Prosthodontics 5th Class: Denture Issues
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Questions and Answers

What is one of the most common complaints among complete denture patients?

  • Aesthetics (correct)
  • Color of the dentures
  • Cost of the dentures
  • Weight of the dentures
  • Which factor does NOT influence patient satisfaction with dentures?

  • Color preference of dentures (correct)
  • Quality of bone tissue
  • Viscosity of saliva
  • Position of occlusal plane
  • How can alveolar ridge resorption affect dentures?

  • It improves overall denture stability.
  • It leads to poorer denture retention. (correct)
  • It increases the durability of dentures.
  • It enhances aesthetic appearance.
  • Which aspect related to the neuromuscular mechanism can influence denture satisfaction?

    <p>Adaptability of the neuromuscular mechanism</p> Signup and view all the answers

    What are immediate denture complaints typically characterized by?

    <p>Being present at the time of delivery</p> Signup and view all the answers

    How does patient age potentially influence denture satisfaction?

    <p>Older patients may face additional tissue changes.</p> Signup and view all the answers

    What is a critical phase in the treatment of edentulous patients?

    <p>Post insertion care</p> Signup and view all the answers

    What is one of the primary ways to avoid post insertion issues with dentures?

    <p>Selecting an effective technique</p> Signup and view all the answers

    Why is patient education essential in treating edentulous patients?

    <p>To explain prognosis-limiting factors</p> Signup and view all the answers

    What may happen if minor problems are not addressed promptly after denture insertion?

    <p>They can become major problems</p> Signup and view all the answers

    What factor can complicate the adaptation of a patient to complete dentures?

    <p>Changes in daily habits</p> Signup and view all the answers

    What type of problems may arise after the insertion of complete dentures?

    <p>Both transient and serious issues</p> Signup and view all the answers

    What may influence the prognosis of treatment for dentures?

    <p>Patient's overall health</p> Signup and view all the answers

    What experience might a dentist have if a complete denture fails to fit properly?

    <p>Sense of frustration from recurrent complaints</p> Signup and view all the answers

    What is indicated when the air stream is excessively impeded during 'S' sounds?

    <p>Narrow palatolingual area</p> Signup and view all the answers

    What should be evaluated when the incisal edges of maxillary incisors contact the lower lip by 1 mm or more?

    <p>Overall appearance of the anterior teeth</p> Signup and view all the answers

    What adjustment is recommended if the occlusal vertical dimension is too great?

    <p>Reduce occlusal vertical dimension</p> Signup and view all the answers

    Upon observing the articulation of 'F' and 'V' sounds, what position should maxillary teeth be reset to if required?

    <p>More lingual position</p> Signup and view all the answers

    What dental structure's position may need assessment if maxillary teeth are too anterior for optimal sound articulation?

    <p>Mandibular incisors</p> Signup and view all the answers

    Which of the following conditions does NOT relate to the evaluation of sibilant sounds?

    <p>Molar occlusion assessment</p> Signup and view all the answers

    What factors can affect a patient's adaptability to dentures?

    <p>The length of time wearing dentures</p> Signup and view all the answers

    Why should patients with minimal ridges be advised about the potential movement of their dentures?

    <p>To manage their expectations regarding comfort and efficiency</p> Signup and view all the answers

    What initial experiences might a patient face when adapting to new dentures?

    <p>Transitory increase in saliva</p> Signup and view all the answers

    What aspect of denture adaptation may be improved by cutting food into smaller pieces?

    <p>Chewing efficiency</p> Signup and view all the answers

    What changes can affect a patient's ability to adapt to chewing with new dentures?

    <p>Changes in tooth positions</p> Signup and view all the answers

    Which of the following is NOT a limitation of dentures compared to natural teeth?

    <p>Ability to wear for long periods</p> Signup and view all the answers

    What could potentially happen if a patient's bite registration is altered in the denture setup?

    <p>Cheek or lip biting</p> Signup and view all the answers

    How might a patient perceive the limitations of their dentures when informed about them?

    <p>As a helpful explanation</p> Signup and view all the answers

    What is the recommended treatment for tongue and cheek biting due to underextended periphery?

    <p>Build out thin areas or extend the short periphery</p> Signup and view all the answers

    What treatment should be applied if the maxillary denture causes gagging upon insertion?

    <p>Adjust denture or thin posterior border</p> Signup and view all the answers

    Which of the following is a likely cause of instability in a mandibular denture?

    <p>Error in occlusion</p> Signup and view all the answers

    What treatment should be considered for excessive vertical dimension of occlusion leading to clicking noises?

    <p>Reduce vertical dimension</p> Signup and view all the answers

    For a patient's upper lip appearing sunken in, what adjustment should ideally be made?

    <p>Reset anterior teeth labially</p> Signup and view all the answers

    What might be the solution for a depressive philtrum due to the maxillary denture?

    <p>Increase length or thickness of labial flange</p> Signup and view all the answers

    What is usually the cause of heavy mucinous saliva in denture wearers, and what is one treatment option?

    <p>Diet high in carbohydrates; reduce carbohydrate intake</p> Signup and view all the answers

    What is the appropriate treatment for inadequate posterior palatal seal causing difficulties while talking?

    <p>Increase postpalatal seal with self-curing resin</p> Signup and view all the answers

    How should a clinician address improper occlusion when the patient experiences looseness of the denture?

    <p>Correct faulty occlusion by remounting and regrinding</p> Signup and view all the answers

    What treatment is prescribed when a maxillary denture is too thick in the posterior region, causing interference when swallowing?

    <p>Reduce thickness or adjust posterior</p> Signup and view all the answers

    Study Notes

    Post Insertion Problems in Complete Denture

    • Treating a completely edentulous patient enhances function, esthetics, and self-esteem.
    • Failure to properly address denture issues can lead to patient dissatisfaction and repeated complaints.
    • Prevention of problems is best achieved through careful technique selection, diagnosis, and patient education.
    • Post insertion care is crucial for identifying and addressing minor issues before they escalate.
    • Denture problems can be transient or significantly impact patient comfort and adaptation to their new dentures.
    • Complete denture complaints commonly arise from:
      • A disparity between patient expectations and clinician perceptions of aesthetics.
      • Frequent issues reported include looseness, aesthetics, eating difficulties, and food accumulation under dentures.

    Factors Influencing Patient Satisfaction

    • Quality of oral bone tissue and mucosa impacts retention and stability.
    • Neuromuscular adaptability and the individual’s sense of security with dentures are critical.
    • Additional factors: saliva viscosity, age, occlusal plane position, occlusion type, hygiene practices, and food characteristics.

    Classification of Denture Complaints by Timing

    • Immediate complaints arise right after insertion; issues may include:

      • Tongue and cheek biting due to inadequate peripheral extension.
      • Insufficient interarch clearance necessitating adjustments.
      • Pain in the TMJ due to incorrect vertical occlusion dimensions.
      • Gagging or lack of retention requiring adjustments or relines.
    • Delayed complaints (2 weeks to 2 months after) may include:

      • Incomplete border seal or improper occlusion causing looseness and salivation under the denture.
      • Fatigue in masticatory muscles which may need occlusal adjustments.
    • Instability can result from occlusion errors, improper denture fit, or underextended peripheries.
    • Treatment often involves correcting occlusion, rebasing dentures, or using adhesive agents temporarily.
    • Challenges during eating, yawning, talking, and occluding may arise from improper denture positioning or design issues.
    • Fullness under the nose may result from a labial flange that is too thick.
    • Depressed philtrum and an upper lip sunken can be adjusted through proper denture fitting and height adjustments.
    • Aesthetic issues may stem from improper tooth positioning, excessive vertical dimensions, or a lack of individualization in tooth setup.
    • Whistling sounds on "S" may result from inadequate palatal contour.
    • Adjustments may involve increasing the convex contour of the palatal resin to impede air stream passage.### Lisp on "S" Sounds
    • Air stream between the tongue and anterior palate obstructed by rugae or excessive resin contour.
    • Thin palatolingual area leads to insufficient anterior air space.
    • Maxillary and mandibular incisors or premolars may contact during sibilant sounds (s, sh, z, ch).

    Occlusal Vertical Dimension

    • Excessive occlusal vertical dimension can impede speech.
    • Reduce occlusal vertical dimension until premolars no longer touch during speech.

    Denture Evaluation

    • Assess lip support and appearance of anterior teeth.
    • Maxillary teeth might be incorrectly positioned if incisal edges contact lower lip significantly.
    • Adjust positions to ensure better function when pronouncing "F" and "V" sounds.

    Limitations of Dentures

    • Dentures are less effective than natural teeth for chewing.
    • Ridge form quality directly impacts denture performance; better ridges lead to fewer problems.
    • Patients with minimal ridges may experience greater movement and sore spots with their dentures.
    • It's important to explain these limitations to patients to manage expectations.

    Adaptation to Dentures

    • Adaptability factors include duration of wear, residual ridge amount, alterations in new dentures, and individual variation.
    • Changes in occlusion or tooth positions may affect chewing adaptation.
    • Initial difficulties may arise such as face biting or reduced chewing efficiency.
    • Recommended adaptation methods:
      • Start with soft foods, gradually moving to harder textures.
      • Cut food into smaller pieces and place it towards mouth corners.
      • Temporary increase in saliva may occur during adaptation period.

    Effects on Speaking

    • Changes to tooth position, especially anterior teeth, can affect speech clarity.
    • Loss of tongue space in patients without dentures for extended periods may hinder articulation.

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    Description

    This quiz explores post-insertion problems associated with complete dentures, offering insights into managing edentulous patients effectively. Learn about common challenges dentists face and strategies to restore function and aesthetics in prosthodontic practice.

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