Post-insertion Appointment Flashcards
(33 cards)
All patients with new dentures should be appointed and seen ___ hours after insertion of the dentures
24-48 hours
The most crucial time in the patient’s perception of success or failure of dentures is the ___________ period
adjustment period
________________ may be the single most significant factor in the successful manipulation of complete dentures under function
Neuromuscular control
What are important prognostic indicators during the post-insertion appointment?
tongue function
denture wearing experience
What are the common problems of the mandibular dentures?
- discomfort
- poor retention and stability
- lack of support
What are the common problems of the maxillary dentures?
- poor retention and stability
- esthetics and phonetics
What are the 4 major areas to check during the post-insertion appointment?
- esthetics
- phonetics
- tissue irritations
- loss of retention and stability
What is the time to remedy esthetic problems?
trial placement appointment
What do you need to check with phonetics during the post-insertion appointment?
- check the thickness of the maxillary palatal portion
- reevaluate the position of max anterior teeth
- open vertical dimension of occlusion
- might just take time to adjust
What can cause tissue irritation?
- overextension
- trauma from faulty occlusion
- pressure from the denture base
- tissue abrasion from prosthesis movement
What are the possible causes of loss of retention and stability?
- occlusion
- base contours
- teeth not in neutral zone
- posterior palatal seal
- overextension or underextension
- salivary flow and character
What is a good way to have a patient point to an area of soreness?
use a cotton tipped applicator to touch the area
Soreness in depth of vestibule is usually caused by…
overextended border of flange
Soreness of the crest of the ridge is usually due to…
- occlusion error
or - pressure spot (tray show through)
What causes soreness to the frenum?
frenal notch is too shallow or too sharp
What causes soreness to the tissue overlying the coronoid process?
too much thickness at distobuccal corner of maxillary denture
What causes numbness or burning sensation to the anterior palate?
pressure on incisive papilla
What can cause soreness when swallowing?
- irrtation at mylohyoid ridge
- retrmylohyoid flange extension
What causes numbness or burning sensatio in the lower premolar areas?
pressure over mental nerve due to an atrophied alevolar ridge
What is a possible problem with buccal mucosa at the occlusal plane level?
- biting cheek
- trapping mucosa between base
What should you do to fix cheek biting during post-insertion appointment?
increase the horizontal overlap by grinding down the mandibular posterior buccal cusps
What is the problem with teeth contacting during speaking?
- OVD is too far open
- IOD (freeway space is too small)
- ridges are sore due to constant pressure
Dentures fit fine at first insertion, but loosen after wearing them for _______ hours
3-4 hours
- caused by occlusal errors
If the maxillary CD dislodges when yawing or opening wide what is wrong?
DB corner of denture is too thick
