Sequelae of Wearing Dentures Flashcards
Give a reason why porcelain denture teeth are rarely used for denture fabrication.
Prone to fracture; don’t bond to denture base
At what temp are CAD/CAM dentures processed?
Not processed; cut from material
Compared to conventional complete denture fabrication, which clinical step is not performed when fabricating a conventional immediate complete denture?
Anterior esthetics try-in
Is CD treatment a definitive treatment?
No
What is the major etiological factor causing issues with dentures?
Presence of the dentures
_____ is a physiologic process after teeth extracted; variable process, dependent upon individual factors
Residual ridge resorption
_____:
- Common with new dentures
- If generalized on crest of ridge - suspect occlusal discrepancies
- If in vestibule, suspect overextended or sharp border
Traumatic ulcers
_____ is a reactive tissue growth usually developing under a denture
- Occurs on hard palate beneath denture base
Inflammatory papillary hyperplasia (IPH)
________:
- Asymptomatic red or pink nodules on mucosa of hard palate and occasionally the residual ridge
- Directly related to constant wearing of ill fitting denture and poor oral hygiene
- Combination syndrome: too much pressure on denture
- Candida frequently present
Inflammatory papillary hyperplasia (IPH)
To treat ______:
- Remove dentures at least 8hr/day, clean dentures well. tissue massage
- reline, rebase, or remake dentures for better fit
- Possible nystatin or other antifungals
- Small nodules often improve with removal of denture, tissue massage, good oral hygiene and antifungal
- Nodules are too large to allow good oral hygiene - or present for many years - may need surgical removal
- For most patients, conservative treatment is adequate prior to making new dentures
Inflammatory papillary hyperplasia (IPH) treatment
How many percent of denture wearers have angular cheilitis?
15%
____:
- Inflammation of the lips with redness and fissures radiating from angles of the mouth
- Candida albicans fungal infection
- Decreased OVd and vitamin deficiencies may contribute, but usually see poor-fitting denture and abused tissue
Angular cheilitis
Treatment of ____:
- Antifungals: nystatin and a better denture
Angular cheilitis
_____:
- red fissured irritations at corner of mouth
- Associated with loss of OVD and candida albicans and s. aureus
Angular cheilitis
Angular cheilitis is associated with _____ of OVD
loss of OVD
_____:
- Chronic inflammation of denture-bearing mucosa
- May or may not be painful
- Redness; possible burning sensation
- Cause uncertain: Poor oral hygiene? 24-hr wear
without removing? Xerostomia? Medications?
- Tx: Tissue rest, improve oral hygiene, resilient liner in
denture
Denture stomatitis / Denture sore mouth
______:
- Bizarre symptoms: may be itching, may be burning or
pain
- Visual clinical signs often absent
- Cause: may be metabolic, may be nutritional or
psychologic
- Consider lack of IOD or clenching
Denture stomatitis / Denture sore mouth
______: mobile tissue
- Single or multiple folds of hyperplastic tissue in
vestibule
- Associated with the flange of an ill-fitting denture or
flange is sharp / unpolished
Epulis fissuratum
____:
- Usually seen on facial / buccal in the anterior area of
the mouth
- Pronounced female predilection: reason unclear
Epulis fissuratum
______ treatment:
- Shorten denture border
- Often require surgical correction
- Reline, rebase or remake denture
Epulis fissuratum
_____ is a yeast-like fungus
Candida
Is candida more common on max or mand arch?
Maxillary
_____ is a common oral microbe
- Predisposing conditions: HIV, diabetes
Candida
Candida presentations with _____:
- Angular cheilitis
- Erythematous candidiasis
- Pseudomembranous candidiasis
HIV
The following are associated with ______:
- Malnutrition and obesity
- Increased COPD events
- Increased pneumonia related hospitalizations
- Increased risk of head/neck cancer
- Decline in cognitive function
- Predictor of CV disease mortality
- Reduced, but non replaced dentition associated with increased risk of mortality
Complete edentulism
