Manuals_files/CD Manual 12.pdf - Removable Prosthodontics

Troubleshooting Pain & Looseness -78
Typical history when pain is related to occlusion:
Hurts only when chewing
Gets worse with chewing
Gets worse as the day progresses
The patient may have to remove the prosthesis late in the day (discomfort)
Typical history when pain is related to denture base fit:
Problem starts when the patient inserts the denture; it often feels tight or sore
Patient has discomfort even when not chewing
May or may not get worse as the day progresses
Typical history when pain is related to occlusal vertical dimension (OVD) 3, 4 :
Excessive OVD:
Insufficient OVD:
Soreness over entire ridge
Worse during the day (increased occlusal contact)
Dentures ‘click’ when speaking
Feels ‘too full’, difficulty getting lips together
Lack of chewing power
Minimal ridge discomfort
Angular chelitis
Esthetic complaints:
Chin prominent
Minimal vermilion border display