What examinations are needed before full denture restoration?
Full denture restoration is a treatment for patients with a large number of missing teeth or complete tooth loss. Its purpose is to restore the patient's chewing function and aesthetic appearance. In order to ensure the restoration effect and avoid the occurrence of complications, it is very important to conduct a series of examinations before full denture restoration. The following are common examination items before full denture restoration for reference by clinical physicians.
1. History taking and clinical examination
Medical history collection is the first step in any diagnosis and treatment process. Doctors need to ask the patient's medical history in detail, including oral disease history, general health status, allergy history, and drug allergy history. In particular, the following aspects need to be understood:
Oral health history: including whether the patient has periodontal disease, tooth decay, oral ulcers, etc. Patients with periodontal disease need to be treated before restoration to avoid affecting the restoration effect.
General health status: Understand the patient's general health status, especially the control of chronic diseases such as cardiovascular disease and diabetes, because these diseases may affect the stability of the restoration and the patient's recovery speed.
History of drug use: History of drug allergy and long-term medication use, especially drugs such as anticoagulants, can affect bleeding during surgery.
2. Oral examination
Oral examination is an important part before full denture restoration, including the following aspects:
Tooth loss: Check the patient's oral cavity for missing teeth to determine which teeth need to be repaired or removed, paying special attention to the health of the remaining teeth and whether they need to be treated first.
Condition of oral soft tissues: Check the condition of oral mucosa, tongue, palate and other soft tissues to see if there is inflammation, ulcers or other abnormalities.
Occlusion: Check the patient's occlusion to assess whether there are problems such as malocclusion, malalignment of the upper and lower teeth, etc. This is crucial for the subsequent denture restoration design.
Alveolar bone condition: Examine the patient's alveolar bone to understand the amount and quality of the bone. The bone condition in the edentulous area directly affects the stability and comfort of the denture.
3. Imaging Examination
Imaging is an important tool for evaluating the condition of the alveolar bone and other structures in the oral cavity. Common imaging examinations include:
Panoramic X-rays: Panoramic X-rays can provide a comprehensive understanding of the condition of the patient's teeth and alveolar bones in the mouth, including whether there are unerupted teeth, root lesions, etc., to help doctors develop a reasonable treatment plan.
CBCT (3D computed tomography): CBCT is an effective examination method for patients who need to understand the three-dimensional structure of the alveolar bone. Through CBCT, the width, height, shape and other information of the alveolar bone can be accurately evaluated to help doctors plan the method of denture restoration, especially playing an important role in implant restoration.
Periapical X-ray: For patients with remaining teeth, it is crucial to check the root condition of the remaining teeth. Periapical X-ray can help doctors understand whether the roots are healthy and whether there are apical lesions.
4. Functional inspection
Evaluation of chewing function in the oral cavity: By observing the patient's chewing function, we can understand whether there are problems such as difficulty in chewing and joint pain. For patients with chewing disorders, the design of dentures needs to consider how to improve their chewing efficiency.
Oral movement examination: including examination of oral opening degree, tongue mobility, lip closure, etc., to understand the movement of the oral cavity so that the subsequent denture production can better adapt to the patient's oral function.
Bite force measurement: Use professional equipment to measure the patient's bite force distribution, understand the uneven bite, and provide a reference for the production of full dentures.
5. Psychological Assessment
The importance of psychological assessment in full denture restoration is gradually being recognized. Since full denture restoration has a great impact on the patient's appearance and quality of life, doctors need to understand the patient's expectations and emotional state for restoration, assess their psychological preparation for treatment, and communicate with the patient to ensure that the patient has a clear understanding of the treatment process, the appearance and function of the restoration, and is able to cooperate with the treatment.
6. General Health Checkup
Some patients may have an increased risk of complications after denture restoration due to systemic diseases. For example, diabetic patients have poor wound healing ability, and heart disease patients may have surgical risks. Therefore, for some patients with underlying diseases, some routine systemic examinations are required before restoration:
Routine blood and urine tests: to ensure that the patient does not have severe anemia, infection or other diseases.
Blood sugar control in diabetic patients: Diabetic patients need to ensure that their blood sugar is within the normal range to reduce the risk of infection during the repair process.
Liver and kidney function tests: For patients who require anesthesia or long-term medication, it is necessary to understand the status of their liver and kidney function to ensure the safety of the operation.
Electrocardiogram: For the elderly or patients with cardiovascular disease, an electrocardiogram is required to assess heart health and ensure that the patient can withstand the burden of surgery and repair.
Beauty Encyclopedia Tips:
Full denture restoration is a complex treatment process that requires doctors to conduct a comprehensive assessment and examination of the patient. Through medical history collection, oral examination, imaging examination, functional examination and psychological evaluation and other examinations, doctors can understand the patient's specific situation, develop a personalized treatment plan, and improve the restoration effect and patient comfort. Before receiving treatment, patients should also communicate fully with the doctor to understand the treatment process and precautions to ensure the smooth progress of the treatment.