7 Categories

1. Pain
2. Retention and stability loss (movement in dentures)
3. Insufficient Chewing
4. Nausea
5. Noise in eating and speaking
6. Poor esthetics
7. Problems relating to speech
Types of Pain
1. Localized pain
2. Generalized pain
3. Diffuse pain
4. Pain resulting from biting the lips and cheeks
5. Pain in tongue
6. Pain that occurs at the TMJ

Cause
Pain
Extended flanges of the denture
Deeply or sharply prepared post dam area
Irregularities on the tissue surface of the
denture
Premature contacts on the occlusion
Excessive undercuts beneath the denture
Irregularities on the alveolar crest
Possible pathologies on the supportive
tissues
Pressure over the mental foramen in the
lower jaw
Loss of Retention (Upper Denture)
Determination of post dam area
Control of Denture Flange
Loss of Retention (Lower Denture)
Overextended flanges
Loss of adaptation
Loss of Stability
Remedy
Shortened flanges, frenums are relieved
Reducing the prominence at the post dam
are, shortening the overextension of the
vibrating line
Smoothening the irregular areas by grinding
Grinding in centric relation
Grinding underneath of the denture
Grinding underneath the denture and using
soft relining materials
Panoramic x-ray before fabricating the CD
Relining the denture using soft relining
material
Application of wax in the post dam area and
place inside the mouth for 6 minutes
Underextended flanges should be arranged
using impression compound
Reduce height of flanges
Reline
Problems on the tissue surface
Occlusal-incisal surface defects
Lack of interocclusal distance
Use of Pontic with prominent tubercle
Position of artificial teeth
Position of mandibular molar teeth
Position of the lower incisors
Higher occlusal plane
Faults in the polished surface
Insufficient Chewing
Lack of denture experienced
Incorrect position of occlusal plane
High vertical dimension than normal
Low vertical dimension than normal
Lack of balanced contact in occlusion
Pain in denture bearing areas
Noise in Eating and Speaking
Lack of retention
High occlusal vertical dimension
Tubercle interference
Use of porcelain teeth
Nausea and Retching
Overextended peripheral closure
Posterior region is longer than normal
Posterior region is thicker than normal
Lack of retention short flanges or posterior
region of the denture
Vertical dimension lower than normal
Premature contacts in occlusion
Hypersensitive areas in certain parts of the
hard palate
Esthetics Problems
Insufficient lip and face support
Inadequate vertical dimension
Closed distance between chin tip and nose
tip
Color, shape, size and position of the anterior
teeth
Visibility of the teeth
Grinding of overextended areas of flange
after checking
Remounting and grinding
Grinding or renewing of denture
Use of zero degree angulation pontic
Setting pontics in position of natural teeth
Provide space for the tongue to move
Setting in position of natural teeth
Set pontics level of dorsum of tongue in rest
position
Polish properly and make concave on the
area of buccinator muscles
Teach and train the patient
Occlusal plane located a few mm below back
of tongue while resting
Renew denture
Renew denture
Correct lateral and protrusive contact
Check denture for presence of impurities
Determine area
Decrease vertical dimension
Non-anatomic pontic
Use of acrylic pontic
Trim
Post dam area shortened
Reduce thinner the posterior region
Renew dentures
Renew denture
Determine balanced occlusion
Posterior border is reshaped without
including sensitive areas
Pontics rearranged and flanges thickened
Decrease vertical dimension
Increase vertical dimension to the normal
Correct setting of anterior pontics
Determine correct setting based on vertical
 dimension and classification of the lips
Problems Relating to Speech
Mispronounciation of the “s” sound Palatal part of the denture must be made
- Small space between tongue and thinner
palatinal part of the denture
Mispronounciation of the ”p”, ”b”, “m”, and Sufficient for dorsum of tongue to make
“n” sounds contact with palatal surface
- Inadequate interocclusal space
Mispronounciation of the ”p”, ”b”, “m”, and Increase vertical dimension to the normal
“n” sounds
- High vertical dimension and labial
placement of anterior teeth
Mispronounciation of the “f” and “v ” sound Position of the incisors is altered
- Incorrect anteroposterior or vertical
positions of the upper incisor teeth
with respect to the lower lip

Mispronounciation of the “g” and “k” sound Thinning the area, use of tissue conditioner
- Thick denture opposite denture of
tongue