By: Palola, Shasty L.

DENTURE INSERTION, PATIENT EDUCATION AND MANAGEMENT

Denture insertion and Patient education
 Behavioral factors affecting insertion  Lab remounting  Management of tissue surface discrepancies  Treatment of polished surfaces  Checking the fit of the denture  Clinical remounting  Eliminating occlusal errors

 Patient instructions and involvement

Behavioral factors affecting insertion  Easily satisfied patient  Office fixture  Average denture patients .

 Patient motivation  Communication .

Insertion .

Lab Remounting .

Plaster Index .

Construction of remounting casts .

Remounting Casts .

Management of tissue surface discrepancies .

Treatment of polished surfaces .

Evaluation of function of denture .

Errors in occlusion         Change in state of TMJ Inaccurate maxillomandibular records Ill fitting temporary record bases Change of vertical dimension of occlusion on articulator Incorrect arrangement of posterior teeth Failure to close the flasks completely during processing Too much pressure in closing flasks Shrinking of acrylic processing changes .

Recording centric relation .

Clinical remounting .

Eliminating errors in anatomic teeth .

 Patient involvement  Nature of complete     dentures First oral feelings Speech Tongue position Mastication .

Maintaining tissue health  Adequate tissue rest  Complete denture hygiene  Tissue hygiene and massage .

Complete denture hygiene  Chemical cleaning  Mechanical cleaning  Sonic cleaning .

Chemical cleaning  Sodium hypochlorite  White vinegar  Silicone polymer .

Mechanical cleaning .

Cleaning and care for the denture  Sonic cleaners  Tissue conditioners  Care for the denture  Tissue hygiene and massage .

Denture adhesives .

 Report to the hospital for necessary dentures It is better to avoid eating hard food with new I dentures  It is advised to eat soft food in the beginning and slowly progress to hard food. Handle dentures carefully . .Instructions to the patient  Complete denture wearer should insert the lower denture first followed by the upper denture  There might be difficulty in wearing new dentures .they can break if dropped.

 Dentures should be cleaned after every meal  In the night it is better to discontinue the use of     denture In the morning the denture should be cleaned using soap and brush Do not clean the dentures using hot water or chemicals When the dentures are not in use. keep in water To get the maximum service from your dentures it is imperative that you follow your doctor’s advice .

..End.

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