ne jo waday kiye woh nibhana
aap,meri zindagi ko jannat banan
All the pateints receving remmovable partial or
complete dentures shoul be seen within 24 hours after
the insertion of the prosthesis.
If potential problems are detected & coreected in their
early stages,the patient may never be subjected to the
pain and discomfort that might other wise occur.
If there are any problems the patient should be
reassured that most problems can be solved rapidly &
Pain or discomfort arising from the hard &
soft tissues of the edentulous ridge
Soreness of one or more teeth.
Miscellaneousa) instabilty of the prosthesis
b) Tongue and cheek biting
c) Speech difficulties
d) Eating difficulties
Soft tisue irritation
Laceration or ulceration
-generally produced by an
overextended denture base fig
Complaintsoreness/irritation may or may
not be accompanied with
Diagnosis- areas displaying
increased redness or
ulceration starts) Fig 2
Degree of overextension can be determined by visual
With the prosthesis in position,the buccal tisssues
should be manipulated in downward,outward,upward
and anterosuperior directions.
If the denture border is overextended,movement of
border tissues will be impeded
If interfernce with movement and a change in soft
tissue cover are evident,the denture flange must be
Overextension of the denture base on the lingual
aspect of the mandibular edentulous ridge may be
identified and confirmed by manipulation of the
A forward or lateral thurust of the tongue usally will
disclose the location of overextension.
Another method is disclosing wax but use with
caution.it is usally used to verify or to isolate an area
that is under suspicion follwing visual observation.
The use of pip is not genrally indicated.
Dependable method for identifying an over extesion
is through the use of an indelible pencil. FIG 3&4
•Border extension is corrected with a lab bur or
an arbor band FIG 5.
•Warm saline mouth washes 4hly.
•No local anestheticsif pt is seen within 24 hrs.
Genrally caused by
-roughness of the
-by a slight rubbing
movement of the
denture base against
the soft tissues
Roughness can be corrected by pressure
indicating paste FIG 7 & 8
An excellent method of identifying irregularities on
the intaglio surface is to pass a fingertip or gauze pad
over the tissue surface of the resin FIG 9
•Redness may also be caused by occlusal
discrepencies or prmaturities.
•This lack of occlusal disharmony is the
greatest factor in prosthesis related discomfort.
Irritation to the teeth
After soft tissue irritation has been eliminated,teeth that are in
contact with prosthesis should be evaluated.
With the prosthesis out of mouth,mesial,distal,buccal,and
lingual pressure should be applied to the remainig natural
teeth.pressure can best be applieed using the index fingers of
If the prosthesis has exerted undesirable forces on one or more
teeth,a painful response will result.
If the pt is seen
within 24 hrs of delivery he
may not be aware of discomfort untill finger
pressure is applied.
If a longer time
may be painful.
has elapsed,the tooth aor teeth
Leave the prosthesis ot till discomfort is over.
Later adjusrtment should be carried.
disclosing wax. fig10
Disclosing wax is displaced
from an area that is
If soreness or pain is not caused by pressure from RPD the
next obiviuos cause can be occlusal trama.
One of the most common causes of discomfort for a RPD
patient is occlussal interference between a natural tooth in one
arch and the metal of the prosthesis in opposing arch.
Articulating paper is commonly used to locate the portion of
the partial denture causing the interference.11.
•IT IS DIFFICULT TO IDENTIFY ARTICULATING PAPER
MARKS ON HIGHLY POLISHED METAL SURFACES
IF ARICULATING PAPER MARKS ARE DIFFICULT TO
IDENTIFY,THE SURFACES OF THE METAL MAY BE
ROUGHENED USING A FINE STONE OR AIR BORNE
PARTICLE ABRASION SYSTEM
ARTICULATING PAPER MARKS ARE READILY
IDENTIFIED ON A ROUGHENED SURFACE
ADJUSTMENTS ARE MADE USING A MULTIFLUTED BUR
IN A HIGH-SPEED HANDPIECE
•A METAL THICKNESS GAUGE IS USED TO EVALUATE
THE THICKNESS OF REMMOVABLE PARTIAL DENTURE
RESTS AND CLASPS MUST BE
AT LEAST I MM THICK