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Removable Pros > Sequelae of Denture Wearing > Flashcards

Sequelae of Denture Wearing Flashcards

1
Q

What is residual ridge resorption?

A
  • A physiologic process after teeth extracted
  • A variable process, dependent upon individual factors
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2
Q

What is a solution for residual ridge resorption?

A

overdenture - tooth and implant prostheses

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3
Q

What are the intra-oral sequelae to dentures?

A
  • alveolar bone (resorbs and decreases)
  • mucosal reactions (many varieties)
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4
Q

What are the different types of mucosal lesions?

A
  • Traumatic ulcers
  • Inflammatory papillary hyperplasia
  • Angular cheilitis
  • Denture stomatitis / Denture sore mouth
  • Fibrous hyperplasia / Epulis fissuratum
  • Candida
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5
Q

What are traumatic ulcers? Where are they located?

A
  • ulcers common with new dentures
  • crest of ridge (occlusal discrepancies)
  • vestibule (overextended or sharp border)
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6
Q

What is the solution to begin to fix issues with traumatic ulcers?

A

clincial remount

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7
Q

What is inflammatory papillary hyperplasia (IPH)?

A
  • A reactive tissue growth usually developing under a denture
  • Occurs on hard palate beneath denture base
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8
Q

What does the IPH (inflammatory papillary hyperplasia) look like?

A
  • Asymptomatic red or pink nodules on mucosa of hard palate and occasionally the residual ridge
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9
Q

What causes IPH (inflammatory papillary hyperplasia)?

A

Directly related to constant wearing of ill-fitting denture and poor oral hygiene

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10
Q

What is usually seen at the same time (comination syndrome) as IPH?

A

candida

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11
Q

What is the treatment for IPH (inflammatory papillary hyperplasia)?

A
  • Remove dentures at least 8 hrs/day, clean dentures well. Tissue massage.
  • Reline, rebase or remake dentures for better fit.
  • Possible Nystatin or other antifungals
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12
Q

Angular cheilitis is in about ____ percent of denture wearers?

A

15%

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13
Q

What is angular cheilitis (perleche)?

A
  • Inflammation of lip/lips with redness and fissures radiating from angles of mouth
  • Candida albicans fungal infection
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14
Q

What contributes to angular cheilitis?

A
  • poor-fitting denture and abused tissue
  • Decreased OVD and vitamin deficiencies may contribute
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15
Q

What is angular cheilitis associated with?

A
  • loss of occlusal vertical dimension and Candida albicans and S. aureus
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16
Q

What is denture stomatitis?

A
  • Chronic inflammation of denture-bearing mucosa
  • May or may not be painful
  • Redness; possible burning sensation
17
Q

What is the cause of denture stomatitis?

A

Cause uncertain: poor oral hygiene? 24-hr wear without removing?
Clenching? Xerostomia? Medications?

18
Q

What is the treatment for denture stomatitis?

A
  • tissue rest
  • improve oral hygiene
  • resilient liner in denture
19
Q

What are the symptoms of denture sore mouth?

A
  • itching
  • burning
  • pain
  • Visual clinical signs often absent
20
Q

What are the causes of denture sore mouth?

A
  • could be metabolic, nutritional, or psychologic
21
Q

What is the treatment for denture sore mouth?

A

symptomatic (refer to physician)
- consider lack of interocclusal space or clenching

22
Q

What are other names for epulis fissuratum?

A
  • denture hyperplasia
  • inflammatory fibrous hyperplasia
23
Q

What is epulis fissuratum?

A
  • Single or multiple fold(s) of hyperplastic tissue in vestibule
24
Q

What can cause epulis fissuratum?

A

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

25
Q

Where is epulis fissuratum usually seen?

A
  • Usually seen on facial / buccal in the anterior area of the mouth
  • Pronounced female predeliction
26
Q

What is the treatment for epulis fissuratum?

A
  • shorten denture border
  • often require surgical correction
  • reline, rebase, or remake dentures
27
Q

What is candida?

A
  • common oral microbe.
  • predisposing conditions: HIV, diabetes
28
Q

What arch is candida more common on?

A

maxillary arch

29
Q

What are the 3 presentations of candida with HIV?

A
  • Angular cheilitis
  • Erythematous candidiasis
  • Pseudomembranous candidiasis
30
Q

Poor oral and prosthetic care can
contribute to…

A

systemic challenges!

31
Q

What are the comorbidities of complete edentulism?

A
  • Malnutrition and obesity
  • Increased COPD events
  • Increased pneumonia related hospitalizations
  • Increased risk of head/neck cancer
  • Decline in cognitive function
  • Predictor of cardiovascular disease mortality
  • Reduced, but nonreplaced dentition associated with increased risk of mortality
32
Q

Complete denture therapy is not a ________ treatment.

A

“definitive”

33
Q

What is the major etiological factor of denture sequelae?

A

presence of the dentures

Removable Pros (19 decks)

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