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D1 Spring - Occlusion & Fixed Pros. > 4/1: Sequelae of Denture Wearing > Flashcards

4/1: Sequelae of Denture Wearing Flashcards

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1
Q

What is not a “definitive” treatment for dentures?

A

Complete denture therapy

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2
Q

What is the major etiological factor for dentures?

A

The presence of the dentures

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3
Q

What is a physiologic process after teeth are extracted?

A

Residual ridge resorption

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4
Q

What is a variable process, dependent upon individual factors?

A

Residual ridge resorption

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5
Q

What are solutions for residual ridge resorption?

A

Overdenture-tooth and implant prostheses

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6
Q

What is the movement of alveolar bone?

A

Resorbs and decreases

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7
Q

What are examples of mucosal lesions?

A
  • traumatic ulcers
  • inflammatory papillary hyperplasia
  • angular chelitis
  • denture stomatitis/denture sore mouth
  • fibrous hyperplasia/epulis fissuratum
  • candida
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8
Q

What is common with new dentures?

A

Traumatic ulcers

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9
Q

What is the suspect for traumatic ulcers on crest of ridge?

A

Occlusal discrepancies

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10
Q

What is the suspect for traumatic ulcers if in vestibule?

A

Overextended or sharp border

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11
Q

What is the suspect for ridge crest resorption?

A

Occlusion

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12
Q

What is inflammatory papillary hyperplasia (IPH)?

A

A reactive tissue growth usually developing under a denture

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13
Q

What is this?

A

inflammatory papillary hyperplasia (IPH)

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14
Q

Where does IPH occur?

A

On hard palate beneath denture base

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15
Q

Describe IPH

A

Asymptomatic red or pink nodules on mucosa of hard palate and occasionally the residual ridge

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16
Q

What is IPH directly related to?

A

Constant wearing of ill-fitting denture and poor oral hygeine

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17
Q

What is frequently present in IPH?

A

Candida

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18
Q

What is IPH treatment?

A
  • Remove dentures at least 8 hours/day, clean dentures well. Tissue massage
  • Reline, rebase, or remake dentures for better fit
  • possible nystatin or other antifungals
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19
Q

What do small nodules from IPH improve with?

A

Removal of denture, tissue massage, good oral hygeine and antifungal tx

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20
Q

When does IPH need to be surgically removed?

A

Too large to allow good oral hygiene or present for many years

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21
Q

What is this?

A

IPH - collagenized lesions

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22
Q

What kind of conservative treatments to avoid surgery for IPH are done?

A

Tissue massage, tissue conditioners, nystatin oral rinse 4x/day will decrease inflammation and decrease height of papillary projections

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23
Q

What is present in 15% of denture wearers?

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A

Angular chelitis

24
Q

What is angular chelitis also called?

25
What is angular chelitis?
Inflammation of lip/lips with redness and fissures radiating from angles of mouth
26
What kind of fungal infection is angular chelitis?
Candida albicans
27
What may contribute to angular chelitis?
Decreased OVD and vitamin deficiencies, usually see poor fitting denture and abused tissue
28
What is tx for angular chelitis?
- antifungals - nystatin and a better denture
29
What is angular chelitis associated with?
Loss of occlusal vertical dimension and candida albicans and s.aureus
30
What is denture stomatitis?
Chronic inflammation of denture bearing mucosa - may or may not be painful
31
What does denture stomatitis look like?
Redness; possible burning sensation
32
What is the cause of denture stomatitis?
Uncertain - poor oral hygeine - 24 hour wear without removing - clenchin - xerostomia - medications
33
What is treatment for denture stomatitis?
Tissue rest, improve oral hygeine, resilient liner in denture
34
What are bizarre symptoms of denture stomatitis?
Itching, burning, pain
35
Describe clinical signs of denture stomatitis
Often absent
36
What are the causes of denture stomatitis?
Metabolic, may be nutritional or psychologic
37
What is tx for denture stomatitis?
Symptomatic... refer to physician for systemic evaluation - consider lack of interocclusal space or clenching
38
What is this?
Denture stomatitis
39
What is this?
Fibrous hyperplasia - mobile tissue
40
What is this?
Epulis fissuratum "denture hyperplasia" "inflammatory fibrous hyperplasia"
41
What is epulis fissuratum?
Single or multiple fold of hyperplastic tissue in vestibule
42
What is epulis fissuratum associated with?
The flange of an ill-fitting denture or flange is sharp/unpolished
43
What is this?
Epulis fissuratum
44
Where is epulis fissuratum seen?
On facial/buccal in the anterior area of the mouth
45
Who is epulis fissuratum pronounced in?
Females - reason unclear... more denture wearing?
46
What is treatment of epulis fisuratum?
- shorten denture border - often require surgical correction - reline, rebase or remake dentures
47
What is candida?
A yeast like fungus - common oral microbe
48
What is this?
Candida
49
What are predisposing conditions for candida?
HIV, diabetes
50
What arch is candida more common?
Maxillary
51
What are the 3 presentations with HIV of candida?
- angular chelitis - erythematous candidiasis - pseudomembraneous candidiasis
52
What can contribute to systemic challenges?
Poor oral and prosthetic care
53
What are comorbidities associated with complete edentulism?
- Malnutrition and obesity - Increased COPD events - Increased pneumonia related hospitalizations - Increased risk of head/neck cancer - Decline in cognitive function - Predictor of cardiovascular disease mortality - Reduced, but nonreplaced dentition associated with increased risk of mortality
54
Complete denture thereapy is not a ________________
Definitive treatment
55
What is the biomechanical price of wearing a removable prosthesis?
Time-dependent changes in the edentulous oral mucosa
56
What is the major etiological factor for denture sequelae?
The presence of the denture

D1 Spring - Occlusion & Fixed Pros. (17 decks)

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