Diabetic Pt with ill fit denture, examination of residential ridge help to:
- A. Determine the need for tissue conditioning and surgery.
- B. Determine occlusal height.
- C. Determine vertical dimension of occlusion.
The best answer to this question is: A. Determine the need for tissue conditioning and surgery.
Here's why:
- Ill-fitting dentures:
These can cause pressure points and irritation on the residual ridge, leading to inflammation and potentially delaying wound healing. In a diabetic patient, complications from poor healing are more likely due to their impaired circulation and immune response.
- Tissue conditioning:
Examining the residual ridge helps assess the presence of soft tissue overgrowth, bony prominences, or areas of pressure, which can inform the need for tissue conditioning before constructing a new denture.
- Surgery:
In severe cases, the residual ridge may require surgical correction to create a more suitable foundation for the denture. Examining the ridge helps identify potential problems requiring surgery.
While occlusal height (B) and vertical dimension of occlusion (C) are important aspects of denture construction, they are not directly related to the immediate needs of the diabetic patient with an ill-fitting denture. These parameters can be assessed later when a well-fitting denture is being planned.
Therefore, the primary purpose of examining the residual ridge in this case is to determine the presence of any issues that might compromise denture fit and healing, potentially requiring tissue conditioning or even surgery.
Remember, this is just a general answer and the specific needs of the patient should be determined by a qualified dentist or prosthodontist.
