College of Dentistry Department of Prosthodontics AlMustansiriyah University

College of Dentistry Department of Prosthodontics Al-Mustansiriyah University Post insertion denture problems Dr Aseel Salman, Ph. D Prosthetic Dentistry College of Dentistry, Al-Mustansiriyah University, Baghdad, Iraq 2019/ 2020 Complaints about the esthetics of the dentures

College of Dentistry Department of Prosthodontics Al-Mustansiriyah University q Complaints about the phonetics with the dentures • Lips on “S” sounds pronounced like “Th” (Too narrow air space on the anterior part of the palate • “S” sounds pronounced like as “Sh” (small median tongue groove because upper teeth placed too far palatally or excessive thickening of denture base)

College of Dentistry Department of Prosthodontics Al-Mustansiriyah University q Complaints about the phonetics with the dentures • (b, p & m) sounds are made by contact of the lips. Their production is affected by insufficient support of the lips by the teeth or the denture base, thick labial flange, incorrect V. D. O & position of anterior teeth

College of Dentistry Department of Prosthodontics Al-Mustansiriyah University Oral mucosal Lesions induced by removable dentures

College of Dentistry Department of Prosthodontics Al-Mustansiriyah University Classification of Denture Stomatitis Type I - represent an early stage of the condition. It is a localized simple inflammation or pinpoint hyperemia

College of Dentistry Department of Prosthodontics Al-Mustansiriyah University Classification of Denture Stomatitis Type III - uncommon type It is a granular type commonly involving the central part of the hard palate and alveolar ridge

College of Dentistry Department of Prosthodontics Al-Mustansiriyah University 4. Denture Irritation Hyperplasia (A. Epulis Fissuratum) • Signs: Numerous asymptomatic folds or highly vascular tissue in the labial or buccal vestibule • Causes: Loose denture (immediate dentures), overextended denture flange Management 1. Adjustment of denture borders 2. Replacement of denture 3. Massage of the tissue with a piece of gauze 2 or 3 times a day

College of Dentistry Department of Prosthodontics Al-Mustansiriyah University 5 - Traumatic ulcer: It appears either as red area (erythema) or with break of continuity of the epithelium. It is associated with slight to sever pain. Causes of traumatic ulcer: - Overextended denture border. - When the mucosa is squeezed between the bone and the denture base. - Rough surface of the denture. - Inharmonious occlusion may cause traumatic ulcers.

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