COMPLETE DENTURES - LONG TERM REVIEW Flashcards
soft tissue problems at review stages
denture candidasis (infection) - red palate
hyperplasia (denture granuloma)
neoplasia (dysplasia/cancer)
causes of denture candidiasis
also known as stomatitis - poor OH leaving dentures in at night excessive FWS (angular chelitis) unretentive dentures systemic disease
managment of denture candidasis
good OH and denture hygeine
denture replacement
antifungals (topical)
oral and denture hygiene advice
daily cleaning of denture woth soap daily soaking in denture sol no wearing overnight regualar rinse after every meal clean over sink rinse after soaking
what can be used to clean dentures
alkaline hypochloride (milton) effervescent peroxide denture cleansers (eg steradent)
when is alkaline hypocholoride best used
for removal of candia albicans (best for denture stomatitis)
able to eradicate MRSA
effervescent peroxide denture cleansers
produce O2 free radicals which are highly reactive
prolonged use can cause colour changes of acrylic resin, surface roughness and reduced flexural strength
denture replacement and antifungals
anti fungal at try in - mucoazole gel (cant use with warfarin)
nystatin pastilles
management of severe or resistant candidiasis
bacteriological swab
topical and systemic antifungals
denture induced granulomata (hyperplasia)
mixture of hyperplasia and inflammation
often due to low grade denture trauma
sig granuloma need surgical intervention
neoplasma
white or red patches in mouth
may be due to denture trauma
anywhere beyond the peripheral border of denture cannot be denture trauma
what are hard tissue problems all related to
alveolar resorption
protrusive overclosure
where pt slides mandible forward and loses sig facial height
combination of excessive denture wear and alveolar resorption
how to treat protrusive overclosure
recline dentures
occlusal pivots
replacement of denture duplication with moderate changes in jaw relations
denture problems
wear
fracture
