{"id":392,"date":"2024-03-22T14:28:54","date_gmt":"2024-03-22T14:28:54","guid":{"rendered":"https:\/\/ekitap.ankara.edu.tr\/dentures\/chapter\/dokularin-iyilestirilmesi\/"},"modified":"2025-09-18T12:20:07","modified_gmt":"2025-09-18T12:20:07","slug":"dokularin-iyilestirilmesi","status":"publish","type":"chapter","link":"https:\/\/ekitap.ankara.edu.tr\/dentures\/chapter\/dokularin-iyilestirilmesi\/","title":{"raw":"Conditioning of abused and irritated tissues","rendered":"Conditioning of abused and irritated tissues"},"content":{"raw":"Ill-fitting dentures or prostheses having inadequate occlusal contact, nutritional deficiency, hormone imbalances, systemic illnesses, or bruxism might cause the following issues:\r\n<ul>\r\n \t<li>Inflammation and irritation in the tissues supporting the denture (Figures 10-11),<\/li>\r\n \t<li>Distortion of normal anatomical structures such as incisive papillae, rugae, and retromolar ridges<\/li>\r\n \t<li>A burning sensation in residual ridge areas, the tongue, and the cheeks and lips.<\/li>\r\n<\/ul>\r\n&nbsp;\r\n\r\n[caption id=\"attachment_391\" align=\"alignnone\" width=\"300\"]<a href=\"http:\/\/ekitap.ankara.edu.tr\/hareketli-bolumlu-protezler\/wp-content\/uploads\/sites\/25\/2024\/03\/10-11.jpg\"><img class=\"wp-image-391 size-medium\" src=\"http:\/\/ekitap.ankara.edu.tr\/dentures\/wp-content\/uploads\/sites\/29\/2024\/03\/10-11-300x199.jpg\" alt=\"Figure 10-11. Irritation areas on the tissues supporting the prosthesis.\" width=\"300\" height=\"199\" \/><\/a> <strong>Figure 10-11.<\/strong> Irritation areas on the tissues supporting the prosthesis.[\/caption]\r\n\r\nThe fabrication of a new prosthesis is delayed until the oral tissues can be returned to a healthy state; when it is thought that the cause is a systemic disorder, the patient is told that the complaints will recur in the new prosthesis when the prosthesis is made without treating the disease.\r\n\r\nEstablishing a quality home care program right away should be the first step in the treatment process. Home care recommendations include using a prescribed saline solution to rinse the mouth three times a day, using a soft toothbrush to massage the palate, tongue, and remaining ridge areas, taking off the prosthesis at night, and following a prescribed high-protein, low-carb diet and therapeutic multiple vitamin regimen.\r\n\r\nTissue healing materials are also used to heal damaged tissues; they remain soft enough to allow the tissues to heal and take their normal and healty shape, and they massage the mucosa, allowing a balanced distribution of occlusal forces.\r\n\r\nWhen using tissue healing materials, it is necessary to reduce the occlusal conflict of old prostheses; extending denture bases to proper form to enhance support, retention, and stability; relax the tissue surface of the prosthesis to provide an even distance to the material; apply enough material to provide support and cushioning; and replace the material in 4-7 day cycles until the tissues are completely healthy. Usually three or four exchanges and a recovery period of 3-4 weeks is sufficient.","rendered":"<p>Ill-fitting dentures or prostheses having inadequate occlusal contact, nutritional deficiency, hormone imbalances, systemic illnesses, or bruxism might cause the following issues:<\/p>\n<ul>\n<li>Inflammation and irritation in the tissues supporting the denture (Figures 10-11),<\/li>\n<li>Distortion of normal anatomical structures such as incisive papillae, rugae, and retromolar ridges<\/li>\n<li>A burning sensation in residual ridge areas, the tongue, and the cheeks and lips.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<figure id=\"attachment_391\" aria-describedby=\"caption-attachment-391\" style=\"width: 300px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/ekitap.ankara.edu.tr\/hareketli-bolumlu-protezler\/wp-content\/uploads\/sites\/25\/2024\/03\/10-11.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-391 size-medium\" src=\"http:\/\/ekitap.ankara.edu.tr\/dentures\/wp-content\/uploads\/sites\/29\/2024\/03\/10-11-300x199.jpg\" alt=\"Figure 10-11. Irritation areas on the tissues supporting the prosthesis.\" width=\"300\" height=\"199\" srcset=\"https:\/\/ekitap.ankara.edu.tr\/dentures\/wp-content\/uploads\/sites\/29\/2024\/03\/10-11-300x199.jpg 300w, https:\/\/ekitap.ankara.edu.tr\/dentures\/wp-content\/uploads\/sites\/29\/2024\/03\/10-11-1024x680.jpg 1024w, https:\/\/ekitap.ankara.edu.tr\/dentures\/wp-content\/uploads\/sites\/29\/2024\/03\/10-11-768x510.jpg 768w, https:\/\/ekitap.ankara.edu.tr\/dentures\/wp-content\/uploads\/sites\/29\/2024\/03\/10-11-1536x1020.jpg 1536w, https:\/\/ekitap.ankara.edu.tr\/dentures\/wp-content\/uploads\/sites\/29\/2024\/03\/10-11-65x43.jpg 65w, https:\/\/ekitap.ankara.edu.tr\/dentures\/wp-content\/uploads\/sites\/29\/2024\/03\/10-11-225x149.jpg 225w, https:\/\/ekitap.ankara.edu.tr\/dentures\/wp-content\/uploads\/sites\/29\/2024\/03\/10-11-350x232.jpg 350w, https:\/\/ekitap.ankara.edu.tr\/dentures\/wp-content\/uploads\/sites\/29\/2024\/03\/10-11.jpg 1654w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><figcaption id=\"caption-attachment-391\" class=\"wp-caption-text\"><strong>Figure 10-11.<\/strong> Irritation areas on the tissues supporting the prosthesis.<\/figcaption><\/figure>\n<p>The fabrication of a new prosthesis is delayed until the oral tissues can be returned to a healthy state; when it is thought that the cause is a systemic disorder, the patient is told that the complaints will recur in the new prosthesis when the prosthesis is made without treating the disease.<\/p>\n<p>Establishing a quality home care program right away should be the first step in the treatment process. Home care recommendations include using a prescribed saline solution to rinse the mouth three times a day, using a soft toothbrush to massage the palate, tongue, and remaining ridge areas, taking off the prosthesis at night, and following a prescribed high-protein, low-carb diet and therapeutic multiple vitamin regimen.<\/p>\n<p>Tissue healing materials are also used to heal damaged tissues; they remain soft enough to allow the tissues to heal and take their normal and healty shape, and they massage the mucosa, allowing a balanced distribution of occlusal forces.<\/p>\n<p>When using tissue healing materials, it is necessary to reduce the occlusal conflict of old prostheses; extending denture bases to proper form to enhance support, retention, and stability; relax the tissue surface of the prosthesis to provide an even distance to the material; apply enough material to provide support and cushioning; and replace the material in 4-7 day cycles until the tissues are completely healthy. Usually three or four exchanges and a recovery period of 3-4 weeks is sufficient.<\/p>\n","protected":false},"author":3,"menu_order":2,"template":"","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"_uf_show_specific_survey":0,"_uf_disable_surveys":false,"pb_show_title":"on","pb_short_title":"","pb_subtitle":"","pb_authors":[],"pb_section_license":""},"chapter-type":[],"contributor":[],"license":[],"class_list":["post-392","chapter","type-chapter","status-publish","hentry"],"part":365,"_links":{"self":[{"href":"https:\/\/ekitap.ankara.edu.tr\/dentures\/wp-json\/pressbooks\/v2\/chapters\/392","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ekitap.ankara.edu.tr\/dentures\/wp-json\/pressbooks\/v2\/chapters"}],"about":[{"href":"https:\/\/ekitap.ankara.edu.tr\/dentures\/wp-json\/wp\/v2\/types\/chapter"}],"author":[{"embeddable":true,"href":"https:\/\/ekitap.ankara.edu.tr\/dentures\/wp-json\/wp\/v2\/users\/3"}],"version-history":[{"count":10,"href":"https:\/\/ekitap.ankara.edu.tr\/dentures\/wp-json\/pressbooks\/v2\/chapters\/392\/revisions"}],"predecessor-version":[{"id":1744,"href":"https:\/\/ekitap.ankara.edu.tr\/dentures\/wp-json\/pressbooks\/v2\/chapters\/392\/revisions\/1744"}],"part":[{"href":"https:\/\/ekitap.ankara.edu.tr\/dentures\/wp-json\/pressbooks\/v2\/parts\/365"}],"metadata":[{"href":"https:\/\/ekitap.ankara.edu.tr\/dentures\/wp-json\/pressbooks\/v2\/chapters\/392\/metadata\/"}],"wp:attachment":[{"href":"https:\/\/ekitap.ankara.edu.tr\/dentures\/wp-json\/wp\/v2\/media?parent=392"}],"wp:term":[{"taxonomy":"chapter-type","embeddable":true,"href":"https:\/\/ekitap.ankara.edu.tr\/dentures\/wp-json\/pressbooks\/v2\/chapter-type?post=392"},{"taxonomy":"contributor","embeddable":true,"href":"https:\/\/ekitap.ankara.edu.tr\/dentures\/wp-json\/wp\/v2\/contributor?post=392"},{"taxonomy":"license","embeddable":true,"href":"https:\/\/ekitap.ankara.edu.tr\/dentures\/wp-json\/wp\/v2\/license?post=392"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}