Abstract
BackgroundThe purpose of this study was to compare the satisfaction of patients regarding retention, stability and accumulation of particles with a randomized, double-blind crossed method in users with complete dentures with and without adhesive.Material and MethodsSeventeen edentulous individuals were randomized and received new upper and lower complete dentures. After a period of adaptation, they participated in some masticatory tests and clinical revisions, after use the protheses with and without the use of two denture adhesives: Adhesive A (Fittydent, Fittydent International GmbH) and adhesive B (Corega, GlaxoSmithKline) at 0, 7 and 14 days. Satisfaction was measured immediately after each test through a survey using a VAS scale (0-10) and data were analyzed with McNemar’s test with Bonferroni correction.ResultsThe results showed significant differences (p<.01) between the study groups with adhesive A - B and the group without adhesive, but no significant differences were found between the two stickers for any of the variables studied.ConclusionsComplete denture adhesives significantly improved the satisfaction of patients because a better retention, stability and less accumulation of particles of the food substitute between the denture and the mucosa is obtained compared with non-use of complete denture adhesives. Key words:Complete dentures, patient satisfaction, denture adhesives, clinical trials.
Highlights
IntroductionThere are numerous alternatives of implant treatment for edentulous patients (EP) with good aesthetic and functional results, providing a higher quality of life [1,2,3,4,5,6], but still, in certain circumstances the indication of a conventional complete denture (CD) as in the case of elderly multimedicated people with tumoral diseases [7,8], with xerostomia, patients with hormonal and neurotransmitter changes and disorders that affect muscle tension such as Parkinson disease, myasthenia gravis, muscular dystrophy, and buccolinguofacial dyskinesia [9,10,11]
The composition of the insoluble CDAs is a mixture of salts of polymers such as carboxymethyl cellulose (CMC) and polyvinyl ether Methyl Cellulose (PVMMA) [12,22,27] whose action mechanism is achieved primarily by an increase in the adhesive and cohesive properties, increasing the viscosity between the complete denture (CD) and oral mucosa, helping to reduce the movement [27,28,29] of the prosthesis, achieving a better function and masticatory efficiency reflecting greater patient satisfaction [8,12,21,28,29,30]
The null hypothesis was that the use of CDAs does not increase the patient satisfaction regarding the evaluation of the retention stability and accumulation of particles of the CDs
Summary
There are numerous alternatives of implant treatment for edentulous patients (EP) with good aesthetic and functional results, providing a higher quality of life [1,2,3,4,5,6], but still, in certain circumstances the indication of a conventional complete denture (CD) as in the case of elderly multimedicated people with tumoral diseases [7,8], with xerostomia, patients with hormonal and neurotransmitter changes and disorders that affect muscle tension such as Parkinson disease, myasthenia gravis, muscular dystrophy, and buccolinguofacial dyskinesia [9,10,11]. Dentists evaluate prosthesis using default criteria for the success based on the technique, these rules usually do not take into account individual needs and attitudes of patients and their expectations regarding CDs [28,29,30,35] The objective of this trial was to compare subjectively through a questionnaire, the feeling of retention, stability and accumulation of particles below the denture among patients with CDs without adhesive (WA) and with two CDAs (adhesive A (Fittydent; Fittydent International GmbH, Pinkafeld, Austria) (AA) or adhesive B (Corega, GlaxoSmithKline, Philadelphia, PA) (BA)). Conclusions: Complete denture adhesives significantly improved the satisfaction of patients because a better retention, stability and less accumulation of particles of the food substitute between the denture and the mucosa is obtained compared with non-use of complete denture adhesives
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