Complete denture poorly fit and inadequate interocclusal relation:
- A. Relining.
- B. Rebasing.
- C. New denture.
- D. None of the above.
Determining the best solution for a poorly fitting complete denture with inadequate interocclusal relationships depends on the severity of the issues and the specific causes. Therefore, D. None of the above is the most accurate answer in this case.
Explanation of options:
Here's a breakdown of the options and their applicability:
A. Relining:
This option involves adding new material to the inner surface of the existing denture to improve its fit on the tissues. It's suitable for minor deficiencies in fit caused by tissue shrinkage or changes. However, it won't address problems with the interocclusal relationships.
B. Rebasing:
This process involves replacing the entire base of the denture while keeping the teeth and existing framework. It's more extensive than relining and can correct certain issues with the fit and bite, but it still might not be sufficient for significant discrepancies in interocclusal relationships.
C. New denture:
This option involves the fabrication of a completely new denture with new teeth and baseplates. It's the most drastic solution, but it may be necessary in cases where the existing denture is severely misfitting or the interocclusal issues are complex and cannot be corrected through relining or rebasing.
Therefore, the best approach will depend on the specific assessment of the denture and the patient's needs. Consulting with a qualified dental professional is crucial to determine the most appropriate and effective solution for the poorly fitting denture and inadequate interocclusal relationships.
Additional Factors:
Here are some additional factors to consider:
- Degree of misfit: How loose or unstable is the denture?
- Location of misfit: Is the misfit localized or generalized?
- Severity of interocclusal discrepancies: Are the problems with the bite causing functional or comfort issues?
- Patient preferences and budget: Will the patient feel comfortable with a relined or rebased denture, or would they prefer a new one?
