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DIAGNOSIS AND TREATMENT PLANNING FOR PARTIALLY EDENTULOUS PATIENTS

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DIAGNOSIS AND TREATMENT PLANNING FOR PARTIALLY EDENTULOUS PATIENTS
Content:
1. General information (name, age, sex, occupation)
2. Chief complaint
3. Recording the relevant medical history.
4. Recording the relevant dental history.
5. Performing a thorough visual and manual extra-oral and intra-oral examination.
6. Radiographic examination.
7. Treatment planning
Recording general information:
Name:
Patient should be addressed by name which would add to personal touch and confidence of the patient.
Age:
Age is an important criteria for the treatment planning due to following points:
With advancing age the capacity of the tissue to with stand stress diminish. (adaptability)
Tissue healing ability decreases.
Diseases are
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Dentist should recall patient frequently to correct occlusion and monitor bone stability.
It can effect the wound healing capability and therefore must be taken into consideration if preprosthetic surgery is planned.
Anaemia:
Due to nutritional deficiency dryness of mouth and disturbance of taste sensation is present Mucosal tissue become susceptible to denture trauma.Ridge may be lose and flabby for which mucostatic impression technique is used.
Prosthodontic considerations :- - Constant monitoring of denture stability and occlusion is required to minimize pressure areas. - Poor denture retention results from lack of saliva.
Hypertension:

Clinical signs and symptoms:- - Breathlessness on exertion - Angina on effort - Palpitation - Epistaxis - Headache - Dizziness
Prosthodontic considerations:- - Avoidance of hypertension episodes is important. - Pre-medication should be used when necessary. - Appointment should be short and stress less. - Dentist should have a reassuring and considerate attitude. Salivary gland disorders:
Clinical signs and symptoms:- - Xerostomia - Painful and burning mucosa - Mucosal sensitivity
Prosthodontic consideration:- - Wearing of RPD becomes intolerable because of pain, burning and frictional abrasion of the OMM from
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