Denture Hygiene Flashcards
Name 5 possible outcomes of poor denture hygiene
caries (on existing teeth if RPD)
periodontitis
denture stomatitis
halitosis
pain
3 methods of mechanically cleaning a denture
soft bristled tooth brush and soap
microwave for disinfection - no more than 20s and no metal
ultrasonic dental bath
why should tooth paste not be used to clean dentures
too abrasive
discuss alkaline peroxides as a chemical method of cleaning dentures
light duty cleaners usually in form of effervescent tablet
example = steradent
if metalwork on denture max time = 15 mins
discuss alkaline hypochlorites as a chemical method for cleaning dentures
good for antibacterial and antifungal cleaning
example = milton
Corrode metal so should not be used on metal containing dentures for more than 10 mins
cant be used on dentures with a soft lining
what can happen if chemical cleaning is carried out all night every night
bleaching and damage to polished surfaces
Name 3 chemicals for cleaning dentures
alkaline peroxides e.g steradent
alkaline hypochlorites e.g milton
enzymes - proteolytic enzymes
acids
abrasives
how can dentures with a soft lining be chemically cleaned
soak in alkaline peroxide cleansers for no more than 15 mins
Describe an ideal routine of denture care/ hygiene
(5 steps)
1 - rinse denture after every meal
2 - remove debris at night using a soft brush and soap and cold water
3 - chemically clean at night for 10-15 mins then rinse and leave in a cold water bath over night
4 - leave dentures out at night
5 - visit dentist regularly
what is an immediate denture
any removable denture prosthesis fabricated for placement immediately after removal of a tooth/teeth
advantages of an immediate denture
improved aesthetics, speech and function
prevents overeruption and drifting
promotes post extraction healing
disadvantages of an immediate denture
increased cost and patient visits
cant do a pre try in to check patient is happy
ongoing maintenance required
lots of guesswork around how healing will proceed
name 3 contraindications for proving a immediate denture
dementia
MRONJ/ORN risk areas
no aesthetic or functional need
pathology present e.g cyst
fractures
provide instructions for a patient you have just given an immediate denture to
keep denture in for the first 24 hours post extraction
After 24hours, rinse mouth with warm saline or salty water and carry out normal oral hygiene
usually be replaced 6months to 1 year post extraction
