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D1 Spring - Complete Removable Pros > 4 - Post Insertion Appt > Flashcards

4 - Post Insertion Appt Flashcards

1
Q

When should all patients with new dentures be seen after insertion of dentures?

A

24-48 hours after insertion

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2
Q

When should patients wear dentures prior to appt?

A

Several hours to better evaluate mucosal irritations

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3
Q

Patients who are seen for denture adjustment appt 24-48 hours post-insertion do __________ with the dentures

A

Better

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4
Q

“In many instances, the most crucial time in the patient’s perception of success or failure of dentures is the _____ period”

A

Adjustment

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5
Q

What is the single most significant factor in the successful manipulation of complete dentures under function?

A

Neuromuscular control

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6
Q

What are important prognostic indicators?

A

Tongue function and denture wearing experience

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7
Q

What are common problems with the mandibular denture?

A

Discomfort
Poor retention and stability
Lack of support

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8
Q

What are common problems with the maxillary denture?

A

Poor retention and stability
Esthetics and phonetics

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9
Q

What are 4 major areas of post-insertion?

A

Esthetics
Phonetics
Tissue irritations
Loss of retention and stability

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10
Q

What can be the cause of vague complaints abotu dentures?

A

Pt unhappy with esthetics

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11
Q

When is the time to remedy esthetic problems?

A

At trial placement appt

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12
Q

Most pts adapt and learn to speak with new dentures quickly unless…

A

The teeth are improperly located in the vertical, horizontal, or frontal plane

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13
Q

What should you do if there are problems with phonetics?

A
  • check the thickness of the max palatal portion. A common problem is excessive thickness
  • reevaluate the position of the max anterior teeth
  • if everything appears normal it may be a matter of time for the pt to adapt
  • open vertical dimension of occlusion
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14
Q

What are causes of tissue irritations?

A

*sore spot may be far removed from its cause
- overextension
- truama from faulty occlusion
- pressure from the denture base
- tissue abrasion from prosthesis movement

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15
Q

What are causes of poor retention and stability?

A

occlusion, base contours, teeth not in “neutral zone”, posterior palatal seal, overextension or underextension, salivary flow and character

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16
Q

What should you do to contacts during the post insertion appt?

A

Check occlusal contacts
Remount to adjust occlusion if error is detected

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17
Q

Much of the selective grinding done in the mouth accoridng to articulating paper marks made actually _____ the amount of error in the occlusion

A

Increases

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18
Q

What should you evaluate once removing the dentures?

A

Palate and residual ridges throughout
Vestibular reflections for red areas

19
Q

What should you ask the patient to do in the post insertion appt?

A
  • point to areas of soreness
  • cotton tip application (not finger) to touch area
  • address most urgent area first
20
Q

What is soreness in depth of vestibule caused by?

A

Overextended border of flange (due to an overextended final impression)

21
Q

What is the cause of a sore on crest of ridge or ridge slope?

A
  • occlusion error usually
  • pressure spot (tray show through) in secondary impression
22
Q

What is the cause of a sore frenum?

A

Frenal notch too shallow or sharp

23
Q

What is the cause of soreness of tissue overlying coronoid process?

A

Too much thickness at distobuccal corner of max denture; PIP on cameo surface

24
Q

Wha tis the cause of numbness or burning sensation in anterior palate?

A

Pressure on incisive papilla

25
Q

What is the cause of swallowing soreness?

A

Irritation at mylohyoid ridge

26
Q

What is the cause of swallowing soreness?

A

Retromylohyoid flange extension

27
Q

What is the cause of numbness or burning in lower premolar areas?

A

Pressure over mental nerve due to an atrophied alveolar ridge

28
Q

What can happen if the buccal mucosa is at the occlusal plane level?

A
  • biting cheek –> increase horizontal overlap to prevent
  • trapping mucosa between bases
29
Q

What is the cause of teeth contacting during speaking?

A

OVD too far open
Too little IOD (Freeway space)

30
Q

What can happen to ridges if the teeth contacting during speaking?

A

Ridges sore due to constant pressure

31
Q

What happens if the dentures fit fine at first insertion, but loosen after wearing them for 3 or 4 hours?

A

Occlusal errors likely

32
Q

What is the cause of the maxillary CD disloging when yawning or opening wide?

A

DB corner too thick

33
Q

What is the cause of smiling causing max CD to dislodge?

A

Denture flange too thick posterior to buccal frenum

34
Q

What is the suspect of max CD dislodging when eating?

A

Posterior palatal seal too deep
Occlusion needs correction

35
Q

What is the suspect of whistling with S sounds?

A

Anterior palatal contours incorrect
uses PIP on the cameo surface to check phonetics/tongue contact on denture

36
Q

What is the suspect of dentures dislodging easier than expected?

A

Overextension of borders - “toaster denture”
form of external flanges
Teeth locations violating “neutral zone”

37
Q

What is the suspect of these complaints:
Dentures feel too large
Feels like a mouthful
Difficult to speak or eat

A

Tongue space is too small and dentures crowd the tongue
Could be tooth position, denture contours, or both
Think “neutral zone”

38
Q

What is the neutral zone?

A

Area where forces applied by the tongue is equal or neutralized by the force applied by cheeks and lips

39
Q

What can gagging result from?

A

Loose dentures
Poor occlusion
Incorrect extension or contour of dentures
Incorrect teeth positions (too far lingual or occlusal plane too low)
An excessive OCD
Psychogenic factors

40
Q

What does tissue trauma manifest as?

A

Hyperemia
Inflammation
ulceration
pain

41
Q

What is used as a paste to detect improper adaptation?

A

Zinc oxide paste

42
Q

Who i sPIP spray used in?

A

Pts with xerostomia in order to prevent the PIP from sticking to mucosa

43
Q

What should you do in a denture adjustment?

A
  • dry denture and brush thin layer of PIP on intaglio
  • spray with separator if mouth dry and insert
  • dry tissue with gauze
  • touch irritated area with thompson marker
  • insert denture to transfer mark
  • acrylic resin cutters
  • # 8 round bur
  • polisheres
  • smooth surfaces with rubber wheel/point
  • polish cameo surface and borders on slow speed (rag wheel w pumice and high shine)

D1 Spring - Complete Removable Pros (18 decks)

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