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Clinic Lecture 1-A

Endentulous Patient

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