post insertion appointment

Question 1

all patients with new dentures should be appointed and seen ____ after insertion of dentures

Answer 1

24-48 hours

Question 2

patient should wear dentures for ________ prior to appt to better evaluate mucosal irritations

Answer 2

several hours

Question 3

_____may be the single most significant factor in the successful manipulation of complete dentures under function

Answer 3

neuromuscular control

Question 4

__ and ___ experience are important prognostic indicators

Answer 4

tongue function and denture wearing

Question 5

common problems.

mand denture:

max denture:

Answer 5

mand:
-discomfort
-poor retention
-lack of support

max:
-poor retention and stability
-esthetics and phonetics

Question 6

post insertion 4 major areas

Answer 6

esthetics
phonetics
tissue irritations
loss of retention and stability

Question 7

the time to remedy esthetics problems is at the ______ appt

Answer 7

trial placement appt

Question 8

soreness in depth of vestibule is usually caused by

Answer 8

overextended border of flange

Question 9

sore on crest of ridge or ridge slope:

Answer 9

occlusion error usually

Question 10

soreness at frenum:

Answer 10

frenal notch too shallow or sharp

Question 11

soreness of tissue overlying coronoid process

Answer 11

too much thickness at disobuccal corner of max denture

use PIP on cameo surface (outside surface)

Question 12

numbness or burning sensation in anterior palate

Answer 12

pressure on incisive papilla

Question 13

swallowing soreness

Answer 13

irritation at mylohyoid ridge
and
retromylohyoid flange extension

Question 14

numbness or burning in lower premolar area

Answer 14

pressure over mental nerve due to an atrophied alveolar ridge (resorbed ridge)

Question 15

buccal mucosa at occlusal plane level.

biting cheek:

trapping mucosa between bases

Answer 15

biting cheek: increase horizontal overlap

Question 16

teeth contacting during speaking-

ridges are sore due to constant pressure!

Answer 16

OVD too far open so TOO LITTLE OF IOD

Question 17

dentures fit fine at first insertion, but loosen after wearing them for 3 or 4 hours:

Answer 17

occlusal errors likely

Question 18

maxillary CD dislodges when yawning or opening wide

Answer 18

DB corner too thick

Question 19

smiling causes max CD to dislodge:

Answer 19

denture flange too thick posterior to buccal frenum

Question 20

max CD dislodges when eating

suspect:

suspect:

Answer 20

posterior palate seal too deep

occlusion needs correction (this is in red)

Question 21

**whistling with S sounds:

Answer 21

anterior palatal contours are incorrect!!!

use PIP on the cameo surface to check phonetics/tongue contact on denture

Question 22

denture dislodges easier than expected:
1
2
3

Answer 22

1. overextension of borders “toaster denture”
2. form of external flanges
3. teeth locations violating “neutral zone”

Question 23

complaints:
dentures feel too large, feels like mouthful, difficult to speak/eat

suspect:

Answer 23

tongue space is too small and dentures crowd the tongue

think “neutral zone”

tooth position, denture base contours or both

Question 24

area where the forces applied by the tongue is equal or neutralized by the force applied by the cheeks and lips

Answer 24

neutral zone

Question 25

gagging may result from

Answer 25

loose dentures
poor occlusion
incorrect extension or contour of dentures
incorrect teeth positions
excessive OVD

Question 26

tissue trauma, manifests as:

Answer 26

hyperemia
inflammation
ulceration
pain