Treatment planning for complete dentures Flashcards
What things may a patient complain of, or you should ask them to delve into?
Appearance, eating, stability, retention, pain or discomfort with the denture, speech, retching, dislike the denture?
What questions could i ask to take a denture history?
How old are the dentures and are they a matching set?
When was your first denture?
How many sets of dentures have you had?
Do you often find success or failure in a denture?
What dental history questions should be asked to a complete denture patient
When were your teeth lost and how were they lost
Any retained roots, pain or swelling?
Dental anxiety, and dental attendance?
Any other treatment been tried before?
What things should I watch out for in a MH with regards to complete dentures
Neuromuscular diseases such as Parkinson’s, or people who have had a stroke or have dementia as it will affect neuromuscular control of lower denture and their tongue will displace it.
Dry mouth and medications which cause this such as antidepressants. Also radiotherapy patients.
Diabetes patients as often more prone to candida in the mouth.
What extra oral features should i look out for when making complete dentures?
Signs of TMJ dysfunction
Facial pathology such as carcinomas
Facial contours, lip support and facial height
Appearance of current dentures
Peri-oral opening
What intra oral features should i look out for?
Mucosal health and ridge form
Support in edentulous areas
Any retained roots if it is an overdenture
Periodontal health
Periapical status
What initial treatment might i carry out before making new dentures?
Removal of angular chelitis or denture stomatitis
Denture hyperplasia issues
Removal of retained roots
What examination should be taken of the CURRENT denture in the mouth?
Occlusal planes - use a foxes bite plane
vertical height. RVD-OVD = FWS
Correct occlusion?
Lip support?
Over/under extension?
Retention, stability and adaptation
What occlusal position is a denture produced in? Why?
Retruded contact position due to no opposing natural teeth.
What is meant by retention, stability and adaptation. Why may retention and stability be affected at the same time?
Retention = resistance to displacement away from ridge
Stability = ability to resist displacement by functional stresses
Adaptation = degree of fit between prosthesis and supporting structures
R+S affected as mucosa swells after extraction, denture fits the area but then mucosa shrinks and denture no longer fits
What examination can be done of the CURRENT denture out of the mouth?
Over/under extension of the tray
Occlusal tooth wear?
Tooth position?
Pathology on the denture (denture hygiene)
Any self repairs or clinical repairs?
