Deck 55: Persons With Fixed and Removable Dentures

Question 1

Most of the oral lesions associated with denture wearing are a result of all of the following except one.Which one is the exception?

A) Allergy to the denture-cleaning solution or denture acrylic
B) Prolonged wearing of the denture
C) Inadequate oral hygiene
D) Poorly fitting denture

Answer 1

Allergy to the denture-cleaning solution or denture acrylic

Question 2

What is the name of the oral prosthetic appliance used to replace some but not all of the natural teeth?

A) Full denture
B) Partial denture
C) Fixed prosthesis
D) Obturator

Answer 2

Partial denture

Question 3

CASE STUDY
The dental hygienist has removed the maxillary denture of a client in order to complete an oral assessment.The client has not sought professional dental care for over 5 years and has verbalized that his denture has not fit well for at least 2 years.The dental hygienist finds the maxillary oral mucosa under the denture to be nearly normal in color and texture;however,the tissue is flabby,hyperplastic,and freely movable.The client does not remove the denture routinely except for periodic cleaning and mouth rinsing.Typically he sleeps with the denture because he does not like his wife to see him without his teeth.
Several strategies can be used to minimize the rate of bone resorption in persons who wear dentures except which one?

A) Removal of the denture at night
B) Regular professional dental care to ensure that the denture is properly fitting
C) A calcium-rich diet
D) Use of over-the-counter relining kits whenever the denture does not fit properly

Answer 3

Use of over-the-counter relining kits whenever the denture does not fit properly

Question 4

The dental hygienist is treating a client who wears a full denture.How often should the client remove his denture to give the tissues an opportunity to relax?

A) Once a day
B) Once a month
C) Twice a day
D) Twice a month

Question 5

What is the general term used to indicate bony overgrowths?

A) Palatal tori
B) Mandibular tori
C) Exostoses
D) None of the above

Question 6

The dental hygienist is caring for an indigent client who wears a totally acrylic partial denture.What can the dental hygienist recommend as an inexpensive,safe,and effective cleaning solution for the oral appliances,given that it is devoid of metal?

A) Two tablespoons of sodium hypochlorite;1 tsp of detergent;4 oz of water
B) Two tablespoons of sodium hypochlorite;2 tsp of detergent;8 oz of water
C) One tablespoon of sodium hypochlorite;1 tsp of detergent;4 oz of water
D) One-half tablespoon of sodium hypochlorite;1/2 tsp of detergent;8 oz of water

Question 7

CASE STUDY
The dental hygienist has removed the maxillary denture of a client in order to complete an oral assessment.The client has not sought professional dental care for over 5 years and has verbalized that his denture has not fit well for at least 2 years.The dental hygienist finds the maxillary oral mucosa under the denture to be nearly normal in color and texture;however,the tissue is flabby,hyperplastic,and freely movable.The client does not remove the denture routinely except for periodic cleaning and mouth rinsing.Typically he sleeps with the denture because he does not like his wife to see him without his teeth.
Given are several dental hygiene actions that may be implemented to appropriately care for this client.All should be implemented except which one?

A) Teach client to remove the denture at night.
B) Refer client to dentist for evaluation and treatment.
C) Ask dentist to prescribe an antifungal agent.
D) Teach client about the need for regular professional care.

Question 8

Following tooth extraction,major bony changes will occur such as residual alveolar ridge resorption.How long does this process last?

A) 1 year
B) 5 years
C) 10 years
D) The process is continuous for life.

Question 9

Which of the following is not a risk factor for tooth loss?

A) High socioeconomic status
B) Periodontal disease
C) Dental caries
D) Poor oral hygiene

Question 10

CASE STUDY
The dental hygienist has removed the maxillary denture of a client in order to complete an oral assessment.The client has not sought professional dental care for over 5 years and has verbalized that his denture has not fit well for at least 2 years.The dental hygienist finds the maxillary oral mucosa under the denture to be nearly normal in color and texture;however,the tissue is flabby,hyperplastic,and freely movable.The client does not remove the denture routinely except for periodic cleaning and mouth rinsing.Typically he sleeps with the denture because he does not like his wife to see him without his teeth.
Which of the following terms is most likely used to describe the client's condition?

A) Hypermobile tissue
B) Chronic candidiasis
C) Prosthesis-induced fibrous hyperplasia
D) Denture sore mouth

Question 11

What is the term for a fixed or removable appliance functionally and cosmetically designed to replace a missing tooth or teeth?

A) Abutment
B) Pontic
C) Dental prosthesis
D) Obturator

Question 12

CASE STUDY
The dental hygienist has removed the maxillary denture of a client in order to complete an oral assessment.The client has not sought professional dental care for over 5 years and has verbalized that his denture has not fit well for at least 2 years.The dental hygienist finds the maxillary oral mucosa under the denture to be nearly normal in color and texture;however,the tissue is flabby,hyperplastic,and freely movable.The client does not remove the denture routinely except for periodic cleaning and mouth rinsing.Typically he sleeps with the denture because he does not like his wife to see him without his teeth.
After providing client education and placing the client on a denture care regimen that includes the daily cleaning of the oral cavity and denture and removal of the denture during sleep,the dentist may choose to do all of the following except which one?

A) Prescribe an antibiotic to be sure that there is no infectious agent contributing to the condition.
B) Reline or make a new denture.
C) Surgically excise the flabby hyperplastic tissue.
D) Remove any irritants that may be contributing to the hyperplastic tissue.

Question 13

CASE STUDY
The dental hygienist has removed the maxillary denture of a client in order to complete an oral assessment.The client has not sought professional dental care for over 5 years and has verbalized that his denture has not fit well for at least 2 years.The dental hygienist finds the maxillary oral mucosa under the denture to be nearly normal in color and texture;however,the tissue is flabby,hyperplastic,and freely movable.The client does not remove the denture routinely except for periodic cleaning and mouth rinsing.Typically he sleeps with the denture because he does not like his wife to see him without his teeth.
Relining or remaking an ill-fitting denture can benefit the client in the following several ways except which one?

A) Prevents denture-induced lesions
B) Prevents denture irritation,a cocarcinogenic factor in predisposed individuals
C) Prevents alveolar bone resorption
D) Prevents the need for regular professional care

Question 14

What is the name given to the tooth or teeth used to anchor an oral prosthetic appliance?

A) Pontic
B) Abutment
C) Natural
D) Clasp

Question 15

What is the most common abnormal condition of persons who wear dentures,characterized by inflammation of the oral mucosa underlying the denture (redness,pain,and swelling)?

A) Papillary hyperplasia
B) Denture stomatitis
C) Chronic candidiasis
D) Angular cheilosis