Examination of Edentulous patient

00:09:52
https://www.youtube.com/watch?v=GzaB1DNQTXo

Zusammenfassung

TLDRLa vidéo traite des étapes d'examen pour les patients nécessitant une prothèse amovible. L'examen débute par la collecte de l'historique médical et dentaire du patient. Ensuite, une évaluation intra et extra-orale est réalisée, en examinant la zone temporo-mandibulaire, le cou, les lèvres, les joues, et la cavité buccale. Il est important d'identifier les atrophies structurelles pouvant survenir après la perte des dents, distinctes entre les maxillaires et les mandibules. L'évaluation prothétique suit, vérifiant la rétention et la stabilité des prothèses existantes. Enfin, la vidéo introduit la classification de MM House, qui catégorise les attitudes des patients envers les prothèses dentaires.

Mitbringsel

  • 🦷 Importance de l'examen complet pour les patients avec prothèses amovibles.
  • 👄 La résorption osseuse après perte dentaire est différente entre maxillaire et mandibule.
  • 🦠 Les maladies comme la candidose et l'hyperplasie peuvent émerger chez les porteurs de prothèses.
  • 🔍 L'évaluation de la stabilité et de la rétention de la prothèse est cruciale.
  • ⚖️ La classification MM House aide à comprendre l'attitude du patient envers les traitements.
  • 📋 Analyser l'histoire médicale et dentaire est la première étape essentielle.
  • 🔎 L'examen intra et extra-oral doit être détaillé et minutieux.
  • 🗣️ Le comportement du patient influence le succès du traitement prothétique.
  • 📈 Une bonne rétention prothétique empêche le déplacement de la prothèse.
  • 💡 Identifier les besoins uniques de chaque patient avec un examen approfondi.

Zeitleiste

  • 00:00:00 - 00:09:52

    L'examen d'un patient avec des dents amovibles se déroule en trois étapes clés : historique médical et dentaire, examen intra et extra-oral, et évaluation prothétique. L'examen commence par une évaluation exhaustive des structures faciales et orales, en se concentrant sur les zones telles que l'ATM, la langue, le palais doux, et les surfaces de port de prothèses. Des différences dans les modèles de résorption osseuse entre les maxillaires et mandibules après la perte dentaire sont notées, affectant structurellement le visage et fonctionnellement la mastication, ainsi que le soutien psychologique. Des points pathologiques tels que la candidose chronique, due à un faible débit salivaire, peuvent apparaître chez les porteurs de prothèses.

Mind Map

Mind Map

Häufig gestellte Fragen

  • Quels sont les types de résorption osseuse pour les maxillaires et les mandibules après la perte des dents?

    La résorption maxillaire se fait verticalement et dans une direction palatine, tandis que la perte dans la mandibule est principalement verticale.

  • Quels sont les pathologies courantes chez les patients porteurs de prothèses?

    Les pathologies courantes incluent la candidose chronique et l'hyperplasie fibreuse inflammatoire.

  • Comment évalue-t-on la stabilité d'une prothèse complète maxillaire?

    On applique des forces unilatérales sur une surface occlusale postérieure pour tester la stabilité.

  • Qu'est-ce que la classification de MM House?

    Il s'agit d'une classification des attitudes des patients envers le port de prothèses, comprenant les types "philosophique", "exigeant", "hystérique" et "indifférent".

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Automatisches Blättern:
  • 00:00:01
    examination for removable patient
  • 00:00:06
    examination for removable patient
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    provide medical dental history
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    and also intra and extraordinary
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    examination
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    and the third portion will be prosthetic
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    assessment
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    extraordinary examination you need to
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    conduct
  • 00:00:28
    complete intra and extraordinary
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    examination
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    using good visualization and digital
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    partition you basically examine the tmj
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    and the neck
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    and the lip and then cheek area
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    intra-order examination
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    you are examining on the mandibular
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    lateral border of the tongue base of the
  • 00:01:04
    tongue
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    floor of the mouth tonsillar vision
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    and soft palate and oral virus
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    for the maxillary lesion exam the
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    denture bearing surfaces
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    the soft palate tonsillar vision
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    the vestibules and the buckle mucosa
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    please note the hammer nuts and
  • 00:01:27
    definition of tuberosity has to be
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    observed
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    and make sure you identify the location
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    when the patient lost their tools
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    there's a consequence
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    atrophy of supporting structure usually
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    residual which results in occur
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    after tooth loss and the direction of
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    the loss
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    maxillary are in vertical and palatal
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    direction
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    and mandibular loss is vertical
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    and oriented along cross-sectional shape
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    of the mandible
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    so the resultion pattern are different
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    between the maxilla
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    and the mandible
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    maxillary loss is in vertical and
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    palatal direction
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    and in a rate of 0.1 millimeter per
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    year initial loss in first year greater
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    but variable on the other hand the
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    mandibular bone loss
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    is four times greater than the maxillary
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    loss of course it very depends on the
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    patient
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    this is average number of absorption
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    pattern
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    difference between the maxilla and the
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    mandible
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    in summary when the patient lost their
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    teeth
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    will result in residual reach absorption
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    changes in intraoral structures
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    decreased masticatory function
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    and also loss of facial support and
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    muscle toners
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    of course not to mention about
  • 00:03:10
    psychosocial effect
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    are affected follow through test loss
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    the goal of complete denture treatment
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    are
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    to minimize the effect of these
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    functional
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    aesthetic and psychological compromise
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    during the intra-order examination
  • 00:03:34
    you also need to look into any pathology
  • 00:03:37
    present with the patient one of
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    most common pathology related to the
  • 00:03:43
    denture wearing patient
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    is chronic candidiasis
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    its low saliva flow rate lead to
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    increased number of
  • 00:03:52
    fungal organisms and as you notice
  • 00:03:55
    on this picture there's a large fungus
  • 00:03:58
    colonization
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    on the hard palate and this one also
  • 00:04:02
    could visibly seen
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    on the candida infection on the palate
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    there's also inflammatory fibrous
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    hyperplasia
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    are commonly seen with a denture wearing
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    patient
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    it's a fibrous hypoplastia begins as a
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    traumatic urcer
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    secondary to an ill-fitting denture
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    flange and these white spot
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    lesion and when you try to
  • 00:04:32
    put the denture over the border
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    the ill-feeding denture border cause
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    this inflammatory process
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    once you complete extra and intraoral
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    examination
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    the next step is you doing
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    prosthodontics
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    assessment you evaluate the patient
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    current
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    denture whether it is well made
  • 00:05:01
    or is a poorly made you need to look
  • 00:05:04
    into
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    what is happening on the current
  • 00:05:08
    existing denture
  • 00:05:12
    these are the parameters that you need
  • 00:05:14
    to look into
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    retention stability
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    vertical dimensional occlusion centric
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    relation
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    and aesthetics and the denture
  • 00:05:28
    has to be evaluated in these
  • 00:05:31
    different parameters
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    and when it comes to the stability of
  • 00:05:38
    maxillary complete denture
  • 00:05:41
    you apply unilateral forces to a
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    posterior occlusal surface
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    to check the stability to check the
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    retention of maxwell confidential
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    implies tipping force to incisor to
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    break the seal of the posterior
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    when you have a proper retention and
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    stability
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    it shouldn't have any displacement of
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    the denture
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    the patient is wearing it
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    you could check also the stability and
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    retention of mandibular denture
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    and alternatively apply unilateral force
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    when you watch the video
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    potential ways of by itself
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    by improperly sealed
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    meaning lack of stability and lack of
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    retention of this mandibular denture
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    that you observe
  • 00:06:56
    so during the examination for the
  • 00:06:58
    denture wearing patient
  • 00:07:00
    you look into the medical and dental
  • 00:07:02
    history
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    and we look at the intra and
  • 00:07:05
    extraordinary examination
  • 00:07:07
    and prostate assessment
  • 00:07:10
    after you conducting these three
  • 00:07:14
    elements
  • 00:07:18
    and at the end we try to
  • 00:07:23
    find out the attitude of a patient
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    it's called mm house classification
  • 00:07:31
    there are four different types
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    classification of eventual patient
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    the first type called the philosophical
  • 00:07:42
    the patient's rational sensible
  • 00:07:45
    organize and overcome conflicts
  • 00:07:49
    their expectations about the denture are
  • 00:07:51
    weir
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    therefore this is most reliable
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    denture patient that we could treat
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    and second classification
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    is called exacting it's methodical
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    precise and accurate and places several
  • 00:08:09
    demands when you're treating the patient
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    they're asking individual tooth position
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    the ways
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    look and it must reach understanding
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    before you start the treatment with the
  • 00:08:21
    patient
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    and looking for what
  • 00:08:25
    patient wants and make sure what they
  • 00:08:28
    want
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    could be practically possible and
  • 00:08:31
    believable
  • 00:08:34
    and the third classification is called
  • 00:08:36
    hysterical
  • 00:08:38
    this patient emotionally unstable
  • 00:08:41
    excitable oppressive
  • 00:08:45
    and this type of patient
  • 00:08:48
    usually need psychiatric help
  • 00:08:52
    before we perform
  • 00:08:55
    dental treatment or health
  • 00:09:00
    and the last classification is called
  • 00:09:02
    indifferent
  • 00:09:05
    a pathetic uninterested
  • 00:09:08
    uncooperative and lack of motivation
  • 00:09:13
    and they tend to blame dentists for
  • 00:09:15
    their poor
  • 00:09:17
    health and then of course
  • 00:09:20
    pay no attention to instruction that we
  • 00:09:22
    give to them
  • 00:09:24
    and in different type also unfavorable
  • 00:09:28
    prognosis
  • 00:09:29
    of our removable service due to the
  • 00:09:32
    patient
  • 00:09:34
    behavior
  • 00:09:38
    so it is quite important to understand
  • 00:09:41
    your mm house classification
  • 00:09:44
    and what your patients fall into before
  • 00:09:48
    you start
  • 00:09:49
    the actual treatment
Tags
  • prothèse dentaire
  • examen clinique
  • résorption osseuse
  • classification MM House
  • candidose