for gag reflex issues?
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What is the primary challenge when treating patients with a severe gag reflex?
What is the primary challenge when treating patients with a severe gag reflex?
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Which factor is NOT considered a denture factor contributing to fractures?
Which factor is NOT considered a denture factor contributing to fractures?
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What structural issue in a denture could significantly contribute to a fracture?
What structural issue in a denture could significantly contribute to a fracture?
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Why is it important to identify the causes of denture fractures before repair?
Why is it important to identify the causes of denture fractures before repair?
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Study Notes
Complications in Complete Denture Wearers
- Flabby Ridge: Commonly occurs in the upper anterior region due to severe bone resorption replaced with fibrous tissue, compromising denture stability and aesthetics.
- Aetiology: Associated with the presence of lower natural teeth and factors influencing bone metabolism, warranting regular monitoring of affected patients.
Management Approaches
- Surgical Removal: Advocates recommend removing fibrous tissue to create a stable ridge; this can reduce size but increases prosthetic bulk.
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Non-Surgical Treatment: Focuses on impression techniques:
- Mucodisplacive technique: Compacts flabby tissue for support.
- Mucostatic technique: Maximizes retention without compressing tissue.
Denture Breakages
- Prevalence: Midline fractures account for 29% of upper denture repairs; 33% involve debonded teeth.
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Types of Fracture:
- Fatigue of Acrylic Resin: Caused by repeated flexing over time, starting near upper centrals, common in 3-year-old dentures, leading to midline fractures.
- Impact Fractures: Occur from dropping the denture or trauma, requiring identification of causes before repairs.
Causes of Fractures
- Denture Factors: Include stress concentrators, absence of labial flange, incomplete polymerization, previous repairs, ill-fitting dentures, and inadequate relief.
Managing the Gag Reflex
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Challenges: Accurate impressions are critical; techniques to minimize gag reflex include:
- Conscious sedation
- Acupuncture during procedures
- Hypnosis for patient comfort
- Training dentures to reduce intolerance
Burning Mouth Syndrome (BMS)
- Prevalence: Affects 5-7% of the adult population, predominantly women around 60 years old, with symptoms often localized to the tongue and upper denture-bearing tissues.
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Classification of BMS:
- Type 1: Symptoms start in the day, common in those with deficiencies and poor denture designs.
- Type 2: Symptoms present on waking and persist all day, often linked with chronic anxiety.
- Type 3: Symptom-free days with burning in atypical locations, possibly due to palatal thickening.
Speech and Denture Fit
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Dental Relationships:
- Contact of lower lip with upper anterior teeth affects sounds /f/ and /v/.
- Tongue contact with posterior teeth is crucial for English consonants like /th/, /d/, and /s/.
- Overly high occlusal planes can cause clattering of teeth during speech, impacting communication.
Key Considerations
- Regular review and customized management approaches are essential for improving the quality of life for complete denture wearers.
- Effective communication between patient and dental professionals enhances treatment experiences and outcomes.
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Description
This quiz focuses on complications faced by complete denture wearers, particularly the condition known as flabby ridge. It examines the implications of resorbed bone and fibrous tissue on denture stability and function. Understand the aetiology behind these complications to better manage patient care.
