POST-INSERTION INSTRUCTION,
PROBLEMS & SOLUTIONS
SOLUTIONS
PATIENT’S
EDUCATION
Outline
• Post-insertion instruction
• Patient’s experiences &
discomfort
• Problems occurring following
insertion & their solution
POST-INSERTION
INSTRUCTION
LIST OF INSTRUCTIONS
1.
2.
3.
4.
HABITUATION
EATING HABITS
SPEECH
HOME CARE FOR THE DENTURES
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.
2.EATING HABITS
1. It may be difficult to adjust as patient has been
without teeth for a long period of time.
2. First few days pt is instructed not to chew hard food
avoid sticky food
3. Pt is asked to try to chew on both side with the back
teeth
4. Pt is asked not to drink water by lifting the tumbler
but drinking by sipping.
3. SPEECH
1. Speaking with the dentures normally requires some
practise.
2. Patient is asked to read aloud and repeat the words
those which are difficult to pronounce.
3. With passage of time pt’s speech with denture will
be better than without denture.
4. HOME CARE FOR THE DENTURES
1. 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.
2. Pt should rinse the
mouth & denture after
every meal.
3. Pt should never wear
denture at night &
should store denture in
cold water.
4. Pt should not wash the
denture with hot water.
5. It’s preferable if pt place denture in denture
cleanser at night.
6. After removing the denture pt should massage
the gums for few minutes with fingers.
7. Pt should not use any abrasive or detergents to
clean the dentures.
8. Pt should not make any adjustment or repair by
himself.
PATIENT’S EXPERIENCES
& DISCOMFORTS
Different experiences & discomforts
1. FIRST ORAL FEELINGS
2. RETENTION COMPARISION BETWEEN NATURAL &
ARTIFICIAL TEETH
3. SALIVA
4. SPEECH
5. EATING
6. TONGUE POSITION & PROBLEMS WITH THE LOWER
DENTURE IN CONTRAST WITH THE UPPER DENTURE
1.FIRST ORAL FEELINGS
1.
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.
2.
FULLNESS OF THE MOUTH
a.
b.
Little change in the mouth is perceived as a big
change by the pt.
Also dentist use as much area as possible.
2.RETENTION COMPARISION BETWEEN
NATURAL & ARTIFICIAL TEETH
MODE OF ACTION
NATURAL
DENTITION
Roots ( which have
ability to bite tough
food)
COMPLETE
DENTURE
Wet slippery
mucosa (which is
not able to bite
tough food)
BITING CAPACITY
80 pounds
11.7 pounds
SENSATION
Proprioceptive
mechanism
No such capacity
3.SALIVA
PROBLEM
Excess salivation :As foreign thing
enters in the mouth,
it’s the normal
reaction of the body.
SOLUTION
Subsides in few
weeks,
Keep deglutition
active.
4.SPEECH
PROBLEM
 Distortion of
speech,
 Affected fluency
(owing to initial
feeling of bulk &
the accompanying
excessive saliva)
 Difficult rapid
conversation
SOLUTION
Quietly read aloud at
home (slow reading
may not put up the
pt’s concentration on
how the sound is
pronounced.)
5.EATING
Pt’s compliance
e.g. ability to eat a
steak or an apple is
a mark of good
denture.
(Such things result
in soreness of the
mouth.)
Pt’s education
 In beginning pt is advised to eat soft/crispy
foods, as they are easy to comminuted.( 1st
week)
 Avoid fibrous & tough foods in beginning,
there is an ample variety of soft food is
available so, pt should not compromise
with nutrition.
 Pt is educated to eat methodically:Pt is instructed to divide normal
forkful of food in half & place each
half bilaterally.
6. TONGUE POSITION & PROBLEMS WITH THE
LOWER DENTURE IN CONTRAST WITH THE UPPER DENTURE
MANDIBULAR DENTURE MAXILLRY DENTURE
TONGUE
tongue causes lifting of
the lower denture
No tongue
involvement
DENTURE BEARING
AREAS
approx. 14cm2
Approx. 24 cm2
Muscle surroundings
Buccal & lingual muscles Only buccal muscles
Problems occurring following insertion & their solution
SEVERAL PROBLEMS
DIRECT SEQUELAE
1. DENTURE STOMATITIS
2. FLABBY RIDGE
3. TRAUMATIC ULCER (sore spots)
4. BURNING MOUTH SYNDROMS
5. RESIDUAL RIDGE RESORPTION
6. DENTURE IRRITATION HYPERPLASIA
7. GAGGING
INDIRECT SEQUELAE
1. ATROPHY OF MASTICATORY MUSCLES
2. NUTRITIONAL DEFICIENCIES