Prospective Clinical Trial Comparing Lin-gualized Occlusion to Balanced Occlusion in Complete dentures: Case Report

Nadira Hatim,Ahmed Alubaid

doi:10.33899/rden.2012.42620

Abstract

Aims: The purpose of this study was to compare patient's satisfaction with two concepts of occlusion for complete denture construction (balanced and lingualized teeth arranging dentures) according to Denture patient satisfaction questionnaire (DPSQ). Materials And Methods: Three completely edentulous patients were selected with uncomfortable previous prosthesis. For each patient, two sets of complete dentures were constructed, one with balanced and the other with lingualized occlusion , then compare the effects and the result after two months which depended on (Denture patient satis-faction questionnaire (DPSQ). Follow up the patients was continued up to one year. Results: Patient satisfactions, speaking ability and jawing ability showed 66.667% of complete dentures with lingua-lized occlusion in relation to the other factors affecting clinical efficiency of complete dentures. Con-clusions: Case report concluded that the lingualized occlusion dentures have more satisfaction, chew-ing ability and comfort while the balanced occlusion dentures are more stable in their place and more esthetic.

Highlights

Occlusion has been described as the most important subject in all branches of dentistry, and for good reason, because the way the teeth come together, and function together, is as important to most of us as it was to our intimates, who lived on diets much more difficult to cope with[1]
Complete dentures can be produced with different types of occlusal forms
Patient satisfactions, speaking ability and jawing ability showed 66.667% of complete dentures with lingualized occlusion

Summary

Introduction

Occlusion has been described as the most important subject in all branches of dentistry, and for good reason, because the way the teeth come together, and function together, is as important to most of us as it was to our intimates, who lived on diets much more difficult to cope with[1]. Complete dentures can be produced with different types of occlusal forms. There is some evidence to suggest that it may be advantageous to provide complete dentures with cusped posterior teeth [2,3,4]. There are many philosophies concerning the most appropriate posterior occlusal forms for conventional complete maxillary and mandibular dentures. Studies comparing various types of complete denture teeth have been conducted for years and have explored outcomes such as masticatory efficiency, occlusal force, and patient preference[5]. A high level of patient satisfaction, when fabricating complete dentures, should be the primary goal in the treatment of edentulous subject and the most important goals of denture fabrication is the restoration of masticatory function. The performance of the denture is largely determined by the degree of retention, stability, and support [6,7]

Methods

Results

Conclusion