Abstract
Complete edentulous is a condition which a person loses all of his or her natural teeth. The treatment is done by making a complete denture (CD). The parameter of successful treatment is dependent on its use. Patient’s ability to adapt to new CDs is often becomes the problem. If it’s not solved properly, it will impact the oral health and quality of life of the patients, so post-treatment evaluation and control are important. One problem that is widely complained is the retention and stability of lower CD. According to previous studies, the patient's adaptation to CD is related to the condition of dentures, which is a combination of CD’s quality and characteristics of alveolar ridges, so the difference between dentist's evaluation of CD’s quality and patient's subjective assessment could happen due to improper clinical assessment of denture-bearing area, which consists of anatomy of supporting and limiting structures. However, other researches suggest alveolar ridges don’t affect patient acceptance of CDs, so studies in this area are still considered equivocal. The purpose of this study is to determine the influence of anatomy of lower complete denture supporting structures on retention and stability. This study is a descriptive analytic research with clinical examination of lower denture and oral cavity. Total of samples are 30 CD patients those fulfill the inclusion and exclusion criteria. The result of this study based on the Fisher Exact Test showed a significant influence between the anatomy of lower complete denture supporting structures on retention and stability.
Highlights
Kehilangan seluruh gigi atau edentulus penuh adalah suatu keadaan dimana seseorang mengalami kehilangan seluruh gigi aslinya
The treatment is done by making a complete denture (CD)
The patient's adaptation to CD is related to the condition of dentures, which is a combination of CD’s quality and characteristics of alveolar ridges, so the difference between dentist's evaluation of CD’s quality and patient's subjective assessment could happen due to improper clinical assessment of denture-bearing area, which consists of anatomy of supporting and limiting structures
Summary
Lakukan pemasangan tangkai push and pull meter untuk mencapai arah tarikan pada loop yang terdapat pada gigi tiruan rahang bawah. Push and pull meter dipegang dengan telapak tangan lalu tarikan arah vertikal ke atas dilakukan sebagai gaya untuk melepaskan gigi tiruan. Pemeriksaan retensi GTP rahang bawah dilakukan dengan menggunakan push and pull meter. Gigi tiruan yang sudah dipasang loop dengan resin akrilik swapolimerisasi (sedang): 1 (sedang): terdapat resistensi sedang, rocking sedang atau terhadap penarikan pergerakan vertikal dan/atau horizontal 2-4 mm gaya lateral sebesar. Pemeriksaan retensi gigi tiruan dengan push and pull meter terhadap penarikan vertikal dan/atau gaya lateral sebesar 2,5 N atau terlihat nyata atau pergerakan horizontal lebih dari 4 mm Penilaian terhadap stabilisasi gigi tiruan rahang bawah dilakukan dengan meletakkan ibu jari dan jari telunjuk pada permukaan bukal dari gigi premolar, kemudian gigi tiruan digerakkan secara horizontal, anteriorposterior, dan mediolateral.
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