Treatment planning for complete dentures Flashcards
What history is required to make dentures?
- patient complaints
- denture history
- dental history
- medical history
- social history
What could be in involved in patient complaints?
- appearance
- eating (struggling to eat certain foods)
- pain / discomfort
- looseness
- retching
- speech
What could be in involved in denture history?
- previous experience ?
- age of dentures
- matched set
- do they wear their most recent set
- when did they first get dentures
- how many sets in how many years
What could be in involved in dental history?
- when were teeth lost
- why were teeth lost
- retained roots, swellings
- anxiety, mobility and dental attendance
- any other treatments tried
What could be in involved in medical history?
- neuromuscular problems
- tremor
- stroke
- dementia
- epilepsy (choking hazard)
- xerostomia (drug induced, radiotherapy)
- cardiac, diabetes etc
- medications
How does Parkinson’s affect denture wearing?
Constant tongue movement can make it difficult to tolerate a lower denture
How does cardiac disease impact dentures?
Difficult to tolerate impressions
How does diabetes affect denture wearing?
More prone to Candida albicans
What could be in involved in social history?
- mobility
- barrier to treatment (ie FTA due to transport)
- alcohol / smoking
- capacity to consent
- any support required
What should be examined in the EO?
- signs of TMJ dysfunction (click/tender)
- facial pathology
- facial contours
- appearance of dentures
What should be examined in IO?
- mucosal health
- periodontal health (if RR)
- periapical status (if RR)
- caries (if RR)
- support in edentulous areas
- mouth opening
- peri-oral opening (elasticity of tissues)
Why is it important to assess mucosal health when designing a denture?
- impressions should be taken on healthy tissues
- denture may exacerbate existing problems
How do you manage denture hyperplasia when designing a new denture?
- modify current denture to remove area that sits on the area of hyperplasia
- wait until tissues return to normal before taking impressions
Where is the primary support area in an upper denture?
Hard palate
Where is the secondary support area in an upper denture?
Ridge crest