ASSESSMENT OF THE COMPLETELY EDENTULOUS PATIENT

Question 1

common denture complaints

Answer 1

• loose lower denture
• upper denture loose
• pain where denture rubs, producing ulcers
• dentures can nick cheeks and lips
• hard to speak or eat with denture
• nauseous with denture
• don’t like appearance (teeth may have worn etc, staining)
• intolerance

Question 2

relevant medical history

Answer 2

drugs which producce dry mouth (xerostomia)
can be an issue for denture wearers
problems with retention and soreness
problems with mobilituy
systemic problems
mobility issues and motor neurone disease

Question 3

intraoral assessment

Answer 3

• ulceration
• candidosis
• granuloma
• angular chelitis (fungal infection
• tori (bony outcrps most common on lingual Md adjacent to premolar/canine)
• hyperplasia
• dry mouth
• RR or teeth present
  ridge assessment

Question 4

assessing exhisting dentures

Answer 4

complete vs partial 
material
how old
retention stability function
general condition
assess lip support
mould and shafe
jaw relationship