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dentures final > immediate complete denture > Flashcards

immediate complete denture Flashcards

1
Q

reactive tissue growth usually developing under a denture
-occurs on hard palate beneath denture base

A

inflammatory papillary hyperplasia (IPH)

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2
Q

asymptomatic red or pink nodules on mucosa of hard palate and occasionally the residual ridge
-directly related to constant wearing of ill-fitting denture and poor oral hygiene

candida frequently present

A

IPH
inflammatory papillary hyperplasia

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3
Q

immediate dentures, 2 popular protocals

A

conventional and interim/transitional

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4
Q

reline the immediate denture after healing and ridge stable (6 months)

ONE DENTURE

A

conventional

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5
Q

aim is to use for short period, then it is REPLACED by the definitive prosthesis when healing is complete

TWO DENTURES

A

interim/transitional

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6
Q

fabricated prior to extracting natural teeth

A

immediate dentures

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7
Q

immediate denture advantages

A

prevent patient embarrassment
provide guide for optimal esthetics
provide guide for OVD

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8
Q

maintenance of a patient’s appearance, support, tongue will not spread out as a result of tooth loss, less pain since extraction sites are protected, easier to duplicate, speech and mastication rarely compromised, availability of tissue-conditioning material, patient’s psychological and social well being preserved

A

advantages of immediate dentures

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9
Q

lack of clinical evaluation of trial denture- anterior esthetics

A

immediate denture disadvantages

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10
Q

immediate denture disadvantages

A

increased complexity- impressions, CJR
increased maintenance
greater # of visits= more cost
**lack of clinical evaluation of trial denture- anterior esthetics

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11
Q

more challenging, anterior ridge is UNDERCUT, recording of incorrectly the CR position, more chair time

A

disadvantages of immediate dentures

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12
Q

explanation to the patient concerning immediate dentures:

A
  1. do not fit as well as normal complete dentures
  2. sore spots and pain from extractions will make first 2 weeks difficult
  3. difficult to eat and speak initially
  4. esthetics may be unpredictable since anterior try-in not possible
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13
Q

having an existing RPD abutment teeth: two phase surgical regimen:

A

phase 1: remove posterior teeth, alveoloplasty, tuberosity reduction

fabricate denture

phase 2: extract anterior teeth at denture insertion appointment

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14
Q

remove all posterior teeth
surgical correction of tuberosities
wait 6-8 weeks before fabricating the immediate denture

A

phase 1 surgery

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15
Q

extract anterior teeth
labial frenectomy if needed

A

phase 2 surgery at denture insertion

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16
Q

3 benefits of 2-phase surgery

A

simplifies clinical procedure, reduces post-placement care, improves denture comfort and retention

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17
Q

stock tray
custom impression tray
combination
campagna technique

A

secondary impression techniques

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18
Q

max-mand registrations

presence of ______ may make OVD determination easier

malposed, drifted, mobile teeth would make________ more difficult

A

anterior teeth easier

CJR registrations more difficult

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19
Q

no anterior esthetic verification

A

immediate dentures

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20
Q

confirm correct mounting of casts, confirm OVD is correct, midline and incisal plane location (mark cast for reference)

A

posterior trial placement

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21
Q

midline and incisal plane marked, alternate tooth arrangement (set every other tooth), minimal alveolar ridge modification

A

set anterior teeth

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22
Q

jerbi’s rule of thirds

A

minimal cast trimming

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23
Q

-required if any alveoloplasty or bone smoothing is anticipated

-fabricated at wax elimination stage of processing

A

surgical template

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24
Q

denture insertion:

A

PIP
relieve any pressure areas
bilateral occlusal contacts

25
Q

with immediate overdenture, reduce abutments and place ____ prior to extractions

A

amalgam

26
Q

immediate dentures must be worn for the first ___ hours. if removed, may not be able to be reinserted for ______days.
immediate dentures will _____ during healing, tissue conditioning will be required.

_____months after insertion at least a reline will need to be done, possibly a remake.

A

24 hours

3-4 days

6-9 months

27
Q

patient instructions for immediate dentures:

A

soft diet
some bleeding
swelling for 3-4 days
return to clinic the next day, 24 hour post-op

28
Q

post-insertion care at 24-hour appt

A

remove and rinse denture, relieve any obvious pressure areas, evaluate retention and occlusion

29
Q

post insertion care at 72 hour appt

A

evaluate extraction sites, evaluate tissue, denture retention, oral hygiene

30
Q

as tissue shrinks from denture contact, retention will usually decrease and require tissue conditioner

A

retention

31
Q

post insertion.

occlusal correction - remount - done. when:

tissue conditioner changed as needed
decision to _____/____/____ is made after 4-6 months

A

patient is comfortable (2-3 weeks)

decision to reline/rebase/remake

32
Q

complete denture therapy is not a

A

definitive treatment

33
Q

the major etiological factor:

A

the presence of the denture

34
Q

physiologic process after teeth extracted

variable process, dependent upon individual factors

A

residual ridge resorption

35
Q

solutions to residual ridge resorption:

A

overdenture-tooth and implant prostheses

36
Q

common with NEW dentures, if generalized on CREST OF RIDGE- suspect occlusal discrepancies, if in vestibule, suspect overextended or sharp border

A

traumatic ulcers

37
Q

if traumatic ulcers are on crest of ridge

A

suspect occlusal discrepancies

38
Q

if traumatic ulcers are in vestible

A

suspect overextended or sharp border

39
Q

if ulcers are on crest of ridge, the solution would be to:

A

clinical remount

40
Q

IPH treatment:

A

remove dentures at least 8 hours, clean denture well, tissue massage

reline, rebase or remake dentures for better fit

possible nystatin or other antifungals

41
Q

IPH….avoid surgery.
for most patients, _______treatment is adequate prior to making new dentures

A

conservative treatment

42
Q

15% of denture wearers

A

angular cheilitis (perleche)

43
Q

inflammation of lip/lips with redness and fissures radiating from angles of mouth. candida albicans fungal infection

A

angular cheilitis

44
Q

angular cheilitis is associated with

A

loss of OVD and candida albican and S. aureus

44
Q

chronic inflammation of denture-bearing mucosa

may or may not be painful

redness; possible burning sensation

cause uncertain: poor oral hygiene, 24 hour wear without removing, clenching, xerostomia, medications???

A

denture stomatitis

44
Q

angular cheilitis is caused by:

treated with

A

decreased OVD and vitamin deficiencies

usually see poor-fitting denture and abused tissue

nystatin

44
Q

bizarre symptoms: may be itching, may be burning, may be pain

visual clinical signs often ABSENT

cause: may be metabolic, nutritional or psychologic
*consider lack of interocclusal space or clenching

A

denture sore mouth

45
Q

mobile tissue

A

fibrous hyperplasia

46
Q

“denture hyperplasia”
“inflammatory fibrous hyperplasia”

A

epulis fissuratum

47
Q

single or multiple fold(s) of hyperplastic tissue in vestible

associated with the flange of an ill-fitting denture or flange is sharp/unpolished

A

epulis fissuratum

48
Q

where do you usually see epulis fissuratum?

A

on facial/buccal in anterior area of mouth

49
Q

epulis fissuratum is usually found in

A

women

50
Q

treatment for epulis fissuratum

A

shorten denture border
often require surgical correction
reline, rebase or remake dentures

51
Q

yeast-like fungus

A

candida

52
Q

common oral microbe
-predisposing conditions: HIV, diabetes

A

candida

53
Q

candida is more common on

A

max arch

54
Q

candida- 3 presentations with HIV

A

angular cheilitis, erythematous candidiasis, pseudomembranous candidiasis

55
Q

complete denture therapy is

A

NOT a definitive treatment

dentures final (9 decks)

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