Comparing the effect of three denture adhesives on the retention of mandibular complete dentures for diabetic patients (randomized clinical trial)

Eman Mostafa Ahmed Ibraheem,Ahmed Mostafa Esmat El-Sisy

doi:10.1186/s42269-019-0052-7

Eman Mostafa Ahmed Ibraheem, Ahmed Mostafa Esmat El-Sisy

Open Access

https://doi.org/10.1186/s42269-019-0052-7

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Abstract

ᅟᅟᅟRetention is an important parameter in the success of the prosthodontic treatment. Retention depends upon numerous factors such as physical, physiological, psychological, mechanical, and surgical factors. Denture adhesives increase the retention and stability of complete dentures. Denture adhesives have many indications such as immediate dentures, flat ridges, and patients with xerostomia and poor muscle control.Aim of studyThe present in vivo clinical study evaluates whether the adhesives used are truly effective to improve the mandibular complete denture retention for low well-rounded mandibular ridges in controlled diabetic patients.Materials and methodsAn in vivo clinical study is made of 30 male completely edentulous patients with low well-rounded mandibular ridges with an age group of 50–70 years were selected. All patients were controlled diabetic type 2. New complete dentures were constructed for them. The universal testing machine was used to measure forces required to dislodge the dentures. Retention of mandibular complete dentures was measured without adhesive and with the use of three types of denture adhesives after adaptation period of 1 month. A paste type (Fittydent) and two cream types (Protefix and Corega) were used. The average records after 15 min, 1 h, and 2 h were recorded.Results and conclusionThis study revealed that denture adhesives increase retention of complete dentures. Fittydent adhesive paste was more effective in improving the retention than Protefix and Corega adhesive creams. Therefore, denture adhesives improve patient satisfaction.

Highlights

Adequate retention constitutes an elementary and main quality for satisfying the patient with the complete dentures (Al- Abdulla & Khamas, 2009)
This study revealed that denture adhesives increase retention of complete dentures
The mean and standard deviation of measurements of dislodgement forces of a poorly fitted mandibular complete denture without a denture adhesive and at various time intervals with the use of the denture adhesives (Table 1) (Al- Abdulla & Khamas, 2009) revealed that the mean of dislodgement forces was increased with the use of the denture adhesives and the denture adhesives showed an Fittydent adhesive paste

Summary

Introduction

Adequate retention constitutes an elementary and main quality for satisfying the patient with the complete dentures (Al- Abdulla & Khamas, 2009). The retention of complete dentures may be influenced by a number of variables classified by Hardy and Kapur (1958) as physical, physiological, psychological, mechanical, and surgical factors. Improving retention and stability of dentures is of a substantial attention in dental prosthesis (Hardy & Kapur, 1958). Patients should be instructed about the correct use of adhesives as a part of denture post-delivery instruction (Figueiral et al, 2011). The increased stability and retention allow denture patients to increase the force exerted during mastication, Ibraheem and El-sisy Bulletin of the National Research Centre (2019) 43:24 which results in less chewing strokes to reach the swallowing stage. The use of denture adhesives provides a cushioning effect that helps to distribute the occlusion forces over the denture-bearing areas, thereby minimizing local pressure points (Yadav & Yadav, 2005)

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