Complete Denture Treatment Research Articles

Can silver diamine fluoride reduce invasive treatments with general anesthesia?

This study aims to retrospectively evaluate the differences in dental treatments rendered in general anesthesia (GA) for patients who did or did not receive application of silver diamine fluoride (SDF) prior to GA. 1559 patients (≤6 years) who completed treatment with GA for caries at University of California San Francisco (UCSF) between 2015 and 2019 were included in the study. At baseline patients' electronic health record was reviewed to collect planned treatment, complete dental treatment and demographics. Patients were identified as SDF group (N = 335, 21.49%) or comparison (N = 1224, 78.51%). Dental treatments rendered were compared between the SDF and comparison group with multi-variable regression, including variables for demographics and clinical findings at baseline. The initial analysis identified variations in gender, age, dental pain, pulp involvement, and initial treatment plans between the SDF and comparison groups at baseline. In an unadjusted analysis, the SDF group displayed a statistically significant increase in the number of crown procedures but a notable decrease in the number of pulp therapy and extraction treatments completed (p < 0.05). An adjusted multivariable model affirmed the inverse relationship between SDF application and completion of pulp therapy and extractions at the time of GA (p < 0.05). No significant association was identified with the total number of crowns needed and SDF. The model further indicated a positive correlation between the total count of pulp therapy and extractions completed with patient age and the wait-time for GA. In conclusion, pre-GA application of SDF to carious primary teeth is negatively correlated with completed pulp therapy and extraction. SDF application prior to dental treatment with GA may be a valuable tool to reduce invasive dental procedures in GA.

Complete denture treatment in a resorbed mandibular ridge with suction effective method and neutral zone technique using a semi-adjustable articulator: A case report

Complete denture treatment in a resorbed mandibular ridge with suction effective method and neutral zone technique using a semi-adjustable articulator: A case report

Benefits and risks of complete denture therapy in fully edentulous Indian patients.

The perceptions of the patients regarding the benefits and risk of complete denture treatment in completely edentulous patients are of interest. The study composed of 79 participants who presented themselves for complete denture therapy. The perception of the participants towards the complete denture therapy was recorded using a validated questionnaire. The answers of the questionnaire were evaluated in three domains: (1) Benefits (positive perception) of the complete denture therapy' (2) Risks (Negative perception) of the complete denture therapy and (3) Consequences of no treatment. The data were tabulated for descriptive analysis. The average age of the total population was 62.22 ranging from 58 to 80 years. Total population included in the study shows positive perception regarding the complete denture therapy. The benefits of the complete denture therapy show highest score (1817) by all the participants while the risks of the complete denture therapy show lowest score (237). The gender, denture experience and the socioeconomic status had no influence on the perception towards the complete denture therapy. Participants showed positive perception towards the complete denture therapy with highest score in benefits and lowest score for the risks of the complete denture therapy. The perception of the complete denture therapy was not influenced by the gender, denture experience and the socioeconomic status.

Benefits and risks of complete denture therapy in fully edentulous Indian patients

The perceptions of the patients regarding the benefits and risk of complete denture treatment in completely edentulous patients are of interest. The study composed of 79 participants who presented themselves for complete denture therapy. The perception of the participants towards the complete denture therapy was recorded using a validated questionnaire. The answers of the questionnaire were evaluated in three domains: (1) Benefits (positive perception) of the complete denture therapy’ (2) Risks (Negative perception) of the complete denture therapy and (3) Consequences of no treatment. The data were tabulated for descriptive analysis. The average age of the total population was 62.22 ranging from 58 to 80 years. Total population included in the study shows positive perception regarding the complete denture therapy. The benefits of the complete denture therapy show highest score (1817) by all the participants while the risks of the complete denture therapy show lowest score (237). The gender, denture experience and the socioeconomic status had no influence on the perception towards the complete denture therapy. Participants showed positive perception towards the complete denture therapy with highest score in benefits and lowest score for the risks of the complete denture therapy. The perception of the complete denture therapy was not influenced by the gender, denture experience and the socioeconomic status.

Evaluation Of Anxiety In Patients Undergoing Complete Denture Treatment At Two Tertiary Care Hospitals In Rawalpindi And Islamabad

Objective: The objective of the article is to assess anxiety in patients undergoing complete denture treatment. Method: A valid pre-structured questionnaire was presented to the patients desirous of receiving complete dentures after obtaining informed consent. The questionnaire for the survey was filled out and collected from 500 patients receiving complete denture treatment. Results: Of the 500 patients, 61.1% had prior denture experience, and 38.1% were undergoing denture placement for the first time. While 84.4% felt comfortable with the idea of complete dentures, 15.4% found it repulsive. Reasons inducing anxiety in a dental setting, include materials (28.3%), instruments (8.2%), the dentist's chair (28%), and other reasons (60.5%). Specific concerns related to complete denture use included fear of breakage (16.6%), ill-fitting prosthesis (43.3%), and discomfort with wearing and removing dentures (25%). Patients overwhelmingly appreciated having the entire procedure described beforehand (99.2%) and considered language understanding by the doctor as crucial for good treatment (97.8%). Conclusion: There is a greater need for the patient's expectations to be understood and their doubts, concerns and fears to be narrowed by effective communication. A good understanding of patients' mental attitudes will help us improve the technique of dentists towards complete denture treatment in a more patient-friendly way. Keywords: Anxiety, attitude, communication, complete dentures.

Evaluation of Awareness Toward Various Treatment Options and Maintenance Practices among Removable Partial and Complete Denture Patients in Western Maharashtra – A Questionnaire-Based Study

ABSTRACT Introduction: Researchers must concentrate their focus on whether patients understand various treatment options available among removable complete and partial denture patients and whether they are aware of the maintenance protocol of the prosthesis Materials and Methods: All the patients who completed removable partial or complete denture treatment in a period of 6 months were included in the study. Collected data were statistically analyzed using Chi-square test at a significance level of P &lt; 0.05. Results: Awareness needs to be increased regarding the treatment options available for removable complete and partial denture treatment causes because many subjects in this study were only aware of the removable partial denture and complete denture treatment for missing teeth and not the other options, especially among individuals in the lower socioeconomic group Conclusion: The findings indicate that awareness needs to be increased regarding the functions of prostheses such as esthetics and phonetics because many subjects in this study were only aware of the masticatory function performed by prosthesis.

Effect of soft denture liners on complete denture treatments: A systematic review.

This systematic review examined the effectiveness of soft denture relining (SDR) materials. A comprehensive search of MEDLINE, Cochrane Library, and ICHUSHI was conducted up to July 26, 2020. Target outcomes were patient satisfaction, oral health-related quality of life (OHRQOL), masticatory ability (MA), denture functional duration, residual ridge resorption (RRR), and microbial contamination. An organization specializing in literature searches performed the reference searches, and two reviewers independently selected the literature sources, extracted the data, and assessed the risk of bias. The reviewers resolved any disagreements concerning the assortment of literature sources through discussion. SDR included acrylic- and silicone-based materials, which were evaluated separately. Reviewers selected 7, 5, 11, 1, 4, and 6 studies to assess patient satisfaction, OHRQOL, MA, functional duration, RRR, and microbial contamination, respectively. The results confirmed that SDR improved patient satisfaction, OHRQOL, MA, and RRR. However, the functional duration of SDR material is shorter than that of hard denture relining (HDR) or acrylic resin material. Furthermore, SDR material is more susceptible to microbial contamination in the long term. The risk of bias for the included studies tended to be high because of specific issues (difficulty in blinding SDR versus HDR). For patients who wear complete dentures, SDR often provides beneficial outcomes such as pain reduction and recovery from MA. However, caution should be exercised regarding their use owing to insufficient functional duration and the possibility of microbial contamination during long-term use.

Gambaran tingkat kepuasan pada lansia pemakai gigi tiruan lengkap (Observasi pada Panti Sasana Tresna Werdha Ria Pembangunan)

Background: Loss of all teeth in the elderly is one of the effects of the aging process. Treatment using complete dentures can be a solution for the elderly to restore aesthetic, phonetic, and masticatory functions. Patient satisfaction is the result of patient evaluation that is formed through emotional responses, such as happiness feelings of pleasure and satisfaction arising from the results of a job. One of the goals in complete denture treatment is the success of the treatment. Success of denture treatment can be judged from patient satisfaction. Aim: To describe the level of satisfaction in the elderly who wear complete dentures. Method: This type of research is descriptive observational with a cross-sectional design. This research was conducted by distributing PDA-ID (Patients Denture Assessment-ID) questionnaires to 22 elderly people at the Sasana Tresna Werdha Ria Pembangunan orphanage. Result: There are 21 respondents out of a total of 22 respondents had a high level of satisfaction with the complete denture used. 1 respondent who has a low level of satisfaction with complete dentures make dentures at a dental handyman. Conclusion: Most of the elderly respondents who use complete dentures at the Sasana Tresna Werdha Ria Pembangunan nursing home have a high level of satisfaction with the complete dentures used.

Perilaku pembersihan gigi tiruan lengkap pada Lansia panti werdha hana

Background: Behavior in cleaning full denture in the elderly has an important role in the success of complete denture treatment. This behaviour is an important thing so that patients can maintain the cleanliness of full denture and the health of their oral cavity. This study aims to determine the full denture cleaning behavior in the elderly. Methods: This type of research was descriptive observational with a cross-sectional design conducted on 32 elderly people in Hana Nursing Home, Pamulang, South Tangerang. The behavior of the elderly is measured through a questionnaire that has been provided previously. Results:The results of the descriptive statistical test showed that in general the behavior of cleaning of the elderly at the Hana Nursing Home had good results (46.9%). This good behavior is obtained based on good knowledge (59.4%), fairly good attitude (56.3%), and fairly good actions (53.1%). Based on gender grouping, it was obtained by the elderly group of men having full denture cleaning behavior which entered into a fairly good category (50%). Whereas the elderly woman in the Hannah Nursing Home has cleaning behavior that is included in the good category (50%). Based on age grouping, it can be seen that full denture cleaning behavior is good for the eldery age group (60-74 years), whereas in the old age group (75-90 years) and very old age group (&gt; 90 years) has a cleaning behavior is in fairly good category. Conclusion:The behavior of cleaning the full denture influenced by the knowledge, attitudes and actions taken by the elderly full denture users.

Confidence of clinical year dental students in performing removable denture treatment and their perception of the quality of prosthodontic studies

Objective: To find out the distribution of clinical year students’ confidence to perform prosthodontic treatments and perception towards the quality of prosthodontic studies they have received as a factor that can affect confidence. Material and Methods: Data was collected using online questionnaires and filled out by clinical year students who met the inclusion criteria. Further, the data was grouped according to the year of entrance to the clinical year program in the Faculty of Dentistry Universitas Indonesia. Data was then processed using SPSS version 22 for univariate analysis. Results: This study included 80 respondents. The highest level of confidence were seen when performing removable partial denture treatment (8.29 ± 0.76), try-in stage (wax form) procedure of a removable partial denture (9.00 ± 1.41), and primary impression taking for a complete denture procedure (9.00 ± 1.15). The lowest confidence was seen when performing complete denture treatment (7.08 ± 1,26) and surveying cast for a removable partial denture (6.00 ± 1.41). More than 95% of respondents showed a positive perception towards the quality of prosthodontic studies they received. Conclusion: Most respondents have a positive perception towards the quality of prosthodontic learning at Faculty of Dentistry Universitas Indonesia.

Evaluation of the labial protrusion and lip esthetic changes after complete denture treatment through stereophotogrammetry.

Evaluating the facial esthetics of complete denture (CD) treatment using a 3D analysis of the lower third of the face before (T1) and after (T2) treatment by comparing and correlating measurements. Thirty-one edentulous patients were enrolled, and three-dimensional (3D) images were captured before (T1) and after (T2) CD delivery. Twelve landmarks were established in the face. Linear, angular, surface, and perimeter measurements were evaluated and compared with the paired t test. The delta (Δ) values (T2-T1) were assessed by the Spearman correlation to verify the associations between all measurements according to the facial parameters (α=.05). Statistical differences were identified in the lower third of the face in the linear measurement Sn-Gn (P = 0.006), the angular measure Tright-Pg-Tleft (P = 0.004), and at the surface of the lower third of the face (P = 0.001). All measurements were statistically different in the labial protrusion area: the nasolabial angle (Prn-Sn-Ls), the surface, and the perimeter (P = 0.001). In the lip evaluation, statistical differences were observed in the linear (Ls-Li), surface, and perimeter measurements (P = 0.001). The facial esthetic proportions of the linear and perimeter measurements increased, and the angles of sealed lips and nasolabial and lower facial convexity decreased after CD delivery. The present study showed a clinical important correlation between linear and angular measurements that should help restore facial esthetics, providing metrics that can aid the clinician in facial composition.

SINGLE COMPLETE DENTURE WITH THE INCORPORATION OF A DENTURE TITANIUM MESH INTO THE DENTURE BASE AND METAL OCCLUSAL STOPS: A CLINICAL REPORT

The single complete denture is a complex prosthetic treatment that necessitates a comprehensive understanding of prosthetic rehabilitation for the loss of natural dentition. One of the main challenges encountered during the provision of successful single complete denture treatment is the repeated fracture of the prosthesis. To address this issue, incorporating denture titanium mesh into the denture base is proposed as an ideal solution to strengthen the prosthesis. Another common problem is the wearing off of acrylic denture teeth when opposing natural dentition. To mitigate this issue, the use of metal occlusal stops in the single complete denture is recommended. This clinical report presents a case of successful rehabilitation of an edentulous maxillary ridge using denture titanium mesh incorporated into the heat-cure acrylic denture base material, along with metal occlusal stops in a patient with an edentulous maxillary jaw.

The effect of prosthetic rehabilitation with or without dietary advice on nutritional status in elderly patients: a systematic review.

Elderly people frequently report tooth loss, affecting their nutritional status. There is a gap in the scientific evidence about the influence of prosthodontic rehabilitation on nutritional status. To investigate the influence of prosthodontic rehabilitation combinates or not with dietary advice on nutritional status in elderly patients. A systematic literature search was conducted in three electronic databases to identify randomized clinical trials that evaluated the effect of prosthetic rehabilitation on nutritional status in subjects aged 60years or older, with a follow-up of at least 1month after prosthesis rehabilitation. Of the 1517 articles identified in the initial search, 12 were selected for the final review. No significant difference between the types of prosthesis were found regarding the chewing by the elderly population. Although patients who received prosthetic treatment had significant improvement in chewing ability, a consistent pattern of improvement in nutritional status was not observed when they did not receive dietary advice. In addition, the association between the condition of the dentition, the masticatory performance and nutritional change of elderly patients has been found. Studies that evaluated simultaneous complete denture treatment and simple dietary advice showed an improvement of nutrient intake in elderly patients. Isolated prosthetic rehabilitation may not have the effect of exerting a change in nutritional status of edentulous elderly patients. In general, simultaneous dietary consulting and prosthetic treatment in combination may improve dietary habits, since masticatory capacity and efficiency are not the only factors that influence the nutritional status of a patient.

Dental student’s considerations on complete denture failures. A pilot questionnaire survey

Introduction. Dental students' considerations on the causes of treatment failure is an important issue for the teachers in understanding their medical reasoning. The research analyzed a broad variety of probable causes and contributing factors for complete denture failure that could concern both the patient and the dentist. The method ensured a thorough investigation of the factors that could affect complete denture treatment outcomes. Method. A questionnaire-based investigation was done among 50 dental students in their last year of Dental Medicine at the University of Medicine and Pharmacy “Iuliu Hatieganu” Cluj-Napoca, Romania. The subjects, both males and females, ranged between 24 to 45 years and were all in their final year of study. They were randomly chosen to represent a wide range of subjects. Results. The findings revealed that a vast majority of participants, 72%, believed the patient's psychological profile and mental state were key factors in complete denture failure. Inaccurate determination of the jaw relationships was the most significant factor contributing to complete denture failure regarding challenges associated with the fabrication process, according to the respondents (28%). Conclusions. The majority of respondents thought that patient-related factors, particularly those involving the patient's emotions and psychological profile, were the most important in the failure of complete dentures. Proper assessment of the jaw relations and occlusal deficiencies were the main variables when assessing the reasons for complete denture failures related to the fabrication process.

Two-dimensional facial measurements for anterior tooth selection in complete denture treatment

PurposeAnterior tooth selection is one of the most challenging parts in determining tooth dimensions and critical to the aesthetic aspect of the complete denture treatment. However, the methods for anterior tooth size selection using facial measurements are still controversial. This study aimed to investigate the relationship between dental measurements and facial measurements, and to establish the anterior tooth size prediction equation using facial dimensions in the Thai population for the complete denture treatment. Materials & methodsOne hundred and twenty-five Thai participants (53 men and 72 women) aged 18–35 years old with Angle class I occlusion, did not currently undergo orthodontic treatment, had normal alignment on the maxillary anterior teeth, no attrition, abrasion, proximal restoration or prosthesis were investigated. One frontal facial photograph and one dental photograph of each participant were made using an image analyzing program (ImageJ version 1.53b) to measure the six horizontal facial distances, five vertical facial distances and three dental distances as 2D facial and dental measurements. Pearson correlation and multiple linear regression analysis were performed. ResultsThe difference of facial and dental measurements between men and women were statistically significant (P < .001). Interpupillary width, interlateral canthal width, intercommissural width and bizygomatic width were correlated to dental measurements in both sexes. Intermedial canthal width and lip thickness were correlated to dental measurements in women. Face length and lateral canthus to lower border of face were correlated to dental measurements in men. Prediction equations of each dental measurement were established using only horizontal facial dimension and using both horizontal and vertical facial dimensions. ConclusionsFacial and dental dimensions are sex-dependent. Facial measurements can be applied in a regression equation to predict dental measurements. Adding vertical dimensions of facial measurements to the prediction equations of anterior tooth size selection results in a higher R squared to 0.444. This finding can be used as a tool for anterior tooth size selection in the complete denture treatment.

A Web Based Study on Effect of Psychological Status on Oral Health Quality Of Life of Geriatric Patients Undergoing Complete Denture Treatment

This research investigates the impact of psychological factors on oral health quality of life in geriatric patients undergoing complete denture treatment. Materials and Methods: Conducted from July to October 2023, the study involved 55 geriatric participants. Demographics, denture usage, psychological aspects, and satisfaction were assessed via a validated questionnaire. VazzarStat analyzed the data with a significance level of p&lt;0.005. Results: Diverse denture experiences were noted, with 50.9% reporting anxiety. Communication was highly rated by 34.5%, but 34.5% sought more information. Age and gender showed no impact on satisfaction. Esthetic satisfaction varied, and speech-related challenges were prevalent. Conclusion: This study highlights the multifaceted nature of geriatric denture satisfaction, emphasizing the need for personalized communication, psychological consideration, and long-term follow-up.

Dampak pemberian instruksi pembersihan gigi tiruan lengkap dengan menggunakan leaflet terhadap kualitas hidup lansia (kajian di panti wreda kasih bapa, pontianak tenggara)

Patient instruction is a crucial factor that could affect the outcome of complete denture treatment. Leaflet is one of the written media that is frequently utilized to provide information and instruction. Effective instruction will help patients maintain good behavior towards cleaning their dentures thus affecting their quality of life. This study aims to determine the impact of written instructions with the use of leaflet regarding complete denture cleaning on the oral health related quality of life in elderly patients. 36 elderly patients are interviewed and instructed with leaflet. The quality of life is assessed with OHIP-EDENT questionnaire. Data is collected twice, before the patients were given the instructions 1 month after the patients were given the instructions. Before receiving written instructions, most of the patients have a moderate quality of life (86,11%). After receiving instructions most of the patients have good quality of life (55,56%). Statistical test showed significant impact of leaflet instruction regarding complete denture cleaning on the oral health related quality of life of elderly patients. There is a significant impact of written complete denture cleaning instructions on the oral health related quality of life on elderly patients.

A Cephalometric Analysis Assessing the Validity of Camper's Plane to Establishing the Occlusal Plane in Edentulous Patients.

Complete denture fabrication requires multiple clinical and laboratory steps. One of the most critical clinical steps is establishing an anatomical occlusal plane based on hard and soft tissue references. The aim of this study was to determine whether age or gender affects the level of the Ala-Tragus plane to establish which reference point on the Tragus should be used when fabricating the occlusal plane in edentulous patients. Clinical photographs and lateral cephalometric radiographs with complete dentitions were taken from 58 volunteers at the DMD clinic at the University of Kentucky. Each photograph was superimposed over its corresponding cephalometric image. An analysis was conducted to establish the angle of the occlusal plane relative to the Ala-Tragus landmarks; this data was then grouped according to age and gender. The analysis shows that age and gender did not significantly affect where the Camper's plane should be approximated for complete denture treatment. However, it was found that the most parallel line to the occlusal plane was Ala's inferior border to the 'Tragus's inferior border. It should be noted that the volunteers' skeletal classification was significantly related to a Cl III malocclusion tendency. Still, with this new information, functionality and esthetics can be more adequately addressed for patients undergoing complete denture treatment. Given our results, we suggest redefining the 'Camper's plane with a line extending from 'Ala's inferior border to the 'Tragus's inferior border instead of the superior border. Further consideration should be taken if the patient is a skeletal CL III malocclusion.

Effect of Impression Technique on Denture Retention and Patient Satisfaction: A Comparative Clinical Study

Objectives: To compare satisfaction levels of patients wearing maxillary completes denture fabricated by closed mouth and an open mouth impression techniques. Methods: This Comparative clinical study was conducted at the Department of Prosthodontics, Armed Forces Institute of Dentistry (AFID), Rawalpindi. Eighty-four edentulous patients were included in this study; the patients were randomly allocated into two groups. Group A patients were provided with dentures fabricated by closed mouth impression technique and Group B patients were provided with dentures fabricated by open mouth impression technique. The patient’s satisfaction level was assessed after six weeks of denture insertion with a questionnaire attached as Annex-A. Results: Out of 42 patients in group A, 12 were highly satisfied, 28 moderately satisfied and 2 poorly satisfied. In group B patients, 9 were highly satisfied, 25 moderately satisfied and 8 poorly satisfied. Retention was highest (81.0%) in patients of group A compared to group B (19%). Moderately satisfied patients were more significantly (p=0.04) more (69.0% in group A and 71.4% in group B) comfortable compared to highly satisfied (26.2% in group A and 19.0% in group B) and poorly satisfied (4.8% in group A and 19.5% in group B) in both groups. There was no statistically significant difference among patients in both groups when their satisfaction with their ability to chew with dentures was compared. Regarding satisfaction with speech ability more patients were moderately satisfied (28.6% in group A) compared to the number of patients (21.4%) in group B. Overall, 70.2% of moderately satisfied category showed significantly higher frequency of patients followed by 17.9% patients each lying in highly satisfied and poorly satisfied patients, categories. Clinical implication: Final impression in complete denture (CD) fabrication is very crucial step that can affect overall prognosis of CD treatment and therefore, patient satisfaction with CDs. A simplified closed mouth impression approach to complete denture treatment, omitting the border molding and definitive impression appointment, has been suggested as an alternative to the conventional open mouth approach. Conclusion: Dentures fabricated by closed mouth impression technique are more stable and functionally better compared to those constructed by open mouth impression technique. Keywords: Final impression technique, complete dentures, Retention, Comfort, Speech ability, Patient Satisfaction

A Case of Suspected Negative Pressure Pulmonary Edema after General Anesthesia.

Negative pressure pulmonary edema (NPPE) can occur rapidly after the release of an upper airway obstruction. In general anesthesia, NPPE can be caused by laryngospasm after extubation. This report describes a case in which NPPE was thought to have occurred after extubation during general anesthesia in a disabled person. The patient was a 28-yearold man, 160 cm in height and 56 kg in weight, who was scheduled for dental caries treatment under ambulatory general anesthesia due to intellectual disability. After induction of general anesthesia, nasal intubation was performed after sufficient oral suctioning to remove a large amount of serous secretion. After completion of dental treatment, pressurized extubation was performed after oral suctioning as sufficient spontaneous breathing and body movement were observed. Immediately after extubation, SpO2 dropped to 80%, subsequently recovering to 99% under oxygen administration at 5 liter/min with an oxygen mask. It dropped to approximately 85% again, however, when administration of oxygen was discontinued. Although communication with the patient was difficult, no expression of anguish or dyspnea was observed. A chest radiograph showed symmetric middle-lobe and lingular segment infiltrates, and the patient was transferred to the nearest general hospital. No obvious clinical findings other than a decrease in SpO2 were observed, suggesting NPPE as a result of airway narrowing due to secretions.