Retching and Managing Patient Expectations - Tutorial 2 Flashcards
what is retching
involuntary contraction of muscles of the soft palate or pharynx - results in retching
what are the two types of retching
psychogenic - occurs by site/ smell/ sound
somatic - touching trigger zones like palatoglossal and palatopharyngeal folds
what is retching often worsened by
anxiety
name four instances where prosthetics stages may pose a challenge with a retching patient
impression taking
jaw registration
toleration of dentures
denture retention - palate may need to be reduced
how could you make the dental room a bit more relaxed for an anxious patient
dim lighting, music, avoid site of dental instruments
what are three behaviour management options for the anxious patient
relaxation
distraction
desensitisation
how could you modify impression taking to suit a patient who retches
modify stock trays
lower tray use in upper arch
modify special trays - palatal reduction
rapid setting impression material
what do you have to consider in retching patients before making them a denture
do they require a denture - shortened dental arches, or use of brudges/ implants
what are better material options for dentures in retching patients
CoCr rather than acrylic
horseshoe palate
in the denture design, what can you do to aid management of a retching patient
add multiple postdams so you have the options to cut back
what do postdams provide a denture
pressure to palatal tissues that helps in reducing retching
name three aspects of a denture design that could be used in a retching patient
palate not too thick
cusps rounded on posterior teeth
consider no 2nd molars
name two reasons why patients are usually unhappy with their dentures
denture retention and stability
decreased chewing efficiency
what questions can you ask when risk assessing a patient for a new denture
how long ago did you lose your teeth
how many dentures have you had
how old is your last denture
are you wearing the last denture you had made
