Traumatic ulcerations frequencies and postinsertion adjustment appointments in complete denture patients

Sony Saraswati; Priyanka Razdan; Smita; Monika Aggarwal; Devleena Bhowmick; Priyanka Priyadarshni

doi:10.4103/jpbs.jpbs_207_21

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ORIGINAL ARTICLE

Year : 2021 | Volume : 13 | Issue : 6 | Page : 1375-1380

Traumatic ulcerations frequencies and postinsertion adjustment appointments in complete denture patients

Sony Saraswati¹, Priyanka Razdan², Smita³, Monika Aggarwal⁴, Devleena Bhowmick⁵, Priyanka Priyadarshni⁶
¹ Department of Dentistry, Sri Krishna Medical College and Hospital, Muzaffarpur, Bihar, India
² Department of Paediatric and Preventive Dentistry, Yogita Dental College and Hospital, Khed, Maharashtra, India
³ Private Dental Practitioner (Consultant Endodontist), Nalanda, Bihar, India
⁴ Department of Paediatric and Preventive Dentistry, Sudha Rustagi College of Dental Sciences and Research, Faridabad, Haryana, India
⁵ Department of Oral Medicine and Radiology, PDM Dental College and Research Institute, Bahadurgarh, Jhajjar, Haryana, India
⁶ Department of Prosthodontics, Patna Dental College and Hospital, Patna, Bihar, India

Correspondence Address:
Smita
C/O Dr. Lalan Kumar, Mogalkuan Baulipar, Sohsarai, Nalanda, Bihar - 803 118
India

Source of Support: None, Conflict of Interest: None

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DOI: 10.4103/jpbs.jpbs_207_21

Background and Aim: The patient who is wearing a denture after missing teeth faces traumatic ulceration very frequently. This ulceration creates difficulties in denture wearing. Hence, this study aimed to evaluate the most common locations of traumatic injuries in form of ulcerations, their frequency, and also the duration and number of adjustment visits required to achieve patient comfort following placement of complete removable dentures. Materials and Methods: Eighty edentulous patients were selected from a private clinic. Complete removable dentures were fabricated for all patients. All patients were evaluated for their complaints after denture insertion. Patients were followed up till the problem persisted. Descriptive analysis was done. Chi-squared test was used to differentiate the associations between lesions, postinsertion visits, and gender. Results: About 85.62% of patients need denture adjustment because of mucosal injuries during their first visit following. Approximately four appointments are needed for maxillary and six appointments needed for mandibular denture. Male and female have no difference in the number of mucosal injuries in the anatomical area evaluated in the maxilla and mandible using Fisher's exact test (P > 0.05). Mandibular dentures need more appointments than maxillary dentures after post insertion (P < 0.001). Conclusion: The vestibule was the most common site for mucosal injuries which can be corrected by proper extension of denture flanges during border molding. Pressure indicator ink (arti spot) and paste is used to correct the overextended denture flanges.

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