Effect of a denture adhesive on the satisfaction and kinesiographic parameters of complete denture wearers: a cross-over randomized clinical trial.

Danny Omar Mendoza Marin,Marco Antonio Compagnoni,Andressa Rosa Perin Leite,Ana Carolina Pero,André Gustavo Paleari,Norberto Martins de Oliveira Junior,Larissa Santana Rodriguez

doi:10.1590/0103-6440201302409

Danny Omar Mendoza Marin, Marco Antonio Compagnoni + Show 5 more

Open Access

https://doi.org/10.1590/0103-6440201302409

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Abstract

The aim of the present study was to assess the effect of a denture adhesive (DA) on patient satisfaction and kinesiographic parameters of complete denture wearers by a cross-over study. Fifty edentulous patients received a set of new complete dentures. After an adaptation period, the participants were enrolled in the trial and randomized to receive a sequence of treatment protocols: Protocol 1- DA use during the first 15 days, followed by no DA for the next 15 days; Protocol 2- no DA during the first 15 days, followed by use of DA for the next 15 days. Outcomes were assessed after 15 days of each sequence of treatment. A questionnaire was used to assess the patients' satisfaction. A kinesiograph was used to record mandible movements and patterns of maxillary complete denture movement during chewing. The Wilcoxon test (α=0.05) and a paired sample t-test (α=0.05) were used to compare satisfaction levels and kinesiographic data, respectively. Use of DA improved the overall level of patient satisfaction (p<0.001). The kinesiographic recordings revealed a significant increase (1.7 mm) in vertical mandible movements (p<0.001) during chewing and a lower (0.3 mm) vertical intrusion of the maxillary complete dentures (p=0.002) during chewing after using the DA. Use of DA in complete denture wearers improved the patients' satisfaction and altered mandible movements, with increases in vertical movements during chewing and less intrusion of maxillary complete dentures.

Highlights

The rate of edentulism has been falling over the past 30 years, there are still many countries with a large number of edentulous patients who are in need of treatment by complete dentures [1]
The aim of the present study was to assess the effect of a denture adhesive (DA) on the denture satisfaction and kinesiographic parameters of edentulous individuals, wearing well-fitting complete dentures, by means of a cross-over randomized clinical trial
A questionnaire was used to identify the patients satisfaction and a kinesiographic assessment was performed by a cross-over randomized clinical trial, to determine the effectiveness of DA in patients with new well-fitting complete dentures, after a 1-month period of adaptation

Summary

Introduction

The rate of edentulism has been falling over the past 30 years, there are still many countries with a large number of edentulous patients who are in need of treatment by complete dentures [1]. Implant-supported prostheses or retained by osseointegrated implants are treatment options for many edentulous patients, improving their satisfaction, function, comfort and quality of life with the dentures [2]. For most edentulous patients, the main treatment option involves conventional complete dentures, which are esthetically acceptable [3] and have a lower cost than other treatments. Many complaints are reported by patients who use these prostheses, especially with mandibular dentures, including problems of retention and instability, chewing difficulties, and low confidence, quality of life and satisfaction [4,5]

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