Tuesday, August 7, 2012

Episode 382/500: Checking for Denture Sore Spots

There are probably thousands of ways to check for pressure spots on the intaglio surface of the denture - Pressure Indicating Paste (PIP), Thompson Sticks, Wax, etc.

Aaron is back after one week following several maxillary posterior teeth extractions and anterior maxillary alveoloplasty.  Considering this was my first alveoloplasty, Dr. Partridge was nearby providing advice when required - a really simple surgical procedure that will help this young man.  The entire surgical procedure will soon be posted - the video production is in process.


Alveoplasty, extraction, denture, complete denture
Elevating the mucosa and periosteum after posterior extrations.

Alveoplasty, extraction, denture, complete denture
The type of bur/chisel you can use is up to you. I just found this round bur
easier to manipulate - cover up your arms b/c the debris goes everywhere!


Alveoplasty, extraction, denture, complete denture
Alveoloplasty ccompletted

Alveoplasty, extraction, denture, complete denture

Check with the surgical stent - it appears good to go.


Alveoplasty, extraction, denture, complete denture
Sutured.





Dr. Dray's biggest tip with regards to PIP was to ensure that the PIP is placed with light brush strokes in the same direction.  This stuff is difficult to work with on a good day (ie, there are many false positives - spots rubbed away during placement or removal).


alveoloplasty, extraction, denture, complete denture
Ouch. That just looks painful.  A sore spot on the canine eminence.

We'll talk Thomson Sticks next time.






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