Post insertion denture problems HTTP://www.rxdentistry.net

Post insertion denture problems Complaints about comfort of dentures causes Complaints about function of dentures and causes Complaints about the esthetics of the dentures and causes Complaints about the phonetics with the dentures and causes HTTP://www.rxdentistry.net

Complaints about comfort of denture and causes Sore spots Burning sensation Tongue and cheek biting Fiery redness of all tissues contacted by denture Redness of bearing tissues Pain in temporomandibular joint HTTP://www.rxdentistry.net

Sore spots Sore spots in vestibule Sore spots posterior limit of upper Over-extended border Sore spots posterior limit of upper Posterior palatal seal too deep Sharp posterior palatal seal Over-extension HTTP://www.rxdentistry.net

Sore spots Single sore spots over ridge Malocclusion in that area Inaccurate denture base Bubbles of acrylic resin Generalized soreness over the ridge Vertical dimension too great HTTP://www.rxdentistry.net

Sore spots Soreness under lingual flange of lower Centric occlusion not in harmony with centric, drives lower denture forward Over-extended lingual flange Soreness under labial flange of lower Too much overbite Patient’s habit, wants to masticate in protrusive Over-extended labial flange HTTP://www.rxdentistry.net

Burning sensation Anterior hard palate and anterior alveolar ridge areas Pressure on anterior palatine foramen Bicuspid area to molar tuberosity Pressure on posterior palatine foramen Lower anterior ridge Pressure on mental foramen HTTP://www.rxdentistry.net

Tongue and cheek biting Posterior teeth edge to edge Over-closure Posterior teeth too far lingual or buccal HTTP://www.rxdentistry.net

Fiery redness of all tissues contacted by denture including tongue and cheeks Denture base allergy HTTP://www.rxdentistry.net

Redness of bearing tissues Ill-fitting denture Avitaminosis HTTP://www.rxdentistry.net

Pain in temporomandibular joint Vertical dimension of occlusal too small Centric occlusion not in harmony with centric relation Arthrits Trauma HTTP://www.rxdentistry.net

Complaints about function of dentures and causes Instability Interference General feeling dentures are not right, but with absence of pain (patient has high pain tolerance) HTTP://www.rxdentistry.net

Instability When not occluding Over-extension of border and posterior limit Under-extended border Loss of posterior palatal seal Posterior palatal seal on hard palate Posterior limit not in hamular notches Insufficient posterior palatal seal HTTP://www.rxdentistry.net

Instability When not occluding Dehydration of tissues due to alcoholism Flabby tissues displaced when making impression HTTP://www.rxdentistry.net

Instability When incising food Loss of posterior palatal seal Anterior teeth placed too far labially Poor denture foundation (flabby anterior tissues) Improper incising habits HTTP://www.rxdentistry.net

Instability When occluding in centric Mal-occlusion Premature individual tooth contacts High occlusion on one side of arch High occlusion in bicuspid areas Upper denture riding on median hard palate HTTP://www.rxdentistry.net

Instability When occluding in centric Flabby tissues over ridge Teeth set too far buccally Centric occlusion not in harmony with centric relation HTTP://www.rxdentistry.net

Interference Swallowing Upper Lower Over-extension in the posterior Too thick in posterior Lower Over-extension in the lingual Too thick lingual posterior flanges HTTP://www.rxdentistry.net

Interference Swallowing Over-closure of the vertical relation of occlusion Posterior teeth too far lingual-crowds tongue Too great a vertical relation of occlusion HTTP://www.rxdentistry.net

Interference Gagging Immediate gagging on insertion Over-extension (upper) Too thick posterior border (upper) Disto-lingual flange too thick (lower) HTTP://www.rxdentistry.net

Interference Gagging Delayed gagging (2weeks to 2 months after insertion) Incomplete border seal allowing saliva under denture Mal-occlusion causing denture to loosen, allowing saliva under denture HTTP://www.rxdentistry.net

Interference Clicking Vertical dimension of occlusion is too great Unstable lower (borders over-extended) HTTP://www.rxdentistry.net

Interference Deafness Vertical dimension of occlusion is too small HTTP://www.rxdentistry.net

Interference Muscles of mastication become fatigued Vertical dimension of occlusion is too small Vertical dimension of occlusion is too great HTTP://www.rxdentistry.net

General feeling dentures are not right, but with absence of pain Patient has high pain tolerance. Mal-occlusion Centric occlusion is not in harmony with centric relation Incorrect vertical relation of occlusion HTTP://www.rxdentistry.net

Complaints about the esthetics of the dentures and causes Fullness under nose Depressed philtrum and/or nasolabial sulcus Upper lip sunken in Shows too much of the teeth Artificial look HTTP://www.rxdentistry.net

Esthetic Fullness under nose Labial flange of upper too long or too thick Depressed philtrum and/or nasolabial sulcus Labial flange too short, too thin Upper lip sunken in Upper anterior teeth too far lingual HTTP://www.rxdentistry.net

Esthetics Shows too much of the teeth Vertical dimension too great Incisal plane too low Cuspids and laterals too prominent HTTP://www.rxdentistry.net

Esthetics Artificial look Technique set-up, the teeth are in too regular alignment (individualize by rotating and shortening some teeth) All teeth same shade Lack of grinding incisal edges and angles Lack of individualizing gingival contours and color of denture base HTTP://www.rxdentistry.net

Complaints about the phonetics with the dentures and causes Whistle on “S” sounds Lips on “S” sounds “Th” and “T” sounds indistinct “T” sounds like “Th” “F” and “V” sounds indistinct HTTP://www.rxdentistry.net

Phonetics Whistles on “S” sounds Lisp on “S” sounds Too narrow an air space on the anterior part of the palate Lisp on “S” sounds Too broad and air space on the anterior part of the palate HTTP://www.rxdentistry.net

Phonetics “Th” and “T” sounds indistinct “T” sounds like “Th” Inadequate inter-occlusal distant “T” sounds like “Th” Upper anterior teeth too far lingual “F” and “V” sounds indistinct Improper position of upper anterior teeth either vertically or horizontally HTTP://www.rxdentistry.net

Thank you for your attention HTTP://www.rxdentistry.net