Lecture 3- diagnosis for pts with no teeth remaining

Class 2 Neil lateral throat form:

0-1/2 inch distance 0-12.2mm

What is the Neil lateral throat form?

distance from mylohyoid ridge to the bottom of the retromylohyoid fold

What is House Palatal Throat Form?

draw a line across the palate at the distal edge of tuberosities

Type 2 Denture Stomatitis:

entire mucosa is red "erythematous type" txt: OHI education, meds as needed

What do you ask when a pt has current dentures but wants new ones?

find out what is wrong with the current ones, find out exactly what they don't like

Describe the ideal palate for making a denture:

flat and round --> good support

Type 3 Denture Stomatitis:

granular type, inflammatory papillary hyperplasia Commonly involves center of palate or ridges Txt: OHI improvement will not help, needs surgery

Type 1 Denture Stomatitis:

localized inflammation or pinpoint hyperplasia txt: educate pt to remove denture at night, emphasize OHI

Most common denture problem from pts:

loose

What is 2-2-2?

2 implants 2 abutments 2 dentures

Ideal interocclusal space:

2-3mm

We want ______mm of difference between a pt's VDO and VDR

2-3mm

How many mm in one inch?

25.4 mm in one inch

Class 1 Neil lateral throat form:

> 1/2 inch distance 12.2 mm

We want to set denture teeth in what relationship?

CR bc MICP is more anterior than CR and if set in MICP, anterior teeth will contact

If you can see a pt's suprerior pharyngeal constrictor, they are class _____ house palatal throat form

Class 1

Keys to a successful diagnosis appointment:

Communicate: What the pt wants What you can do Cost Offer implants

Which two sections of the pros/implant EDR chart do you complete for a new edentulous pt?

Complete Edentulous Complete Denture Diagnosis

Purpose of diagnosis of edentulous pt:

Determine the problem Organize your knowledge Predict the txt difficulty Refer if needed

Why is medical history important for a denture pt?

The medical history may indicate poor salivation and lead to no seal

Will show us a picture and ask what is wrong and why it is wrong

Too buccal It is too buccal bc we cannot see the buccal shelf extension

Class 2 House Palatal Throat Form:

relatively immovable resilient band of tissue 3-5mm distal to the line

Class 1 House Palatal Throat Form:

relatively immovable resilient band of tissue 5-12mm distal to the line

Class 3 Neil Lateral throat form:

same level *floor of the mouth is very high

Know classifications for exam

slide 31 lecture 3

Class 3 House Palatal Throat Form:

soft palate turns down 3-5mm anterior to line

A soft liner is _______

temporary! must be replaced

If you can feel the pts ridge while their denture is in, it tells you what?

that the denture border is too short

Why is the middle of the posterior palatal seal the thinnest?

the midpalatal suture is a bony structure

If you trim away the cervical part of denture teeth when setting them, what will occur?

the retention will be less