A 65 years old female patient complained that her upper complete denture drops when talking, how would you manage the patient in a dental facility
Answer
Answer
For a 65-year-old female patient experiencing issues with upper
complete denture stability during speech, a thorough clinical assessment is
crucial. Evaluate the denture fit, assess for underlying issues such as bone
resorption, and consider the following:
- Denture Adjustment: Check and adjust the
denture for proper fit and occlusion. Ensure there are no pressure points
causing discomfort or instability.
- Tissue Conditioning: If the supporting
tissues have changed, consider tissue conditioning materials to improve
denture adaptation to the oral environment.
- Rebase or Reline: If significant bone
resorption has occurred, a rebase or reline procedure may be necessary to
enhance denture stability and comfort.
- Implant-Supported Options: Depending on the
patient's oral health and preference, discuss implant-supported
overdentures for improved retention and stability.
- Patient Education: Educate the patient on
proper denture care, maintenance, and use of denture adhesives if
necessary. Reinforce the importance of regular check-ups.
- Follow-up Appointments: Schedule follow-up
appointments to monitor the patient's adaptation to any adjustments and
address any ongoing concerns.
A collaborative
approach, involving the patient in decision-making, can lead to a tailored and
effective management plan.

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