Denture insertion and review Flashcards

1
Q

How should you assess the dentures prior to insertion?

A

Check all surfaces for acrylic flash, blebs, sharp edges and quality of polish

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2
Q

What may cause pain the insertion stage?

A
  • roughness
  • extension into undercuts
  • overextension
  • occlusion
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3
Q

What problems may present at insertion with retention and stability?

A
  • lower is never as retentive as the upper
  • retching may indicate that the palate needs reduced
  • muscle imbalance (eg labial frenum impinged by denture)
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4
Q

What problems may present at insertion with LIMBO?

A
  • very few changes can be made at this stage
  • lip support can be adjusted by minor labial flange reduction
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5
Q

What problems may present at insertion with occlusion?

A
  • minor adjustment is common at insertion
  • selective grinding used in most cases
  • if major error, some teeth may need stripped off for a wax rim and re-reg
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6
Q

What problems may present at insertion with speech and aesthetics?

A
  • manage patient’s expectations of new denture, may lisp to begin with but will improve over time
  • patient must view new dentures in the mirror and approve
  • warn that friends may notice change, may take time to adjust to muscles
  • some patients have smileorexia and never be pleased
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7
Q

What problems may present at insertion with discomfort?

A
  • undercut areas are common sites for discomfort (eg tuberosity, anterior labial flange or tori)
  • areas with poor support (mylohyoid ridge etc)
  • ask patient to be specific and record (PIP useful)
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8
Q

How should you assess insertion and removal?

A
  • insert lower first then upper
  • demonstrate with mirror to patient and/or carer
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9
Q

What wear and care instructions should you provide with the new denture?

A
  • remind patients that it may take time to become accustomed to wearing new dentures and to persevere
  • some discomfort is normal (like new shoes)
  • eating may be difficult to start
  • arrange review appointment and encourage patient to wear dentures if there are issues in the days before appointment to highlight issues
  • give written advice
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10
Q

What happens when the patient accepts the new dentures?

A
  • must tick accepted on prescription
  • hand one copy of prescription to patient, one in the notes and one to the lab (with finished written across the page)
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