User talk:Pink-haemoglobin

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-- 14:23, Saturday, October 1, 2016 (UTC)

This needs more work before it goes live
I have thus placed it below for you to work on it. Doc James (talk · contribs · email) 06:45, 2 March 2019 (UTC)
 * You need to write in prose rather than point form. Doc James  (talk · contribs · email) 06:49, 2 March 2019 (UTC)

Welcome
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Once again, welcome, and thank you for joining us! Please share these guidelines with other new editors.

– the WikiProject Medicine team Doc James  (talk · contribs · email) 06:44, 2 March 2019 (UTC)

Complications and Managements
 Problems with adaptation 

1. Excessive occlusal vertical dimensions (OVD) and reduced free way space (FWS) causing speech problems, facial pain over masseter region and temporomandibular joint disorders

- Management : Remove up to 1.5mm from occlusal plane by grinding. If the patient still feels uncomfortable, remake the dentures

2. Lack of occlusal vertical dimensions (OVD) and increased free way space (FWS) resulting in decreased capacity of denture bearing areas to withstand masticatory forces

- Management : Increase OVD by 1.5mm by relining. If the patient still feels uncomfortable, remake the dentures

3. Unstable or looseness of dentures and poor fit to supporting tissues causing patient discomfort and impaired ability to chew

- Management :


 * Increase the retention by maximising the extensions of flanges
 * Rebase of the fitting surface of the dentures if other parameters are satisfactory
 * Grind down or remove teeth, commonly posteriorly, to eliminate occlusal contacts that caused denture instability

 Aesthetic 

1. Colour of the base material looks unnatural on the skin colour

- Management : Remake denture using a suitable colour

2. Shade of the teeth incorrect as patient failed to comment at try-in stage or change from old to new dentures  too drastic

- Management : Replace denture teeth and assess accurate aesthetic in try-in stage

 Pain 

1. Pain on insertion and removal

- Management : Use disclosing material to relieve areas on undercuts. Care should be taken as removing undercuts can compromise the retention of the dentures. If clasps are present, check that clasp is no too tight to prevent patient from re-siting their dentures

2. Pain on pressure due to inaccurate impressions or lack of relief of frena and muscle attachments

- Management : Use pressure indicating paste to disclose area and ease of dentures