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D1 Spring - Occlusion & Fixed Pros. > 4/1: Sequelae of Denture Wearing > Flashcards

4/1: Sequelae of Denture Wearing Flashcards

1
Q

What is not a “definitive” treatment for dentures?

A

Complete denture therapy

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2
Q

What is the major etiological factor for dentures?

A

The presence of the dentures

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3
Q

What is a physiologic process after teeth are extracted?

A

Residual ridge resorption

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4
Q

What is a variable process, dependent upon individual factors?

A

Residual ridge resorption

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5
Q

What are solutions for residual ridge resorption?

A

Overdenture-tooth and implant prostheses

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6
Q

What is the movement of alveolar bone?

A

Resorbs and decreases

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7
Q

What are examples of mucosal lesions?

A
  • traumatic ulcers
  • inflammatory papillary hyperplasia
  • angular chelitis
  • denture stomatitis/denture sore mouth
  • fibrous hyperplasia/epulis fissuratum
  • candida
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8
Q

What is common with new dentures?

A

Traumatic ulcers

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9
Q

What is the suspect for traumatic ulcers on crest of ridge?

A

Occlusal discrepancies

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10
Q

What is the suspect for traumatic ulcers if in vestibule?

A

Overextended or sharp border

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11
Q

What is the suspect for ridge crest resorption?

A

Occlusion

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12
Q

What is inflammatory papillary hyperplasia (IPH)?

A

A reactive tissue growth usually developing under a denture

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13
Q

What is this?

A

inflammatory papillary hyperplasia (IPH)

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14
Q

Where does IPH occur?

A

On hard palate beneath denture base

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15
Q

Describe IPH

A

Asymptomatic red or pink nodules on mucosa of hard palate and occasionally the residual ridge

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16
Q

What is IPH directly related to?

A

Constant wearing of ill-fitting denture and poor oral hygeine

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17
Q

What is frequently present in IPH?

A

Candida

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18
Q

What is IPH treatment?

A
  • Remove dentures at least 8 hours/day, clean dentures well. Tissue massage
  • Reline, rebase, or remake dentures for better fit
  • possible nystatin or other antifungals
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19
Q

What do small nodules from IPH improve with?

A

Removal of denture, tissue massage, good oral hygeine and antifungal tx

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20
Q

When does IPH need to be surgically removed?

A

Too large to allow good oral hygiene or present for many years

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21
Q

What is this?

A

IPH - collagenized lesions

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22
Q

What kind of conservative treatments to avoid surgery for IPH are done?

A

Tissue massage, tissue conditioners, nystatin oral rinse 4x/day will decrease inflammation and decrease height of papillary projections

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23
Q

What is present in 15% of denture wearers?

A

Angular chelitis

24
Q

What is angular chelitis also called?

25
Q

What is angular chelitis?

A

Inflammation of lip/lips with redness and fissures radiating from angles of mouth

26
Q

What kind of fungal infection is angular chelitis?

A

Candida albicans

27
Q

What may contribute to angular chelitis?

A

Decreased OVD and vitamin deficiencies, usually see poor fitting denture and abused tissue

28
Q

What is tx for angular chelitis?

A
  • antifungals
  • nystatin and a better denture
29
Q

What is angular chelitis associated with?

A

Loss of occlusal vertical dimension and candida albicans and s.aureus

30
Q

What is denture stomatitis?

A

Chronic inflammation of denture bearing mucosa
- may or may not be painful

31
Q

What does denture stomatitis look like?

A

Redness; possible burning sensation

32
Q

What is the cause of denture stomatitis?

A

Uncertain
- poor oral hygeine
- 24 hour wear without removing
- clenchin
- xerostomia
- medications

33
Q

What is treatment for denture stomatitis?

A

Tissue rest, improve oral hygeine, resilient liner in denture

34
Q

What are bizarre symptoms of denture stomatitis?

A

Itching, burning, pain

35
Q

Describe clinical signs of denture stomatitis

A

Often absent

36
Q

What are the causes of denture stomatitis?

A

Metabolic, may be nutritional or psychologic

37
Q

What is tx for denture stomatitis?

A

Symptomatic… refer to physician for systemic evaluation
- consider lack of interocclusal space or clenching

38
Q

What is this?

A

Denture stomatitis

39
Q

What is this?

A

Fibrous hyperplasia - mobile tissue

40
Q

What is this?

A

Epulis fissuratum
“denture hyperplasia”
“inflammatory fibrous hyperplasia”

41
Q

What is epulis fissuratum?

A

Single or multiple fold of hyperplastic tissue in vestibule

42
Q

What is epulis fissuratum associated with?

A

The flange of an ill-fitting denture or flange is sharp/unpolished

43
Q

What is this?

A

Epulis fissuratum

44
Q

Where is epulis fissuratum seen?

A

On facial/buccal in the anterior area of the mouth

45
Q

Who is epulis fissuratum pronounced in?

A

Females - reason unclear… more denture wearing?

46
Q

What is treatment of epulis fisuratum?

A
  • shorten denture border
  • often require surgical correction
  • reline, rebase or remake dentures
47
Q

What is candida?

A

A yeast like fungus - common oral microbe

48
Q

What is this?

49
Q

What are predisposing conditions for candida?

A

HIV, diabetes

50
Q

What arch is candida more common?

51
Q

What are the 3 presentations with HIV of candida?

A
  • angular chelitis
  • erythematous candidiasis
  • pseudomembraneous candidiasis
52
Q

What can contribute to systemic challenges?

A

Poor oral and prosthetic care

53
Q

What are comorbidities associated with complete edentulism?

A
  • Malnutrition and obesity
  • Increased COPD events
  • Increased pneumonia related hospitalizations
  • Increased risk of head/neck cancer
  • Decline in cognitive function
  • Predictor of cardiovascular disease mortality
  • Reduced, but nonreplaced dentition associated with increased risk of mortality
54
Q

Complete denture thereapy is not a ________________

A

Definitive treatment

55
Q

What is the biomechanical price of wearing a removable prosthesis?

A

Time-dependent changes in the edentulous oral mucosa

56
Q

What is the major etiological factor for denture sequelae?

A

The presence of the denture

D1 Spring - Occlusion & Fixed Pros. (17 decks)

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