Clinical scenario on denture breakage

 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:

  1. Denture Adjustment: Check and adjust the denture for proper fit and occlusion. Ensure there are no pressure points causing discomfort or instability.
  2. Tissue Conditioning: If the supporting tissues have changed, consider tissue conditioning materials to improve denture adaptation to the oral environment.
  3. Rebase or Reline: If significant bone resorption has occurred, a rebase or reline procedure may be necessary to enhance denture stability and comfort.
  4. Implant-Supported Options: Depending on the patient's oral health and preference, discuss implant-supported overdentures for improved retention and stability.
  5. Patient Education: Educate the patient on proper denture care, maintenance, and use of denture adhesives if necessary. Reinforce the importance of regular check-ups.
  6. 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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