PROBLEM WITH REMOVABLE APPLIANCE AND MANAGEMENT NUR AMALINA ZULKEPRE LAILA AZWA HASSAN AWATIF ASRI
Jan 21, 2016
PROBLEM WITH REMOVABLE APPLIANCE AND MANAGEMENT
NUR AMALINA ZULKEPRELAILA AZWA HASSAN
AWATIF ASRI
PROBLEM WITH SPEECH
APPLIANCE LOOSE
MOUTH WATERING
CLASP FRACTURED
ACRYLIC FRACTURE
REDNESS ON ROOF OF MOUTH
SORE CRACKS AT SIDE OF MOUTH
PROBLEM CAUSES MANAGEMENT
Speech expected when appliances first fitted.If persists usually reflects insufficient wear
1. Reassurance2. Advise that it will resolve once
mouth adapts to appliance
Mouth watering
Inevitable when appliance first fitted. If persists usually reflects insufficient wear
Appliance loose Appliance Irretentive due to poor design
Consider adding additional clasp and/or labial bow. If not feasible, redo appliance
Clasp not retentive due to pt habitually clicks appliances in & out
Adjust claps & warn pt to stop habit
Clasp fractured pt habitually clicks appliances in & out Replace clasp
Acrylic fracture Check whether fractured portion needs to be replaced/not.→not: smooth fracture edge→yes: take new impression if working model not available
Redness on roof of mouth
candida OHI & dietary advice.Marked infection or not respond to OHI→anti-fungal applied to fitting surface of appliance
Sore cracks at side of mouth
Angular chelitis
THANK YOU