PROBLEM WITH REMOVABLE APPLIANCE AND MANAGEMENT

NUR AMALINA ZULKEPRELAILA AZWA HASSAN

AWATIF ASRI

PROBLEM WITH SPEECH

APPLIANCE LOOSE

MOUTH WATERING

CLASP FRACTURED

ACRYLIC FRACTURE

REDNESS ON ROOF OF MOUTH

SORE CRACKS AT SIDE OF MOUTH

PROBLEM CAUSES MANAGEMENT

Speech expected when appliances first fitted.If persists usually reflects insufficient wear

1. Reassurance2. Advise that it will resolve once

mouth adapts to appliance

Mouth watering

Inevitable when appliance first fitted. If persists usually reflects insufficient wear

Appliance loose Appliance Irretentive due to poor design

Consider adding additional clasp and/or labial bow. If not feasible, redo appliance

Clasp not retentive due to pt habitually clicks appliances in & out

Adjust claps & warn pt to stop habit

Clasp fractured pt habitually clicks appliances in & out Replace clasp

Acrylic fracture Check whether fractured portion needs to be replaced/not.→not: smooth fracture edge→yes: take new impression if working model not available

Redness on roof of mouth

candida OHI & dietary advice.Marked infection or not respond to OHI→anti-fungal applied to fitting surface of appliance

Sore cracks at side of mouth

Angular chelitis

THANK YOU