Post insertion complaints in

complete dentures

Dr.Asheque Rahman
 Classification of post
insertion denture
problems

Common Uncommon
Complaints Complaints

Complains on Post insertion

comfort of the complaints
denture

Complains on
Complains on
aesthetics of
phonetics
the denture

Management

Dr.Asheque Rahman
 Classification of post insertion
denture problems
Complaints abut comfort of the denture:
- Sore spots
- Burning sensation
- Redness
- Pain in TMJ
- Tongue & cheek biting
- Swallowing & sore throat
- Nausea & gagging
- Deafness
- Fatigue of the muscles of mastication.
Dr.Asheque Rahman
Complaints about function of the denture:
- Instability or poor fit
- Interference
a) When swallowing
b) Clicking

• Complaints about esthetics:

- Fullness under the nose
- Depressed philtrum or naso-labial sulcus
- Upper lip sunken in
- Too much of teeth exposed
- Artificial look
Dr.Asheque Rahman
Complaints about phonetics:
- Whistle on “S” sounds
- Lisp on “S” sounds
- Indistinct “TH” & “T” sounds
- “T sound like “TH”
- “ F” & “V” sounds indistinct

Dr.Asheque Rahman
 Denture Complaints in relation to
time of delivery
Immediate complaints.
Delayed complaints.
Problems without complaints.

Dr.Asheque Rahman
 Presentation of patient with
complaints
 Informed patient of possible problems.

 Un-informed patient:
Sense of pain.
Sense of loss (waste of time and money).
Sense of deceit.

Dr.Asheque Rahman
 Pain
Over extension of borders
Poor fitting or rough surface dentures
Error during impression making
Incorrect centric relation or cuspal interferences.

Excessive vertical dimension

Uneven occusal balance and anterior contact at CR
Inadequate relief to the prominent genial tubercle &
myloid ridge
Dr.Asheque Rahman
 Loose denture
Posterior Palatal Seal is not successfully made.
Lingually placed posterior teeth
Labially placed mandibular anterior teeth
Dryness of mouth
Occusal discrepancies
Inaccurate impression making
Rocking, tilting dentures (poor retention)
Nodules of acrylic- faulty impression /poor
processing techniques
Dr.Asheque Rahman
 Faulty esthetics:
Unrealistic expectations
Over supported or under supported dentures
Altered vertical dimension

Defective speech:
increased vertical dimension
deficiency of palatal contour
Poor PPS region
Thick lingual flanges or restricted tongue
movements
Dr.Asheque Rahman
 Inefficacy
Discrepancies in vertical dimension and CR
Worn off teeth
Zero degree posteriors
Lack of occlusal balance
Occusal plane se at higher level

Nausea & Gagging

Over extended posterior limit of maxillary denture
Thick posterior borders or loose denture
Uncommon belief

Dr.Asheque Rahman
 Fibrous hyperplasia

Continous wearing of ill fitting denture

Usually painless

Microbial Infection

Poor oral & denture hygiene maintainance

Diabetes and oral habits

Dr.Asheque Rahman
 Costen’s syndrome:

• Prolonged over closure

• Deafness, tinnitus,
• Tenderness over the TMJ
• Dryness of mouth
• Neuralgic symptoms – burning sensation of
tongue, throat and headache.

Dr.Asheque Rahman
 Uncommon complaints
Whistling : high vault palate

Ear ache : TMJ problem

Food & saliva under denture : may be deficient of borders

Loss of taste

Cheek biting : lack of horizontal overlap, decreased VD or

buccal placement of teeth

Drooling saliva : inadequate VD

Allergy : pigment or residual monomer of denture resin

Dr.Asheque Rahman
Dr.Asheque Rahman
Dr.Asheque Rahman
Dr.Asheque Rahman
Dr.Asheque Rahman
Dr.Asheque Rahman
Dr.Asheque Rahman
Dr.Asheque Rahman
Dr.Asheque Rahman
Dr.Asheque Rahman