REM PROS ease and recall Flashcards
when would you arrange the ease appt after the fit of a new denture?
48 hours - 1 week
if the pt has never worn dentures before, sooner to support them
how many ease appts are given to a pt after the fit of a new denture?
normal to require more than 1
keep arranging every 1-2 weeks until the pt is comfortable and any issues are resolved
why do we give some time between the fit and the ease appt?
to allow the pt to wear dentures at home when eating and speaking to assess the function and comfort
what do you tell the pt to do 24 hours before an ease appt?
wear the new dentures as much as possible
why do you tell the pt to wear new dentures as much as possible 24 hours before the ease appt?
this will induce any tenderness/ redness so you know where needs eased
where do you want to check for areas of discomfort with new dentures?
frenum
tuberosity
depths of sulci
if the patient cant localise where pain associated with new dentures is, what can you do?
run finger/ mirror handle along area
if a pt complains of a denture moving, what will you assess?
apply vertical pressure on tissues and assess for tipping
check extensions with muscle movement
if a flabby ridge is present, movement may be inevitable
if a pt complains of a sore jaw with new dentures, what are you assessing?
if the OVD was adjusted - this will be short lives, pt will adapt
check sufficient FWS
if a pt complains of the bite feeling wrong with new dentures, what will you assess?
is there a new occlusal relationship with the new dentures - pt needs to retrain muscles
check that there is no sliding after first initial contact of teeth
check with articulating paper for any heavy/ uneven contacts
if previous dentures had flat surfaces, pt just wont be used to this
if the pt has aesthetic concerns with the teeth of new dentures, what would you do?
remake
why is initial review for an IR 24 hours after xla/ fit appt? what will you check at this appt?
LA will have been administered so pt unable to give feedback at the time
check pt can insert/ remove
check for ulcers
assess socket
how long does full ridge healing take?
6 months
when do you review IRs?
24 hours
1 month
3 month
6 month
when do we recall pts with complete dentures and why?
annually
for an EO and IO exam, review dentures inside and outside the mouth
review denture hygiene
review adaptation
review occlusal contacts
when do we review pts with P dentures?
as per their oral health needs i.e., depending on caries/ perio risk bearing in mind that wearing a P denture can increase this
what do you tell the pt to do in regards to the clasps slacking?
insert and remove the denture holding an area of flange
why may someones denture become discoloured?
bleached through use of the wrong cleaning technique
how is calculus and stain removed from dentures?
steam cleaning in the lab
