COMPLETE DENTURE CASE HISTORY

PREPARED BY : ASHMINA KOIRALA

SUBMITTED TO : Dr. SMRITI NARAYAN THAKUR
 PERSONAL INFORMATION :
Opd no :
Name : Ananda prasadh sapkota
Age/sex : , 84 male
Address : Harkapur , gaidakot -7 , nawalparasi
Occupation : labour
Marital status : Married
Phone no : 9867280436
Chief complaint :
Patient complains of difficulty in chewing due to
breakage of previous denture since 1 month .

History of present illness :

Not associated with pain , soreness , swelling and
difficulty in speech .
 GENERAL CONSTITUTION : light
MEDICAL HISTORY : No any significant disease
DENTAL HISTORY :
Edentulous since : Eighteen years
Previous dentures no : one since seventeen years
Previous denture type : removable complete
denture of both jaws .
Why teeth were lost : dental caries
Past dental experience : uneventful
 DIET AND PERSONAL HISTORY :
Diet : vegetarian
Oral hygiene habits : brushes once daily , mouth rinse after
meal .
Other habits : no any adverse habits .

SOCIO-PSYCHOLOGICAL STATUS :
Marital status : married .
Family status : middle class .
Education status : uneducated
Mental status : philosophical
Patients expectations : functions
EXTRA ORAL EXAMINATION :
Examination of face :
Form : tapering
Profile : normognathic
Symmetry : symmetrical
Facial height : normal
Complexion :
1. Face : dark
2. Eye : black
3. Hair : white
 Lip :
1. Type : thin
2. Contour :adequately supported
3. length : 10 mm
4. Mobility : bilateral class 1 in upper and lower
arch .
5. Nasolabial fold : depressed
6. Mentolabial sulcus : non prominent
 Neuromuscular evaluation :
Muscle of mastication / muscle of facial
expression: no any abnormalities detected
Speech : normal
Facial muscle tone : class 1
Co-ordination : good

TMJ Examination : bilaterally symmetrical

condylar movements with no any deviation ,
deflection, pain and clicking sounds .
 Arch size : medium
Arch form : oval
Ridge form :
Maxillary :class 1
Mandibular :class 3

Ridge relation :
Ridge parallelism :
Interarch space :
Bony defects /irregularities and locations :
Bony undercut :
 Tori : not present.
Retained root piece : not present
Palate :
Palatal vault : U shaped
Incisssive papilla : normal
Rugae : normal
Midpalatal area : rigid
Soft palate : class 1
Palatal sensitivity : normal
 Maxillary tuberosity : normal
Denture bearing mucosa :
Condition : healthy
Compressible
Mucosal thickness : class 1

Lip /cheek mucosa : no any abnormalities detected

 Tongue : class1
Position : normal
Movement : co-ordinated
Mucosa : normal
Lingual frenum : normal

Floor of the mouth : no any abnormalities detected

 Lateral throat form : class 1
Frenal attachment :
Maxilla close to crest
Mandible normal

Saliva : class 1
 NOT REQUIRED
 Edentulous arch on maxilla and mandible
 Fabrication of complete denture with respect to
maxilla and mandible .