2.

1 Causes of Problems After Insertion

Although the operator has been careful in completing each stage of the manufacture
of dentures, problems after insertion can still arise due to the inaccuracies of each stage. The
following are some of the causes of problems after insertion of dentures:

2.1.1 Border moulding with open mouth technique

Border moulding with this technique causes vertical dimensions and support in the
muscles not to form. This can reduce the strength of the muscles acting on the material during
the border moulding procedure performed. As a result, the dentures become non-retentive,
easily shifted and tend to be excessive. Usually the reason the operator uses this technique is
because this technique is clinically considered easier to perform because it makes it easier for
the operator to see the movement of the muscles in the open state of the mouth.
2.1.2 Incorrect Jaw Relation Mold
The following are some of the causes of incorrect jaw relation molding:
a) Using an inaccurate base of printouts
b) Flabby tissue in the alveolar ridge. The soft tissue that moves during printing
tends to return to its original shape, and a full denture made with this mold will
not be accurate by the time the tissue returns to its original shape. This leads to
loss of retention, discomfort of stability and disharmony of the occlusal of the
denture.
c) The use of dentures that previously damaged and caused tissue trauma
d) Unequal or excessive pressure during the printing of jaw relationships
e) The patient may not be in a position to be printed appropriately due to TMJ
problems, age or due to a decrease in muscle tone.
2.1.3 Mounting
Faults in the installation can be caused by:
a) The mold base is not attached with the correct position
b) The presence of interference at the bottom of the base
c) The occlusal rim is not included in the correct orientation position
2.1.4 Processing in the Laboratory
Of all the phases, more errors occur during the processing stages in the laboratory,
such as:
a) Teeth shift during processing in the lab
b) Imperfect flasking and causing distortion
 c) Overheating during polishing causes disability
d) Acrylic depreciation.

2.2 Control and Management of Problems After Insertion

A control visit after the installation of the denture is important to ensure that the tissue
is not damaged and the denture is functioning efficiently and comfortably. Control visits also
give patients the opportunity to convey complaints and problems experienced regarding the
dentures used. Control visits consist of short-term and long-term control visits.
2.2.1 Short-term control visits
Short-term control visits are carried out no later than 1 week after the installation of
dentures. At this visit it is necessary to obtain a careful history of any complaints, such as
pain or looseness of loose dentures, and to conduct a thorough examination. The dentist
should routinely ask about the patient's progress during the first 1 week of using dentures.
This is important because the patient may be more shy and need a positive encouragement
before being willing to comment on the problem or complaint he is experiencing. But of
course, there are also other patients who do not need such a thing and have compiled for
themselves a list of difficulties he has experienced during the use of dentures. However,
routine examinations must still be carried out as a form of doctor's concern for patients and if
possible can prevent problems from arising in the future. Whatever the type of patient
response, advice and explanations by the dentist may be needed to address certain denture
problems, especially if the patient is an inexperienced denture wearer or is using dentures for
the first time. Problems that occur with dentures can be caused by errors at a previously
unknown stage of manufacture, or due to the presence of changes that have occurred in the
mouth since then. It can also be caused by insurmountable things related to unfavorable
anatomy, too high patient expectations, or patients who are not compliant in making control
visits after the installation of dentures. Control visits after the installation of dentures are
important to prevent and overcome the problems experienced by the patient during the
wearing of dentures. A dentist should listen to the patient's complaints, examine and treat his
condition. The post-insertion denture complaints that are often encountered on short-term
control visits are as follows:
2.2.1.1 Loose Dentures
The consequences that can arise if the patient uses loose dentures are as follows:
a) The pronunciation of sentences is affected and falls when speaking
b) Fall when opening your mouth and laughing
c) Food stuck under dentures
d) Pain
The main cause of dentures becoming loose is the decrease in retention and
stabilization of dentures. The causes of decreased retention strength and stabilization
of dentures are:
(i) Lack of seals
Cause:
a. A short border (depth or width). A less deep denture border can be caused due to
improper border moulding procedures and an accurate sulcus depth not recorded
(Figure 2.1). While the less wide border is caused by a discrepancy in the
arrangement of the teeth and usually affects the distobukal area of the upper jaw
and the buccal area of the lower jaw (Figure 2.2).

Figure 2.1 The border of the denture is less deep can be and the accurate sulcus depth
is not recorded.

Figure 2.2 The upper - left distobuccal area shows an improper arrangement of the
teeth (the posterior of the upper jaw is placed at the apex of the ridge) and
subsequently a decrease in the wingspan of the upper distobuccal occurs. The right
indicates the correct settings (a little to the apologies of the ridge' apex).
 b. Overextension – causes the denture to become loose when speaking.

Figure 2.3 The labial flange is excessive, crossing the boundary and shifting the denture.

c. Cheeks are inelastic - may be due to aging, scleroderma or submucosal fibrosis,

which can lead to a lack of seals if border moulding is carried out only using
passive methods.
The handling that can be done to overcome the problem of lack of seals is:
• For short/less borders – coumpound material can be re-added to the relevant
border and reprocessed (Figure 2.4).

Figure 2.4 Placement of material on short, less wide edges

• For too long areas of the denture base should be corrected by means of a bur in
the laboratory and the flange should be thoroughly rounded. Previously the
area was detected using pressure identification paste (PIP).
 Figure 2.5 PIP shows the overextension limit on the lower jaw denture.

• For cheek inelasticity – border moulding should be done gradually as

functional movements are performed.
(ii) Air under the surface of the denture
The causes of the presence of air trapped under the surface of the denture are:
a. Non-conforming dentures
One of the main causes of dentures becoming ill-fitting is due to excessive
adjustment or material taking on the surface of the denture (Figure 2.6)

Figure 2.6 There is a gap between the mucosa and dentures due to overtrimming

b. Undercut ridge - the denture is overtrimmed so that when inserted, the surface
does not adapt well (Figure 2.7).
Figure 2.7 There is an undercut on the left side (unilateral). A rotating insertion direction can
be done to solve the undercut problem.

c. Excessive relief
The handling that can be done to overcome if there is air trapped under the
surface of the mold is:
• Ill-fitting dentures – ill-fitting areas should be identified using pressure indication
paste (PIP) and relining if possible, dentures may need to be remade if there are
too many corrections.
• Ridge undercut – a rotating insertion direction will solve this problem in
the event of a unilateral undercut (Figure 2.7); otherwise, a soft liner can
be used.
• The provision of reliefs that can also cause losses in the form of reduced
retention. The area needs to be relied upon.
(iii) Occlusal contact fault
Faults in occlusal contact usually affect the stability of the denture and
must be addressed. If the occlusal contact error is still small, it can be
overcome by means of occlusal reshaping with the help of articulated paper;
but if the occlusal contact error is severe, the artificial tooth should be replaced
by following the new interocclusal. If the denture is supported by an extant
tooth, then the re-formation of occlusion should be completed using the
intraoral method; but if the denture is a full denture, then it must be
goosebumps with a remounting procedure with the help of an articulator.
However, it should be noted that the grinding procedure at the final stage
 should be carried out intraorally as a process of adaptation to the resistance of
the supporting soft tissues around with the help of articulated paper of various
thicknesses.

Figure 2.8 Occlusal contact fault causes an increase in shear force and loose
dentures

(iv) Xerostomia
The causes of the occurrence of xerostomia are:
a. Diabetes
b. Drugs (eg atropine, phenothiazine, ephedrine, chlorpromazine)
c. Menopause
d. Irradiation
e. Lack of vitamins (vitamins A, B12, B2 and folic acid)
f. Sialolitiasis
The treatment that can be done for xerostomia depends on the presence or
absence of glandular function:
• Malfunctioning glands
Using artificial saliva, and occasionally coating the surface of tissues in
contact with dentures using water can also help.
• The glands are still functioning
Pilocarpine hydrochloride and sucking sour candy.

(v) Poor neuromuscular control

The causes of poor neuromuscular control are:
a. The shape of the denture is wrong.
 b. The tongue cannot control dentures.
c. Deformation of old dentures.
d. Disorders of upper / lower motor neurons.
The treatments that can be done to overcome the problem of poor
neuromuscular control are:
• The polished surface should occupy a neutral zone between the cheeks and
the tongue (Figure 2.9). So the active muscle strength multiplies and
produces the retention provided by physical strength. This must be verified
and corrected appropriately. The position of the tongue is important for
controlling dentures. This should be verified and if necessary, the patient
should be trained to position the tongue.

Figure 2.9 The denture must be in the neutral zone

• In rare cases, the patient may not be able to adapt to the new form of
dentures, since they have been using old dentures for a long time. This
generally occurs in elderly patients. Long duplication of dentures may be
required, provided that occlusion and vertical dimensions do not need to be
changed.
• Patients suffering from disorders of upper or lower motor neurons may
also face problems in neuromuscular control. Denture adhesive can also be
used to increase retention.

2.2.1.2 Discomfort pain

The most frequent cause of discomfort when using dentures is pain. The presence of
pain and discomfort that arises can come from the soft tissues surrounding the base of the
denture and is one of the most frequent post-insertion problems of dentures. Areas of tissue
trauma may occur in areas of the incisive papillae, palate of the durum, residual ridge,
peripheral boundaries of the denture, or mucosas not directly adjacent to dentures such as lips
and cheeks. Tissue trauma is seen as increased redness or translusence in the oral mucosa.
Increased redness is a symptom of ulceration, and the presence of translusence can occur just
before the ulceration is present. Overextension of the denture base and pressure on weak
tissues such as in the area of the papillae incision or due to the presence of premature contact
are the main causes of this ulceration.

Figure 2.10 A. Ulceration due to tissue trauma caused by overextension of the lingual
boundary of an artificial tooth. B. Indelible pencils can be used to mark the ulceration area

Ulcerations due to tissue trauma (Figure 2.10A) are generally encountered in the
initial control of the denture and can be easily overcome by removing the base of the denture
on the painful area. In case of overextension or due to acrylic irregularity, the area can be
identified with the help of an indelible pencil or pressure pointing paste (PIP). Nevertheless,
the indelible use of a pencil is much better to choose because using a paste or pressure
pointing cream to determine this area can lead to inaccurate results because the paste is easily
displaced due to the soft texture of the material. An indelible pencil is used to mark the
ulceration area (Figure 2.10B), and after the area has been transferred to an artificial tooth
(Figure 2.11), these parts can be gently removed using a tungsten carbide bur.
 Figure 2.11 The ulceration area is transferred to the base of the denture. The marked part is
smoothed with bur carbide tungsten.

Ulcerations appear in the area of the summit of the alveolar ridge usually due to the
premature presence of occlusion; however, it can also be caused by the sharp surface of
acrylic resin in the area in contact with the alveolar ridge. This irregularity can be recognized
by the doctor by examining the base of the denture with the fingertip and eliminated before
the installation of the denture. In addition, the roughness of the denture base can be corrected
after using pressure pointing paste (PIP) and identifying the exact area of the cause of the
discomfort. After adjustment, PIP must be reapplied for verification. Topical agents can be
used to relieve pain and stimulate healing.

2.2.1.3 Functional Problems

Functional problems are classified into five parts, namely choking; difficulty eating or
chewing food; phonetic problems; biting the tongue or cheeks; and food impact on dentures.
2.2.1.3.1 Choked
The choking reflex is a somatic response in which the body tries to remove a foreign
body from the oral cavity with muscle contractions at the base of the tongue and pharyngeal
wall. Unstable dentures or poor retention of dentures, high occlusion vertical dimensions,
overextension of the lower jaw dentures in the retromylohyoid area, and too thick a boundary
of the upper jaw dentures in the posterior area can interfere with the "trigger zones" and
produce a choking reflex. Usually choking problems appear as denture users' problems at the
first time of use and most disappear after using them for a few days. However, if any choking
problem does not arise immediately after the denture is inserted and choking occurs a few
weeks to months after the insertion, a saliva trap under the prosthesis may be the cause. The
border seal of the denture on the imperfect posterior area allows saliva to enter between the
mucosa and prosthesis and triggers the patient's gag reflex. Patients with severe choking
problems cause great difficulties in using dentures. Therefore it is necessary to design
dentures and border dentures should be carefully made taking into account the factors
mentioned above. The patient and his dentures should be thoroughly examined to find the
reason for choking. The problem of unstable dentures or poor retention can be overcome by
performing relining or rebasing or dentures can be remade if this is not enough to provide
adequate retention. To correct the problem of overextension, the posterior lingual and palatal
borders should be cut and made thinner. Correction of high occlusal vertical dimensions
requires reassigning the corresponding occlusal vertical dimensions and removing and
rearranging artificial teeth from dentures. Poor adaptation of the maxillary denture to tissues
due to incorrect printing can also cause choking refractives. If the base of the denture is
acrylic, relining can be the solution to this problem, but if the base of the denture is metal, the
denture must be recreated. The placement of posterior dentures that are too lingual can also
limit the space of the tongue and cause choking. This can be corrected after removing and
rearranging the artificial teeth in the correct position. Alternative treatment options such as
hypnosis can also be applied to patients with choking problems that are difficult to eliminate.

Figure 2.12 A. One of the causes of choking is the posterior boundary of the
maxillary dentures that are too thick.
B. The area can be identified using PIP by conducting border moulding on the area.

2.2.1.3.2 Difficulty eating or chewing food

 Patients usually complain of difficulty eating or chewing food before prosthodontic
treatment. It should be underlined that this problem will decrease rapidly after being treated
with artificial teeth but slowly afterwards, similar complaints may again appear due to the
adaptation process for the new prosthesis. In addition, it has been shown that installing an
artificial tooth can increase the ability to reduce the particle size of the bolus but cannot
restore the masticatory function completely. Patients should be advised not to eat hard, sticky
foods during the initial period of adjustment of the denture. The occlusal surface of the
artificial tooth should be checked with articulating paper, and premature occlusion should be
removed or the artificial teeth of one or both sides should be reset if the occlusal adjustment
is not enough to solve the problem of premature occlusion. Difficulties may also be related to
retention, stability, or vertical dimensions. These factors should also be evaluated and
corrected if necessary.

2.2.1.3.3 Phonetic problems

Phonetic problems usually cause complaints of speech difficulties in users of
complete dentures more often than partial dentures. However, in partial dentures, the location
of the anterior teeth is mainly on the jaw or must be correct in order to allow the tongue and
other articulators to work accurately. In addition, contour changes in the anterior palatal
region and occlusal vertical dimensions can also cause phonetic difficulties. Phonetic
problems are usually seen in the first few days after the insertion of dentures especially when
the patient is using dentures for the first time. It has been proven that most patients with such
problems show a remarkable improvement after adaptation for 1 week of use. If no
improvement is visible, a change in the design or artificial rearrangement of the tooth should
be considered. In addition, it should be noted that the presence of degenerative alterations in
the ability of hearing causes difficulties to adapt to new prostheses in older patients,
adaptation is usually easier to achieve in younger patients.

2.2.1.3.4 Biting tongue or cheek

Biting the tongue, cheeks, or lips is a common complaint among patients receiving
prosthodontic treatment. Patients mostly bite their cheeks due to inadequate and overlapping
posterior occlusion. With the use of monoplane posterior artificial teeth, this problem
becomes more frequent because the teeth are arranged without horizontal overlap. The cheeks
are stuck between them surfaces that close from the posterior artfisiali teeth and give rise to
painful ulcerations (Figure 2.13). To solve the overlap problem, the posterior teeth can be
rounded and the buccal size reduced or completely. Posterior teeth can be reduced in their
buccal area so as not to injure the surrounding soft tissues. However, keep in mind that
artificially reducing the size of the teeth can also reduce the patient's chewing ability. At such
a state, artificial teeth are supposed to be changed and rearranged.

Figure 2.13 Cheeks stuck between posterior artificial teeth and painful ulcerations can be
seen in patients wearing dentures with inadequate posterior teeth

The incidence of biting the cheek is usually seen in patients who have long lost their
posterior teeth and have never used their dentures before. In this situation, the buccinator
muscle descends into the space between the residual apexes of the ridge of the edentulous
region. After a period of adaptation, the muscle size will return to normal, and these
complaints can be resolved from time to time. In addition, if the interocclusal space between
the base of the posterior denture of the upper jaw and the lower jaw is too small, the patient
can bite his cheek. Grinding the acrylic base to enlarge the interocclusal space is the only
solution in this situation.
Biting the tongue can occur if the teeth are artificially made too into the lingual or the
posterior teeth of the lower jaw have long been lost and the tongue is dilated. The lingual
cusp of the artificial teeth of the lower jaw should be expanded to solve the problem. In case
of loss of the posterior tooth for a long time, the patient stops biting the tongue after which
the tongue changes to normal size and if the tooth is installed in the correct position.
Biting the lip can be seen in the presence of incorrect anterior dental relationships and
is usually resolved by reshaping the labial surface of the canine teeth of the lower jaw.
2.2.1.3.5 Food Impaction on Dentures
Food impaction can usually be caused by a less denture base, the solution is to
perform relining. Moderate impaction of food at the boundary of dentures can occur if the
acrylic surface is poorly contoured or poorly polished or if the patient has a salivary flow
deficiency. Making the contours appropriately and polishing their surface will solve this
problem. If saliva flow is reduced, drugs that increase the saliva flow rate may be prescribed
or chewing gum and saliva flow stimulating fluid may be recommended to the patient. In
addition, patients can also be educated to consume a lot more water, especially after eating.

2.2.1.4 Aesthetic Problems

Replacing teeth with dentures does not rule out the possibility of inducing aesthetic
complications, especially in anterior teeth. Before carrying out treatment in patients, it is
important to know the aesthetic zones in patients. Aesthetic zones are the teeth and soft
tissues that are visible when the patient smiles as usual or laughs. Preston describes the
aesthetic zone of the area that patients deeply think about and consider aesthetic issues.
Therefore, it is important to describe the aesthetic zone to the patient before treatment
because it is possible that the patient does not want to accept the presence of any metal in his
denture even if it is not in the aesthetic zone. The patient's smile is divided into three
categories, namely high smile, medium smile, and low. It is easier to cover the metal
component in patients with a low smile displaying less than 75% anterior teeth; but each such
component can be seen in patients with a high smile type that shows all the anterior teeth and
the surrounding gingival region. Therefore, it is much better to choose an alternative design
that does not show metal components.
In addition, some precautions should be considered for the basic contours of the
maxillary dentures. The anterior flange should not be thick and extend to the mucolabial
region of the fold to prevent the horizontal border of the flange from being visible when
smiling. Therefore, it is very important to plan the treatment of dentures according to the
aesthetic zone of the patient. In addition, aesthetic problems can also be caused due to the
axial slope of the artificial tooth position, discoloration or abrasion of the acrylic denture, and
the occlusal plane is too low or too high. This problem can be solved by replacing artificial
teeth with new ones.
Matching dentures to replace natural teeth requires proper attention to the control of
the shade, contour and position of the denture to be in harmony with natural teeth. Good
lighting in the dental treatment room is also an important factor in the selection of shades,
because incidents of refraction of light by natural teeth so that errors occur in the selection of
artificial dental shades can occur. The aesthetic result of poor dentures can be caused by:
a) The occlusal field is too low or too high
b) Incorrect labiolingual and axial inclination of the position of the denture.
c) Failure to create an ideal "smile line"
Moreover, the patient's expectations of aesthetic outcomes may go far beyond the
anatomical structure, physiology, and orofacial morphology of the patient. Often parents will
ask that vertical wrinkles in the area of the lips be eliminated. But this often requires the
placement of teeth that are too far into the labial. Providing understanding and explanation to
patients is a way that can be done to support a treatment. Although some patients will never
accept psychological tooth loss, with proper treatment and selection of treatment, this can be
successfully treated.

2.2.1.5 Difficulty Installing and Removing Dentures

Difficulties in installing and removing dentures are usually seen at the time of
insertion, but these complaints can also appear after the dentures have been used for some
time. These complaints can be classified into two categories namely:
2.2.1.5.1 Installation Problems due to Undercut on Soft Tissues
Undercuts on soft tissues can cause problems if any components of the denture pass
through them during the installation or removal of the prosthesis. This problem usually
involves pain and discomfort due to soft tissue injuries. The presence of an undercut in soft
tissues should be surgically corrected before definitive treatment. But if they appear after
treatment, the dentures can be relied, rebased, or remade according to the extent to which the
surgical procedure is performed.
2.2.1.5.2 Patient-related factors
A patient-related factor is the inability to adapt to dentures after use. The older the
user of dentures, the higher the probability of having a systemic neurological disorder.
Therefore, it is not recommended to use complex denture designs and have more than one
insertion direction. It is very important to show the patient how to install and remove the
prosthesa and ask him to adapt by learning to install and remove his dentures himself starting
with being exemplified by the doctor first.

2.2.2 Long-Term Control Visits

 A dentist needs to convince the patient of the importance of carrying out maintenance
of the dentures used. It should be described the first long-term control visit should be carried
out no later than one year after the denture is installed. After that, make an appointment once
every 2 or 3 years to check the health of the tissues and the quality of the dentures, in addition
to the patient also a common understanding that the patient can arrive faster if there is a
problem before the set control time. The dentist should explain that dentures have a limited
lifespan and emphasize to the patient the dangers of using dentures that are already
inadequate. At this stage the dentist can also warn the patient that the absence of signs and
symptoms that are felt does not mean that there are no problems so it is important to continue
to carry out long-term control periodically for examination and minimize the possibility of
problems that increase significantly and cause difficulties in the future.
The necessary treatment on the promise of long-term withdrawal will be one or a
combination of several of the following types of treatment:
• Mold surface adjustment
• Correction of the length of the base of the denture
• Occlusal adjustment
• Relining or rebasing dentures
• Making replacement dentures.
All checks carried out on short-term control visits should also be carried out on long-
term control visits. The post-insertion denture complaints that are often encountered on long-
term control visits are as follows:
2.2.2.1 Mucosa changes
It is necessary to conduct periodic examinations in the long term with regard to oral
cancer. It is worth emphasizing that edentulous patients belong to the group at risk of oral
cancer. The results of retrospective studies show that 59% of oral cancer patients are
toothless patients, tend to be older than 60 years, tobacco and alcohol users, have a lower
socioeconomic status and have a non-compliant attitude towards control visits to the dentist.
2.2.2.2 Bone Resorption
Long-term changes in the residual shape of the ridge and its aftermath in dentures
have been studied extensively. A sustained decrease in the height of the alveolar in the
alveolar bone for 25 years has been observed. There appeared to be a marked decrease in the
first year of denture use and in the following few years there was a sustained decrease of an
average of 1 mm each year. Over a period of time, the decrease in the height of the anterior
alveolar bone of the lower jaw is four times higher (Tallgren 1972; Douglass et al. 1993). As
is known the dentures of the lower jaw cover a much smaller area, while the functional
pressure transmitted to the tissues below them is greater compared to the upper jaw; thus the
probability of a decrease in the alveolar bone of the lower jaw is greater due to the
physiological limits of the tissues being exceeded. Bone resorption results in loss of vertical
dimensions of occlusion and vertical dimensions of rest. The previous dimensions were
reduced to larger and thus the "free way space" also increased. Resorption of alveolar ridges
can affect the shape and size of ridges, one of which is a sharp alveolar ridge. This alveolar
surface is covered by a thin mucosa, atrophy, and it hurts when palpated. The installation of
acrylic removable dentures will cause problems such as pain, because the mucosa above the
alveolar ridge is in contact with the anthomic surface of the denture base when it functions
during mastication. Overcoming the above problems can be used soft liner. Soft Liners are
commonly used on complete dentures and removable partial dentures by evenly distributing
the pressure on the chewing surface to the entire surface of the denture. Soft liner is a soft
coating material for artificial teeth providing a spongy and padded surface between the base
of the denture and the oral mucosa. This material is used to re-coat the removable surface of
the denture with a new base material, resulting in an accurate adaptation to the base area of
the denture. This material is often used in patients with loose dentures, dentures that are not
in the right position, or dentures that cause pain when used.

2.2.2.3 Occlusal changes

The progressive loss of stability of the denture due to bone resorption also leads to
changes in the occlusal balance. In the case of dentures made of acrylic undergoing occlusal
changes will be aggravated by occlusal wear. The combination of loss of stability and
occlusal imbalance promotes further inflammation of the mucosa and bone resorption. It is
essential to maintain oral health and maintain its function, that this cycle should be decided
by regularly conducting regular denture control visits and carrying out effective maintenance.

2.2.2.4 Patient Adaptation

Progressive long-term denture damage is described not always causing complaints.
This can occur due to adaptive changes and patient tolerance that are constantly evolving and
allow the patient to continue wearing his dentures without making any complaints so that
progressive and considerable tissue damage can go unnoticed. Good adaptation to a new
denture is a prerequisite for the success of a treatment, but a patient who continues to tolerate
existing errors, will slowly and at some point hoard problems in the future. In addition to
possible tissue damage, the reduction of the vertical dimensions of the rest and abnormal
mandibular posture can create problems between the dentist and the patient when the denture
must eventually be replaced.
 BAB III
CONCLUSION

Patients who have been prosthetically rehabilitated should understand the last phase
of denture services, namely regular return visits for control and treatment of dentures. A
control visit after the installation of the denture is important to ensure that the tissue around
the denture is not damaged and the denture is functioning efficiently and comfortably.
Control visits also give patients the opportunity to convey complaints and problems
experienced regarding the dentures used. The dentist should explain that dentures have a
limited lifespan and emphasize to the patient the dangers of using dentures that are already
inadequate. The dentist can also warn the patient that the absence of signs and symptoms that
are felt does not mean that there are no problems, so it is important to continue to carry out
long-term control periodically for examination and minimize the possibility of problems that
increase significantly and cause difficulties in the future.