This document provides hygiene instructions for removable dentures and fixed bridges. It outlines the importance of hygiene, risks of poor hygiene like plaque, infections, and bad breath. It describes the steps for cleaning dentures, including soaking, brushing with paste, and not using abrasive materials. It also notes the importance of removing dentures at night and storing them in water. For fixed bridges, it emphasizes the need for effective communication of instructions and using aids. The conclusion discusses a study finding many patients lacked knowledge on maintenance of fixed prostheses and importance of post-treatment care.

1. Denture & Bridge
Hygiene Instructions

2. IS IT IMPORTANT STEP ?

3. WHEN ?

4. WHO ?

5.  Build-up plaque and calculus periodontal Disease
 Denture Stomatitis(Fungal infection).
 Dental Caries
 Bad Breath(Halitosis)

6.  Should follow evidence based guidelines.
 Appropriate Communication skills.
 Verbal and written instructions.
 Dental aids should be used.
 Feedback or follow up assessment.
Skills required to perform effective communication

7. TODAY’S LECTURE
Hygiene instructions for
Removable dentures
Hygiene instructions for
Fixed Bridges

8. STEP 1
Patient should be stand in front of a basin partially filled with cool water
And towel should be covered the edge of the basin.

9. STEP 2:
Dentures should be cleaned outside the mouth

10. STEP 3
Denture should be cleaned with soft brush and denture paste (soap)
 don’t use hot water, abrasive toothpaste,
bleaching material, hypochlorite
solutions.

11. Hypochlorite (Dentural) can corrode metal
Dilute acid (Denclen)
HouseHold bleaching

12. STEP 4
Brush the remaining teeth and massage gum & tongue to stimulate the circulation in mucosa

13. The patient should remove
dentures during sleeping and
store it in water. why??
Keep it in container

14. Hygiene instructions for
Fixed Bridges

15. Conclusion:
High percentages of patients were satisfied with their fixed
prosthesis. The most important finding of this study was that majority
of patients showed a lack of knowledge regarding post fixed
prosthodontics instructions and the significance of maintenance of
fixed prosthesis using dental aids'. Of particular concern was the
majority of dentists did not pay attention to the post treatment
instructions concerning the maintenance of fixed prosthesis
Eur J Dent. 2016 ,Patients' satisfaction and maintenance of fixed partial denture
Ghada Hassan Geiballa,1 Neamat Hassan Abubakr,1,2 and Yahia Eltayib Ibrahim1

17. Electric toothbrush ?

20. Dental Booklets

21.  Teeth and dentures should be cleaned daily after each meal.
 Cleaning should be in safe place.
 Dentures should be kept outside mouth in water during sleeping.
 The remaining teeth should be brushed with toothpaste contains fluoride
 Always carry dentures in a container.
Key points for effective Hygiene Instructions

22.  If patient complaining from dry mouth advise him/her to drink plenty of water and
avoid mouthwashes ..
 Advise patient to eat a balanced diet to avoid deficiency in minerals and Vitamins.
 A smoker patient refer him to a smoking cessation clinic
 Patient should visit dentist immediately if he/she notice any abnormality in mouth.
 Patient should visit Dental clinic once a year for oral cancer screening.
Key points for effective Hygiene Instructions

23. References
 Nallaswamy,D.P.2005.Textbook of Prosthodontics,Jaypee.pp169-181.
 Watt &MacGregor.1976.Desining Complete Denture.185-197.
 Fradeani,M.2004. Esthetic Rehabilitation In Fixed Prosthodontic
Esthetic Anaylisis.298-300.
 All Pictures from Google Internet and Textbook of Prosthodontics.

24. Thank you