Abstract
The dental profession has been slow to accept denture adhesive (DA) as a means to enhance denture retention and function which has produced conflicting views both in clinical practice and dental education. Many practitioners view adhesive usage as a reflection of lack of prosthetic expertise and poor clinical skills. A survey was conducted among Nepalese Prosthodontists to explore their attitudes towards DAs. A pre-tested, self-administered anonymous questionnaire consisting of 12 close-ended questions was mailed to the participants. Among all the respondents, 91.7% used DA as a beneficial adjunct to stabilize trial bases in the early stages of denture fabrication. However, only 41.3% of prosthodontists prescribed DA for routine denture patients. Majority of respondents prescribed powder form of adhesives (96.7%). Respondents believed that denture adhesives were helpful in stabilizing trial bases in the early stages of denture fabrication (80%), enhanced the fit of the prosthesis (81.7%) and provided psychologic comfort to the patient (91.7%). They agreed that denture adhesives have the potential to mask pathological tissue changes under ill-fitting dentures (65 %), to permit avoidance of good clinical practice (45%), and to contribute to patients not seeing a dentist for regular follow up visits (61.7%). It was concluded that DAs are a beneficial adjunct to the dentist in the fabrication of dentures. However, enough cautions are required for preventing potential misuses of DAs, by both dentists and patients. The efficient way to optimize the beneficial aspects of DA depends on its rational, selective, and supervised usage.
Highlights
Denture adhesives have been accepted by patients worldwide, dental professionals and prosthodontic educators have been slow to accept their use as a means to enhance denture retention, stability and function.[1,2] The use of denture adhesive (DA) and their role in prosthodontics has produced conflicting viewpoints both in clinical practice and dental education, which has been described as (i) the traditional historical position and (ii) the advocate position
The use of DAs and its role in denture retention is a disputed topic in both clinic practice and dental education. This has raised many conflicting viewpoints among the dentists, which has been described as the traditional historical position and the advocate position
This survey was conducted to investigate the attitude of Nepalese prosthodontics towards the use of DAs, which would help in framing guidance for
Summary
Denture adhesives have been accepted by patients worldwide, dental professionals and prosthodontic educators have been slow to accept their use as a means to enhance denture retention, stability and function.[1,2] The use of DAs and their role in prosthodontics has produced conflicting viewpoints both in clinical practice and dental education, which has been described as (i) the traditional historical position and (ii) the advocate position. The traditional historical position bears a negative attitude toward these products and regarded use of DAs as poor reflection of their clinical skills and a lack of prosthetic expertise.[1,3,4,5] In contrast, dentists who support the advocate position suggest that DAs can enhance prosthetic denture procedures, patient acceptance, and patient satisfaction They suggest DAs can be used to stabilize trial bases for precise jaw relation records and improve the accuracy of the trial dentures during tryin procedure.[4] Besides, they suggest that DAs alleviate patients’ fears with respect to the fit of the final processed denture.[4] advocates feel that additional benefits of DAs included increased stability and retention, reduction in denture mediolateral movement and dislodgment, and greater levels of incisal bite force during function.[6,7,8,9,10,11,12]
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