Complaints Flashcards

1
Q

What are the causes of overextension of the periphery in complete dentures?

A

Overextension can be caused by improper denture adjustments or lack of correct border molding.

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2
Q

What are the consequences of poor fit in complete dentures?

A

Poor fit can lead to poor retention, rocking, tilting, and inability to seat the denture properly.

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3
Q

How can insufficient relief cause pain in complete dentures?

A

Insufficient relief can cause pressure on hard areas, leading to redness and ulceration.

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4
Q

What are the faults that can lead to incorrect jaw relationship?

A

Faults include wrong anteroposterior relationship, uneven pressure, over-open, and over-closed situations.

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5
Q

What is the treatment for wrong anteroposterior relationship in complete dentures?

A

Slight errors can be corrected by selective grinding; gross errors require new dentures.

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6
Q

How does uneven pressure cause pain in dentures?

A

It can cause trauma on one side of the ridge, leading to small white painful areas due to heavy one-sided pressure.

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7
Q

What is the management for over-open dentures?

A

Construct new dentures with slightly decreased vertical dimension if occlusal plane is correct.

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8
Q

What is the main cause of pain from over-closed dentures?

A

It is usually due to loss of vertical height through alveolar bone resorption.

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9
Q

How does cuspal interference affect denture fit?

A

Cuspal interference can cause pain and instability in well-fitting dentures.

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10
Q

What is the effect of teeth being set off the ridge in dentures?

A

It can cause pain in the upper buccal sulci and maxillary tuberosities.

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11
Q

How should retained roots or unerupted teeth be managed in complete denture patients?

A

The roots should be extracted, followed by relining of the affected area.

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12
Q

How can a V-shaped ridge in the lower arch be treated?

A

Alveoloplasty followed by relining the denture is the treatment of choice.

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13
Q

What complications can occur if the mental foramen is exposed under a denture?

A

Exposing the mental foramen can lead to localized or referred neuralgic pain.

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14
Q

What is the treatment for irregular resorption leading to pain in dentures?

A

Alveoloplasty and relining the denture are necessary.

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15
Q

How are pathological conditions managed in relation to denture pain?

A

Treat the pathological condition and construct new dentures.

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16
Q

What is the cause of denture allergies and how are they treated?

A

Denture allergies are rare, but constructing new dentures with a different material is the treatment.

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17
Q

What issues arise from a rough fitting surface on dentures?

A

Small pimples on the fitting surface can cause irritation, and they should be smoothed.

18
Q

How does denture overextension cause difficulty in swallowing?

A

Overextension on the soft palate or lingual pouch can lead to tonsillitis or sore throat.

19
Q

What is the recommended treatment for severe undercuts in denture patients?

A

Cut the fitting surface and possibly thicken the flange; if retention is compromised, alveoloplasty is needed.

20
Q

How can the appearance of a denture be affected by a closed bite?

A

A closed bite can lead to approximation of the nose and chin.

21
Q

What is the treatment for cheeks and lips falling in with dentures?

A

Build out the upper denture, especially in the modiolus region.

22
Q

How is angular cheilitis caused by dentures?

A

It results from reduced vertical dimension, leading to saliva accumulation and secondary infection.

23
Q

What factors should be considered when adjusting the color, shape, and position of anterior teeth?

A

Color, shape, and position should be adjusted based on patient preferences and functional needs.

24
Q

How can the amount of tooth showing be adjusted in dentures?

A

Remake the dentures with an adjusted occlusal plane and longer or shorter teeth.

25
Q

What is the usual cause of general dissatisfaction with dentures?

A

It is often related to appearance, especially in middle-aged female patients.

26
Q

How can inefficiency in eating with dentures be addressed?

A

Encourage patients to practice eating and identify any specific complaints.

27
Q

What are the causes of inability to eat meat with dentures?

A

Flattening of cusps, cuspless teeth, overclosure, and unbalanced articulation can be causes.

28
Q

How do dentures become dislodged during eating?

A

Cuspal interference, unbalanced occlusion, or overextension can dislodge the dentures.

29
Q

What are the causes of poor retention of dentures when opening the mouth?

A

Overextension, tight lips, cramped tongue, and underextension can cause poor retention.

30
Q

What is the solution for denture instability when eating or talking?

A

Correct border extension and encourage proper tongue habits.

31
Q

What causes clattering of teeth with dentures?

A

Excessive vertical height, gross cuspal interference, or loose dentures can cause clattering.

32
Q

What are the main causes of nausea with dentures?

A

Overextension, underextension, thick posterior border, loose dentures, and psychogenic factors.

33
Q

What discomfort is caused by altered vertical height in dentures?

A

Cramped tongue space, altered occlusal plane, and speech changes.

34
Q

What factors contribute to whistling with dentures?

A

Decreased vertical dimension, increased overjet, and incorrect tooth placement.

35
Q

How is lisping caused by dentures?

A

Lisping is caused by premature contact between the tongue and anterior teeth.

36
Q

What are the causes of biting the cheek or tongue with dentures?

A

Insufficient overjet or decreased tongue space can lead to cheek or tongue biting.

37
Q

What are the causes of food getting under the dentures?

A

Lack of peripheral seal and underextension are common causes.

38
Q

What causes commissural angular cheilitis in denture wearers?

A

Reduced vertical dimension or improper positioning of maxillary teeth can cause angular cheilitis.

39
Q

What is the treatment for burning tongue and palate with dentures?

A

Provide oral hygiene instruction, avoid hot/spicy foods, prescribe vitamins, and consider referral for persistent cases.

40
Q

What factors contribute to repeated midline fracture of the upper denture?

A

Alveolar bone resorption, torus palatinus, and insufficient relief in the midline area.