Denture Insertion and Review

Question 1

what do you check before the patient arrives

Answer 1

is lab work here
correct patient
any damage to the lab work in transit
lab work present what you expected
special instructions been adhered to
disinfect dentures

Question 2

what do you check before you insert the dentures

Answer 2

check all 3 surfaces of the denture for sharp edges
no porosity or inclusion in acrylic
look for large undercut areas that may prevent seating or cause pain
happy with border extension?

Question 3

what are the steps of insertion

Answer 3

retention and stability
base extensions
LIMBO
position of teeth compared with soft tissues
vertical dimension
even contact in occlusion
speech and aesthetics
discomfort
insert and remove
wear and care instructions

Question 4

what is the only LIMBO alteration that can be made at insertion stage

Answer 4

minor labial flange reduction only

Question 5

where can the patient often feel discomfort

Answer 5

undercut areas
areas of poor support

Question 6

how do we discover areas of discomfort

Answer 6

pressure indicating paste

Question 7

how do we tell the patient to insert the dentures

Answer 7

lower before upper and demonstrate in front of mirror

Question 8

what are the wear instructions for dentures

Answer 8

manage expectations - some adjusting time
discomfort is normal
speech may lisp
eating may be difficult
wear as much as possible

Question 9

what is the review checklist

Answer 9

get patients story
aesthetics and speech
function/mastication
recheck occlusion/FWS
any other problems
examination - ulceration/redness/hyperplasia
relate story/examination to denture

Question 10

where are the common sites for trauma

Answer 10

lingual fraenum, mylohyoid ridge, undercuts