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pateint istruction, prob, solution-complete denture insertion
pateint istruction, prob, solution-complete denture insertion
pateint istruction, prob, solution-complete denture insertion
pateint istruction, prob, solution-complete denture insertion
pateint istruction, prob, solution-complete denture insertion
pateint istruction, prob, solution-complete denture insertion
pateint istruction, prob, solution-complete denture insertion
pateint istruction, prob, solution-complete denture insertion
pateint istruction, prob, solution-complete denture insertion
pateint istruction, prob, solution-complete denture insertion
pateint istruction, prob, solution-complete denture insertion
pateint istruction, prob, solution-complete denture insertion
pateint istruction, prob, solution-complete denture insertion
pateint istruction, prob, solution-complete denture insertion
pateint istruction, prob, solution-complete denture insertion
pateint istruction, prob, solution-complete denture insertion
pateint istruction, prob, solution-complete denture insertion
pateint istruction, prob, solution-complete denture insertion
pateint istruction, prob, solution-complete denture insertion
pateint istruction, prob, solution-complete denture insertion
pateint istruction, prob, solution-complete denture insertion
pateint istruction, prob, solution-complete denture insertion
pateint istruction, prob, solution-complete denture insertion
pateint istruction, prob, solution-complete denture insertion
pateint istruction, prob, solution-complete denture insertion
pateint istruction, prob, solution-complete denture insertion
pateint istruction, prob, solution-complete denture insertion
pateint istruction, prob, solution-complete denture insertion
pateint istruction, prob, solution-complete denture insertion
pateint istruction, prob, solution-complete denture insertion
pateint istruction, prob, solution-complete denture insertion
pateint istruction, prob, solution-complete denture insertion
pateint istruction, prob, solution-complete denture insertion
pateint istruction, prob, solution-complete denture insertion
pateint istruction, prob, solution-complete denture insertion
pateint istruction, prob, solution-complete denture insertion
pateint istruction, prob, solution-complete denture insertion
pateint istruction, prob, solution-complete denture insertion
pateint istruction, prob, solution-complete denture insertion
pateint istruction, prob, solution-complete denture insertion
pateint istruction, prob, solution-complete denture insertion
pateint istruction, prob, solution-complete denture insertion
pateint istruction, prob, solution-complete denture insertion
pateint istruction, prob, solution-complete denture insertion
pateint istruction, prob, solution-complete denture insertion
pateint istruction, prob, solution-complete denture insertion
pateint istruction, prob, solution-complete denture insertion
pateint istruction, prob, solution-complete denture insertion
pateint istruction, prob, solution-complete denture insertion
pateint istruction, prob, solution-complete denture insertion
pateint istruction, prob, solution-complete denture insertion
pateint istruction, prob, solution-complete denture insertion
pateint istruction, prob, solution-complete denture insertion
pateint istruction, prob, solution-complete denture insertion
pateint istruction, prob, solution-complete denture insertion
pateint istruction, prob, solution-complete denture insertion
pateint istruction, prob, solution-complete denture insertion
pateint istruction, prob, solution-complete denture insertion
pateint istruction, prob, solution-complete denture insertion
pateint istruction, prob, solution-complete denture insertion
pateint istruction, prob, solution-complete denture insertion
pateint istruction, prob, solution-complete denture insertion
pateint istruction, prob, solution-complete denture insertion
pateint istruction, prob, solution-complete denture insertion
pateint istruction, prob, solution-complete denture insertion
pateint istruction, prob, solution-complete denture insertion
pateint istruction, prob, solution-complete denture insertion
pateint istruction, prob, solution-complete denture insertion
pateint istruction, prob, solution-complete denture insertion
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pateint istruction, prob, solution-complete denture insertion

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this ppt includes detail about instructions and sepuele of denture wear

this ppt includes detail about instructions and sepuele of denture wear

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  • 1. GOOD AFTERNOON
  • 2. POST-INSERTION INSTRUCTION,PROBLEMS & SOLUTIONS
    SOLUTIONS
    PATIENT’S EDUCATION
    COMPLIED BY:-NIKUNJ PATEL
  • 3. Outline
    • Post-insertion instruction
    • 4. Patient’s experiences & discomfort
    • 5. Problems occurring following insertion & their solution
  • POST-INSERTIONINSTRUCTION
  • 6. LIST OF INSTRUCTIONS
    HABITUATION
    EATING HABITS
    SPEECH
    HOME CARE FOR THE DENTURES
  • 7. 1.HABITUATION
    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.
  • 8. 2.EATING HABITS
    It may be difficult to adjust as patient has been without teeth for a long period of time.
    First few days pt is instructed not to chew hard food avoid sticky food
    Pt is asked to try to chew on both side with the back teeth
    Pt is asked not to drink water by lifting the tumbler but drinking by sipping.
  • 9. 3. SPEECH
    Speaking with the dentures normally requires some practise.
    Patient is asked to read aloud and repeat the words those which are difficult to pronounce.
    With passage of time pt’s speech with denture will be better than without denture.
  • 10. 4. HOME CARE FOR THE DENTURES
    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.
  • 11. Pt should rinse the mouth & denture after every meal.
    Pt should never wear denture at night & should store denture in cold water.
    Pt should not wash the denture with hot water.
  • 12. It’s preferable if pt place denture in denture cleanser at night.
    After removing the denture pt should massage the gums for few minutes with fingers.
    Pt should not use any abrasive or detergents to clean the dentures.
    Pt should not make any adjustment or repair by himself.
  • 13. PATIENT’S EXPERIENCES& DISCOMFORTS
  • 14. ZARB BOLENDER STATES,….
    “Explanations provided after problems develop often are interpreted as excuses by the dentist for dentures that function less than satisfactorily.”
  • 15. Different experiences & discomforts
    FIRST ORAL FEELINGS
    RETENTION COMPARISION BETWEEN NATURAL & ARTIFICIAL TEETH
    SALIVA
    SPEECH
    EATING
    TONGUE POSITION & PROBLEMS WITH THE LOWER DENTURE IN CONTRAST WITH THE UPPER DENTURE
  • 16. 1.FIRST ORAL FEELINGS
    NATURE OF THE COMPLETE DENTURE
    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.
    FULLNESS OF THE MOUTH
    Little change in the mouth is perceived as a big change by the pt.
    Also dentist use as much area as possible.
  • 17. 2.RETENTION COMPARISION BETWEEN NATURAL & ARTIFICIAL TEETH
  • 18. 3.SALIVA
  • 19. 4.SPEECH
  • 20. 5.EATING
  • 21. 6. TONGUE POSITION & PROBLEMS WITH THE LOWER DENTURE IN CONTRAST WITH THE UPPER DENTURE
  • 22. Problems occurring following insertion & their solution
  • 23. SEVERAL PROBLEMS
    DIRECT SEQUELAE
    DENTURE STOMATITIS
    FLABBY RIDGE
    TRAUMATIC ULCER (sore spots)
    BURNING MOUTH SYNDROMS
    RESIDUAL RIDGE RESORPTION
    DENTURE IRRITATION HYPERPLASIA
    GAGGING
  • 24. INDIRECT SEQUELAE
    ATROPHY OF MASTICATORY MUSCLES
    NUTRITIONAL DEFICIENCIES
  • 25. DIRECT SEQUELAE
  • 26. 1.DENTURE STOMATITIS
  • 27. DENTURE STOMATITIS - SYNONYMS
    • Denture induced stomatitis
    • 28. Denture sore mouth,
    • 29. Inflammatory hyperplasia,
    • 30. Chronic atrophic candiasis
  • CLASSIFICATION
    • Type-I (Localized simple infection)
    • 31. Type-II (erythematous type)- generalized type
    • 32. Type-III granular type
  • ETIOLOGIC FACTORS
    • systemic factors
    • 33. old age
    • 34. diabetes mellitus
    • 35. nutritional deficiency:- iron, folate, vit.12 etc.
    • Local factors
    • 36. dentures
    • 37. environmental factors
    • 38. night wear of the dentures
    • 39. denture cleanliness
    • 40. xerostomia
    • 41. high carbohydrate diets:- causes increased plaque accumulation
  • MANAGEMENT
  • 42. SUPPORTIVE MEASURES
    • cleanliness of the denture
    • 43. denture & the mucosa should be cleaned after the meals.
    • 44. Store the denture in the 0.2-2% chlorhexidine during the night time.
    • 45. Polishing of the denture routinely.
    • 46. Not to wear the denture during night time.
  • DRUG THERAPY
    after the infection is conformed to be occurring because of the candida the topical anti-fungals are given,,, e.g. nystatin, amphotericin B, micronidazole,
  • 47. SURGICAL THERAPY
    necessary in the type-III.
  • 48. 2.FLABBY RIDGE
  • 49. DESCRIPTION
    Alveolar ridge may become mobile & extremely resilient due to replacement of the bone by the fibrous tissue.
  • 50. TREATMENT
    Surgical correction & relining of the denture base accordingly for re-adaptation of the tissue surface.
  • 51. 3.TRAUMATIC ULCER (sore spots)
  • 52. DESCRIPTION
    • It develops with 1- days after placement of new denture.
    • 53. They are small, painful lesions covered with a grey necrotic membrane surrounded by inflammatory halo with firm, elevated borders.
  • ETIOLOGY
    • over extension of the denture
    • 54. unbalanced occlusion.
  • TREATMENT
    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.
  • 55. 4.BURNING MOUTH SYNDROMES
  • 56. ETIOLOGY
    • local factors
    • 57. systemic factors
    • 58. psychological factors
  • LOCAL FACTORS
    • mechanical irritation by ill-fitting dentures
    • 59. prolonged masticatory muscle activity
    • 60. constant parafunctional movements of the tongue
    • 61. constant excessive friction on the mucosa
  • SYSTEMIC FACTORS
  • PSYCHOLOGICAL FACTORS
  • CLINICAL FEATURES
    • does not show any overt clinical features.
    • 66. Mainly pain starts in the morning & aggrivates during the days.
    • 67. Burning sensation is usually accompanied with dry mouth & persistent altered taste sensation.
    • 68. Asso. Symptoms include head ache, insomnia, decreased libido, irritability, depression.
  • TREATMENT
    • removal of local factors
    • 69. compensation for systemic deficiency except for menopose.
    • 70. Psychologic counselling
  • 5.RESIDUAL RIDGE RESORPTION
  • 71. ETIOPATHOGENESIS
    • Wherever there is pressure, bone resorbs due to activation of osteoclast.
    • 72. It’s a constant sequel after extraction & continues even after inserting the complete denture.
  • PATTERN OF RESORPTION
    • More rapidly in first 6 months and slows in later 6 months.
    • 73. It’s more rapid in females than in males.
    • 74. It’s precipitated by certain systemic diseases & ill-fitting dentures.
  • RATE OF RRR
  • CLINICAL FEATURES
    • The depth & width of the sulcus is reduced.
    • 80. Decreased vertical dimension at occlusion.
    • 81. Reduction of the lower facial height.
    • 82. Increased relative prognathism.
    • MAXILLAE
    • 83. Resorption is centripetal
    (toward centre)
    • MANDIBLE
    • 84. Resorption is centrifugal
    (away from centre)
  • 85. 6.DENTURE IRRITATION HYPERPLASIA
  • 86.
    • 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.
    • 87. The lesions usually subside after surgical excision of the tissues & correction of the dentures.
    • 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.
  • 7.GAGGING
  • 88.
    • The gag reflex is a normal defence mechanism, which functions to prevent foreign bodies from entering the trachea.
    • 89. 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.
    • 90. In such cases it needs the correction.
  • INDIRECT SEQUELAE
  • 91. 1.ATROPHY OF MASTICATORY MUSCLES
  • 92. Usually with age biting efficiency decreases with age.
    Any part of the body which is out of function goes under atrophy.
  • 93. 2.NUTRITIONAL DEFICIENCIES
  • 94. As masticatory muscles go under atrophy & also for any person masticatory muscles go under atrophy along with age their nutrition status also goes down.
  • 95. CONCLUSION
    • Patient’s education only on a right time will lead to a successful denture.
    • 96. If the annoying sequelae of denture wearing are not solved than they will lead to failure of treatment outcome.
    • 97. Patient should be educated & problems complained by them should be solved without FRUSTRATING them.
  • The denture fabricated even with all the normal criteria may lead to discomfort to the patient.
  • 98. A WISH:- EVERYONE COULD INSERT FOUR OF THE DENTURES
  • 99. REFERENCES
    ZARB BOLENDER
    WINKLER
  • 100. ANY DOUBT..,
  • 101. THANK YOU

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