1. Aftercare of complete denture patients
Dr. Kamal Shigli
Professor in Prosthodontics
Modern Dental College & Research Centre , Indore

2. Introduction
Success of complete denture service depends on regular denture maintenance by the patient combined with periodic consultation with dentist.

3. Individuality of patient
Mastication
Tongue position
Appearance
After care of denture
Individuality of patient
Speaking with new denture
Tissue health
Periodic recall
Denture adhesives
Educational material

4. “Every new denture is like a new shoe , which require some time and care to adjust “.

5. Individuality of patients
His denture is better than mine? why
Physical condition of patient.
Mental condition .
Oral condition .

6. Appearance with New dentures
Repositioning of
orbicularis oris
muscle
Restoration
Of facial
dimension
Time
Appearance
Change in
hair style and
glasses

7. Mastication with new dentures
Learning to chew satisfactorily require-
6- 8 weeks
New memory patterns of muscles.
“ These muscles must learn what they
should and should not do”
Accomodation of salivary glands

8. Eating habits should be changed
Pattern of chewing

9. Use of handkerchief is needed to avoid embarrassment

10. Tongue position Loose mandibular denture-most common complaint
Patient must be educated for 3 basic reasons……
Basal seat area
Muscles around
the lower denture
Tongue position

11. Speaking with new dentures
To speak normally
Require practice.
Advised to read aloud and repeat words

12. Maintaining tissue health
Tissue rest
Denture placed in water
Denture should be removed at least 8 out of 24 hours to allow tissues to rest

13. Complete denture hygiene
Long handle brushes for cleaning
Cleaning of denture
Placing the denture in a cleanser for 30 minutes

14. Complete denture hygiene
How to handle lower denture
Avoid using tooth paste for cleaning of denture

15. Tissue hygiene and massage
Mucosal surface of ridges and dorsal surface of tongue should be brushed daily to increase circulation and to remove debris

16. Denture adhesives
Adhesives ,and especially home-reliners, can modify the position of the denture on the residual ridge that can result in a change of both vertical relations and CRs or a change in occlusal contacts , which may cause irreparable damage to residual ridges in a short time.

17. Educational material for patients
Printed information about the use and cleaning of denture.
How to handle denture during cleaning.

18. Periodic recall for oral examination
6- 12 month interval is suggested time between recall appointment

19. Conclusion
Dentist should accept responsibility for providing adequate instructions as an essential part of patient preparation to receive a denture.