13. Placement of CD

Question 1

What do you do if ulcers show up following the placement of complete dentures? (3)

Answer 1

• remove for several days
• mouthwash with clorhexidine & saltwater
• wear for one day before going back to office

Question 2

Denture placement: what happens to saliva secretion?

Answer 2

increases

Question 3

Denture placement: which do we place first?

Answer 3

Lower first then upper second

Question 4

When placing dentures what phonetic sounds do we check?

Answer 4

especially S and M sounds

Question 5

Denture placement: if after 2-3 days we see irritated areas, this means? (2)

Answer 5

◦ Occlusion changes.

◦ Misfit of denture base.

Question 6

Denture placement: if after 2-3 days we see traumatic ulcers/decubitus ulcers, this means?

Answer 6

over extended bases

Question 7

What do we do if the patient has irritated areas/ulcers after denture placement? (3)

Answer 7

◦ Locate areas with Disclosing Wax or Fit-Checker. ◦ Remove source of the problem.
◦ Apply chlorhexidine over the wound for 2 weeks.

Question 8

What do we do if the patient bites buccal mucosa after denture placement?

Answer 8

Trim buccal surface of lower molars and premolars

Question 9

Denture mechanical cleaning? (2)

Answer 9

Soap and brushing after everymeal

Question 10

Denture chemical cleaning?

Answer 10

• once a week 3% sodium hypochlorite overnight

Question 11

Sleeping with dentures? why? (3)

Answer 11

No.

Tissue healing and less bone resoprtion

Question 12

Where should the denture be when out of the mouth?

Answer 12

moist environment

Question 13

When do we have check up appointments for denture placement?

Answer 13

1. 2-3 days after
2. 15 days
3. once a year

Question 14

Why do we need to reline? when?

Answer 14

Lack of fit between denture base and tissues

- after 2-3 years

Question 15

What are the types of relines?

Answer 15

Direct and indirect

Question 16

What is a direct reline? (2)

Answer 16

◦ An acrylic resin is used right into the mouth.

◦ No need to send the denture to the lab.

Question 17

What is an indirect reline? (2)

Answer 17

◦ An impression is taken with the denture (denture works as a tray).
◦ It ́s sent to the lab so the impression material is replaced by acrylic resin.

Question 18

What materials are used for indirect relines? (4)

Answer 18

• Zinquenolic paste.
• Light body silicone.
  ◦ Heat-curing resin (best option).
  ◦ Self-curing resin.

Question 19

What materials are used for direct relines?

Answer 19

Hard self curing acrylic reline materials

Question 20

What do we do if there is inflammation at the supporting tissues and we need a reline? (2)

Answer 20

• use soft reline elastic materials (soft tissue conditioners) for 2-3 weeks
• then do a hard reline

Question 21

Indirect reline techniques? (2)

Answer 21

◦ Flasking.

◦ Direct placement of resin.

Question 22

What do we do if theres a base fracture and we need to reline?

Answer 22

send to lab

Question 23

What do we do if there are unstuck denture teeth?

Answer 23

Fix at offie with self curing resin

Question 24

How do we treat stomatitis associated with candida? patient vs denture (2)

Answer 24

• 500.000 IU -5 ml- Mycostatin 2-4 x a day for 2 minutes for 2 weeks
• Dentures immersed in nystatin at night

Question 25

Prevalence and cause of angular chelitis in denture wearers? (2)

Answer 25

• 15 % of complete denture wearers.

- Candida or bacteria.

Question 26

Prevalence and cause of alveolar fibrosis in denture wearers? (2)

Answer 26

• 15 % of complete denture wearers.

- Most frequently at upper anterior ridge, especially when lower front teeth are natural (Combination Syndrome).

Question 27

Prevalence and treatment of epulis fissuratum in denture wearers? (2)

Answer 27

• 10 % of complete denture wearers.

- Treatment: trim denture borders and surgery

Question 28

Prevalence and causeof burning mouth syndrome in denture wearers? (3)

Answer 28

• 5% mostly >60yrs women

- psychological, vit A/iron deficiency, drugs producing xerostomy, allergies

Question 29

Denture failures: ulcers cause? (2)

Answer 29

◦ Overextended borders.

◦ Occlusion.

Question 30

Denture failures: masticatory abilities? (2)

Answer 30

Check:

• occlusion
• VD

Question 31

Denture failures: Talking alterations?

Answer 31

High VD

Question 32

Denture failures: frequent dislodgement? (2)

Answer 32

• Due to unsuitable residual ridges » implants.

- Misfit of the denture (possible need for a reline).

Question 33

Denture failures: Persistent nausea? (2)

Answer 33

• Evaluate base extension (upper posterior border). - Implants.