By Sean McCarthy, Patrick Finbarr Allen
This name offers with the making plans, development and assessment of entire dentures and examines the function of osseointegrated prostheses within the administration of edentulism.
Read or Download Complete Dentures: From Planning to Problem Solving (Quintessentials of Dental Practice, Volume 12; Prosthodontics, Volume 2) PDF
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Additional resources for Complete Dentures: From Planning to Problem Solving (Quintessentials of Dental Practice, Volume 12; Prosthodontics, Volume 2)
The patient is instructed to leave the dentures in situ for the next 24 hours. An appointment is arranged for the following day to inspect the dentures and tissues, and to make minor adjustments. • The patient is advised to take the dentures out only for cleaning but to continue full time wear for a further week. • At one-week review, further adjustments to occlusion and extensions may be required. • Review at one month. Adjust as necessary. A chairside reline using a resilient or hard liner 40 may be required at this stage or during the next six months.
Is this problem longstanding or of recent onset? • How long have they been edentulous? • How many sets of complete dentures have they had in the past? • Medical history. • Social history. Perhaps the most common problem is that of “loose” dentures. This may be the only complaint, or it may be one of a number of complaints, including: 50 • pain • dissatisfaction with appearance • inability to chew food • speech problems • damaged acrylic or fracture of a denture. Many patients are able to articulate the precise problem they have with their dentures.
A further consequence is loss of vertical dimension and this has the effect of approximating the chin to the nose (Fig 2-3). Some of these changes can be rectified by complete replacement dentures, but there are some limitations. In cases of severe resorption, it may be impossible to meet the patient’s aesthetic requirements and, at the same time, provide stable replacement dentures. 47 Fig 2-3 Edentulous patient without dentures. Note the approximation of the chin to the nose. Increasingly, researchers are beginning to look at wider issues of health-related quality of life.
Complete Dentures: From Planning to Problem Solving (Quintessentials of Dental Practice, Volume 12; Prosthodontics, Volume 2) by Sean McCarthy, Patrick Finbarr Allen