Complete denture series part 2: tips on how to correct 10 avoidable errors

Dental Update ◽  
2019 ◽  
Vol 46 (6) ◽  
pp. 537-545
Author(s):  
Sivakumar Jayachandran ◽  
Wouter Leyssen ◽  
A Damien Walmsley
Keyword(s):  
Secondary Care ◽  
Clinical Relevance ◽  
Clinical Success ◽  
Complete Denture ◽  
Complete Dentures ◽  
Dental Practitioners ◽  
The Common

The first article of this series identified the common reasons for referral for complete denture patients to secondary care. With this background, this article provides general dental practitioners (GDPs) with clinical tips to avoid the common errors whilst making complete dentures. CPD/Clinical Relevance: The use of the clinical tips may help GDPs to improve their clinical success in treating complete denture patients and, in turn, aim to avoid improper referrals to secondary care.

scholarly journals Displaceable Tissue: A Clinical Challenge treated with Palliative Approach

2012 ◽  
Vol 2 (1) ◽  
pp. 34-37 ◽  
Author(s):  
Shital Jalandar Sonune ◽  
Shivkumar Singh ◽  
Shankar Dange
Keyword(s):  
Careful Consideration ◽  
Complete Denture ◽  
Complete Dentures ◽  
Palliative Approach ◽  
Clinical Challenge ◽  
Impression Technique ◽  
Dental Practitioners ◽  
Conventional Impression ◽  
Clinical Cases

ABSTRACT Displaceable tissue on edentulous ridges may present a considerable clinical challenge to dental practitioners when providing complete dentures. Displaceable, or ‘flabby ridges’, present a particular difficulty and give rise to complaints of pain or looseness relating to a complete denture that rests on them. If the flabby tissue is compressed during conventional impression making, it will later tend to recoil and dislodge the resulting overlying denture.   A careful consideration and application of the principles of complete denture construction for such condition can provide a palliative form of treatment. This article describes reports of three such clinical cases, and demonstrates the use of a suitable impression technique. How to cite this article Sonune SJ, Singh S, Dange S. Displaceable Tissue: A Clinical Challenge treated with Palliative Approach. Int J Prosthodont Restor Dent 2012;2(1):34-37.

Complete denture series part 1: referrals for complete dentures – identifying the reasons

Dental Update ◽  
2019 ◽  
Vol 46 (5) ◽  
pp. 466-472
Author(s):  
Wouter Leyssen ◽  
Sivakumar Jayachandran ◽  
A Damien Walmsley
Keyword(s):  
Clinical Findings ◽  
Complete Dentures ◽  
Patient Assessment ◽  
Dental Practitioners ◽  
Dental Hospital ◽  
Gag Reflex ◽  
The Common ◽  
Common Problems ◽  
Edentulous Patients ◽  
Clinical Records

General dental practitioners (GDPs) continue to refer edentulous patients to secondary care for advice and treatment. The clinical records of edentulous patients referred to Birmingham Dental Hospital were reviewed to determine the common problems encountered by GDPs when constructing complete dentures. The main reasons for referral were resorption of the lower ridge (39%) followed by a series of ill-defined reasons (28%), looseness of either or both dentures (25%), pain (11%), immediate dentures (8%), exaggerated gag reflex (7%) and implants (7%). The reasons for referral do not always correspond to the clinical findings on the New Patient Assessment Clinics. CPD/Clinical Relevance: The findings of the article could be used as a guide for GDPs in identifying problems with problematic dentures.

scholarly journals Post Insertion Complaints in Complete Dentures - A never Ending Saga

2014 ◽  
Vol 1 (1) ◽  
pp. 1
Author(s):  
Mahesh Verma ◽  
Ankur Gupta
Keyword(s):  
Treatment Option ◽  
Complete Denture ◽  
Complete Dentures ◽  
The Common ◽  
Edentulous Patients

Removable Complete Dentures still exist as the treatment option of choice for majority of edentulous patients. The anatomical and adaptational limitations associated with this modality often refrains a clinician from attending patients of geriatric group. Most of the complaints associated with complete dentures are actual and not psychological, contrary to the belief of most clinicians. This article attempts to cover most of the common complains of complete denture wearers along with their possible causes and remedies.

Parotid tumours

2021 ◽  
pp. 175573802110160
Author(s):  
Edward Balai ◽  
Navdeep Bhamra ◽  
Karan Jolly
Keyword(s):  
Salivary Gland ◽  
Parotid Gland ◽  
Head And Neck Neoplasms ◽  
Secondary Care ◽  
Care Management ◽  
Clinical Anatomy ◽  
Salivary Gland Tumours ◽  
The Common ◽  
Parotid Tumours ◽  
Key Aspects

Salivary gland tumours are uncommon and account for just 6% of all head and neck neoplasms. Worldwide incidence varies, from 0.4 to 13.5 cases per 100 000 population. The parotid gland is by far the most commonly affected site, accounting for 80% of cases. The vast majority of these tumours are benign; only approximately 20–25% being malignant. This article considers the relevant clinical anatomy of the parotid gland, key aspects of assessment with history and examination, and when to refer to secondary care for further investigation. It will touch on the common benign and malignant parotid neoplasms and give an overview of secondary care management.

scholarly journals Referrals to Urgent Dental Centres During the COVID-19 Pandemic: A Multi-Site Analysis Research Project

2021 ◽  
Vol 10 (1) ◽  
pp. 40-45
Author(s):  
Adam Shathur ◽  
Samuel Reeves ◽  
Faizal Sameja ◽  
Vishal Patel ◽  
Allan Jones
Keyword(s):  
Primary Care ◽  
Secondary Care ◽  
Easy Access ◽  
Dental Services ◽  
Care Services ◽  
Dental Practitioners ◽  
Consultation And Referral ◽  
Care Systems ◽  
Access To Primary Care ◽  
The Uk

Introduction: The COVID-19 pandemic enforced the cessation of routine dentistry and the creation of local urgent dental care systems in the UK. General dental practices are obligated by NHS guidance to remain open and provide remote consultation and referral where appropriate to patients having pain or problems. Aims: To compare two urgent dental centres with different triage and referral systems with regard to quality and appropriateness of referrals, and patient management outcomes. Methods: 110 consecutive referrals received by a primary care urgent dental centre and a secondary care urgent dental centre were assessed. It was considered whether the patients referred had access to remote primary care dental services, fulfilled the criteria required to be deemed a dental emergency as mandated by NHS guidance, and what the outcomes of referrals were. Results: At the primary care centre, 100% of patients were referred by general dental practitioners and had access to remote primary care dental services. 95.5% of referrals were deemed appropriate and were seen for treatment. At the secondary care site, 94.5% of referrals were direct from the patient by contacting NHS 111. 40% had received triaging to include ‘advice, analgesia and antimicrobial’ from a general dental practitioner, and 25.5% were deemed appropriate and resulted in treatment. Conclusion: Urgent dental centres face many issues, and it would seem that easy access to primary care services, collaboration between primary care clinicians and urgent dental centres, and training of triaging staff are important in operating a successful system.

scholarly journals Origin and clinical relevance of chromosomal aberrations other than the common trisomies detected by genome-wide NIPS: results of the TRIDENT study

2017 ◽  
Vol 20 (5) ◽  
pp. 480-485 ◽  
Author(s):  
Diane Van Opstal ◽  
◽  
Merel C van Maarle ◽  
Klaske Lichtenbelt ◽  
Marjan M Weiss ◽  
...  
Keyword(s):  
Chromosomal Aberrations ◽  
Clinical Relevance ◽  
Genome Wide ◽  
The Common

The Concepts of Complete Denture Occlusion amongst Dental Fraternity

2021 ◽  
Vol 11 (02) ◽  
pp. 65-69
Author(s):  
Maria Shakoor Abbasi ◽  
Naseer Ahmed ◽  
Azad Ali Azad ◽  
Fatima Fouad ◽  
Humza Daudpota ◽  
...  
Keyword(s):  
Neuromuscular Disorder ◽  
Education Level ◽  
Complete Denture ◽  
P Value ◽  
Removable Partial Denture ◽  
Cross Sectional ◽  
Skeletal Class ◽  
Validated Questionnaire ◽  
Dental Practitioners ◽  
Significant Difference

Objectives: To assess the concepts of complete denture occlusion among dental fraternity. Study Design And Setting: Cross-sectional study conducted at various dental hospitals and institutes of Karachi, for a period of six months, from 1st June’2019 to 30th November’2019 Methodology: Total 849 dental practitioners who are currently practising were included. A well-structured and validated questionnaire was used for data collection. SPSS version 25 was used. Results: Bilateral balanced occlusion was an ideal occlusion by majority subjects i.e, 530(62.4%) in patients with wellformed ridges, followed by 464(54.7%) candidates with skeletal class 1, total 376(44.3%) chose it with uncontrolled diabetes mellitus, 365(43%) in single complete denture cases, 339(39.9%) with increased inter-arch space, 298(35.1%) with parafunction habits, 296(34.9%) in patients with history of neuromuscular disorder and 271(31.9%) where a complete denture opposes a removable partial denture. Furthermore, Lingualized occlusion was preferred by 341(40.25%) participants for patients with skeletal class 3. Total 316(37.2%) candidates chose it for patients with displaceable supporting tissue followed by 264(31.1%) who chose it for skeletal 2 and 260(30.6%) for cases of highly resorbed ridges. Lastly, 311(36.6%) chose canine guided occlusion with highly resorbed ridges accompanied by high aesthetic demand A significant difference between education level and knowledge of occlusal schemes was also found. Chi-square (73.87), df 6, p-value =0.000. Conclusion: Dental practitioners lack adequate knowledge of occlusal schemes in terms of prescription in complete denture patients. A significant difference between the education level and knowledge of occlusal schemes was found. Therefore, awareness of various occlusal schemes should be increased at undergraduate level.

Technique tips: the lap-to-lap (knee-to-knee) examination in paediatric dentistry

Dental Update ◽  
2021 ◽  
Vol 48 (6) ◽  
pp. 508-509
Author(s):  
Nikita Dzyuba ◽  
Laura Reynolds ◽  
Siobhan Barry
Keyword(s):  
Secondary Care ◽  
Clinical Relevance ◽  
Paediatric Dentistry

CPD/Clinical Relevance: The lap-to-lap technique is very useful and can greatly help all dentists in conducting dental examinations in young and uncooperative patients, in both primary and secondary care settings.

scholarly journals Revisiting a Funding Model for University-led Dental Clinics: The Case of Complete Denture Fabrication Case of Complete Denture Fabrication

2020 ◽  
Vol 27 (2) ◽  
Author(s):  
Rohana Ahmad ◽  
◽  
Nur Amalina Zul ◽  
Siti Anisah Mohtar ◽  
Marc Tennant ◽  
...  
Keyword(s):  
Cost Estimation ◽  
Operating Cost ◽  
Complete Denture ◽  
Government Support ◽  
Patient Records ◽  
Complete Dentures ◽  
Total Cost ◽  
Dental Clinics ◽  
Dental Instruments ◽  
Number Of Visits

Objectives: University-led dental clinics are rarely seen as core to the national healthcare system. Thus, when publicly funded universities experience a decline in government support, dental clinic services operated by students are confronted by a potentially inadequate operating budget. Prompted by the need for strategic resource allocation, this study seeks to quantify the resources consumed in the construction of complete dentures by undergraduate students in an effort to identify opportunities for cost-cutting measures. Methods: Clinical cases were retrieved from the logbooks of graduating students of Class 2015, and patient records were reviewed to identify and quantify all clinical and laboratory procedures involved in constructing a set of complete dentures. Cost estimation was carried out using the activity-based method on the basis of direct medical costs. Results: A total of 83 patient records were reviewed. The average number of visits required to fabricate a set of complete dentures was 10 (range, 6–20 visits) with an average total cost of MYR2131±538 (€450±114). The number of visits contributed substantially to the total cost, and procedures requiring multiple visits included secondary impression and jaw relation recording. The major cost components were dental equipment (44%), laboratory costs (28%), dental consumables (17%), salaries (7%), and dental instruments (3%). Conclusion: The operating cost for training students in denture fabrication is substantial. Schools should formulate strategies to reduce the number of patient visits by ensuring that students optimize the time spent per visit. A financially sustainable model to fund dental training is necessary to ensure that quality of care is not compromised in university-led clinics.

Traumatic ulcers with a hidden cause: A case report

Dental Update ◽  
2021 ◽  
Vol 48 (2) ◽  
pp. 141-143
Author(s):  
Pavneet Chana ◽  
Daniela Ion
Keyword(s):  
Case Report ◽  
Oral Mucosa ◽  
Secondary Care ◽  
Clinical Relevance ◽  
Clinical Presentation ◽  
Common Condition ◽  
Oral Ulceration ◽  
History Of

Oral ulceration is a common condition that can affect the oral mucosa, and patients often present in both primary and secondary care. There are a number of causes of oral ulceration, ranging from trauma to malignancy. The cause of the oral ulceration can be difficult to establish, especially when the history and investigations do not support an obvious cause. We report a case of a 19-year-old male who presented with a 2-month history of worsening oral ulceration. Despite further questioning and investigations, the cause of the oral ulceration remained elusive. CPD/Clinical Relevance: To understand the clinical presentation and causes of oral ulceration.

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