De ntu r e C om pl ai nt

Complaints
Treatment

Diagnosis
Patient Dissatisfaction Denture limitations

Causes
Denture settling

Denture error

Types of patients

Philosophical

Hysterical

Indifferent

Exacting

Problems
Retention Support Muscle Balance Occlusal Balance

Trimming → Thick or thin border → (ttt) Boxing.Under extension → Break the Seal → ( ↓ Retention) 3. Problems of New Denture [ I ] Tissue irritation .Complaints 1.Over extension → Movement interfere with muscle movement → ( ↓ Stability) 2.

→ In the form of : Hyperemia Cut in vestibule → Causes: Over-extension Pressure by denture Movement of denture Improper occlusion → ttt: Remove the cause → Types: Generalized Acute 1) Generalized Tissue irritation Localized Chronic Tissue rest Ulceration .

D. ttt → Treatment.Un polished (Visual& digital) *D.C.Bilateral undercut → (Relief) . Ex.O.Occlusal interference on opposite side→Denture move in opposite direction.*C. ≠ *C.P.Deflective occlusal contact 7 7 . C. → Differential Diagnosis.pressure . lingual & Lat.I. → Chief Complaint.I.2) Localized Tissue Irritation Crest Border __ Vestibule Over extension (displacing wax) .Over extension labially → lift the denture posteriorly.Tooth off ridge .D.Deflective occlusal contact . __ • • • D.) __ . → Pressure Indicating Paste.Over extension Basal Seat -Ridge (x ray & visual *Ex) -Spicules& remaining roots (Visual Ex) .R.→ Aphsus ulcer Ant. → Centric Relation.Anterior contact in C.R.O.Denture pressure *(P.Pressure .R.↓ support of 1ry stress bearing area → (Relining or Rebasing) . buccal slop __ Median Palatine Raphe __ Retro Mylohyoi d . → Examination. C.↓ relief → (Denture rocking) . P. → *ttt (Reset) . C.Dimensional changes → (Relief – Rebase) Occlusion . Tuberosity . Loose denture anteriorly . • • • • .Pressure area .P. → Centric Occlusion.

Open wide (Yawing) → Coronoid process.Cough& sneezing → ↑ the pressure. Why? ↓ Support • Chief complaint (C. Abnormal . • Lower denture more than Upper.C. .New denture → Saliva. .Eating.Pain.): Loose denture • Related symptoms: Normal .[ II ] Poor Denture Fit • Cause: Lack of retention& Support. . . Too bulky Rocking denture ↑ Saliva Tongue .Speaking.

[ III ] Pain [ IV ] Esthetic problem • Color : .

• Nose& Chin approximation (closed bite): • Due to ↓ Vertical dimension. . c) Cheeks& lips Falling-in → Unsupported lip& cheek → Plumping (Building-out the upper denture to compensate for the loss of muscular tone). • Excessive salivation.Too great Bucco-lingual width of posterior teeth. B. b. • Encroachment on tongue space: a. b) Acrylic resin. General dissatisfaction: Who? → Female / middle age. Whistling: If anterior teeth placed too forward. • Poor denture retention. d.I. and the tip of the tongue contact with the palate in rugae area forming a slit like channel.P. Lisping: If anterior teeth placed too backward.Poor palatal contour (Rugae area) → "S" sound → P. Need → Kindness& Patience. b) Visibility of anterior teeth (Too for forward) or (Too for backward). a. When pronouncing letter "S" the lateral margins of the tongue Contact the lingual surface of posterior teeth.B. c. N. F. V.Posterior teeth placed too far lingually.Excessive thickness of the lingual flange. the channel will be obliterated& the patient may lisp → Resetting the anterior teeth forward or reducing the denture base in the Rugae area.↑ Vertical overlap → "S" sound. - [ V ] Spee ch d if ficul tie s • Anterior teeth: a.Improper Labio-lingual positioning → "S" sound → (Whistling or lisping). b. • Size: a) Too larger. • Vertical dimension → P. • Arrangement: a) Too even or Irregular.a) Teeth → too dark or too yellow. b) Too smaller. b. the channel will be to large& the air will escape with a whistling sound → Resetting the teeth backward or thickening the denture base behind these teeth.

Patient can't open to get food.D. ↓ Vertical dimension → sagging of cheek.O. [ VIII ] Cheek. Lip& Tongue Biting a) Cheek& Lip biting: ↓ Overlap → ↓ Lower buccal cusp or Reset.O. Posterior Periphery of upper denture Loose denture Over-extension Under-extension ↑ Thickness [ VII ] Inef fic ient e ating Borders → Improper. • Occlusion • • Teeth Blunt Flat cusps Vertical dimensions ↑ V.[ VI ] Nausea • Cause: Contact of the denture with the soft palate or the tongue.D. Elevate the muscle& don't work. ↓ V. . Laxity of muscle (loose of muscle tone). Basal seat → Unstable denture.

b) Tongue biting: Teeth set lingual → Rounding the lower lingual cusps or Reset. [ IX ] Alter taste [ X ] Clattering teeth Unfamiliarity with New denture. Cuspal interference Unstable denture Problems of Old Denture . ↑ Vertical dimension .Teeth contact sooner.

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