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IODC - Dentures > CD - Long Term Review > Flashcards

Flashcards in CD - Long Term Review Deck (17)
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1
Q

When reviewing denture - what surfaces must you consider?

A
  1. Denture
  2. Soft tissues
  3. Hard tissues
2
Q

What problems can affect soft tissue?

A
  1. Infections - denture candidosis
  2. Hyperplasia - denture granuloma
  3. Neoplasia - dysplasia/ cancer
3
Q

What is candidiasis?

A
Fungal infection
Will see distinct boundary line - redness confined to denture 
Need good oral hygiene 
Asymptomatic most cases
Can see hyperplastic tissue 
Can get associated angular chelitis
4
Q

Management denture candidosis?

A

Identify cause

  1. Poor oral and denture hygiene
  2. Leaving denture in at night
  3. Excessive face height - angular chelitis
  4. Unretentive denture
  5. Systemic disease - diabetes/ immunocompromised
5
Q

How to tx mild-moderate case of candidosis?

A
  1. Improve oral and denture hygiene
  2. Replacement denture
  3. Antifungals - topical
6
Q

How would you give oral and denture hygiene advice?

A
  1. Fill basin with water (avoid breaking denture)
  2. Clean denture with soap and water using a normal toothbrush
  3. Clean palate, tongue and ridges with soft toothbrush and water
  4. Immerse denture in millions overnight (1% bleach)
  5. Rinse before replacing in mouth
7
Q

How would you use antifungals?

A
Often when providing new denture - monitor oral and denture hygiene during fabrication stage 
Prescribe anti-fungals at try in stage
Use miconazole gel/ nystatin pastilles
Review
If not cleared - reconsider diagnosis
8
Q

What should you check if prescribing miconazole gel?

A

Warfarin status

9
Q

How to tx severe/ resistant cases of candidosis?

A
  1. Protocol for mild-moderate
  2. Bacteriological swab
  3. Consider topical and systemic antifungals - liase w/ GP
10
Q

What is denture granulomata?

A

Mixture of hyperplasia and inflammation
Irritation = chronic inflammatory response

Denture may need to be adjusted/ overextension removed

11
Q

What to consider when thinking of neoplasia?

A

Significant ulceration in mouth - esp non-healing
Ulcers - if no obvious case - refer urgently
Ulcer - obvious cause (e.g trauma) - manage and review

12
Q

What problems should you look for in the hard tissues?

A

Pain/ insecurity

All related to alveolar resorption

13
Q

What is protrusive overclosure and how tx?

A

Due to combination of alveolar resoprtion and denture wear

Tx

  1. Reline denture
  2. Occlusal pivots - raised acrylic occlusal surface of teeth to prevent overclosurei
  3. Replace denture - change jaw relationship
14
Q

What problems can be seen with denture it self?

A
  1. Wear

2. Fractures - diagnose before repair

15
Q

Why can dentures become worn?

A

Unilateral chewing habit
Age
Identify cause

16
Q

What are different types of denture fracture

A
  1. Impact
    - Isolated event –> repair and advice
    - Repeated –> reinforce w/ reinforced resin
  2. Fatigue
    - Age –> replace
    - Hypochlorite solution - leach plasticiser - increase brittleness
    - Predisposing: space, weakness, lack labial flange
17
Q

What are other solutions for fractures of denture?

A

Cast metal base - problem w/ retention
Stainless steel mesh
Vulcanine - carbon fibres/ glass fibres