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The success of complete dentures is highly dependent on the anatomy of the oral cavity. Several conditions can affect the final denture fit. Disorders of the soft tissues, such as denture hyperplasia, denture stomatitis and mucosal pathology may play a role. There are also difficulties related to the shape of the bone, including excessively large undercuts/bony exostoses, tori, enlarged tuberosities and flabby ridges and other factors, such as xerostomia to be considered. The aim of this article is to help diagnose these conditions and to suggest ways of overcoming the individual problems with which patients present before starting denture construction.
CPD/Clinical Relevance: The diagnosis of several oral conditions and their appropriate management may help achieve an optimal outcome when constructing complete dentures.
Article
The success of complete dentures is highly dependent on a favourable anatomy of the oral cavity. Retention and stability of a removable prosthesis require good adaptation to the underlying tissues. Therefore, time spent ensuring that both the oral tissues are healthy and outliers in anatomical variation are managed appropriately, will contribute to a successful outcome for the patient. Mouth preparation may be an essential step after the denture assessment has been completed whereby diagnosis and treatment planning should be taken into consideration.
There are several conditions that may affect the final denture fit and these can be separated into disorders of the soft tissues, such as denture hyperplasia, denture stomatitis and mucosal pathology, and difficulties related to the shape of the bone, which include excessively large undercuts/bony exostoses, tori, enlarged tuberosities and flabby ridges. There are also difficulties related to other factors, such as xerostomia (Table 1). This article describes these conditions and offers solutions for their clinical management.
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