Complete dentures: an update on clinical assessment and management: part 2

Key Points

  • Provides an overview of the indications, strengths and limitations of the copy denture technique and outlines the key clinical and laboratory stages involved.

  • Highlights a range of different management strategies for patients with gag reflexes, for example, behaviour modification, distraction and systematic desensitisation.

  • Provides clinical advice on the management of anatomical challenges such as prominent tori and microstomia.

Abstract

The ability to provide high quality complete dentures remains an important skill for general dental practitioners. The prevalence of edentulism is increasingly concentrated within an older patient cohort and general dental practitioners may face challenges associated with providing care for these patients. This two-part series explores various aspects of complete denture provision and is designed to act as a refresher on the management of edentulous patients. This second part focuses on the copy denture technique as well as discussing strategies for assessing and managing gag reflexes, prominent palatal and lingual tori and microstomia.

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Figure 1: Copy denture technique.
Figure 2
Figure 3: Systematic desensitisation with a training plate.
Figure 4: Management of a large palatal torus.
Figure 5: Management of a patient with moderate microstomia.

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Correspondence to R. Y. Jablonski.

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Jablonski, R., Patel, J. & Morrow, L. Complete dentures: an update on clinical assessment and management: part 2. Br Dent J 225, 933–939 (2018). https://doi.org/10.1038/sj.bdj.2018.1023

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