Denture Insertion and Maintenance Flashcards
If minor occlusal adjustments are required at try in, what would you do?
Acrylic bur in a straight handpiece to remove any- check with articulating paper
- Should be balanced occlusion.
Can also remove some teeth, apply wax rime and re-record occlusion and reset the teeth.
Use the BULL rule- Buccal upper, lingual lower.
What do you check at try in stage?
Stability and retention
Base extensions
LIMBO
Position of teeth- within the neutral zone
OVD, RVD and freeway space
Occlusion
Speech and aesthetics
Discomfort
Insert and remove- check the patient can insert and remove it.
Wear and care instructions
Before the patient leaves the surgery, what must you tell them?
Ensure they know how to take it in and out the mouth.
Give wear and care instructions- both verbally and in writing.
Book in review 2 weeks later.
What should you tell the patient with regards to maintenance?
Expect some discomfort initially- it’s like wearing a new pair of shoes.
Speech may be impaired for a few days, excess saliva- just something foreign in the mouth that it is not used to.
May be sore when eating.
Remove dentures after eating and rinse in water.
Clean the dentures morning and night with a soft brush and soap- this should be done over a basin of water.
Never use hot or boiling water- will melt the acrylic.
Denture cleansers should only be used outside the mouth.
Don’t soak for more than 10 minutes.
Soak overnight in plain water.
Thoroughly rinse after being in the cleanser.
Ensure to clean your natural teeth as normal with fluoride toothpaste, twice per day.
If the denture does become sore and you cannot wear it then don’t wear it but try put it back in 24-48 hours before the review appointment so that I can see where it is digging in.
Visit your dentist regularly for check ups of the denture and the gums/mucosa.
What are the consequences of poor denture hygiene?
Denture stomatitis
Caries
Periodontal disease
Halitosis
Pain and discomfort
What is a potentially fatal consequence of poor denture hygiene?
Aspiration pneumonia
What cleansers should be advised for metal dentures?
Alkaline peroxide- sterodent
Alkaline hypochlorite for 10 minutes- Milton.
Do not use acid based cleansers.
What cleansers should be used for dentures with soft lining?
Alkaline peroxide cleansers for maximum 15 minutes in cold water.
