Denture Insertion
Denture Insertion Important Notes
- Denture Adhesives:
- Vegetable gums – possess very little cohesive strength
- Gum-based adhesives – highly water-soluble and washed out easily
- Synthetic salts of Gontrez display good ionic adherence
- Soft Liners:
- They are denture-lining materials
- Help in conditioning the traumatized tissues
- It acts as a cushion between the hard plastic base of the denture and the oral tissues
- Commonly used soft liners are
- Poly ethyl methacrylate
- Silicon soft liners
- Heat activated silicones
Read And Learn More: Prosthodontics Question And Answers
- Denture Cleansers:
- The most commonly used denture cleansers are alkaline peroxides and hypochlorites
- Alkaline peroxides
- Provided in powder and tablet forms
- It contains alkaline compounds.
- Detergents, sodium perborate, and flavoring agents
- When mixed with water, sodium perborate decomposes releasing peroxides which in turn decompose releasing oxygen
- Hypochlorite solutions are available only in solution form
- Problems In Denture Wearers:
Denture Insertion Long Essays
Question 1. Discuss in detail about insertion, instructions, and aftercare of complete denture.
Or
Instructions to complete denture patient.
(or)
Post-insertion instructions are to be given to a complete denture patient
Answer:
Instruction For Insertion And Removal:
- The patient is taught to insert and remove the denture along the path of insertion
- In the presence of a unilateral undercut, the Denture should be inserted into the undercut first then the prosthesis into the final position
- If a denture is more retentive the patient is asked to blow with lips closed to break the peripheral seal
Maintenance Of Prothesis:
- Patients are taught to clean the dentures regularly
- Cleansers used are:
- Chemicals: Chlorhexidine
- Ultrasonic cleaner
- Soaking and brushing the denture
- Avoid hard brushing
- Avoid excessive flossing
Night Wear of Prosthesis:
- Avoid nightwear or dentures
- Allowed to wear only in brutes
- Store the denture in water or any dilute medicinal solution at night
- Report to the dentist if the denture causes any irritation even after 24 hours
- The patient is asked to read newspapers or novels loudly during 1st 24 hours to adapt to the denture
- Recall the patient after a week to check for tissue reaction Recall every 3–6 months to determine the amount of residual ridge resorption
Denture Insertion Short Essays
Question 1. Write Recall Visit
Answer:
Recall Visit:
- Explain to the patient the sequences of denture insertion like increased salivation, and difficulty in speech.
- If it continues for more than 1 week, ask him to visit the dentist.
- If an ulcer or any irritation is experienced by the patient, ask him to visit the dentist.
Denture Insertion Short Question And Answers
Question 1. Factors in denture design affecting speech.
Answer:
- Denture wearers have shallow pronunciation
- In dentulous patients, rugae enhance speech
- In a denture wearer speech is affected due to the absence of rugae
- The use of metal dentures improves speech
- Injury to the external laryngeal nerve
- Presence of tongue tie
- Production of various sounds
- Bilabial – b, p, m
- Labiodental-f, v
- Linguodental-th
- Linguoalveolar- t, d, s, z, v, 1
- ‘s’ sound is controlled by the anterior part of the palatal plate of the denture base
Question 2. Torus palatinus.
Answer:
Torus Palatinus is exostosis/ overgrowth of cortical corticocancellous bone
Technique For Excision Of The Palatal Torus:
Denture Insertion Viva Voce
1. Poor denture retention and excessive vertical dimension are the two common causes of clicking of complete dentures.