Prosthodontics & Occlusion · single question

A patient is experiencing pain in the lingual region of the anterior teeth due to their removable partial denture (RPD) lingual plate. What is the most appropriate treatment?

  1. Adjust and relieve the lingual plate at the painful area
  2. Completely redesign the RPD
  3. Add acrylic to the lingual plate
  4. Advise the patient that lingual plate discomfort is normal
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Correct answer: A. Adjust and relieve the lingual plate at the painful area

When a patient reports pain from a lingual plate major connector of an RPD, the first and most appropriate step is to adjust (relieve) the area of the lingual plate that is causing pain. This is typically done by selectively grinding the acrylic or metal in the offending area using a pressure-indicating paste to identify contact points. Complete redesign is not warranted for a localized pain issue. Adding acrylic would worsen the impingement. Dismissing the patient's pain is ethically inappropriate.

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