Prosthodontics & Occlusion · single question
A 70-year-old with controlled hypertension and modest nightly wine intake has worn the same denture for 50 years and now presents with a red, pebbly (papillary) palatal lesion. What should be done BEFORE fabricating a new prosthesis?
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Correct answer: B. Resolve the underlying pathology (e.g., inflammatory papillary hyperplasia/denture stomatitis) first
Soft-tissue pathology such as inflammatory papillary hyperplasia or denture stomatitis (often with Candida) must be treated and the tissues restored to health before recording impressions or fabricating a new prosthesis, otherwise the new denture will be inaccurate and the lesion persists.Other options: Taking impressions or delivering a prosthesis over inflamed, diseased tissue produces a poor result and ignores the pathology.Key exam takeaway: Treat tissue pathology and restore mucosal health before impressions for a new prosthesis.
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