Manuals_files/CD Manual 12.pdf - Removable Prosthodontics

Instructions to Patients - 1
Medical history
CD Diagnosis and Treatment Plan
- Make efficient use of time - don't need history of relatives 4x removed
- Follow-up significant positive responses
- Note systemic conditions that impact on therapy (e.g. angina, hepatitis, Sjogren's
syndrome)
- Obtain physician consultations where appropriate
- If some debilitating disease - discuss with instructor – to ensure acceptability
Dental History
- How many dentures, how long patient has worn dentures
- Satisfaction with dentures
- Things patient likes - what they want changed
- Be brief
Clinical Exam – routine clinical exam
Intraoral Exam - Examine one arch at a time – look, then write
1. General tissue health
- Attached mucosa / non attached
- Colour
- Character
- Displaceability
2. Specific Anatomical considerations
- Examine systematically, e.g. posterior 1st quadrant to post. 2nd quadrant, then palate
- Note the significance that a finding has to the therapy you are providing
- Visual and tactile exam.
MAXILLARY
The form of the maxillary arch affects retention – advise the patient if retention will be
compromised
A. Posterior border of denture:
1. Hamular notches - posterior denture border – palpate position, visually
deceiving
- Over extension - extreme pain
- Under extension - non-retentive
- Must be captured
2. Vibrating line - identified when the patient says "ah"
- At junction of the movable and non-movable portions of the soft palate
- Don’t want denture on movable soft palate - it may be displaced
- Fovea - rough guide to the position of the vibrating line
- Throat form can affect breadth of vibrating line