Denture Age Research Articles

Self-perceived oral health

Aim: This study aimed to investigate the relationship between self-perceived oral health and the prosthetic status of individuals who seek care in prosthodontics clinics. Methods: Self-perceived oral health was analyzed through the Geriatric Oral Health Assessment Index (GOHAI). Abutment tooth mobility was assessed, and denture status was determined by clinical assessment of stability, retention, occlusal balance, vertical dimension, and integrity of dentures. The frequency of individuals in each variable was determined for the low and very low GOHAI conditions. Chi-square, Pearson, and stepwise logistic regression tests were used for the statistical analyses (α = 0.05). Results: Ninety wearers of removable dentures with a mean age of 55.1±9.1 years were evaluated. None of the variables was related to GOHAI values (p > 0.05). The regression analysis showed that age predicts (p = 0.006) the variation of GOHAI conditions (OR = 0.924, CI = 0.873- 0.978), showing only 7.6% protective effect against very low GOHAI. Unsatisfactory stability showed the opposite effect (p = 0.034) and the individuals with this characteristic are more likely (OR = 3.055) to have very low GOHAI scores (CI = 1.085- 8.602). Conclusions: The self-perceived oral health of wearers of removable dentures worsens with age and unsatisfactory stability of dentures.

Conventional maxillary denture versus maxillary implant-supported overdenture opposing mandibular implant-supported overdenture: Patient's satisfaction.

This study sought to determine the impact of age, gender, and use of maxillary implant-supported overdenture (UISOD) versus conventional denture (CMD) opposing mandibular implant-supported overdenture (LISOD) and the number of years the patient has used their prosthesis on the ratings of satisfaction. This study aimed to assess the long-term influence of different factors on patients'satisfaction with LISODs needing a maxillary prosthesis, helping dentists choose a treatment pathway that leads to a higher satisfaction rate. This cross-sectional study included 84 participants. They were treated with LISOD opposing either CMD or UISOD from 2015 to 2020. They were all eligible to participate in the study. An oral health impact profile (OHIP-14) questionnaire was given to each patient and filled out by them. OHIP-14 scores were gathered and went under statistical analysis with PASS-11 software to determine the relationship between patients'satisfaction with the scores. Age and gender had no significant influence on how satisfied patients were. Patients with maxillary overdentures showed more satisfaction than the CMD group (p < .05). Moreover, patients'satisfaction decreased with increasing years of prostheses usage (p < .05). This study demonstrated that satisfaction is related to the type of maxillary prosthesis (conventional or implant-supported) used opposing LISODs and the number of years the patient had used the prostheses.

Denture Stomatitis and Candida albicans in the Indian Population: A Systematic Review and Meta-Analysis.

Denture stomatitis (DS), a common oral condition among denture wearers, is frequently associated with Candida albicans (C. albicans) colonization. This systematic review and meta-analysis aimed to provide a comprehensive assessment of DS prevalence and its relationship with C. albicans in the Indian population. We conducted a thorough search of multiple databases for studies without any limitation to the publication timeframe, using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Eligible studies were assessed for quality and included in the meta-analysis. Data regarding DS prevalence, risk factors, and C. albicans colonization were extracted and analyzed. A total of four studies comprising 415 participants were included in the review. The overall odds ratio (OR) and risk ratio (RR) for the prevalence of C. albicans in DS patients were 0.75 (95% CI 0.56 to 0.99) and 0.83 (95% CI 0.70 to 1.00), respectively, indicating a statistically significant association between DS and C. albicans colonization. Several risk factors, including continuous denture wearing, advanced denture age, poor denture hygiene, and high sugar intake, were identified as contributing to DS development. This systematic review and meta-analysis highlight the substantial burden of DS and its association with C. albicans colonization in the Indian population. The findings emphasize the need for comprehensive oral care, improved denture hygiene, dietary counseling, and interventions to enhance salivary flow in denture wearers to mitigate the risk of DS. These insights can inform healthcare providers and policymakers to develop targeted strategies for DS prevention and management in India.Furthermore, this study emphasizes the significance of oral health awareness and preventive strategies in groups with a high frequency of denture usage in a larger population.

Clinical profile of oral mucosa lesions in elderly patients: a 20-year retrospective study.

BACKGROUND: Life expectancy has considerably increased resulting in population aging. Studies evaluating the outcomes of aging in oral health are scarce.&#x0D; OBJECTIVE: Evaluate retrospectively the profile of elderly patients from a public Oral Medicine Center during a period of 20 years.&#x0D; METHODS: A qualitative and quantitative retrospective observational study was conducted analyzing medical records from an oral medicine service from January 1994 to December 2014. Results were reported as mean ± standard deviation for quantitative variables and percentages for categorical variables. The Chi-square test and multivariate binary logistic regression were performed when necessary to a significance level of 5%.&#x0D; RESULTS: 2,690 medical records were retrieved, comprising of 61% women and 39% men with an average age of 68.8 ± 6.79 years. Xerostomia was significantly associated to female gender, hypoglycemic usage, antihypertensive usage, psychotropic usage, and analgesics and anti-inflammatory usage. As for candidiasis, an association with age, alcohol consumption, and use of complete dentures was found.&#x0D; CONCLUSION: A longer life expectancy should be accompanied by a long-term care follow-up of the population. Diseases and side effects related to the elderly are going to be more common. Therefore, dental care services should aim to prevent and treat these complications as way to improve the elderly’s quality of life.

Prevalence and Risk Factors of Denture Induced Stomatitis in Denture Wearers Attending Khanzad Dental Teaching Center in Erbil city

Background: Denture induced stomatitis often referred to as denture sore mouth and prosthetic stomatitis, denotes inflammation of the oral mucosa, particularly the palatal mucosa that are in close contact with the denture base.&#x0D; Objective: To evaluate the prevalence and risk factors of denture induced stomatitis in complete denture wearers attending Khanzad Teaching Dental Center.&#x0D; Patients and Methods: This study included one hundred consecutive upper denture wearers from prosthetic department in Khanzad Teaching Dental Center , the age range of the patients was 39-85 years .Different factors such as age, gender, denture age ,wearing time and hematinic parameters investigated and recorded .The diagnosis of denture stomatitis was done by clinical examination .The data entered and analyzes by (SPSS software version 25).&#x0D; Results: The prevalence of denture stomatitis was 20%. Non significant relashionship in the prevalence of denture stomatitis with age, gender, denture age, wearing time , type of denture and heamtinic deficiency.&#x0D; Conclusion: Because denture stomatitis is the most prevalent inflammatory reaction that affects denture wearers and is typically asymptomatic, it is better to schedule a routine dental check for them to allow early detection of any abnormalities to treat it and the choice of treatment depends on the cause of change. in many denture wearers the removal of traumatic as well as maintaining good oral hygiene and hygiene of dentures produce positive outcomes.

Prevalence and Risk Factors of Denture Induced Stomatitis in Denture Wearers Attending Khanzad Dental Teaching Center in Erbil city

Background: Denture induced stomatitis often referred to as denture sore mouth and prosthetic stomatitis, denotes inflammation of the oral mucosa, particularly the palatal mucosa that are in close contact with the denture base. Objective: To evaluate the prevalence and risk factors of denture induced stomatitis in complete denture wearers attending Khanzad Teaching Dental Center. Patients and Methods: This study included one hundred consecutive upper denture wearers from prosthetic department in Khanzad Teaching Dental Center , the age range of the patients was 39-85 years .Different factors such as age, gender, denture age ,wearing time and hematinic parameters investigated and recorded .The diagnosis of denture stomatitis was done by clinical examination .The data entered and analyzes by (SPSS software version 25). Results: The prevalence of denture stomatitis was 20%. Non significant relashionship in the prevalence of denture stomatitis with age, gender, denture age, wearing time , type of denture and heamtinic deficiency. Conclusion: Because denture stomatitis is the most prevalent inflammatory reaction that affects denture wearers and is typically asymptomatic, it is better to schedule a routine dental check for them to allow early detection of any abnormalities to treat it and the choice of treatment depends on the cause of change. in many denture wearers the removal of traumatic as well as maintaining good oral hygiene and hygiene of dentures produce positive outcomes.

Frequency and Causes of Fracture of Acrylic Resin Complete Dentures in Edentulous patients

Background: The rehabilitation of edentulous patients requires acrylic resin complete dentures to fulfil their functional and esthetic needs. Fractures of dentures are one of the commonest complaints around the world. Aim: To evaluate the frequency of acrylic complete denture fractures among edentulous patients and find out their association with certain variables. Methodology: A cross sectional observational study was carried out in Prosthodontic department of Lahore Medical and Dental College, Lahore from 26th March 2020 to 26th September 2021. A total of 58 completely edentulous patients reported with fractured acrylic dentures were selected. Patients were evaluated both intra and extra orally to find out the cause and site of fracture. Various parameters namely, denture age, fracture sites, gender were statistically evaluated to find out their relationship with denture fracture. Results: Results showed that male patients; 56.9% were presenting more with fractured dentures than female; 43.10%. In males the midline denture fractures were most commonly seen 45.5%, whereas in females’ fracture at premolar area was commonly observed 28.0% however no statistical dependance between fractured dentures sites and gender was found. Denture fractures were most prevalent in mandibular arch 50% as compared to maxillary 39.7%. Mid line fracture was the commonest site observed in both maxillary 30.4% and mandibular arches 31.0%. Insignificant association between fracture sites and dental arches was seen. Maximum denture fractures were recorded in first 2 years of denture fabrication 55.2%. The most frequent cause of denture fracture was accidental falling 34.5%. Conclusion: The frequency of complete denture fracture is more in mandible as compared to maxilla and the main reason is patients’ negligence. The study also showed midline fracture of dentures to be the most frequent site of denture fracture. Keywords: Acrylic dentures, Complete dentures, Edentulism, Edentulous, Prosthesis, Tooth loss,

Prevalence and Distribution of Denture Induced Oral Mucosal Lesions among patients Managed In Lahore Teaching Hospital

Background: Oral mucosal lesions commonly develop in denture wearers and are abnormal changes in mucosal colour, texture, ulceration, edema and hyperplasia. They greatly affect the quality of a patient’s life as they have impact on swallowing, speech and mastication with symptoms of burning, pain and irritation. Aim: To find out prevalence, pattern and distribution of most commonly observed oral mucosal lesions in patients wearing removable dentures and their association with age, gender, denture age, nocturnal use and denture hygiene habits. Study design: A cross sectional; observational study Place and duration: Lahore Medical and Dental College from3rd April till3rd July 2021. Methodology: Hundred partially and completely edentulous patients of both genders were included in the study. The age ranged of the patients was between 30 to 80 years. It was a cross sectional observational study. Non probability purposive sampling was used to select the patients. Patient wearing complete or partial dentures in both arches or single arch for at least three months were included. The clinical examination was carried out and depending on clinical appearance of mucosa the diagnosis of denture induced mucosal lesions was made i.e., denture stomatitis, traumatic ulcers and hyperplasia Results: Out of 100 patients 40.0% had no mucosal lesions associated with dentures whereas 60% patients presented with lesions. Out of all the lesions the most frequently reported lesion was the traumatic ulcer 45%, followed by denture induced hyperplasia 10%. Denture stomatitis was 3% and angular cheilitis was least reported in our patients 2%. 36% patients clean their dentures regularly and 64% patients do not clean their dentures or being irregular, Night wearing of the prosthesis was found in 54% patients whereas 46% never wore dentures while sleeping. Conclusion: The prevalence of oral mucosal lesions with complete or partial removable dentures were 60% reported in our patients and traumatic ulcers were the frequently observed lesion. Furthermore, significant association of all lesions with factors like patient’s age, duration of denture use, nocturnal wearing and denture hygiene was found. Keywords: Angular cheilitis, Complete Dentures, Denture Stomatitis,Denture related lesions, Edentulism, Hyperplasia

Denture Hygiene Habits among Elderly Patients Wearing Complete Dentures

Aim: To determine the denture cleaning routine and habits in complete denture wearers according to cleaning frequency, patient age and life of dentures. Methods: In this cross-sectional study, a self-administered questionnaire was designed to learn about patient’s attitudes toward denture cleanliness in the Prosthodontics department. A detailed questionnaire was applied for total 130 patients visiting the Department of Prosthodontics in the Rehmat memorial postgraduate hospital Abbottabad for follow-up care. Data was recorded and analysed by using SPSS version 15.0 for results. Results: Total 130 participants including 90 males (69.3%) and 40 females (30.7%). 48.6% of participants clean their dentures every day, 32.9% once a week, and 18.5 % only occasionally. The highest percentage is seen in Group 1, which is 41.2%. Approximately 77% of Group 2 participants clean their dentures at least once a week, including both daily and once-a-week denture wearers. 71 individuals had been wearing dentures for 3-5 years. 41.2% of them clean their dentures every day, while 58.6 percent clean them twice a week. 6-8 years denture wearers do not clean them on a regular basis. Most patients 42% use only water, while 30% use a combination of water and a toothbrush. Around 20% of participants used soap and water, but only 8% of denture wearers utilised cleansing tablets in addition to water. There was significant difference among all groups (P=0.001). Conclusion: In this study it has been observed that full denture patients have trouble cleansing their dentures. A lack of regular cleaning practises and decreased use of cleaning solutions is the primary cause of poor denture hygiene among the seniors. Dentists should educate patients regarding optimal denture maintenance and materials used for cleaning verbally and in written form. Keywords: Denture Complete Denture hygiene, cleansing Habits, Denture cleaning solution.

Evaluation of the effects of the COVID-19 pandemic on dentistry.

ObjectivesThe aim of this study is to evaluate dentists' working conditions and the policies implemented for dentistry during the COVID‐19 pandemic. In addition, effects of working in private practice or governmental practice in terms of pandemic are also evaluated in the manuscript.MethodsA questionnaire was prepared to elicit dentists' working conditions during the pandemic and analyze and evaluate the policies implemented for dentistry. The questionnaires were sent to the dentists registered in the Turkish Dental Association (TDA) via e‐mail, and collected between September 30, 2020, and October 20, 2020. Descriptive statistical methods, validity and reliability analysis, and regression analysis were applied for data analysis.ResultsSeven hundred thirty‐four dentists registered in the Turkish Dental Association took part in the study. 47% of respondents examined five or fewer patients per day during the pandemic. Dentists working in private practice examine more patients per day during the pandemic. 80.8% of the respondents experienced anxiety while examining patients during the pandemic. While the dentist's anxiety level increased with increasing the number of patients examined per day (β: 0.399), it decreased with increasing the dentist's age (β: −0.065). Respondents were not satisfied with the pandemic's management, with the decisions taken regarding dentistry, and with the supports provided to the dentists. 85.8% of the respondents were concerned about their professional future, which is higher among dentists who work in governmental practice (p < 0.05, ANOVA).ConclusionsIncreasing dentists' representation in the management of the pandemic and the future policy‐making process, taking steps for the future by creating planning processes will eliminate the uncertainties and dissatisfaction and ensure to be ready for new pandemics.

Influence of lightness difference of single anterior tooth to smile attractiveness.

To evaluate the influence of lightness difference of a single anterior maxillary tooth on difference smile attractiveness. A frontal view full-portrait image of a smiling male Caucasian, was digitally modified altering a single tooth, creating a series of images with varying lightness (ΔL) for the maxillary central, lateral and canine. A total of 160 participants (80 dentists, 80 laypersons) were asked to fill out a Visual Analog Scale questionnaire for every image recording smile attractiveness. For central incisors ΔL≥1 negatively affected attractiveness. There was a higher tolerance for lightness mismatch when one lateral incisor is lighter and the same applies when the canine was darker. Difference in lightness affected smile attractiveness both for dentists and laypersons. No difference between males and females was observed for the dentists. For laypersons, females perceived smiles with lightness difference as significantly less attractive compared to males. Dentist's age did not affect smile attractiveness perception. Younger laypersons perceived darker color, as less attractive. Changes in lightness of a single anterior tooth significantly affected smile attractiveness in a different way for the central vs lateral vs canine. For the dentists, age and gender did not significantly affect smile perception, in contrast to laypeople. Lightness differences of a single anterior tooth affects smile attractiveness.

Prevalence of Midline Fracture in Mandibular Complete Denture

Patients wearing complete dentures whether both arches or a single mandibular denture pose a great problemof midline fracture. They are more evident in patients who have retained their natural maxillary teeth. Fewreports are available on the incidence of mandibular complete denture and its management. This study aimsto evaluate the prevalence of midline fractures in mandibular complete denture .This study was designed as aretrospective clinical study. All the patients with Complete dentures who have been treated at the departmentof Prosthodontics from June 2019-March 2020 were included in the study. A total of 915 patients wearingcomplete dentures in the age group 40-80 years were included in the study .Various parameters namelymidline fracture , denture age and the arch were evaluated.The data was analysed and results were recorded.In the present study , out of 915 only 11 patients reported with complete denture fractures predominantlywithin 5 years of denture use. Midline fracture was found to be more prevalent in mandibular completedenture than maxillary complete denture.Patients wearing dentures for less than or equal to 5 years hada higher frequency of denture fracture in both maxilla(0.22%) and mandible(0.66%).The prevalence ofmidline fracture in mandibular complete denture was found to be 17.2%.

THE STUDY OF ETIOLOGICAL FACTORS ASSOCIATED WITH DENTURE STOMATITIS IN AN INDIAN POPULATION

Aim: The aim of this study is to find out the possible etiological factors for denture stomatitis (DS) in completely edentulous denture wearing patients by cross-sectional study. Material and Methods: Population for this cross-sectional study consisted of 60 completely edentulous denture wearing patients residing in Ahmedabad, India. Data collection was done by questionnaire, oral examination and denture evaluation. All the data were analyzed using the software SPSS. Qualitative data were analyzed by Chi-square test and quantative data were analyzed by student t test. Results: This study showed 28% prevalence of denture stomatitis (17 out of 60 examined patients) in this study population. Many factors can be associated with DS, but present study showed significant correlation between Continuous denture wearing, Age of denture, Denture hygiene, Candidiasis, Lack of denture stability, Decrease VDO, High sugar intake, Hypo salivation, Low salivary pH. Conclusion: Apart from infection, particularly with C.albicans, denture related factors can also cause denture stomatitis and these prosthetic factors appear to play mainly a traumatic role in the occurrence of DS. Patient should be motivated to practice proper denture wearing habits and maintenance of oral hygiene and follow a program of recall and maintenance for continuous monitoring of dentures and oral tissues. Keywords: Denture stomatitis, Denture hygiene, Retention, Stability, Vertical dimension.

The association between denture care and oral hygiene habits, oral hygiene knowledge and periodontal status of geriatric patients wearing removable partial dentures.

This study aims to evaluate the association of the denture care with oral hygiene habits, knowledge and periodontal status geriatric patients wearing removable partial denture (RPD) and to compare the relationship between denture cleaning and tooth brushing frequency. In total, 553 participants wearing RPD for at least 6 months and aged 65-86 years were asked to complete a questionnaire following the clinical examination. Chisquare analysis and Fisher's exact test utilized to analyze the data. A significant relationship was found between the frequency of smoking, denture age, overnight denture wearing, denture stomatitis and denture cleaning (p<0.05). 54.10% of the participants reporting that they did not have information about denture care had poor denture cleaning. Among patients brushing once per day, 26.34% had a good level of denture cleaning; whereas, this was 39.40% for those brushing three times in a day. The type of advice (verbal or written) and oral hygiene habits demonstrated a more significant impact on the cleaning level of dentures than the socioeconomic level, smoking, overnight use, denture age. The success of denture maintenance might depend on the patients' knowledge of denture care and hygiene habits and geriatric patients' motivation.

Impacts of Denture Retention and Stability on Oral Health-Related Quality of Life, General Health, and Happiness in Elderly Thais.

Purpose This study investigated denture and patient related factors associated with oral health-related quality of life (OHRQoL) of complete denture wearers and their association with general health and happiness. Methods This retrospective cohort study comprised 130 participants with complete edentulism, with maxillary and mandibular complete dentures treated at Chulalongkorn University Dental School during 2010-2017. The primary outcome was the presence of overall and domain-specific Oral Impacts on Daily Performances (OIDP). Secondary outcomes were diagnosed and perceived general health, and happiness. Denture retention and stability were classified as acceptable or unacceptable following the CU-modified Kapur criteria. Five esthetic-assessment criteria of the harmonization and proportions between facial and dental anatomical landmarks were measured from patient's photographs. Age, sex, previous complete denture experience, and denture age were recorded. The associations between each variable and oral impacts were analyzed using bivariate logistic regression, and the factors with p < 0.25 were further adjusted using multivariable analysis. Associations between oral impact scores and general health and happiness were assessed using Spearman's rank correlation. Results The most frequent oral impacts were on physical domain, while social domain was the least affected. Denture retention/stability was significantly associated with both overall and specific domains of oral impact. Happiness was found to be strongly correlated with perceived general health, but marginally with oral impact scores. Conclusions Unacceptable complete denture retention and stability are substantial risk factors for impaired OHRQoL in complete edentulism. Maintaining optimal denture retention and stability in denture wearers is essential for good oral health and well-being with the goal of enhancing happiness.

Faktor-faktor yang berkaitan dengan tingkat perilaku pemeliharaan kebersihan gigi tiruan lepasan akrilik pada lansia di Desa Penatahan Kabupaten Tabanan Bali

Background: Loss of teeth when entering the phase of elderly is the impact of the aging process and can be overcome by using denture. Denture users must have attention of hygiene to prevent adverse impacts that might result from the use of the denture that would be affected by health behavior. Health behavior can be measured from the knowledge, attitudes or responses, as well as the actions of a person. Objective: The objective of study is to understand the level of behavior and associated factors towards the level of the acrylic denture hygiene maintenance behavior in elderly in Penatahan Village, Tabanan Regency, Bali. Methods: Descriptive study with cross sectional design was used as the study method. Sampling technique used was total sampling with total 58 samples. Data were obtained using a questionnaire consisting of 15 questions that were read directly to respondents. The level of denture hygiene maintenance behavior of good, less good, and not good were showed by the score of 56-75, 36-55, and &lt;35, respectively. Correlation between sex, age, education level, and the manufacture of the denture towards the level of the denture hygiene maintenance behavior were also be studied. Results: The result of this research exhibited that respondents conducted good behavior were 6 respondents (10.3%), 24 respondents (41.4%) had less good behavior level, and 28 respondents (48.3%) had a level of not good behavior in maintaining the cleanliness of their dentures, and there is correlation between the level of denture hygiene maintenance behavior with sex, education level, and the manufacture of dentures. Conclusion: The level of the acrylic denture hygiene maintenance behavior in elderly in Penatahan Village, Tabanan Regency, Bali, mostly found is very poor, and there was no correlation between level of the acrylic denture hygiene maintenance behavior and age.

Prevalence and possible predictors of the occurence of denture stomatitis in patients older than 60 years

Background/Aim. Denture stomatitis (DS) is one of the most common oral health problems among elderly population with removable dentures. Despite the high prevalence, etiology of the disease is not completely understood. It appears to be multifactorial, with a predominance of local factors. The aim of the study was to determine the prevalence and risk factors that contribute to the development of DS in upper removable denture wearers. Methods. This clinical study comprised three groups of subjects with upper removable dentures: the DS group, and the positive and negative control groups. Swab samples were taken from the tongue and palatal mucosa for microbiological examination. Data of denture age, dentures night wearing, unstimulated salivary flow rate (USFR) and saliva pH values were evaluated for all the participants. Results. The prevalence of DS was found to be 26.5%. Significantly higher values of overnight wearing (p = 0.000) and the mean age of dentures (p = 0.022) were found in the DS group compared to the controls. In relation to the positive mycological finding, a borderline significance difference among the groups was confirmed (p = 0.053). No significant association was found between DS and gender, age, the type of dentures, USFR, pH of saliva and bacteria findings. The patients who wore dentures at night had 26 times more chances to get DS compared to the patients who did not wear them overnight. Conclusion. This study confirms similar characteristics of DS prevalence in elderly population of Vojvodina compared to European. Continuous (overnight) wearing of dentures is considered to be major direct risk factor for DS development, while secondary role is attributed to denture age and oral Candida infection.

Mini dental assessment: a simple screening test for non-dental staff.

The objective of this study was to develop a simple tool for the assessment of possible dental treatment needs (DTN) for non-dental professionals (Mini Dental Assessment, MDA). To keep the assessment universal, we aimed to base it on the patient's history and a simple chewing efficiency test (CET) as the dental status is a known determinant for chewing efficiency. The assessment was developed using data from 169 patients from two sites (University Hospital Giessen, St. Bonifatius Hospital Lingen, both Germany). In all patients, a dental examination was performed, the denture status was evaluated (based on the California Dental Association criteria; CDA criteria), and the DTN was determined. In addition, the time since the patient's last visit to a dentist (TLVD) and denture age (DA) were assessed. Furthermore, a CET was carried out and the comminution score was determined (CETS). In total, 108 patients required dental treatment. The mean value (±SD) was 2.9±0.9 score points for the DTN, 2.5±3.8years for the TLVD, and 10.8±8.9years for the DA. There was a significant correlation (Spearman, P<.05) between the DTN and degree of comminution (3.4±1.8). Based on the results of the statistical analysis, the intended assessment tool was developed using the variables CETS, TLVD, and DA weighed by their respective regression coefficients (10:3:1). Subsequently, the resulting MDA score (51.32±28.14) was calculated. A sensitivity/specificity analysis was conducted and a receiver operating characteristic curve was calculated (SPSS 17.0, area under curve 0.805; 95% CI 0.738-0.873). It can be concluded that the dental status of elderly patients is reflected in the outcome of the MDA. However, ongoing validation is needed. DRKS00003219.

EVALUATION OF DENTURE-RELATED FACTORS PREDISPOSING TO DENTURE STOMATITIS IN A LEBANESE POPULATION.

Background:Denture stomatitis is a common fungal oral infection of multifactorial etiology. Denture-related factors such as denture’s age, hygiene, night wearing and colonization by Candida albicans are known to predispose to denture stomatitis. The aim of this study was to evaluate these factors and their relationship with the occurrence of denture stomatitis in a Lebanese population.Material and methods:Sixty patients (40 women, 20 men; age range 40-80 years) showing clinical evidence of denture-related stomatitis were selected for this study. Swab samples from the palate and the palatal surfaces of the upper dentures of these patients were collected and examined mycologically. Denture’s age, hygiene, night wearing and colonization by Candida albicans were evaluated and analyzed statistically.Results:The statistical analysis showed a significant role for denture’s hygiene, night wearing, and colonization by Candida albicans in the installation of the denture stomatitis. Patient’s gender and age, as well as the denture’s age, were not significant predictors of the disease.Conclusion:In a sample of Lebanese population, poor denture hygiene, continuous denture use, and Candida denture colonization are important etiological factors that contribute to denture stomatitis.

Association of edentulousness and removable prosthesis rehabilitation with severity of signs and symptoms of temporomandibular disorders.

There are very few studies concerning the role of denture status in temporomandibular disorders (TMDs) and those show conflicting results. To evaluate the association of edentulousness and removable prosthesis rehabilitation with severity of TMD signs and symptoms. Data were collected from 2000 subjects reporting for dental treatment, above 30 years of age. The subjects were interviewed with a questionnaire and clinically examined for TMD on basis of Helkimo's index. The number of existing teeth, wearing of removable dentures, need for denture repair, and age of dentures was recorded. The association between the TMD findings and recorded variable outcomes was analyzed by means of Chi-square test. Completely edentulous individuals associated more with TMD related findings in incidence and intensity than partially/fully dentate subjects. Complete denture wearers were more associated with TMD symptoms, limited mandibular mobility, muscle tenderness, and pain on mandibular movement. Partial denture wearers were more associated with severely impaired temporomandibular joint function and joint pain. Signs and symptoms of TMD were more prevalent and severe in patients who needed to get their dentures repaired, those wearing dentures more than 5-year-old, and in patients who had not got their dentures repaired during the past 5 years. Edentulousness, complete/partial denture wearing and poor condition of the dentures associate with greater incidence and intensity of TMD associated signs and symptoms.