Problems occurring following insertion & their solution</li></li></ul><li>POST-INSERTIONINSTRUCTION<br />
LIST OF INSTRUCTIONS<br />HABITUATION<br />EATING HABITS<br />SPEECH<br />HOME CARE FOR THE DENTURES<br />
1.HABITUATION<br /> Initially the denture will feel strange & bulky in the mouth & will cause, fullness of lips & cheeks. Patient’s appearance with the denture will become more natural with time. Patient’s mouth & tongue has to get adjusted to the denture, also there will be increased salivation, which will be reduced subsequently.<br />
2.EATING HABITS<br />It may be difficult to adjust as patient has been without teeth for a long period of time.<br />First few days pt is instructed not to chew hard food avoid sticky food<br />Pt is asked to try to chew on both side with the back teeth<br />Pt is asked not to drink water by lifting the tumbler but drinking by sipping.<br />
3. SPEECH<br />Speaking with the dentures normally requires some practise.<br />Patient is asked to read aloud and repeat the words those which are difficult to pronounce.<br />With passage of time pt’s speech with denture will be better than without denture.<br />
4. HOME CARE FOR THE DENTURES<br />Pt is asked to clean the denture with soft brush, specially made for denture & keep cloth in the wash basin so, if denture will fall than it won’t break.<br />
Pt should rinse the mouth & denture after every meal.<br />Pt should never wear denture at night & should store denture in cold water.<br />Pt should not wash the denture with hot water.<br />
It’s preferable if pt place denture in denture cleanser at night.<br />After removing the denture pt should massage the gums for few minutes with fingers.<br />Pt should not use any abrasive or detergents to clean the dentures.<br />Pt should not make any adjustment or repair by himself.<br />
ZARB BOLENDER STATES,….<br /> “Explanations provided after problems develop often are interpreted as excuses by the dentist for dentures that function less than satisfactorily.”<br />
Different experiences & discomforts<br />FIRST ORAL FEELINGS<br />RETENTION COMPARISION BETWEEN NATURAL & ARTIFICIAL TEETH<br />SALIVA<br />SPEECH<br />EATING<br />TONGUE POSITION & PROBLEMS WITH THE LOWER DENTURE IN CONTRAST WITH THE UPPER DENTURE<br />
1.FIRST ORAL FEELINGS<br />NATURE OF THE COMPLETE DENTURE<br />General introduction about the denture by the mean of diagrams or models can be used to show the pt that what he wears in his mouth.<br />FULLNESS OF THE MOUTH<br />Little change in the mouth is perceived as a big change by the pt.<br />Also dentist use as much area as possible.<br />
2.RETENTION COMPARISION BETWEEN NATURAL & ARTIFICIAL TEETH<br />
Not to wear the denture during night time.</li></li></ul><li>DRUG THERAPY<br />after the infection is conformed to be occurring because of the candida the topical anti-fungals are given,,, e.g. nystatin, amphotericin B, micronidazole,<br />
SURGICAL THERAPY<br />necessary in the type-III.<br />
DESCRIPTION<br /><ul><li>It develops with 1- days after placement of new denture.
They are small, painful lesions covered with a grey necrotic membrane surrounded by inflammatory halo with firm, elevated borders.</li></li></ul><li>ETIOLOGY<br /><ul><li>over extension of the denture
unbalanced occlusion.</li></li></ul><li>TREATMENT<br /> In normal pts, these ulcers heal within few days after correcting the dentures. If treatment is not administered, it may progress to denture irritation hyperplasia.<br />
ETIOPATHOGENESIS<br /><ul><li>Wherever there is pressure, bone resorbs due to activation of osteoclast.
It’s a constant sequel after extraction & continues even after inserting the complete denture.</li></li></ul><li>PATTERN OF RESORPTION<br /><ul><li>More rapidly in first 6 months and slows in later 6 months.
<ul><li>It is a hyperplastic reaction of the mucosa occurring along the borders of the denture. These lesions result from trauma due to unstable denture flanges.
The lesions usually subside after surgical excision of the tissues & correction of the dentures.</li></li></ul><li><ul><li>Symptoms are very mild with single or numerous lesions showing flaps of hyperplastic connective tissue. Deep ulceration, fissuring & inflammation may occur at the depth of the sulcus.</li></li></ul><li>7.GAGGING<br />
<ul><li>The gag reflex is a normal defence mechanism, which functions to prevent foreign bodies from entering the trachea.
It may occur due to over extension of the denture borders at posterior palatal seal of the maxillary dentures & disto-lingual part of the mandibular dentures.
In such cases it needs the correction.</li></li></ul><li>INDIRECT SEQUELAE<br />
As masticatory muscles go under atrophy & also for any person masticatory muscles go under atrophy along with age their nutrition status also goes down.<br />
CONCLUSION<br /><ul><li>Patient’s education only on a right time will lead to a successful denture.
If the annoying sequelae of denture wearing are not solved than they will lead to failure of treatment outcome.
Patient should be educated & problems complained by them should be solved without FRUSTRATING them.</li></li></ul><li>The denture fabricated even with all the normal criteria may lead to discomfort to the patient.<br />
A WISH:- EVERYONE COULD INSERT FOUR OF THE DENTURES<br />