TOPIC: MOUTH PREPARATION OF COMPLETE DENTURE PATIENTS
🎯 KEY FACTS :
🔹Epulis fissuratum is caused due to overextension of the labial flanges.
🔹Generalized soreness of the denture-bearing area in a new denture wearer is due to increased vertical dimension.
🔹Mandibular tori are most commonly located lingual to the premolar region.
🔹Maxillary tori are most commonly located in the mid-palatal region.
🔹Preprosthetic Surgery is a Surgical procedures designed to facilitate fabrication of prosthesis or to improve the prognosis of prosthodontic care. (GPT 8th Ed)
🔹Frenectomy It is surgical excision of the frenum.
🔹Tori can be palatal or lingual.
🔹Vestibuloplasty is a surgical procedure designed to restore alveolar ridge height by lowering muscles attachment to the buccal, labial and lingual aspects of the jaws. (GPT 8th Ed)
🔹Resilient Liners are used in case of resorbed or atrophied edentulous ridges which require protection (e.g. in knife-edged ridges, mental foramen region, dehiscent mandibular canal or surgically excised soft or bony tissues).
📌 The following methods are commonly employed to prepare the mouth for complete denture placement:
(i) Nonsurgical Method
(ii) Surgical Method or Preprosthetic Surgery
👉 Non-Surgical Methods :
🔸Rest for denture-bearing areas
🔸Correcting occlusion
🔸Extension of denture
🔸Good nutrition
🔸 Conditioning of the patient’s musculature
👉 Surgical Method or Preprosthetic Surgery:
🔺Minor preprosthetic surgical procedures
🔸Alveoloplasties
🔸Frenectomy
🔸Excision of redundant soft tissues, papillary hyperplasia or epulis fissuratum
🔸Maxillary tuberosity reduction and exostosis removal
🔸Tori removal
🔸Mylohyoid ridge reduction
🔸Ridge augmentation
🔸Vestibuloplasty
📌 Objectives of Mouth Preparation
🔸 Improves denture foundation
🔸 Improves the ridge relations
🔸 Enhances support
🔸 Restoration of form and function of the stomatognathic system
🔸 Improves aesthetics