Dental OSCE (Objective Structured Clinical Examination) Practice Exam

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If an immediate denture won't seat completely at insertion, what is the recommended course of action if PIP is not an option?

Adjust the denture immediately
Wait 24 hours
Perform a relining
Switch to a complete denture

The correct answer is: Wait 24 hours

In cases where an immediate denture does not seat completely upon insertion and pressure-indicating paste (PIP) cannot be utilized, allowing a waiting period of 24 hours is often the recommended approach. This timeframe allows for potential tissue swelling or adaptation, particularly after extractions, to subside. After the initial healing phase, the practitioner may have a better understanding of the fit and can then evaluate the denture for adjustments more effectively. This strategy also ensures that any immediate post-placement changes in the tissue can be accounted for before making irreversible alterations to the denture. This helps to preserve the integrity of the prosthesis and minimizes the risk of excessive adjustments that may compromise its fit and function. Other options, such as immediate adjustments or relining, could lead to further complications if the tissue anatomy has not stabilized yet.