Serveur d'exploration sur le patient édenté

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Diagnosis for complete dentures

Identifieur interne : 001854 ( Istex/Curation ); précédent : 001853; suivant : 001855

Diagnosis for complete dentures

Auteurs : John Victor Niiranen [États-Unis]

Source :

RBID : ISTEX:3220240D4A3C04DE71C46FFDA1EEA55B0A590842

English descriptors

Abstract

Abstract: There are four major classes of oral conditions which the prosthodontist will meet in patients who may require complete dentures. Those conditions involve: (1) full-mouth extractions; (2) edentulous mouths; (3) immediate dentures; and (4) faulty dentures. Any diagnosis of the special needs of each patient should be based upon the totality of patient history, patient condition, and patient need as it develops. The most common causes for full-mouth extraction are: (1) caries, (2) esthetic problems, (3) periapical infection, (4) periodontal disease, (5) malocclusion, and (6) injury. The edentulous patient presents a different problem. Before an impression is made, a medical history should be taken and a clinical and roentgenographic examination accomplished. It should then be decided whether corrective surgery is necessary, and, following that, what impression technique is indicated. The two techniques most often used are the nonpressure and the controlled-pressure impression. Generally, we use a nonpressure impression in large normal mouths with good ridges where we feel we can get adequate retention and stability. If the patient has a small mouth and poor ridges where added stability and retention are needed, we should use the controlled-pressure impression. Immediate denture diagnosis requires consideration of four points: (1) the patient's mental attitude, (2) his medical history, (3) the condition of remaining teeth and supporting structures, and (4) preliminary extraction. Diagnosis of faulty dentures is a problem of mental attitude, faulty mechanics, and medical background. Let us put our diagnostic procedures, then, on a reasonable, practical basis, considering each patient carefully in a suitable manner, observing only those diagnostic aids that are of importance at any particular stage of treatment, and making further diagnostic decisions as they are needed at each step in the construction of complete dentures.

Url:
DOI: 10.1016/0022-3913(54)90039-6

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ISTEX:3220240D4A3C04DE71C46FFDA1EEA55B0A590842

Le document en format XML

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<term>Epulis fissuratum</term>
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<term>Periapical infection</term>
<term>Periapical lesions</term>
<term>Periodontal disease</term>
<term>Preliminary extractions</term>
<term>Processing errors</term>
<term>Prosthetic procedures</term>
<term>Rampant caries</term>
<term>Roentgenogram</term>
<term>Root fragments</term>
<term>Small mouth opening</term>
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<term>Spiny ridges</term>
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<term>Adequate retention</term>
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<term>Complete denture</term>
<term>Complete dentures</term>
<term>Corrective surgery</term>
<term>Cortical bone</term>
<term>Dental procedures</term>
<term>Denture</term>
<term>Denture base</term>
<term>Denture failure</term>
<term>Diagnostic features</term>
<term>Diagnostic sheets</term>
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<term>Edentulous mouths</term>
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<term>Efficient dentures</term>
<term>Epulis fissuratum</term>
<term>Excessive secretion</term>
<term>External layers</term>
<term>Faulty dentures</term>
<term>Faulty mechanics</term>
<term>Foreign bodies</term>
<term>Frenal attachments</term>
<term>Generalized pain</term>
<term>Good mouth hygiene</term>
<term>Good ridges</term>
<term>Hard palate</term>
<term>Hyperplastic tissue</term>
<term>Immediate dentures</term>
<term>Important questions</term>
<term>Impression technique</term>
<term>Inadequate space</term>
<term>Initial visit</term>
<term>Lesion</term>
<term>Lingual sulcus</term>
<term>Major classes</term>
<term>Mandibular</term>
<term>Mandibular arches</term>
<term>Mandibular denture</term>
<term>Medical history</term>
<term>Medical treatment</term>
<term>Mental attitude</term>
<term>Mental attitudes</term>
<term>Mental comfort</term>
<term>Mouth hygiene</term>
<term>Mucous glands</term>
<term>Natural dentitions</term>
<term>Natural teeth</term>
<term>Nonpressure</term>
<term>Nonpressure impression</term>
<term>Nonpressure technique</term>
<term>Nonpressure type</term>
<term>Occlusal</term>
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<term>Oral conditions</term>
<term>Oral mucosa</term>
<term>Periapical infection</term>
<term>Periapical lesions</term>
<term>Periodontal disease</term>
<term>Preliminary extractions</term>
<term>Processing errors</term>
<term>Prosthetic procedures</term>
<term>Rampant caries</term>
<term>Roentgenogram</term>
<term>Root fragments</term>
<term>Small mouth opening</term>
<term>Soft palate</term>
<term>Spiny ridges</term>
<term>Torus lingualis</term>
<term>Torus palatinus</term>
<term>Tuberosity</term>
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<term>Vertical dimension</term>
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<div type="abstract" xml:lang="en">Abstract: There are four major classes of oral conditions which the prosthodontist will meet in patients who may require complete dentures. Those conditions involve: (1) full-mouth extractions; (2) edentulous mouths; (3) immediate dentures; and (4) faulty dentures. Any diagnosis of the special needs of each patient should be based upon the totality of patient history, patient condition, and patient need as it develops. The most common causes for full-mouth extraction are: (1) caries, (2) esthetic problems, (3) periapical infection, (4) periodontal disease, (5) malocclusion, and (6) injury. The edentulous patient presents a different problem. Before an impression is made, a medical history should be taken and a clinical and roentgenographic examination accomplished. It should then be decided whether corrective surgery is necessary, and, following that, what impression technique is indicated. The two techniques most often used are the nonpressure and the controlled-pressure impression. Generally, we use a nonpressure impression in large normal mouths with good ridges where we feel we can get adequate retention and stability. If the patient has a small mouth and poor ridges where added stability and retention are needed, we should use the controlled-pressure impression. Immediate denture diagnosis requires consideration of four points: (1) the patient's mental attitude, (2) his medical history, (3) the condition of remaining teeth and supporting structures, and (4) preliminary extraction. Diagnosis of faulty dentures is a problem of mental attitude, faulty mechanics, and medical background. Let us put our diagnostic procedures, then, on a reasonable, practical basis, considering each patient carefully in a suitable manner, observing only those diagnostic aids that are of importance at any particular stage of treatment, and making further diagnostic decisions as they are needed at each step in the construction of complete dentures.</div>
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