Prosthodontics & Occlusion · single question

A 70-year-old patient with controlled hypertension, who drinks half a glass of wine nightly, presents with a red lesion with a 'pebbly' appearance and has worn the same prosthesis for 50 years. What do you do BEFORE redoing a new prosthesis?

  1. Make an initial impression
  2. Resolve the pathological issue
  3. Make a final impression
Show answer and explanation

Correct answer: B. Resolve the pathological issue

  • A. Taking impressions before addressing active pathology risks incorporating/aggravating the lesion and is premature.
  • B. Correct. Any active oral pathology (here, an inflammatory/papillary hyperplastic 'pebbly' lesion likely from chronic ill-fitting denture use) must be diagnosed and resolved BEFORE proceeding with prosthetic treatment.
  • C. Final impressions are even further along in the prosthetic workflow and inappropriate before treating the pathology.

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