Prosthodontics 5th Class: Denture Issues

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?

Adaptability of the neuromuscular mechanism Signup and view all the answers

What are immediate denture complaints typically characterized by?

Being present at the time of delivery Signup and view all the answers

How does patient age potentially influence denture satisfaction?

Older patients may face additional tissue changes. Signup and view all the answers

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

Post insertion care Signup and view all the answers

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

Selecting an effective technique Signup and view all the answers

Why is patient education essential in treating edentulous patients?

To explain prognosis-limiting factors Signup and view all the answers

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

They can become major problems Signup and view all the answers

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

Changes in daily habits Signup and view all the answers

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

Both transient and serious issues Signup and view all the answers

What may influence the prognosis of treatment for dentures?

Patient's overall health Signup and view all the answers

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

Sense of frustration from recurrent complaints Signup and view all the answers

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

Narrow palatolingual area 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?

Overall appearance of the anterior teeth Signup and view all the answers

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

Reduce occlusal vertical dimension 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?

More lingual position Signup and view all the answers

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

Mandibular incisors Signup and view all the answers

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

Molar occlusion assessment Signup and view all the answers

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

The length of time wearing dentures Signup and view all the answers

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

To manage their expectations regarding comfort and efficiency Signup and view all the answers

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

Transitory increase in saliva Signup and view all the answers

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

Chewing efficiency Signup and view all the answers

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

Changes in tooth positions Signup and view all the answers

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

Ability to wear for long periods Signup and view all the answers

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

Cheek or lip biting Signup and view all the answers

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

As a helpful explanation Signup and view all the answers

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

Build out thin areas or extend the short periphery Signup and view all the answers

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

Adjust denture or thin posterior border Signup and view all the answers

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

Error in occlusion Signup and view all the answers

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

Reduce vertical dimension Signup and view all the answers

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

Reset anterior teeth labially Signup and view all the answers

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

Increase length or thickness of labial flange Signup and view all the answers

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

Diet high in carbohydrates; reduce carbohydrate intake Signup and view all the answers

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

Increase postpalatal seal with self-curing resin Signup and view all the answers

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

Correct faulty occlusion by remounting and regrinding 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?

Reduce thickness or adjust posterior 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.