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Post Insertion Problems & Complains - Prostho

The document outlines post-insertion problems and complaints associated with complete dentures, emphasizing the need for follow-up care. It identifies various issues such as tissue irritation, poor fit, pain, and esthetic concerns, along with their potential causes and recommended treatments. The document serves as a guide for managing common complications that patients may experience after receiving dentures.

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marwa618234657
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14 views

Post Insertion Problems & Complains - Prostho

The document outlines post-insertion problems and complaints associated with complete dentures, emphasizing the need for follow-up care. It identifies various issues such as tissue irritation, poor fit, pain, and esthetic concerns, along with their potential causes and recommended treatments. The document serves as a guide for managing common complications that patients may experience after receiving dentures.

Uploaded by

marwa618234657
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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(19)

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Post-Insertion Problems &


Comploits CD

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Prostho

2024/2013 Chapter (7)


8/2/1444

· coMPLETE DENTURE

~ .

@ SEVERAl oppointments should be


'·
scheduled .for follow up care,
management and correction of
post insertion prQblems and
complaints.

1
8/2/1444

,Occurrence of complaints and


pto,blems may be due to one or
more··o f the following
1. Patient's dissatisfaction

2. Denture settling

3. Incorrect procedure

PROBLEMS ASSOCIATED WITH


NEW DENTURE
I. TISSUE IRRITATION
II. POOR FIT .
Ill. PAIN
IV. ESTHETICS
V. SPEECH
VI.NAUSEA
VII. INEFFICIENT EATING
VIII. CHEEK, LIP & TONGUE BITING
IX. ALTERED TASTE
X.CLATTERING NOISY TEETH

2
1.TISSUE IRRITATION: -
- This may appear In the form of hyperemia,
a break of cut In the vestibular sulcus,
ulceration.
a. localized or generalized tissue irritation, It
may arise due to several causes:
•,

1. Increased Vertical Qimension of


Occlusion -can be corrected by grinding
the teeth or remaking of a new denture.

2. Dish_armony between centric occlusion


and centric relation - shifting of the
mandibular denture anteriorly when patients
closes in CENTRIC RELATION indicates
DISHARMONY between CENTRIC RELATION
and CENTRIC OCCLUSION
- Can be corrected by occlusal grinding.

3
8/2/1444

3. Occlusal Interference In Centric Position-


diagnosed by lack of occlusal contact on the
side of the arch.
- Can be corrected by occlusal grinding.
4. Bruxlsm- presence of wear facets on denture
teeth.
- Patients are advised to remove dentures at
night. Tranquilizers may be given In severe
cases.

5. Xerostomia.
- Dry and sticky mucosa
- patient is advised to use lubricants, artificial
saliva and frequ·ent intake of liquid.

6. Allergy to methy metac_ r ylate(monom er)-


there's burning sensation. M~~osa appears
slightly inflamed and bright red in color.
_,/
- It subsides after 24 h, after removal of /
dentures. ///

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- Test done- Patch test


- Treatment - If problem Is due to excess
residual monomer, the denture should be
relined with HEAT CURE acrylic resin.
- Rebaslng the denture with new material
probably light cure acry)ic resin may be
more effective.

,/

7. Bad Oral Hygiene - food debris on


the tissue surface of the denture is a
diagnostic aid for this cause,
- OHi should be-given to patients

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(ZEil> TISSI B
ENJURE BEA
1. IRRITATION .QN THE CREST OF THE RIDGE.
A. Presence of bon~ spicules.
B. Sharp residual ridge ~rest.
C. Deflective occlusal contact.
D. Irregularity on the dentur~lissue surface
E. Pressure exerted by the dent~re,base /
' ··. / /

2. IRRITATION ON THE VESTIBULAR


SU LCUS- m.a y arise due to:
A. Over extended denture base border
B. Unpolished denture border

6
8/2/1444

3. ON THE ANTERIOR LINGUAL AND


BUCCAL SLOPES OF MANDIBULAR
RIDGE - due to:
A. Disharmony between centric
relation and centric occlusion
B. Deflective occlusal contacts

4. IRRITATION ON THE MEDIAN


PALATINE RAPHE- due to
A. Insufficient relief
B. Loss of support from the residual
ridge
C. Excessive incisal contact in
centric occluding relation

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8/2/1444

5. IRRITATION IN THE TUBEROSITY


AREA -irritated due to
A. Bilateral undercuts
B. Dimensional Changes in the
maxillary denture
C. Over extension of denture
border.

6. IRRITATION IN THE RETRO-MYLOHYOID


AREA - sore·ness may arise due to
A. Over extension_of the lingual border.
B. Over extension of,the denture in the
retro-mylohyoid area. __
C. Occlusal interference in the opposite
side.
D. Pressure from the denture base. ,.,

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8/2/1444

11,._POOR FIT - OR LOOSENESS-

3. When opening the mouth wide - it may


fall
4. When coughing or sneezing-looseness is
normal due to incre.~se in the pressure thus
breaking the periphe·rcd... seal.
5. Pain, resulting from unretained denture
dragging the soft tissues and causing tissue
abrasion
6. Looseness of denture after several hrs ,.. •
after initially retained. Usually related tQ the
character and flow of saliva.

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LOOSENESS of denture Is due to:

lef

___
_...
neuromuscular
occlusal plan

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8/2/1444

11
8/2/1444

Ill. PAIN or Discomfort

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IV. ESTHETIC PROBLEMS

!.'
-·,L_.·---'-"
.. •
.......-.:.rt..-~

'\:;.J~, e;.,l,

• 1 r~'-f

V. SPEECH DIFFICULTIES

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8/2/1444

VI. NAUSEA

VII. INEFFICIENT EATING

14
8/2/1444

VIII- CHEEK, LIP & TONGUE BITING

15
8f2/1444

IX - ALTERED TASTE

This caused,b y
- Thickness of acrylic base material
- Hidden porosity on the denture surface
trapping food debris
- Bad denture hygiene
Treatment- remake denture using metal base /
:;; - OHi emphasized / ·.
\ r / ,

·t ·- Explain/advise patient to accept the n,,,,&w ,


situation ,,,,,. ·
//

X. CLAmERING (CLICKING ) OF
TEETH
I
I r
! •

16
8/2/1444

PROBLEMS RELATED TO

• OLD DENTURES

17
8/2/1444

18

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