tx planning for complete dentures

Question 1

info needed to make complete dentures

Answer 1

ptx complaints
denture hx
dental hx
medical hx
social hx

Question 2

what to note in medical hx

Answer 2

neuromuscular problems:
tremor e.g. parkinson’s
stroke
dementia

Question 3

extra oral exam things to note

Answer 3

signs of TMJ dysfunction e.g. click / tenderness
facial pathology
facial contours
overall appearance of dentures

Question 4

intra oral exam things to note

Answer 4

mucosal health
if overdenture abutments
periodontal health
periapical status
caries
support in edentulous areas
mouth opening - trismus
peri oral opening

Question 5

exam of denture in the mouth

Answer 5

lip support
if over / under extended
retention - resistance to displacement away from ridge
stability - ability of denture to resist displacement by functional stresses
adaptation - degree of fit between a prosthesis & supporting structures

Question 6

exam of denture out of mouth

Answer 6

base extension
tooth position
excessive wear of denture
denture hygiene
alterations since insertion i.e. repairs / additions