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The Complete Denture Exam
The
successful denture starts with a Complete Denture Examination. It is
important to determine if a person actually needs a denture and whether an
overdenture is indicated. Because of advances in dentistry it is often possible
to return the mouth to health without the construction of a denture. It is
always the best choice to KEEP your teeth or at least some of them. A
successful denture can be made but is
always
a compromise.
As with a patient that
has teeth, It is important that a proper exam be performed before a denture is
constructed on someone who has worn a denture for many years . It is important
to check for changes in the mouth and to determine if the dental arches can be
enhanced by ridge enhancement surgery, before the new denture is constructed. If
any pathology is present, it is important not to construct a new denture over
active disease.
A complete clinical
examination of the mouth is used to determine the condition of the soft tissues
and the size and shape of the dental arches. The relationship of the upper and
lower jaws can also be determined.
Edentulous Panoramic
X-Ray
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1.
Nasal Cavity
2. Maxillary Sinus
3. Zygomatic Arch
4. Head of the Condyle
5. Cornoid Process
6. Soft Palate
7. Maxillary Tuberosity
8. Hard Palate
9. Tongue Shadow
10.Mandible
11.Mental Foramen
12.Submandibular Fossa
13.Inferior Alveolar Canal |
A panoramic x-ray will show all the bony
areas, and along with a clinical exam can uncover any hidden problems and allow
for a proper diagnosis. Some of the things we look for in a denture exam are:
- Retained tooth
roots
- Hard and soft
tissue lesions
- Hyperplastic
(loose tissue)
- Size of the
ridges
- Jaw relationship
- Oral Cancer
If only a few roots
can be saved, an Overdenture,
which is a denture which attaches to a couple of roots anchored in the jaw can
be constructed.
For
patients wanting to maintain some teeth while a denture is constructed an Immediate
Denture can be constructed. Implants may be placed in
the jaw to anchor a denture when a patient is unable to wear a denture
successfully.
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