Partial Denture Design

Question 1

Pt request a new denture to replace upper denture which has become loose 2 years post XLA. What qs ask first?

Answer 1

ICE - IDEAS, CONCERNS AND EXPECTATIONS
Financial considerations
Aesthetic and functional desires
Long term tx - e.g implants?
MH/ DH
SH

Question 2

Find well demarcated area of erythema corresponding to fitting surface of denture. What is dx?

Answer 2

Denture stomatitis

Question 3

What is aetiology of denture stomatitis?

Answer 3

Caused by Candida albicans causing infection under denture

Question 4

Who more likely to see denture stomatitis in?

Answer 4

Females and upper dentures

Question 5

What are RFs for denture stomatitis?

Answer 5

Diabetes, nutritional deficiency, immune deficiency, broad spec ab, corticosteroid therapy, radiotherapy, xerostomia, smoking
Denture trauma, poor denture hygiene, nocturnal denture wearing

Question 6

How manage denture stomatitis

Answer 6

Manage any underlying systemic cause
Improve denture fit
Improve denture hygiene
Use of topical antifungal

Question 7

What denture hygiene give to pt w/ denture stomatitis?

Answer 7

Remove denture overnight, clean w/ brush and soapy water, leave to soak in recognised denture solution

Question 8

What topical anti fungal is recommended for denture stomatitis

Answer 8

Nystatin/ miconazole

Question 9

In which pt should miconazole not be used in?

Answer 9

Pt on anticoagulants

Question 10

What is adv of implant retained denture?

Answer 10

Improved retention and stability compared to removable dentures

Question 11

What is recommendation for amount of implants to retain a maxillary denture?

Answer 11

At least 4 implants (up to 6)