this ppt includes detail about instructions and sepuele of denture wear

1. GOOD AFTERNOON

2. POST-INSERTION INSTRUCTION,PROBLEMS & SOLUTIONS SOLUTIONS PATIENT’S EDUCATION COMPLIED BY:-NIKUNJ PATEL

4. Patient’s experiences & discomfort

6. LIST OF INSTRUCTIONS HABITUATION EATING HABITS SPEECH HOME CARE FOR THE DENTURES

7. 1.HABITUATION Initially the denture will feel strange & bulky in the mouth & will cause, fullness of lips & cheeks. Patient’s appearance with the denture will become more natural with time. Patient’s mouth & tongue has to get adjusted to the denture, also there will be increased salivation, which will be reduced subsequently.

8. 2.EATING HABITS It may be difficult to adjust as patient has been without teeth for a long period of time. First few days pt is instructed not to chew hard food avoid sticky food Pt is asked to try to chew on both side with the back teeth Pt is asked not to drink water by lifting the tumbler but drinking by sipping.

9. 3. SPEECH Speaking with the dentures normally requires some practise. Patient is asked to read aloud and repeat the words those which are difficult to pronounce. With passage of time pt’s speech with denture will be better than without denture.

10. 4. HOME CARE FOR THE DENTURES Pt is asked to clean the denture with soft brush, specially made for denture & keep cloth in the wash basin so, if denture will fall than it won’t break.

11. Pt should rinse the mouth & denture after every meal. Pt should never wear denture at night & should store denture in cold water. Pt should not wash the denture with hot water.

12. It’s preferable if pt place denture in denture cleanser at night. After removing the denture pt should massage the gums for few minutes with fingers. Pt should not use any abrasive or detergents to clean the dentures. Pt should not make any adjustment or repair by himself.

13. PATIENT’S EXPERIENCES& DISCOMFORTS

14. ZARB BOLENDER STATES,…. “Explanations provided after problems develop often are interpreted as excuses by the dentist for dentures that function less than satisfactorily.”

15. Different experiences & discomforts FIRST ORAL FEELINGS RETENTION COMPARISION BETWEEN NATURAL & ARTIFICIAL TEETH SALIVA SPEECH EATING TONGUE POSITION & PROBLEMS WITH THE LOWER DENTURE IN CONTRAST WITH THE UPPER DENTURE

16. 1.FIRST ORAL FEELINGS NATURE OF THE COMPLETE DENTURE General introduction about the denture by the mean of diagrams or models can be used to show the pt that what he wears in his mouth. FULLNESS OF THE MOUTH Little change in the mouth is perceived as a big change by the pt. Also dentist use as much area as possible.

17. 2.RETENTION COMPARISION BETWEEN NATURAL & ARTIFICIAL TEETH

18. 3.SALIVA

19. 4.SPEECH

20. 5.EATING

21. 6. TONGUE POSITION & PROBLEMS WITH THE LOWER DENTURE IN CONTRAST WITH THE UPPER DENTURE

22. Problems occurring following insertion & their solution

23. SEVERAL PROBLEMS DIRECT SEQUELAE DENTURE STOMATITIS FLABBY RIDGE TRAUMATIC ULCER (sore spots) BURNING MOUTH SYNDROMS RESIDUAL RIDGE RESORPTION DENTURE IRRITATION HYPERPLASIA GAGGING

24. INDIRECT SEQUELAE ATROPHY OF MASTICATORY MUSCLES NUTRITIONAL DEFICIENCIES

25. DIRECT SEQUELAE

26. 1.DENTURE STOMATITIS

28. Denture sore mouth,

29. Inflammatory hyperplasia,

31. Type-II (erythematous type)- generalized type

33. old age

34. diabetes mellitus

36. dentures

37. environmental factors

38. night wear of the dentures

39. denture cleanliness

40. xerostomia

43. denture & the mucosa should be cleaned after the meals.

44. Store the denture in the 0.2-2% chlorhexidine during the night time.

45. Polishing of the denture routinely.

47. SURGICAL THERAPY necessary in the type-III.

48. 2.FLABBY RIDGE

49. DESCRIPTION Alveolar ridge may become mobile & extremely resilient due to replacement of the bone by the fibrous tissue.

50. TREATMENT Surgical correction & relining of the denture base accordingly for re-adaptation of the tissue surface.

51. 3.TRAUMATIC ULCER (sore spots)

55. 4.BURNING MOUTH SYNDROMES

57. systemic factors

59. prolonged masticatory muscle activity

60. constant parafunctional movements of the tongue

62. menopause

63. xerostomia

66. Mainly pain starts in the morning & aggrivates during the days.

67. Burning sensation is usually accompanied with dry mouth & persistent altered taste sensation.

69. compensation for systemic deficiency except for menopose.

73. It’s more rapid in females than in males.

75. initially=4-5mm

76. Later=0.1-0.2mm

77. MAXILLA

78. Initially=2-3mm,

80. Decreased vertical dimension at occlusion.

81. Reduction of the lower facial height.

84. Resorption is centrifugal(away from centre)

85. 6.DENTURE IRRITATION HYPERPLASIA

89. It may occur due to over extension of the denture borders at posterior palatal seal of the maxillary dentures & disto-lingual part of the mandibular dentures.

91. 1.ATROPHY OF MASTICATORY MUSCLES

92. Usually with age biting efficiency decreases with age. Any part of the body which is out of function goes under atrophy.

93. 2.NUTRITIONAL DEFICIENCIES

94. As masticatory muscles go under atrophy & also for any person masticatory muscles go under atrophy along with age their nutrition status also goes down.

96. If the annoying sequelae of denture wearing are not solved than they will lead to failure of treatment outcome.

98. A WISH:- EVERYONE COULD INSERT FOUR OF THE DENTURES

99. REFERENCES ZARB BOLENDER WINKLER

100. ANY DOUBT..,

101. THANK YOU