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Complete Removable Prosthodontics > The Post-Insertion Appointment > Flashcards

The Post-Insertion Appointment Flashcards

1
Q

post insertion (2)

A

all patients with new dentures should be appointed and seen 24-48 hours after insertion of the dentures

patient should wear the dentures for several hours prior to appointment to better evaluate mucosal irritations

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2
Q

patients who are seen for denture adjustment appointment — hours post-insertion do better with dentures

A

24-48

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3
Q

in many instances, the most crucial time in the patients perception of success or failure of dentures is the

A

adjustment period

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4
Q

—- may be the single most significant factor of CD under function

A

neuromuscular control

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5
Q

(2) are important prohnostic indications

A

tongue function

denture wearing experience

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6
Q

common problems w mand denture (3)

A

discomfort
poor retention and stability
lack of support

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7
Q

common problems w max denture (2)

A

poor retention and stability

esthetics and phonetics

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8
Q

post insertion 4 major areas

A

esthetics
phonetics
tissue irritations
loss of retention and stability

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9
Q

esthetics

vague complains about the dentures- pnt may be

A

unhappy w esthetics

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10
Q

the time to remedy esthetic problems is at the

A

trial placement appointment

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11
Q

most patients adapt and learn to speak with new dentures quickly unless

A

the teeth are improperly located in the vertical, horizontal or frontal plane

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12
Q

problems w phonetics (4)

A

check the thickness of the max palatal portion. a common problem is excessive thickness
reevaluate the position of the mac anterior teeth
if everything appears normal it may be a matter of time for the patient to adapt
open OVD

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13
Q

tissue irritations

A

sore spot may be far removed from its cause

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14
Q

tissue irritation causes (4)

A

overextension
trauma from faulty occlusion
pressure from the denture base
tissue abrasion from prosthesis movement

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15
Q

loss of retention and stability

many possible causes (6)

A 
occlusion
base contours 
teeth not in neutral zone
posterior palatal seal
overextension or underextension
salivary flow and character
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16
Q

Post insertion (2)

A

Check occlusal contacts

Remount to adjust occlusion if error is detected

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17
Q

much of the selective grinding done in mouth according to articulating paper marks made actually — the amount of error in occlusion

A

increases

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18
Q

Post-insertion (2)

A

Remove dentures and evaluate palate and residual ridges throughout
Evaluate vestibular reflections for red areas

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19
Q

Post insertion appnt.

Ask patient to

A

point to area of soreness
Cotton tipped applicator (not their finger) –touch area
Address the most urgent area first

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20
Q

Soreness in depth of vestibule is usually caused by

A

overextended border

of flange.

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21
Q

Soreness in vestibule is usually caused by

A

overextended border of the

flange (due to an overextended final impression).

22
Q

Sore on crest of ridge or ridge slope (2)

A
  • occlusion error usually

- pressure spot (tray show through) in secondary impression

23
Q

Frenal notch too (2)

A

shallow or sharp

24
Q

Soreness of tissue overlying coronoid process –

A

too much thickness at

distobuccal corner of maxillary denture; PIP on cameo surface

25
Q

Numbness or burning sensation in anterior palate –

A

pressure on incisive

papilla

26
Q

Swallowing soreness (2)

A

Irritation at mylohyoid ridge

Retromylohyoid flange extension

27
Q

Numbness or burning in lower premolar areas –

A

pressure over mental

nerve due to an atrophied alveolar ridge

28
Q

Buccal mucosa at occlusal plane level (2)

A
    • biting cheek - Increase horizontal overlap

- - trapping mucosa between bases

29
Q

Teeth contact during speaking

A

OVD is too far open. Too little IOD

(freeway space). Ridges are sore due to constant pressure!

30
Q

Dentures fit fine at first insertion, but loosen after wearing them for

A

3

or 4 hours –Occlusal errors likely

31
Q

Maxillary CD dislodges when yawning or opening wide - -

A

DB corner too thick

32
Q

Smiling causes maxillary CD to

dislodge

A

Denture flange too thick posterior to buccal frenum

33
Q

Maxillary CD dislodges when eating

Suspect: (2)

A

posterior palatal seal too deep

Occlusion needs correction

34
Q

Whistling with /S/ sounds

A

Anterior palatal contour(s) are incorrect. Uses PIP on the cameo surface
to check phonetics/tongue contact on the denture.

35
Q

Dentures dislodge easier than

expected (3)

A

Overextension of borders-”toaster denture”
Form of external flanges
Teeth locations violating “Neutral Zone”

36
Q

The “Neutral Zone”

A

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

37
Q

gagging may result from (6)

A

loose dentures
poor occlusion
incorrect extension or contour of dentures
incorrect teeth positions (too far lingual or occlusal plane too low)
an excessive OVD
psychogenic factors

38
Q

Tissue trauma:

Manifests as: (4)

A

Hyperemia
Inflammation
Ulceration
Pain

39
Q

zinc oxide paste (PIP)

A

used to detect improper adaptation

40
Q

PIP spray

A

used in patients w xerostomia to prevent the PIP from sticking to the mucosa

41
Q

Dry denture and brush thin layer of PIP on — surface.

A

intaglio

42
Q

Spray with — if mouth is dry and insert denture.

A

separator

43
Q

Dry the tissue and denture with —

A

gauze

44
Q

Touch irritated area with indelible marker-

A

Thompson marker

45
Q

Insert denture to transfer — to denture base

A

mark

46
Q

Denture adjustment (3)

A

Acrylic resin cutters
#8 round bur
Scrapers (not used)

47
Q

Smooth all adjusted surfaces with a

A

rubber wheel/point

48
Q

Polish cameo surface & borders (lathe on SLOW SPEED) –

A

rag wheel

with pumice and then high shine

49
Q

complaints about looseness (2)

A 
denture may lack retention
displacing forces (occlusion, muscle action) are significant enough to overcome normally adequate retention
50
Q

lack of retention

disgnosed when

A

denture offers little or no resistance to removal along a path approx perp to occlusal plane

51
Q

complaints
denture feels too large
feels like a mouthful
difficult to speak or eat

suspect:

A

tongue space is too small and dentures crowd the tongue, problem could be tooth position, denture base contours or both. think neutral zone

52
Q

The Neutral Zone

A

“…..that area or position where the forces between the tongue and the
cheeks/lips are equal.” A zone of equilibrium.

Complete Removable Prosthodontics (20 decks)

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