 Hello everyone welcome back to another session in dentistry MMO Today we have yet another topic. It is a very small topic from prosthodontics complete tension post insertion instructions As we all know complete tension Will not be easily accepted by its patient and like the fixed partial denture or Removable partial denture because the patient is first time receiving a complete set of artificial teeth and It is having the thick denture base. So it creates lots of problems with speech mastication And the feeling of fullness and patient might be having problems with its retention stability and resistance so all those Factors makes the Complete danger acceptance troublesome So the actual step of complete tension to be frank is starting once it is delivered Because the patient is if he needs time to get accustomed to the complete danger So the instructions given by the dentist or clinician is very much vital for the acceptance So if the instructions are not given properly even though the Denture has good retentive or other factors It might be a failure because the patient will not Will not be ready to accept it So we need to give proper instructions and we need to assure that it will not be as Your old teeth that is those natural teeth the factors will be compromised or the features will be compromised compared to the Natural teeth. So all those things we should instruct the patients. So it will improve the patients psychological Factors related to the acceptance of complete danger. So first we'll start with the appointment schedule So once it is delivered the first appointment should be within 48 hours of delivery the second This is first appointment. This is the second appointment That should be maybe within three days third appointment within one week of Second visit So this should be the appointment schedule first is maybe you can recall the patients next day or Within 48 hours that is two days. The second visit Can call after three days then the third visit It should be within one week of the second visit First of all, we need to educate the patient regarding the difference with respect to Artificial danger and the natural teeth. The first thing is the feeling of fullness once patient Keeps the dentures in mouth. He feels fullness because of the denture base. So that need to be explained well then there will be the retention and resistance problem it will be Not like the natural teeth so that difference need to be told very well Then there will be increased salivation when a patient weighs complete denture and there will be lots of change in speech and the eating habit also needs to be changed when patient weighs complete denture and The tongue position and problems with the lower denture in contrast with the upper denture because the resistance and retention Will be interfered with the moment of tongue. It's not with the upper denture. So all those things Need to be informed well To the patient. Okay Patient might be feeling he gets a perfect Denture is almost as like this natural teeth But we need to explain all those problems associated with complete denture in comparison with the natural teeth And the instructions should be based on these five factors that is wearing of denture and its habituation Then denture hygiene and its care eating habits speech and gagging The first one is wearing of dentures and habituation So wearing of denture So little discomfort will be there definitely which leads to soreness and there will be excessive salivation which has to be swallowed and Denture must be removed while sleeping that is maybe patient wears 16 hours in a day that is 8 hours should Be sleeping so we will be keeping it in clean water with diluted mouth antiseptics if patient feels any pain Ulceration or burning sensation after wearing denture It should inform the dentist then It should be kept in night in a clean water That is not in any thermal water. That is hot water should not be used Because these thermal changes can distort the denture. So that is the denture Wearing and habituation instructions next we have Instructions related to the speech So speaking with new dentures requires practice. So read out loud and repeat the words Those which are difficult to pronounce with time speech will be better with dentures. So it should be Properly instructed because there will be difficulties but Patient needs to repeat and read out loud so that will feel better after a period of time and Act of coughing and sneezing often dislodged the dentures and result in an embarrassing situation That is a most embarrassing embarrassing situation for the patients So embarrassment can be avoided by covering the mouth with a hand Using a kerchief to prevent denture from coming out. So this should be properly Inform the patient the chances of dislodgement during coughing and sneezing. So in order to avoid those embarrassing moments Instruct the patient to use his hand or towels while sneezing or coughing Regarding the denture hygiene Rinse the mouth properly before wearing dentures Then these are instructions we are giving to our patients then denture must be cleaned properly before and after the meals Using denture brushes. So we have many Denture brushes available in the market So it should be cleaned before and after the meals just like our natural teeth then clean tongue and skin over the bone properly and Massage the skin over the bone gently using clean finger. So it will re-circulate the Blade because the pressure we apply by keeping the denture will cause a temporary Blockage of the blood vessels. So once it is out we need to massage the Irregular bone that is our maxilland mandible. So it will come back to its normal state And inside surface of the dentures that is a tissue surface must be clean delicately using clean finger using wet cotton because it has a tissue surface. There is a retention problem if it is Cleaned using a hard toothbrush or any other scrubbers. There will be a retention problem So it will be clean using fingers or wet cotton and patient should not use any abrasive or detergent to clean the dentures because of This problem we should not use any abrasive or detergent and patient should not make any Adjustment or repair by himself So it should come back to the clinic or dentist for the adjustment on dentures and If the patient is having poor dental I mean denture hygiene it can result in mucosal irritation Dentures, Traumatitis, Chronic Candidiasis, Stain Retention, Halitosis The hyperplasia that is inflammatory papillary hyperplasia So patient should be informed about all these conditions if the cleaning is not proper the patient would have all these problems So how do we clean it? Chemical denture cleansers actually the last video was about cleaning of denture So we have basically a sodium hypochloride solution for cleaning tablets are also there with This this can be dropped in water which releases bubbles. So dentures are left for 15 minutes or even a night So Bausher recommended that a 30-minute soaking is sufficient to remove all the Stains and we should question the patients sodium hypochloride not indicated in dentures containing Chromium, Cobalt or other metals and also we have sonic Cleaners available in the market for the denture cleaning They use vibratory energy to clean the dentures. This is very effective in removing calculus as well as the stains such as coffee stains We can also follow the manual cleansing that is brushing used with the usual paste and water But we should be very careful about the paste because of its abrasive content and Stiff bristles can cause severe abrasion. So we should always use a mildest thickness that is a soft toothbrushes and Impression surface that is a tissue surface should not be brushed too aggressively Now we have the most important part that is the eating habit for two to three weeks We should instruct the patient to take soft food and chew in small bites simultaneously from both sides Usually we have tendency to chew on one side But when with complete tension in position if we are starting to chew on one side, it will dislodge the Tenture so instruct the patient to chew simultaneously using right and left side and Food types which requires minimum force in chewing such as well-cooked cereals bald eggs not meat types so always instruct the patient to avoid sticky food such as pizza with cheese and gum and Food must be chewed from back teeth not from the anterior part because it will dislodge the denture and Biting from front teeth should be avoided. So cut fruits Into small pieces and then eat. We just cannot do it like our natural teeth We need to cut it into small pieces and chew it from the back teeth and Drink water by sipping and do not lift glass for drinking water. This will dislodge the tension So all those things we should properly instruct because this is the most important part eating habits Now regarding the gagging sensation So this vomiting sensation is rare, but normal healthy reaction When any foreign object is placed in mouth So in all danger where is it may be symptom of a disease or disorder of Industrial tract or respiratory tract or excess alcoholism But many dangers are lost During the nausea or sea sickness when vomiting seems the dentures should be removed and kept in water until the patient Recurves in case of gagging persists for a long time, which is causing discomfort to wear the denture We need to conceal the Dentist so that was all about the instructions Be given to the complete in your patients So we need to address the instructions in these five heading that is the basic wearing of denture and habituation That is the beginning part then regarding the danger of hygiene and its care or the problems if it is not properly cleaned Then regarding the speech it takes time to get accustomed to the New pattern of speech and the eating habits are gagging. So these are instructions. That's all for now I'll come up with a new topic in process on Dix. Thank you