1. Post insertion denture problems

2. Post insertion denture problems
Complaints about comfort of dentures causes
Complaints about function of dentures and causes
Complaints about the esthetics of the dentures and causes
Complaints about the phonetics with the dentures and causes

3. Complaints about comfort of denture and causes
Sore spots
Burning sensation
Tongue and cheek biting
Fiery redness of all tissues contacted by denture
Redness of bearing tissues
Pain in temporomandibular joint

4. Sore spots Sore spots in vestibule Sore spots posterior limit of upper
Over-extended border
Sore spots posterior limit of upper
Posterior palatal seal too deep
Sharp posterior palatal seal
Over-extension

5. Sore spots Single sore spots over ridge
Malocclusion in that area
Inaccurate denture base
Bubbles of acrylic resin
Generalized soreness over the ridge
Vertical dimension too great

6. Sore spots Soreness under lingual flange of lower
Centric occlusion not in harmony with centric, drives lower denture forward
Over-extended lingual flange
Soreness under labial flange of lower
Too much overbite
Patient’s habit, wants to masticate in protrusive
Over-extended labial flange

7. Burning sensation
Anterior hard palate and anterior alveolar ridge areas
Pressure on anterior palatine foramen
Bicuspid area to molar tuberosity
Pressure on posterior palatine foramen
Lower anterior ridge
Pressure on mental foramen

8. Tongue and cheek biting
Posterior teeth edge to edge
Over-closure
Posterior teeth too far lingual or buccal

9. Fiery redness of all tissues contacted by denture including tongue and cheeks
Denture base allergy

10. Redness of bearing tissues
Ill-fitting denture
Avitaminosis

11. Pain in temporomandibular joint
Vertical dimension of occlusal too small
Centric occlusion not in harmony with centric relation
Arthrits
Trauma

12. Complaints about function of dentures and causes
Instability
Interference
General feeling dentures are not right, but with absence of pain (patient has high pain tolerance)

13. Instability When not occluding
Over-extension of border and posterior limit
Under-extended border
Loss of posterior palatal seal
Posterior palatal seal on hard palate
Posterior limit not in hamular notches
Insufficient posterior palatal seal

14. Instability When not occluding
Dehydration of tissues due to alcoholism
Flabby tissues displaced when making impression

15. Instability When incising food Loss of posterior palatal seal
Anterior teeth placed too far labially
Poor denture foundation (flabby anterior tissues)
Improper incising habits

16. Instability When occluding in centric Mal-occlusion
Premature individual tooth contacts
High occlusion on one side of arch
High occlusion in bicuspid areas
Upper denture riding on median hard palate

17. Instability When occluding in centric Flabby tissues over ridge
Teeth set too far buccally
Centric occlusion not in harmony with centric relation

18. Interference Swallowing Upper Lower Over-extension in the posterior
Too thick in posterior
Lower
Over-extension in the lingual
Too thick lingual posterior flanges

19. Interference Swallowing
Over-closure of the vertical relation of occlusion
Posterior teeth too far lingual-crowds tongue
Too great a vertical relation of occlusion

20. Interference Gagging Immediate gagging on insertion
Over-extension (upper)
Too thick posterior border (upper)
Disto-lingual flange too thick (lower)

21. Interference
Gagging
Delayed gagging (2weeks to 2 months after insertion)
Incomplete border seal allowing saliva under denture
Mal-occlusion causing denture to loosen, allowing saliva under denture

22. Interference Clicking Vertical dimension of occlusion is too great
Unstable lower (borders over-extended)

23. Interference Deafness Vertical dimension of occlusion is too small

24. Interference Muscles of mastication become fatigued
Vertical dimension of occlusion is too small
Vertical dimension of occlusion is too great

25. General feeling dentures are not right, but with absence of pain
Patient has high pain tolerance.
Mal-occlusion
Centric occlusion is not in harmony with centric relation
Incorrect vertical relation of occlusion

26. Complaints about the esthetics of the dentures and causes
Fullness under nose
Depressed philtrum and/or nasolabial sulcus
Upper lip sunken in
Shows too much of the teeth
Artificial look

27. Esthetic Fullness under nose
Labial flange of upper too long or too thick
Depressed philtrum and/or nasolabial sulcus
Labial flange too short, too thin
Upper lip sunken in
Upper anterior teeth too far lingual

28. Esthetics Shows too much of the teeth Vertical dimension too great
Incisal plane too low
Cuspids and laterals too prominent

29. Esthetics Artificial look
Technique set-up, the teeth are in too regular alignment (individualize by rotating and shortening some teeth)
All teeth same shade
Lack of grinding incisal edges and angles
Lack of individualizing gingival contours and color of denture base

30. Complaints about the phonetics with the dentures and causes
Whistle on “S” sounds
Lips on “S” sounds
“Th” and “T” sounds indistinct
“T” sounds like “Th”
“F” and “V” sounds indistinct

31. Phonetics Whistles on “S” sounds Lisp on “S” sounds
Too narrow an air space on the anterior part of the palate
Lisp on “S” sounds
Too broad and air space on the anterior part of the palate

32. Phonetics “Th” and “T” sounds indistinct “T” sounds like “Th”
Inadequate inter-occlusal distant
“T” sounds like “Th”
Upper anterior teeth too far lingual
“F” and “V” sounds indistinct
Improper position of upper anterior teeth either vertically or horizontally

33. Thank you for your attention