Vinay Pavan Kumar.

K
2nd year P G student
Dept of Prosthodontics
AECS Maaruti College of Dental Sciences
 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
 Most of the complaints associated with complete dentures
are actual and not psychological, contrary to the belief of
most clinicians.

Verma.M ,Post Insertion Complaints in Complete Dentures - a never Ending

Saga; Journal of Academy of Dental Education, Vol 1, No 1 (2014), Pg: 1-8

There was no statistically significant relationship

between patient age, gender, systemic health and denture
complaints; but statistically significant relationship exist
between types of denture, denture faults and complaints.

Ogunrinde.T.J, The Influence Of Demographic Factors And Medical

Conditions On Patients Complaints With Complete Dentures. Ann Ibd. Pg.
Med 2012. Vol.10, No.2 16-21
 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.
 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
 Complaints about phonetics:
- Whistle on S sounds
- Lisp on S sounds
- Indistinct TH & T sounds
- T sound like TH
- F & V sounds indistinct

www.medkaau.com
 According to Sharry
Frequent Complaints :
- Excessive bulk
- Speech difficulties
- Masticatory shortcomings
- Insufficient retention
- Mucosal irritation
- Unattractive Apperence

Sharry.J.J Complete denture Prosthdontics, 3rd edition, chapter 17, pg 358

 Uncommon Complaints:
- Whistling - Rough & sharp surfaces
- Ear ache - Dull teeth
- Difficult swallowing - Halitosis
- Loss of taste sensation - Dry mouth
- Saliva under the dentures - Noisy teeth
- Peculiar taste - cheek, lip & tongue biting
- Food under the denture - nausea & gagging
- Dislodgement on sneezing - tingling of the lower lip
- Dislodgement on drinking - burning of mouth
- Drooling at the corner of the mouth
- Inability to chew with equal vigor on both side.
 According to Grant.A.A
POST INSERTION PROBLEMS CAN BE BROADLY
GROUPED INTO:
Looseness of dentures
i. Decreased retentive forces
ii. Increased displacing forces.

Discomfort associated with dentures

i. Related to impression surface of denture
ii. Related to occlusal surface
iii. Related to polished surface
iv. Related to possible systemic association
 Support problems

Problems associated with retention and stability

Other difficulties
i. Noise on eating and speaking.
ii. Speech problems.
iii. Eating difficulties.
a. Altered taste sensation.
b.Gagging (nausea).

A.A.Grant, J.R.Heath, J.F.McCord- complete prosthodontics problems,

diagnosis & management (1994)
 Denture Complaints in relation to
time of delivery
Immediate complaints.
Delayed complaints.
Problems without complaints.
 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.
 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
 Loose denture

PPS 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
 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
 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
 Fibrous hyperplasia

Continous wearing of ill fitting denture

Usually painless

Microbial Infection

Poor oral & denture hygiene maintainance

Diabetes and oral habits
 Costens syndrome:

Prolonged over closure

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

CONCLUSION
 References
Nair KC, A primer on complete denture fabrication, 1st
edition, 2013, Ahuja publication, India Pp 158 -166

Winkler S, Essentials of complete denture Prosthodontics

2nd edition, 2012, AITBS Publishers, pp 318 330

Sharry JJ, Complete Denture Prosthodontics, 3rd edition,

USA, Mcgraw-Hill Book Company, 1974, pp 289-294.

Heartwell C M , Syllabus of complete dentures, 4th edition,

1984, Varghese Publishing House, 407 420
 GrantA.A, Heath.J.R, McCordJ.F, complete prosthodontics
problems , diagnosis& management (1994)

McCord J. F. and Grant A. A. , Identification of complete

denture problems: a summary, British Dental Journal 2000;
189: Pp:128134

Jethlia.H, Post Insertion Problems And Their Management In

Complete Denture journal of Evolution of Medical and Dental
Sciences.Vol 2(3) Jan, 2013 pp 194-99

Verma.M ,Post Insertion Complaints in Complete Dentures - a

never Ending Saga; Journal of Academy of Dental Education,
Vol 1, No 1 (2014), Pp: 1-8