Denture Insertion

Denture Insertion

Denture Insertion Important Notes

1. 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
2.  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
     • Polymethyl methacrylate
     • Silicon soft liners
     • Heat-activated silicones

Read And Learn More: Prosthodontics Question And Answers

1. 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

Complete Denture Insertion Notes

1. Problems In Denture Wearers:

Denture Insertion Long Essays

Question 1. Discuss in detail about insertion, instructions, and aftercare of complete dentures.
Or
Instructions for completing the denture patient.
(or)
Post-insertion instructions are to be given to a complete denture patient
Answer:

Instructions 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 their lips closed to break the peripheral seal

Prosthodontic Denture Insertion

Maintenance Of Prosthesis:

• Patients are taught to clean their 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 Clinical Steps

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 Delivery and Adjustment

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
  1. Bilabial – b, p, m
  2. Labiodental-f, v
  3. Linguodental-th
  4. Linguoalveolar- t, d, s, z, v, 1
  5. ‘s’ sound is controlled by the anterior part of the palatal plate of the denture base

Question 2. Torus palatinus.
Answer:

Torus Palatinus is an exostosis/ overgrowth of cortical corticocancellous bone

Technique For Excision Of The Palatal Torus:

Denture Insertion Viva Voce

Poor denture retention and excessive vertical dimension are the two common causes of clicking of complete dentures.