Diagnosis And Treatment Planning In Complete Denture Question and Answers

Diagnosis And Treatment Planning

Diagnosis And Treatment Planning Important Notes

1. Thin mucosa is found over:

2. House’s classification of mental attitude:

3. Classification of the soft palate:

4. Classification of lateral throat form:

5. Classification of the tongue size:

Diagnosis And Treatment Planning Long Essays

Question 1. Discuss briefly the diagnosis & treatment planning for complete denture patients.
Answer:

Diagnosis: Includes:

1. Patient’s evaluation:

• Gait:
  • Different gate present in patients with neurological problems
  • This affects the adaptation of dentures
• Age:
  • Different aged people have different healing abilities
• Sex:
  • Women are more esthetic concerned than men
• Complexion:
  • Selecting the shade of teeth required

Read And Learn More: Prosthodontics Question And Answers

• Mental Attitude of Patient:
  • According to De Van” Meet the mind of the patient before meeting the mouth of the patient
• 4 types of patients are recognized:

1. 1. Class 1: philosophical
      • Easy-going, cooperative patients
   2. Class 2: Exacting
      • Dissatisfied with the previous denture
      • Difficult to satisfy them
   3. Class 3: Hysterical
      • Have a negative attitude toward the dentist
      • Poor prognosis
      • Difficult to manage
   4. Class 4: Indifferent
      • Uncooperative
      • Do not maintain the denture

2. Clinical history taking:

• Name:
  • To address a patient
  • To maintain the record
• Age:
  • For age-related diseases
• Sex:
  • For sex-related diseases
• Occupation:
  • To know the affordability of the treatment
• Location:
  • For further reference
  • For treatment planning
• Dental History:
  • To know the dental attitude of patient
• Medical History:
  • To know about any diseases that may affect the denture as well as the healing of tissues

3. Clinical examination:

• Extra Oral:
  • To evaluate any pathology
  • To determine the shape of teeth as compared to the profile of the patient

• • Determine vertical dimension: helps in deciding the size of teeth
  • Examine the lip & cheek fullness
• Intra Oral:
  • Examine the mucosa
  • Condition of the residual alveolar ridge
  • Arch length: to accommodate the teeth

• • Any pathology present
  • Gag reflex & palatal sensitivity
  • Undercuts present: Effect retention of the denture

• • Frenal attachment: Effect path of insertion

• • Tongue: Its size affects the stability of the denture

• • The floor of the mouth: For retention & stability of the denture

4. Radiographic examination:

• Bone Quality:
  • Examine any pathology
  • Bone contour

5. Evaluation of existing prosthesis:

• Need for repair
• Need for replacement

Treatment Planning Includes:

1. Adjunctive care:

• Elimination of Infection:
  • Treatment of ulcers
  • Removal of nonvital teeth
  • Elimination of periodontal problems
• Elimination of Pathosis:
  • Removal of any pathologies present
• Pre-Prosthetic Surgery:
  • Removal of flabby tissues
  • Removal of bony spicules
  • Frenectomy
  • Vestibuloplasty
  • Removal of tori
• Tissue Conditioning:
  • In case of tissue irritation due to dentures
  • Reline the existing denture with tissue conditioners

2. Prosthetic care:

• Patient Is Recently Edentulous:
  • Immediate denture
  • Interim denture
  • Implants
• Patient Already Edentulous:
  • Implants
  • Teeth selection
  • Soft tissue support

Diagnosis And Treatment Planning Short Answers

Question 1. Leon William’s classification.
Answer:

According to him, the facial form can be described among four types:

1. Ovoid
2. Tapering
3. Square
4. Combination

• The selection of teeth depends on the facial form
• For example Ovoid teeth for ovoid facial form

Question 2. The mental attitude of the patient.
Answer:

According to De Van, “meet the mind of the patient be- fore meeting the mouth of the patient”

4 types of patients are recognized:

1. Class 1: Philosophical
   • Easy-going, cooperative patients
2. Class 2: Exacting
   • Dissatisfied with the previous denture
   • Difficult to satisfy them
3. Class 3: Hysterical
   1. Have a negative attitude toward the dentist
   2. Poor prognosis
   3. Difficult to manage
4. Class 4: Indifferent
   1. Uncooperative
   2. Do not maintain the denture

Question 3. House’s palate classification
Answers:

It shows the relationship between the soft palate and hard palate  It is as follows

1. Class 1:
   1. Large and normal in form
   2. Has immovable tissue band 5-12 mm distal to a line drawn across the distal edge of tuberosities
2. Class 2:
   • Medium-sized and normal in form
   • Has immovable tissue band 3-5 mm distal to a line drawn across the distal edge of tuberosities
3. Class 3:
   • Accompanies small maxilla
   • Has soft tissue band 3-5 mm anterior to the line drawn across palate at the distal edge of tuberosities

Question 4. Classification of the soft palate.
Answer:

1. Class 1:
   • Horizontal line
   • Shows little muscular movement
   • Covers posterior palatal seal
   • Has flat palatal vault
2. Class 2:
   • The soft palate makes a 45° angle to the hard palate
   • Coverage to the posterior palatal seal is less
   • Has flat palatal vault
3. Class 3:
   • The soft palate makes a 70° angle to the hard palate
   • Coverage to the posterior palatal seal is minimum
   • Has V-shaped palatal vault

Question 5. Critical patients of House classification
Answer:

• They are very methodical, precise, and accurate making several demands
• They are comfortable when each procedure is ex- plained and discussed with them in detail
• They require extreme care, effort, and patience on the part of the dentist
• The intelligent and understanding category in this class can be best type of patient
• But for those lacking the same, extra time should be spent in education and treatment started only after an understanding is achieved

Question 6. House’s classification of the mental attitude of patients.
Answer: