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Clinic Lecture 1-A
Endentulous Patient
| Question | Answer |
|---|---|
| Tissue Supported Complete Denture | Regular looking denture |
| Implant Supported Complete Denture | Has a metal bar supported by the implant running on top of the gingiva on which the denture also snapped onto to help with retention. |
| How often should an Endentulous patient be seen? Why? | At least once a year to examine the tissues of the oral cavity and examine the prostheses for fit and for problems. |
| Provisional/ Interim Denture | Immediate, teeth are extracted and denture is immediately place. Then later on a complete denture is made. |
| Immediate Denture | Placed immediately after the teeth are extracted. |
| What foods need to be avoided with new denture patients? | Foods that need incising, sticky, or fibrous foods. |
| What is the significance of chewing that needs to be done with new denture patients? | Chew on each side at the same time to keep the dentures stabilized. |
| What is the significance of the salivary flow in new denture patients? | Increased salivary flow. |
| What is needed to be done with new denture patients regarding their mucosa? | Take out daily for tissues to breathe. Brush biofilm and debris from tissue. |
| What significant to new denture patients need to know about speaking? | May have to practice repeating, practicing, and pronouncing difficult words. |
| What is significant for new denture patients to know about storing dentures? | Store in a container of water or cleaning solutions |
| What are the IMPORTANT factors to know about the immediate denture? | Leave in place for 24-48 hours. Helps control bleeding and edema. Allows for control healing. Helps hold everything into place and acts like a band aid. |
| What is often performed when the teeth are removed and give the right contour for the denture that can be painful? | Osseous Surgery |
| What are some denture related oral changes? | Loss of alveolar ridges. Less support and stability for the denture. Less facial structure support. TMJ problems. Frequent adjustments. Mandibular bone loss 4x that of the maxillary. |
| What factors effect the oral cavity with a denture patient? | Xerostomia. Fit and occlusion of denture. Fit and occlusion of denture. Host response. Aging (thinner mucosa). Denture and tissue hygiene. Constant wearing of the denture. |
| What significance of dentures have on our sensory proportion in the oral cavity? | No PDL, so no proprioceptors. Hard to detect small and even sometime large objects in the mouth. Taste buds are covered on the palate and can't detect temperature. |
| What are the most common causes of lesions under or next to the dentures? | Ill-fitting dentures. Inadequate oral hygiene. Constant wearing of the dentures. |
| Inflammatory Lesions | Improper fitting denture, inadequate home care, an allergy to a cleansing past or solution or continuous wearing. |
| Ulcerative Lesions | Over extended denture boarder |
| Papillary Hyperplasia | On palate as a group of closely arranges pebble shape, red, edematous projections. |
| Epulis Fissuratum | Tissue looks to have single or multiple elongated fols related to the border of an ill-fitting denture |
| Denture Retention | Use of denture adhesives is very common, they shouldn't be used on a denture that is poorly constructed or doesn't fit. |
| Angular Cheilitis | Fissuring at the angles of the mouth with cracks, ulcerations, and erythema |
Created by:
daisenmurray
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