Vinay Pavan Kumar.K
2nd year P G student
Dept of Prosthodontics
AECS Maaruti College of Dental Sciences
Classification of post
comfort of the
“ Most of the complaints associated with complete dentures
are actual and not psychological, contrary to the belief of
Verma.M ,Post Insertion Complaints in Complete Dentures - a never Ending
Saga; Journal of Academy of Dental Education, Vol 1, No 1 (2014), Pg: 1-8
“There was no statistically significant relationship
between patient age, gender, systemic health and denture
complaints; but statistically significant relationship exist
between types of denture, denture faults and complaints.”
Ogunrinde.T.J, The Influence Of Demographic Factors And Medical
Conditions On Patients Complaints With Complete Dentures. Ann Ibd. Pg.
Med 2012. Vol.10, No.2 16-21
Classification of post insertion
Complaints abut comfort of the denture:
- Sore spots
- Burning sensation
- Pain in TMJ
- Tongue & cheek biting
- Swallowing & sore throat
- Nausea & gagging
- Fatigue of the muscles of mastication.
Complaints about function of the denture:
- Instability or poor fit
a) When swallowing
• Complaints about esthetics:
- Fullness under the nose
- Depressed philtrum or naso-labial sulcus
- Upper lip sunken in
- Too much of teeth exposed
- Artificial look
Complaints about phonetics:
- Whistle on “S” sounds
- Lisp on “S” sounds
- Indistinct “TH” & “T” sounds
- “T sound like “TH”
- “ F” & “V” sounds indistinct
- Whistling - Rough & sharp surfaces
- Ear ache - Dull teeth
- Difficult swallowing - Halitosis
- Loss of taste sensation - Dry mouth
- Saliva under the dentures - Noisy teeth
- Peculiar taste - cheek, lip & tongue biting
- Food under the denture - nausea & gagging
- Dislodgement on sneezing - tingling of the lower lip
- Dislodgement on drinking - burning of mouth
- Drooling at the corner of the mouth
- Inability to chew with equal vigor on both side.
According to Grant.A.A
POST INSERTION PROBLEMS CAN BE BROADLY
Looseness of dentures
i. Decreased retentive forces
ii. Increased displacing forces.
Discomfort associated with dentures
i. Related to impression surface of denture
ii. Related to occlusal surface
iii. Related to polished surface
iv. Related to possible systemic association
Problems associated with retention and stability
i. Noise on eating and speaking.
ii. Speech problems.
iii. Eating difficulties.
a. Altered taste sensation.
A.A.Grant, J.R.Heath, J.F.McCord- complete prosthodontics problems,
diagnosis & management (1994)
Denture Complaints in relation to
time of delivery
Problems without complaints.
Presentation of patient with
Informed patient of possible problems.
Sense of pain.
Sense of loss (waste of time and money).
Sense of deceit.
Over extension of borders
Poor fitting or rough surface dentures
Error during impression making
Incorrect centric relation or cuspal interferences.
Excessive vertical dimension
Uneven occusal balance and anterior contact at CR
Inadequate relief to the prominent genial tubercle &
PPS is not successfully made.
Lingually placed posterior teeth
Labially placed mandibular anterior teeth
Dryness of mouth
Inaccurate impression making
Rocking, tilting dentures (poor retention)
Nodules of acrylic- faulty impression /poor
Over supported or under supported dentures
Altered vertical dimension
increased vertical dimension
deficiency of palatal contour
Poor PPS region
Thick lingual flanges or restricted tongue
Discrepancies in vertical dimension and CR
Worn off teeth
Zero degree posteriors
Lack of occlusal balance
Occusal plane se at higher level
Nausea & Gagging
Over extended posterior limit of maxillary denture
Thick posterior borders or loose denture
Continous wearing of ill fitting denture
Poor oral & denture hygiene maintainance
Diabetes and oral habits
• Prolonged over closure
• Deafness, tinnitus,
• Tenderness over the TMJ
• Dryness of mouth
• Neuralgic symptoms – burning sensation of
tongue, throat and headache.
Whistling : high vault palate
Ear ache : TMJ problem
Food & saliva under denture : may be deficient of borders
Loss of taste
Cheek biting : lack of horizontal overlap, decreased VD
or buccal placement of teeth
Drooling saliva : inadequate VD
Allergy : pigment or residual monomer of denture resin
• Nair KC, A primer on complete denture fabrication, 1st
edition, 2013, Ahuja publication, India Pp 158 -166
Winkler S, Essentials of complete denture Prosthodontics
2nd edition, 2012, AITBS Publishers, pp 318 – 330
Sharry JJ, Complete Denture Prosthodontics, 3rd edition,
USA, Mcgraw-Hill Book Company, 1974, pp 289-294.
Heartwell C M , Syllabus of complete dentures, 4th edition,
1984, Varghese Publishing House, 407 – 420
GrantA.A, Heath.J.R, McCordJ.F, complete prosthodontics
problems , diagnosis& management (1994)
McCord J. F. and Grant A. A. , Identification of complete
denture problems: a summary, British Dental Journal 2000;
Jethlia.H, Post Insertion Problems And Their Management In
Complete Denture journal of Evolution of Medical and Dental
Sciences.Vol 2(3) Jan, 2013 pp 194-99
Verma.M ,Post Insertion Complaints in Complete Dentures - a
never Ending Saga; Journal of Academy of Dental Education,
Vol 1, No 1 (2014), Pp: 1-8