DEPARTMENT OF PROSTHODONTICS
J SUJANA I MDS
CONTENTS
INTRODUCTION RATIONALE FOR AFTER CARE OF COMPLETE DENTURE PATIENT.
INTRODUCTION
Success of complete denture begins with the first appointment
RATIONALE
Lack of after care of complete denture patient Damage to support tissue mucoperiosteum and underlying bone
Nutritional support
Tongue position.
Journal of Prosthodontics 18 (2009) 688693
Speaking with new dentures. Maintaining tissue health. Educational material for patients.
Individuality of the patient: Anatomic, psychological, tissue tolerance and oral conditions. Compare the progress of dentures Appearance with new dentures: Appearance - More natural with time Restoration of facial dimension and contour
Mastication with new dentures: Learning to chew satisfactorily - 6 to 8 weeks. New memory patterns facial muscles and muscles of
mastication.
Time for adjustment in long term edentulous patient is Salivary flow initially is increased but becomes normal after few days. Deglutition is necessary to swallow excess saliva and spitting
should be avoided
Efficiency of artificial teeth 1/3 natural teeth
Journal of Prosthodontics 18 (2009) 688693
Divide the food into half and place each half posteriorly and
bilaterally in the first molar area . Tasting and swallowing: Major part of hard palate is covered by the denture taste sensitivity reduced
Nutritional support:
5. Adequate hydration.
Tongue position: The most common complaint of the patient at the recall appointment is loose mandibular dentures.
COMPLETE DENTURE HYGIENE: Prevent malodor, poor esthetics, and the accumulation of plaque and biofilm.
Denture cleansers:
Mode of action of ultrasonic devices cavitation BioSonic Enzymatic (Colt`ene/Whaledent, Cuyahoga Falls, OH), which contains nonionic detergents, protease enzymes
o The characteristics of an ideal denture cleanser should include the following Minimum anti biofilm activity.
Acceptable taste.
Cost effective.
Journal of Prosthodontics 20 (2011) S1S12
Meliodent - PMMA denture base material. Wirobond C Co-Cr alloy Efferdent EDTA 240 dihydrate,FD&C blue no 2,FD&C
Distribute the adhesive evenly over the tissue-bearing surfaces. Apply or reapply when necessary.
Education material for the patients: People remember less of what they hear than of what they see
o INSTRUCTIONS : Initially new dentures feel strange and bulky in the mouth and there is feeling of fullness, over a period of time dentures get
Patient is asked to clean the dentures after each meal and place
them in cleansing solutions. Recall after every six months.
Impression surface
Impression surface
Pain on pressure
Impression surface
Pain on eating
Cheek biting
Tongue biting
Multivitamin therapy
Add tracing compound along impression surface of posterior border and replace compound with acrylic resin
Repeated treatment may be required as the elasticity progresses British dental journal, volume 189, no. 3, august 12 2000
Xerostomia
Reline the denture if it is satisfactory or remake the denture as required British dental journal, volume 189, no. 3, august 12 2000
Overextension in depth
Overextension in width
Reduce overextension British dental journal, volume 189, no. 3, august 12 2000
Reline or remake
Eating difficulties
Blunt teeth
Speech problems
Gagging
Remake using suitable denture base material British dental journal, volume 189, no. 3, august 12 2000
Critical evaluation
Ideal characteristics of denture cleansing solutions. Newer methods of cleansing dentures. Post insertion problems treatment.
Conclusion
Complete denture service cannot be adequate unless the patients are cared for after dentures are placed Caring for the complete denture and the oral tissues needs
References
AFTER CARE OF COMPLETE DENTURE PATIENT - Journal of
Factors causing problems may be grouped,essentially into four causes. Adverse intra-oral anatomical factors eg atrophic mucosa. Clinical factors eg poor denture stability. Technical factors eg failure to preserve the peripheral roll on a master cast. Patient adaptional factors.