Complaints Flashcards
What are the causes of overextension of the periphery in complete dentures?
Overextension can be caused by improper denture adjustments or lack of correct border molding.
What are the consequences of poor fit in complete dentures?
Poor fit can lead to poor retention, rocking, tilting, and inability to seat the denture properly.
How can insufficient relief cause pain in complete dentures?
Insufficient relief can cause pressure on hard areas, leading to redness and ulceration.
What are the faults that can lead to incorrect jaw relationship?
Faults include wrong anteroposterior relationship, uneven pressure, over-open, and over-closed situations.
What is the treatment for wrong anteroposterior relationship in complete dentures?
Slight errors can be corrected by selective grinding; gross errors require new dentures.
How does uneven pressure cause pain in dentures?
It can cause trauma on one side of the ridge, leading to small white painful areas due to heavy one-sided pressure.
What is the management for over-open dentures?
Construct new dentures with slightly decreased vertical dimension if occlusal plane is correct.
What is the main cause of pain from over-closed dentures?
It is usually due to loss of vertical height through alveolar bone resorption.
How does cuspal interference affect denture fit?
Cuspal interference can cause pain and instability in well-fitting dentures.
What is the effect of teeth being set off the ridge in dentures?
It can cause pain in the upper buccal sulci and maxillary tuberosities.
How should retained roots or unerupted teeth be managed in complete denture patients?
The roots should be extracted, followed by relining of the affected area.
How can a V-shaped ridge in the lower arch be treated?
Alveoloplasty followed by relining the denture is the treatment of choice.
What complications can occur if the mental foramen is exposed under a denture?
Exposing the mental foramen can lead to localized or referred neuralgic pain.
What is the treatment for irregular resorption leading to pain in dentures?
Alveoloplasty and relining the denture are necessary.
How are pathological conditions managed in relation to denture pain?
Treat the pathological condition and construct new dentures.
What is the cause of denture allergies and how are they treated?
Denture allergies are rare, but constructing new dentures with a different material is the treatment.
What issues arise from a rough fitting surface on dentures?
Small pimples on the fitting surface can cause irritation, and they should be smoothed.
How does denture overextension cause difficulty in swallowing?
Overextension on the soft palate or lingual pouch can lead to tonsillitis or sore throat.
What is the recommended treatment for severe undercuts in denture patients?
Cut the fitting surface and possibly thicken the flange; if retention is compromised, alveoloplasty is needed.
How can the appearance of a denture be affected by a closed bite?
A closed bite can lead to approximation of the nose and chin.
What is the treatment for cheeks and lips falling in with dentures?
Build out the upper denture, especially in the modiolus region.
How is angular cheilitis caused by dentures?
It results from reduced vertical dimension, leading to saliva accumulation and secondary infection.
What factors should be considered when adjusting the color, shape, and position of anterior teeth?
Color, shape, and position should be adjusted based on patient preferences and functional needs.
How can the amount of tooth showing be adjusted in dentures?
Remake the dentures with an adjusted occlusal plane and longer or shorter teeth.
What is the usual cause of general dissatisfaction with dentures?
It is often related to appearance, especially in middle-aged female patients.
How can inefficiency in eating with dentures be addressed?
Encourage patients to practice eating and identify any specific complaints.
What are the causes of inability to eat meat with dentures?
Flattening of cusps, cuspless teeth, overclosure, and unbalanced articulation can be causes.
How do dentures become dislodged during eating?
Cuspal interference, unbalanced occlusion, or overextension can dislodge the dentures.
What are the causes of poor retention of dentures when opening the mouth?
Overextension, tight lips, cramped tongue, and underextension can cause poor retention.
What is the solution for denture instability when eating or talking?
Correct border extension and encourage proper tongue habits.
What causes clattering of teeth with dentures?
Excessive vertical height, gross cuspal interference, or loose dentures can cause clattering.
What are the main causes of nausea with dentures?
Overextension, underextension, thick posterior border, loose dentures, and psychogenic factors.
What discomfort is caused by altered vertical height in dentures?
Cramped tongue space, altered occlusal plane, and speech changes.
What factors contribute to whistling with dentures?
Decreased vertical dimension, increased overjet, and incorrect tooth placement.
How is lisping caused by dentures?
Lisping is caused by premature contact between the tongue and anterior teeth.
What are the causes of biting the cheek or tongue with dentures?
Insufficient overjet or decreased tongue space can lead to cheek or tongue biting.
What are the causes of food getting under the dentures?
Lack of peripheral seal and underextension are common causes.
What causes commissural angular cheilitis in denture wearers?
Reduced vertical dimension or improper positioning of maxillary teeth can cause angular cheilitis.
What is the treatment for burning tongue and palate with dentures?
Provide oral hygiene instruction, avoid hot/spicy foods, prescribe vitamins, and consider referral for persistent cases.
What factors contribute to repeated midline fracture of the upper denture?
Alveolar bone resorption, torus palatinus, and insufficient relief in the midline area.
