Tuesday, January 23, 2024

Pt. Presented after insertion of complete denture complaining of dysphagia and ulcers what is the cause of dysphagia.. over extended

Pt. Presented after insertion of complete denture complaining of dysphagia and ulcers what is the cause of dysphagia?

  • A- over extended.
  • B- over post dammed.
  • C- under extended
  • D- under post dammed.

the most likely cause of dysphagia (difficulty swallowing) in a patient presenting after complete denture insertion complaining of ulcers is: A. Overextended dentures

Here's why:

- Overextension:

When dentures are too large or extend beyond the natural borders of the gums, they can impinge on the soft tissues of the palate and tongue. This can interfere with the natural swallowing mechanism, leading to dysphagia.

- Ulcers:

The pressure and friction caused by overextended dentures can irritate and ulcerate the soft tissues, further contributing to swallowing difficulties and pain.

- Less likely causes:

  • Over-postdammed dentures: While over-postdammed dentures can cause discomfort and gagging, they are less likely to directly cause dysphagia as they primarily affect the posterior (back) part of the palate, which is less involved in swallowing.
  • Under-extended dentures: Under-extended dentures lack proper support and stability, which may lead to chewing difficulties but typically wouldn't cause dysphagia.
  • Under-postdammed dentures: Similar to under-extended dentures, under-postdammed dentures wouldn't directly cause swallowing problems.

Additional factors to consider:

- Distribution of ulcers:

If the ulcers are located in areas where the denture overextends, it further strengthens the case for overextension being the cause of dysphagia.

- Severity of dysphagia:

The severity of swallowing difficulties can also be an indicator. Overextension typically causes more pronounced dysphagia compared to other denture-related issues.

- Other symptoms:

Additional symptoms like gagging, drooling, or pain during swallowing can also provide clues to the underlying cause.

It's important to note that this information is for general educational purposes only and should not be taken as a substitute for professional medical advice. Always consult with a qualified dentist for diagnosis and treatment of any dental issues.

If you suspect your patient's dysphagia is due to overextended dentures, the dentist will likely perform a thorough examination and take impressions to adjust the dentures for proper fit and function. In some cases, additional procedures like denture relining or remaking might be necessary.