| Direct Sequelae Caused by Wearing Removable Prostheses: | gagging, residual ridge reduction, altered taste perception, burning mouth syndrome, mucosal reactions |
| MUCOSAL REACTIONS:denture sore mouth; inflammatory papillary hyperplasia; hyperplasia chronic atrophic candidiasis | DENTURE STOMATITIS |
| DENTURE STOMATITIS(types):Localized simple inflammation | Pinpoint hyperemia |
| DENTURE STOMATITIS(types):Trauma induced; new denture wearers | Pinpoint hyperemia |
| Pinpoint hyperemia usually occurs where | palate and residual ridge |
| DENTURE STOMATITIS(types):Generalized simple inflammation | Erythematous Type |
| DENTURE STOMATITIS(types):more diffuse erythema involving a part or the entire denture-covered mucosa | Erythematous Type |
| DENTURE STOMATITIS(types):more diffuse erythema involving a part or the entire denture-covered mucosa | Erythematous Type |
| DENTURE STOMATITIS(types):Inflammatory papillary hyperplasia commonly involving the central part of the hard palate and the alveolar ridges | Granular Type |
| DENTURE STOMATITIS(types):Microbial plaque accumulation (bacteria and yeast); advanced type | Granular Type |
| Surface Properties: Plaque Accumulation | chemical stability, hardness, adhesiveness, texture, microporosities |
| Chemical Properties | toxic and allergic reactions |
| Physical Properties | mechanical irritation, plaque accumulation |
| Changes of Environmental Conditions | plaque microbiology |
| Systemic Factors Predisposing to Candida-Associated Denture Stomatitis | malignancies, immune defects, nutritional deficiencies, Diabetes mellitus, old age, corticosteroids(immunosuppressive drugs) |
| Local Factors Predisposing to Candida-Associated Denture Stomatitis | dentures, xerostomia, broad-spectrum antibiotics, smoking tobacco, high-carbohydrate diet |
| Antifungal tx for Denture stomatitis | nystatin, amphotericin B, miconazole, clotrimazole |
| You can clean your dentures by keeping them dry or in a disinfectant solution of ______________ during nights. | 0.2% to 2.0% chlorhexidine |
| MUCOSAL REACTIONS:due to replacement of bone by fibrous tissue. | FLABBY RIDGE |
| MUCOSAL REACTIONS: commonly occurs in the | anterior part of the maxilla |
| TX for denture stomatitis | antifungal therapy, correction of IFD and efficient plaque control |
| FLABBY RIDGE TX | modified impression technique or surgery |
| MUCOSAL REACTIONS:modified impression technique or surgery | DENTURE IRRITATION HYPERPLASIA and FLABBY RIDGE |
| MUCOSAL REACTIONS: DENTURE IRRITATION HYPERPLASIA OTHER NAME | Epulis fissuratum |
| MUCOSAL REACTIONS: DENTURE IRRITATION HYPERPLASIA CAUSED BY | thin, overextended denture ****** |
| MUCOSAL REACTIONS:result of chronic injury by unstable dentures or by thin, overextended denture flanges. | DENTURE IRRITATION HYPERPLASIA |
| MUCOSAL REACTIONS: DENTURE IRRITATION HYPERPLASIA TX | Surgical removal |
| MUCOSAL REACTIONS:Usually in patients with newly-installed dentures; sore spots | Traumatic Ulcers |
| Traumatic Ulcers usually develop w/in | 1-2 days |
| Traumatic Ulcers clinical appearance | gray necrotic membrane, Surrounded by inflammatory halo with firm, elevated borders |
| MUCOSAL REACTIONS: Traumatic Ulcers cause | overextended denture ****** or unbalanced occlusion |
| MUCOSAL REACTIONS: if untreated may result in epulis fissutarum | Traumatic Ulcers |
| MUCOSAL REACTIONS:Traumatic Ulcers predisposing factors | xerostomia, diabetes, nutrient deficiency, radiation therapy |
| MUCOSAL REACTIONS: Characterized by burning sensation in one or several structures in contact with the denture | Burning Mouth Syndrome |
| MUCOSAL REACTIONS:Burning Mouth Syndrome, pain is often present in the _____ and tends to aggravete during the ___ | morning; day |
| MUCOSAL REACTIONS: symptoms | dry mouth, altered taste |
| Burning Mouth Syndrome: assocaited symptoms | headache, insomnia, irritability, depression, decreased libido |
| Burning Mouth Syndrome: aggravation factors | fatigue, tension, hot or spicy foods |
| Burning Mouth Syndrome: mitigating factors | sleeping, eating, distraction |
| Burning Mouth Syndrome: cause | no known cause |
| MUCOSAL REACTIONS: BMS possible local causes | mechanical irritation, allergy, infection, myofascial pain, oral habits and parafunctions |
| MUCOSAL REACTIONS: BMS possible systemic causes | parkinson's disease, medications, menopause, diabetes, vit def, iron def anemia, xerostomia |
| MUCOSAL REACTIONS: BMS possible psychogenic causes | psychosocial stressors, anxiety, depression |
| MUCOSAL REACTIONS: BMS TX | check pos cause then manage; psychiatric evaluation |
| MUCOSAL REACTIONS:Triggered by tactile stimulation of the soft palate, posterior part of tongue, and fauces | Gagging |
| MUCOSAL REACTIONS: Gagging etiology | overextending denture borders, poor retention of maxillary dentures, unstable occlusal conditions |
| MUCOSAL REACTIONS: gagging for old denture wearers may be due to | GIT disorders, adenoids, severe smoking, symptom of disease, catarrh (phlegm) in upper respiratory passage , alcoholism |
| MUCOSAL REACTIONS:Sequelae of alveolar remodelling due to altered functional stimulus of bone tissue | Residual Ridge Reduction |
| Residual Ridge Reduction (1 styear after extraction): mx | 2-3mm |
| Residual Ridge Reduction (1 styear after extraction): mn | 4-5mm |
| Residual Ridge Reduction (After 1 styear): mx | 0.025 to 0.05 mm |
| Residual Ridge Reduction (After 1 styear): mn | 0.1 to 0.2 mm |
| INDIRECT SEQUELAE: Only ___of mastication capacity remains in denture wearers; ___ is lost | 20%; 80% |
