Complete Denture Wearers Research Articles

Case Report: Deglutition test with and without adhesives in complete dentures via videofluoroscopy with barium sulfate contrast

This case report presents a series of deglutition tests with and without adhesives for complete dentures by using videofluoroscopy with barium sulfate contrast. The patient is a 94 year old caucasian woman, complete denture wearer and wheelchair user. The videofluoroscopy confirmed the hypothesis of what had been clinically observed that adhesives for complete dentures help both in the chewing and swallowing processes for the patient.

Prevention and Management of Denture Stomatitis

Denture stomatitis, also called as Chronic Atrophic Candidiasis, is considered to be synonymous with the condition better known as denture sore mouth, a diffuse erythema and edema of the denture bearing area, often occurring with angular chelitis. It is the most common form of the oral disease. The prevalence of denture related mucosal lesions (DMLS) were observed more frequently in complete denture wearers than in partial denture wearers as the area covered by a complete denture is more and therefore increase the risk of DMLS. It is associated with dental plaque, candida infection, poor denture retention and mechanical trauma1. The major risk factor for the development of this condition is wearing an upper complete denture, particularly when it is not removed during sleep and cleaned regularly. Older dentures are more likely to be involved. Other factors include xerostomia (dry mouth), diabetes or a high carbohydrate diet, human immunodeficiency virus (HIV).

Relationship between Alveolar Ridge Resorption in Mandible and Masticatory Performance Based on Gender in Complete Denture Wearers at Dental and Oral Hospital University Sumatera Utara

INTRODUCTION: The aim of the study was to observe the relationship between alveolar ridge resorption in mandible and masticatory performance based on gender in complete denture wearers. MATERIALS AND METHODS: The subjects included were those wearing complete denture between the ages of 45-69 years-old, treated at the Dental and Oral Hospital of University Sumatera Utara. Alveolar ridge resorption in mandible was analysed using the panoramic radiograph and masticatory performance was evaluated clinically using the colour-changeable chewing gum. RESULT: 40 patients were included in this study. 50% were women in which 15 women (37.5%) had mild alveolar ridge resorption whilst 5 (12.5%) had severe alveolar ridge resorption. For masticatory performance, 14 women (35%) had good masticatory performance and 6 (15%) had poor masticatory performance. For the men; 17 (42.5%) had mild alveolar ridge resorption whilst 3 (7.5%) had severe alveolar ridge resorption. For masticatory performance, 16 men (40%) had a good masticatory performance and 4 (10%) had a poor masticatory performance. There was a significant correlation between alveolar ridge resorption in mandible and masticatory performance amongst women (p=0.014). However, there was no significant correlation found between gender and alveolar ridge resorption in mandible (p=0.695), between gender and masticatory performance (p=0.716), and between alveolar ridge resorption in mandible and masticatory performance amongst men (p=0.088). CONCLUSION: The alveolar ridge resorption in mandible is associated with masticatory performance amongst women.

Attitude of complete denture wearers to denture maintenance and recall visits: A 10-year observational study

Attitude of complete denture wearers to denture maintenance and recall visits: A 10-year observational study

Assessment of Role of Complete Dentures in Improving the Chewing Efficiency of Edentulous Patients.

Introduction:The loss of teeth leads to difficulty in chewing and smiling and an unesthetic appearance. The present study assessed the role of complete dentures in improving the chewing efficiency of edentulous patients.Materials and Methods:Eighty-two complete denture wearers of age group 40–75 years of both genders were enrolled in the study. The chewing efficiency of denture was determined by VMM machine. Patients were provided with the self- administered questionnaire and were advised to answer.Results:Out of 82 patients, there were 42 (51.2%) males and 40 (48.8%) females. The mean ± SD particle size was found to be 0.12 ± 0.07 mm in males and 0.13 ± 0.06 mm in females. A non-significant difference was observed (P > 0.05). The mean ± SD satisfaction level value was 1.28 ± 0.07.Conclusion:There was improved chewing efficiency with the complete denture, and the patient satisfaction level was high among patients.

Evaluation of Antifungal Activity of Moringa oleifera Seeds on Oral Candida Isolated from Type 2 Diabetic and Nondiabetic Complete Denture Wearers

Evaluation of Antifungal Activity of Moringa oleifera Seeds on Oral Candida Isolated from Type 2 Diabetic and Nondiabetic Complete Denture Wearers

Comparison of Oral Stereognostic Proficiency Between New and Previous Complete Denture Wearers

Objective: To compare oral stereognostic proficiency scores between new and previous complete denture wearers. Study design and study settings: This cross-sectional study design was conducted at Armed Forces Institute of Dentistry, Rawalpindi. Methodology: Total 60 patients belonging to age group of 45–75 years were selected from the study setting. Oral stereognostic proficiency was recorded by using different oral stereognostic intra oral testing tools and scores were noted. Data analysis was done using SPSS (version 20) software. Independent sample t-test was used to compare the scores of new and old previous complete denture wearers. Effect modifier like gender was rectified by method of stratification. Post stratification independent sample t-test was applied and p value of 0.05 or less was considered to be significant. Results: The mean age of patients was 59.8+7.85 years. Previous complete denture wearers were found to have a higher value as compared to the new complete denture wearers. Significant difference between both groups according to age was found with older individuals having a lower stereognostic value than younger individuals. Conclusions: Oral stereognostic test is a dependable test to measure patients’ oral stereognostic perception which can help the dentist in better educating the patient in terms of his/her expectations regarding the prosthesis and in better understanding the limitations of the prosthesis

Gender and age group modified association of dental health indicators with total occlusal force among Korean elders

BackgroundThis study aimed to investigate the distribution of objective total occlusal force (TOF) and its association with dental health indicators: dental status, number of natural teeth (NT), natural and rehabilitated teeth, natural posterior teeth (NT-Post), and natural and rehabilitated posterior teeth among Korean elders after controlling for various confounders encompassing socio-demographic factors, behavioral factors and health/oral health factors.MethodsThis cross-sectional study recruited 551 elders from the Sungbook-Gu health education cohort. TOF was measured using Prescale II as an outcome variable. Dental health indicators assessed by dentists were the main explanatory variables. Analysis of covariance and multivariable linear regression models were applied to evaluate the adjusted association of dental health indicators with TOF. Gender and age group stratified analyses were also applied.ResultTOF was higher in dentate elders than denture wearers in males and younger elders. The adjusted mean of TOF and standard error was 464.24 ± 17.15 N for dentate elders, 297.15 ± 28.85 N for partial denture wearers, 280.42 ± 47.71 N for complete denture wearers. Among all dental health indicators, NT-Post showed the highest association with TOF (partial r = 0.330, p < 0.001, R2 = 0.15), followed by NT (partial r = 0.329, p < 0.001, R2 = 0.16). Older elders highlighted the association of NT (partial r = 0.37, p < 0.001, R2 = 0.18). Males decreased the association of NT (partial r = 0.30, p < 0.001, R2 = 0.20) and NT-Post (partial r = 0.29, p < 0.001, R2 = 0.20).ConclusionTOF was significantly associated with dental health indicators, and its association was modified by sex and age group.

Advantages of Dental Adhesives for Complete Denture Wearers

Advantages of Dental Adhesives for Complete Denture Wearers

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.

Influence of Occlusal Plane Orientation on Sound Production and Electromyographic Activity in Complete Denture Wearers

Influence of Occlusal Plane Orientation on Sound Production and Electromyographic Activity in Complete Denture Wearers

Masticatory efficiency in complete denture and single implant-retained mandibular overdenture wearers with different occlusion schemes: A randomized clinical trial

Statement of problemHow the masticatory function of complete denture wearers is influenced by the positioning and occlusion of posterior teeth or by the presence of a single mandibular implant is unclear. PurposeThe purpose of this randomized crossover clinical trial was to evaluate the masticatory efficiency of wearers of bimaxillary complete dentures and of wearers of maxillary complete denture and single implant-retained mandibular overdentures, both with bilateral balanced occlusion and lingualized occlusion. Material and methodsParticipants received 2 sets of complete dentures with interchangeable teeth in the mandibular prosthesis to allow a change in the occlusion scheme. Subsequently, 1 implant was placed in the mandibular symphysis region, and the mandibular complete dentures were converted to overdentures. The masticatory efficiency was measured by the sieve method for both occlusal schemes. ResultsRepeated measures ANOVA showed no statistically significant difference in the masticatory efficiency with the 2 occlusal schemes for conventional complete dentures (P=.707) or overdentures (P=.407). When comparing the type of prosthesis, statistical differences were found for masticatory efficiency (P=.012), with improved mastication for the overdentures. ConclusionsA mandibular single implant improved the masticatory efficiency of patients with complete dentures, but the occlusal scheme did not influence this factor.

Quality of Life of Complete Denture Wearers-A Comparative Study between Conventional Dentures and Acrylic Dentures with Vitamin B12 Incorporated.

Background and objectives: This paper is a sequel to the studies that focused on the optimization of the structure of classical acrylates with vitamin B12 as a template and their impact on patients’ general and local health. In this context, we aim to investigate the relationships between attitudes and behavior regarding oral health, oral health status, and quality of life related to oral health in the case of patients with conventional dentures and those with dentures improved with vitamin B12. Material and Methods: The sample size was estimated from previous studies, and 252 participants were enrolled and divided into two groups, one of which received as a treatment complete dentures with B12, and the other group was represented by complete edentulous patients treated with conventional complete dentures. The impact of oral health in general on patient satisfaction and quality of life was assessed using Oral Health Impact Profile OHIP-14 questionnaires. The descriptive statistical analysis was performed using SPSS 20.0. A value of p < 0.05 was considered statistically significant. Results: Differences registered between the two groups were statistically significant in all evaluated dimensions. The largest differences were recorded for physical, psychological, and social disability as well as for the level of disability, all in favor of denture B12 wearers. Conclusions: The materials used in the treatment of complete edentation can be a future research direction that can not only improve their mechanical strength but can contribute to maintaining the superior health of the oral mucosa and can also be a way of transporting substances necessary for the normal development of the metabolism of the whole body, such as vitamin B12 in our case.

Effect of Diode Laser on the Candida Albicans Colonization in Complete Denture Wearers

This study aimed to investigate the effect of diode laser on Candida albicans colonization in complete denture patients. A total of 40 complete maxillary dentures wearers were studied in this cross-sectional study. Dentures were then randomly divided into two groups. In the first group, as the control group, no intervention was made. In the second group, the mucosal surface of dentures was exposed to laser irradiation by the diode laser with a wavelength of 940 nm with 100 mW for 30 seconds before delivery. Samples were collected from the mucosal surface of the upper dentures on the determined days. All collected colonies were counted. Clinical outcome was evaluated regarding the colonization of Candida albicans reported by CFU. The difference in colony counts results between the two groups was evaluated by the Mann-Whitney test. Statistical significance was assumed if p&lt;0.05. The results showed that laser irradiation was significantly effective in reducing Candida colonization. The lower density of the colonies was seen in the laser group compared to the control group on the 15th and 60th days after denture delivery (P = 0.002) and (P = 0.003), respectively. Generalization our data into the clinical setting, it can be proposed that a direct laser-based approach can significantly reduce the colonization of Candida albicans. It can also be concluded that laser light at specific wavelengths could be a promising novel strategy for preventing denture stomatitis.

The Effect of Alteration of Vertical Dimension of Occlusion on Brain Activity in Complete Denture Wearers

BACKGROUND: The establishment of appropriate vertical dimension of occlusion (VDO) is paramount for successful and functioning complete dentures (CDs). AIM: The aim of this study was to assess the effect of alteration of VDO on the brain activity in CD wearers. MATERIALS AND METHODS: Ten completely edentulous patients participated in this study. Each patient received three sets of CDs: one control set and two duplicates’ CDs. The control CDs was designed with appropriate VDO (control - VDO), while the duplicate CDs were designated as followed: one with VDO lowered by –3 mm (low - VDO) the other one VDO was increased by +5 mm (high - VDO). The effect of alteration of VDO on brain activity was assessed by measuring alpha waves changes using electroencephalogram (EEG) before and after chewing gum. Statistical analysis was carried out using one-way ANOVA and dependent t-test. The significance level was set at p &lt; 0.05. RESULTS: There was a significant increase in the alpha waves mean values after chewing (p &lt; 0.05) gum compared to before except for low - VDO CDs (p &gt; 0.05). The control-VDO revealed a statistically significant higher mean values compared to the duplicate dentures. CDs with high - VDO showed higher mean value than low - VDO dentures, however, it was statistically insignificant (p &gt; 0.05). CONCLUSION: Appropriate determination of VDO is not only important for the success of CDs but also for the functional augmentation of brain activity.

Oral Health Related Quality of Life and Prosthetic Status among Institutionalized Elderly from the Bucharest Area: A Pilot Study.

The aim of the study was to assess the oral health related quality of life (OHRQoL) of elderly in care homes, one of Romania’s most vulnerable social categories, to correlate it to sociodemographic, oral health parameters, and prosthodontic status. Therefore, a cross-sectional study was performed on 58 geriatrics divided into 3 age groups, who were clinically examined and answered the oral health impact profile (OHIP-14) questionnaire. Very high rates of complete edentulism in the oldest-old subgroup (bimaxillary in 64.3%; mandibular in 64.3%; maxillary in 85.7%), and alarming frequencies in the other subgroups (middle-old and youngest-old), statistically significant differences between age groups being determined. The OHIP-14 mean score was 14.5. Although not statistically significant, females had higher OHIP-14 scores, also middle-old with single maxillary arch, single mandibular arch, and bimaxillary complete edentulism, whether they wore dentures or not, but especially those without dental prosthetic treatment in the maxilla. A worse OHRQoL was also observed in wearers of bimaxillary complete dentures, in correlation with periodontal disease-related edentulism, in those with tertiary education degree, and those who came from rural areas. There were no statistically significant correlations of OHRQoL with age, total number of edentulous spaces or edentulous spaces with no prosthetic treatment. In conclusion, despite poor oral health and prosthetic status of the institutionalized elderly around Bucharest, the impact on their wellbeing is comparatively moderate.

Randomized clinical trial of complete denture cleaning methods in residents of care institutions

Aim: To evaluate the efficacy of ultrasonic bath and traditional brushing in the hygiene of complete dentures of dependent residents in long-term care institutions (LTCIs). Methods: A randomized cross-over clinical study was conducted in 17 maxillary complete denture wearers living in LTCIs. Cleaning protocols were brushing or ultrasonic bath, both applied with neutral liquid soap. Biofilm biomass were estimated by MTT reduction assay and specific microbial load (CFU) of Streptococcus spp., Staphylococcus spp. and Candida spp. were quantified by selective and differential culture media. Results: Ultrasound method showed higher percentage reduction of biofilm biomass and specific microbial loads of Streptococcus spp. compared to brushing (p&lt;0.01). Reduction of microbial loads of the other microorganisms were not different between cleaning methods (p&gt;0.05). Conclusions: The ultrasonic bath proved to be a feasible alternative method for the mechanical cleaning of complete dentures in LTCIs.

Prosthodontic rehabilitation of compromised upper and lower residual alveolar ridges: A case report

Residual ridge resorption is the reduction in size of the bony ridge under the mucoperiosteum. Obtaining retention and stability in a severely resorbed ridges using a conventional technique is a tedious task. The resorption occurs at a faster rate in mandibular arch as compared to the maxillary arch. In order to have a favorable prognosis for the denture therapy, impression technique selected should be based on the present state of the basal tissue support for mandible. In this article neutral zone concept was incorporated in to impression making in an effort to achieve successful mandibular complete denture. The anterior region of maxilla is the most affected area in edentulous patients. Complete denture wearers with flabby ridges may face a number of difficulties, of which major complaints would be pain, compromised stability, support, and retention and an ill-fitting denture. Special impressions often involve window technique for static impression of flabby area, which present multiple challenges. This article presents a case report of modified widow impression technique for maxillary anterior flabby tissues along with a hollow maxillary complete denture in a patient with resorbed maxillary and mandibular ridges with increased interridge distance to reduce the weight of the prosthesis and thereby enhances the retention.

Comparing Oral Health-related Quality of Life (OHIP-14) and Masticatory Efficiency with Complete Denture Treatment.

To measure impact of oral health in complete denture wearers and its effects on masticatory efficiency with new complete dentures over the period of three months. Experimental study design. Department of Prosthodontics, Bahria University Medical and Dental College, Karachi, Pakistan from September 2019 to December-2019. Oral health impact profile (OHIP) was used to measure the oral health impact; and chewing gum method was used to measure the masticatory efficiency in this study. All participants were old denture wearers having the experience of at least 3 years and requiring new set of complete dentures. A total of 31 patients were asked to chew the gum from the routine site of mastication for 20 seconds. The weight reduction corresponded to the masticatory efficiency. The OHIP-14 score and masticatory efficiency was recorded at baseline and after three months of complete denture treatment. The data was analysed on SPSS version 23. The average values of masticatory efficiency were significantly reduced from median (IQR) value 1.20 (1.20-1.30) to 0.90 (0.70-0.90), respectively (p <0.001). There was a moderate positive correlation for physical pain and disability (0.407 and 0.455) at baseline and strong positive correlation (0.771 and 0.825) after 3 months of complete denture treatment with p-value <0.001 on OHIP-14 scale. Statistically significant improvement was observed in both quality of life and masticatory efficiency after 3 months of treatment with conventional complete dentures. Masticatory efficiency was highly correlated with all subscales of OHIP-14 after treatment. Key Words: Complete denture treatment, Masticatory efficiency, Oral health impact profile-14 (OHIP-14).

Reliability and validity of the Turkish version of oral health impact profile for edentulous subjects

The validated translations of the OHIP-EDENT exist in different languages; however, there is no reliable and validated Turkish translation. The present study was conducted to evaluate the reliability and to validate the Oral Health Impact Profile in edentulous subjects translated to Turkish (OHIP-EDENT-T). The study sample included 104 conventional complete denture wearers (58 women and 46 men, mean age: 61.13 ± 9.43 years). The original English version of OHIPEDENT was translated into Turkish using a forward-backward method and applied to the subjects. The reliability of the OHIP-EDENT-T was evaluated using internal consistency and the test-retest method. Validity was determined as construct and convergent validity. The construct validity of OHIP-EDENT-T was assessed using exploratory and confirmatory factor analysis. The Cronbach's alpha value for OHIP-EDENT-T was 0.890. The intraclass correlation coefficient (ICC) was 0.749 for the OHIP-EDENT-T total score, and ICCs for the subscales ranged from 0.630 (95% CI = 0.501-0.823) to 0.859 (95% CI = 0.531-0.897), indicating good to excellent agreement. The Kaiser-Meyer-Olkin value for sampling adequacy was 0.820 and results of Bartlett's sphericity test indicated statistical significance (χ2=1139.767; df=171, p=0.001). This showed that factorial analysis could be applied to the data set. The three-factor structure of the scale explained 81.1% of the observed variance. The agreement of the three-factor solution was further tested with confirmatory factor analysis, and the fit index was found to be acceptable (chi-square fit test=1.449, RMSEA=0.040, GFI=0.94, CFI=0.93). Within the limitations of this study, it can be concluded that OHIP-EDENT-T is a valid and reliable instrument for evaluating the quality of life of edentulous patients.