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Post insertion complains (Prostho)

Post op complains and their managment Department of Prosthodontics

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POST OP COMPLAINS AND
THEIR MANAGEMENT
DR. MUHAMMAD SHARIQ
DEPARTMENT OF PROSTHODONTICS
ZIAUDDIN UNIVERSITY
PRESENTATION OUTLINE
1.Pain
2.Appearence
3.Inefficiency
4.Poor retention
5.Clattering teeth
6.Nausea
7.Discomfort
8.Altered speech
9.Biting the cheek and tongue
10.Food under denture
11.Denture stomatitis
12.Breakage
PAIN
1.Denture factors:
a.Design faults--> Impression surface(inaccurate fit,over/underextension,rough)
--> Polished surface(not in neutral zone,unfavourable muscle cont)
-->Occlusal surface(unbalanced,inteference,vertical height)
b.Chemical irritation-->Residual monomer
2.Patient factors:
a.Localized pain--> Local factors: e.g: Roots, Bony spicules, Undercuts
b.Generalized pain--> Overload of denture bearing tissues
a)High occlusal forces-->Parafunction
-->Function
b)Reduced denture bearing area
c)Reduced tolerance-->Atrophic mucosa
-->Lack of saliva
-->psychogenic
APPEARENCE
1.Nose and chin approximating
2.Cheeks and lips falling in
3.Angular chelitis or soreness of corner of mouth
4.Colour, Shape and position of Anterior teeth
5.Amount of teeth showing
INSUFFIENCY
1.Inability to eat anything
2.Dentures dislodged by eating
POOR RETENTION
1.While opening mouth and while coughing and sneezing

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Post insertion complains (Prostho)

  • 1. POST OP COMPLAINS AND THEIR MANAGEMENT DR. MUHAMMAD SHARIQ DEPARTMENT OF PROSTHODONTICS ZIAUDDIN UNIVERSITY
  • 2. PRESENTATION OUTLINE 1.Pain 2.Appearence 3.Inefficiency 4.Poor retention 5.Clattering teeth 6.Nausea 7.Discomfort 8.Altered speech 9.Biting the cheek and tongue 10.Food under denture 11.Denture stomatitis 12.Breakage
  • 3. PAIN 1.Denture factors: a.Design faults--> Impression surface(inaccurate fit,over/underextension,rough) --> Polished surface(not in neutral zone,unfavourable muscle cont) -->Occlusal surface(unbalanced,inteference,vertical height) b.Chemical irritation-->Residual monomer 2.Patient factors: a.Localized pain--> Local factors: e.g: Roots, Bony spicules, Undercuts b.Generalized pain--> Overload of denture bearing tissues a)High occlusal forces-->Parafunction -->Function b)Reduced denture bearing area c)Reduced tolerance-->Atrophic mucosa -->Lack of saliva -->psychogenic
  • 4. APPEARENCE 1.Nose and chin approximating 2.Cheeks and lips falling in 3.Angular chelitis or soreness of corner of mouth 4.Colour, Shape and position of Anterior teeth 5.Amount of teeth showing
  • 5. INSUFFIENCY 1.Inability to eat anything 2.Dentures dislodged by eating
  • 6. POOR RETENTION 1.While opening mouth and while coughing and sneezing
  • 7. CLATTERING TEETH 1.Increase vertical height 2.Gross cuspal interference
  • 8. NAUSEA 1.Denture slightly over extended 2.Denture underextented 3.Thick posterior border
  • 10. ALTERED SPEECH May be due to altered position of teeth or thickness of denture over palate. Dentures should be re made if there is gross disturbance.
  • 11. BITING THE CHEEK AND TONGUE 1.CHEEK BITING: a.Insufficient Overjet in posterior teeth b.Reduced vertical height. 2.BITING THE TONGUE: Due to decrease tongue space when new dentures are made.
  • 12. FOOD UNDER THE DENTURE Treatment usually consists of covering the maximum possible area an obtaining as adequate peripheral seal; there after, only preseverance by the patient can bring about any improvement.
  • 13. DENTURE STOMATITIS 1.Denture hygiene instructions 2.Correction of denture faults 3.Leaving dentures out at night 4.Systemic therapy 5.Anti fungal therapy(Nystatin or amphotericin B) 0.08% hypocholrite solution, 0.1% cholrhexidine gluconate. Hypocholrite solution may cause corrosion to metal denture bases. Denture stomatitis may lead to Palatal papillary hyperplasia - Prosthetic and surgical management.
  • 14. DENTURE BREAKAGE 1.Assembling the segments 2.Pouring 3.Preparing the Fracture site 4.Reparing and curing.
  • 15. REFERENCES: Clinical dental prosthetics by FENN, LIDDELOW AN GIMSONS Prosthetic treatment of the edentulous patient by R M BASKER, J C DAVENPORT, J M M THOMASON