Complete Edentulous Patients Research Articles

Oral Health Related Quality of Life among Completely Edentulous Patients using Geriatric Oral Health Assessment Index

Introduction: Complete loss of teeth, though not life threatening, does have a significant impact on an individual, resulting in functional, psychological, and social limitations, affecting the quality of life and general health. Oral health related quality of life describes the outcomes of oral health conditions and therapy to those conditions.
 Objective: Geriatric Oral Health Assessment Index questionnaire (GOHAI) consists of 12 items that have an impact on quality of life of the older population, such as functional limitation, psycho-social limitation, and self-medication administered for dental pain. The study aimed to assess the effects of complete edentulousness before prosthodontic rehabilitation using GOHAI.
 Methods: Descriptive cross-sectional questionnaire study was done among 35 completely edentulous patients prior to prosthodontic rehabilitation using standardised GOHAI questionnaire consisting of 12 items and the twelfth item was eliminated due to its irrelevancy in the study group.
 Results: The mean age of the participants was 64.86±8.28 years with the mean duration of edentulousness of 4.02±5.4 years. The ability to swallow comfortably had highest mean GOHAI score (2.80±0.47) followed by use of medication to relieve pain and discomfort around the mouth. The least mean GOHAI score was found in trouble biting or chewing any kinds of food, such as firm meat or apples (1.26±0.56). However, the psychosocial impairment due to problems associated with complete edentulousness was less.
 Conclusion: Complete edentulousness was associated with impairment in physical functions like trouble in biting and chewing, with a need to limit the kinds and amount of food.

Evaluarea satisfacției pacienților edentați total în noua protezare

Evaluarea satisfacției pacienților edentați total în noua protezare

Prosthodontic Management of a Completely Edentulous Patient with Microstomia and Flat Ridge Mandible: A Case Report

It is difficult to make impression and fabricate conventional dentures for patients with microstomia and flat ridge. This is a case report of 53-year-old female with limited mouth opening (25 mm) who had been wearing denture for 7 years and which was recently broken. Close mouth with suction impression method was used. Proper diagnosis and appropriate set of procedures and methods were needed for this patient. The conventional complete denture fitted with closed mouth method for this condition resulted in retentive and stable denture which was inserted and removed easily.

The importance of implant-supported overdentures in a bimaxillary complete edentulous patient – case report

Abstract Introduction. Complete edentulism is escorted by various comorbidities, which affect an individual. The management of edentulous patients was approached since the early days of dentistry. The aim of this case report was to present the implanto-prosthetic rehabilitation of a bimaxillary complete edentulous patient with implant-supported overdentures, by using Straumann dental implants. Case presentation. This case report presents the applied treatment to a bimaxillary complete edentulous patient, where the predictable osseointegration and implant stability after the placement of implants was possible, with the purpose to support the overdentures. Conclusions. The oral rehabilitation of complete bimaxillary edentulism through implant-supported overdentures is a procedure with a predictive treatment that presents beneficial aspects in the quality of life of the patients.

Implant-abutment connection as contributing factor to peri-implant diseases.

Dental implant-supported prostheses are an established treatment modality for the functional and esthetic rehabilitation of partial and/or complete edentulous patients. One of the most essential factors for successful treatment outcomes stems from preservation of the peri-implant bone. Early peri-implant crestal bone loss has been a common observation, coincides with the time period where most treatment manipulations occur and has been considered as a complex multifactorial event. Microbial leakage at the implant-abutment interface has been associated with inflammatory reactions that may jeopardize peri-implant crestal bone stability. Prevention of microbial leakage at the implant-abutment interface is a major challenge in the construction of two-piece implant systems. Changes in the implant-abutment complex design achieved reduction in the magnitude of microbial leakage and/or separation of the implant-abutment interface from the osseous surface. However, it is still unclear if microbial leakage at the implant-abutment interface plays a role beyond the initial crestal bone remodeling, namely on the development of peri-implantitis. Therefore, the aim of this review is to analyze the knowledge available on the integrity of different types of implant-abutment connections and their potential role on the development of peri-implant crestal bone loss and peri-implant diseases.

Clinical Survey of Denture Care and Maintenance in Denture Wearing Completely Edentulous Patients

Clinical Survey of Denture Care and Maintenance in Denture Wearing Completely Edentulous Patients

Digital techniques for anterior teeth form selection in complete edentulism

The aim of this study was to compare two computerized digital esthetic design methods (DSD and Visagismile) in order to properly choose the appropriate form of the maxillary frontal teeth for complete bimaxillary edentulous patients and to validate the use of these applications in complete edentulism. An online questionnaire was submitted to a group of 100 persons (dental doctors, dental medicine students and persons activating in other fields); the respective persons were requested to choose the form of maxillary frontal teeth for a group of four complete bimaxillary edentulous patients, whose esthetic design had been performed by using the two computerized progams. Following the respondents’ analysis of the esthetic previews elaborated for the four patients 60% of the total answers were in favour of DSD while the remaining 40% were in favour of Visagismile; these percentages are identical with the ones obtained on the basis of the answers given by dental doctors and dental medicine students. In case of the respondents activating in other fields the percentages were 66% in favour of DSD and 34% in favour of Visagismile. Based on the results of the study the two computerized methods were validated also for cases of complete edentulism but further studies to confirm this validation are still required. These two methods improve the dental doctor/patient communication and certainly provide a higher predictability of the esthetic results of prosthetic restorations not only for dentate patients but also in cases of complete edentulism.

Determination of Freeway Space in Completely Edentulous Patients Using Lateral Profile Photographs—In Vivo Study

Abstract Objective This study aims to determine the freeway space (FWS) using lateral profile photograph (LPP) as an adjunct in completely edentulous patients. Materials and Methods In this study, 30 patients in the age group of 45 to 60 years who met with the criteria were included. LPPs were taken for all participants using standard protocol and a duplicate copy was obtained, on which three soft tissue reference points—porion (Stp), gnathion (Stgn), and gonion (Stg)—were marked and joined to form an angle Stp-Stg-Stgn. This angle was correlated with the mean FWS obtained using swallowing. Simple linear regression model was used to develop a prediction formula for FWS using Stp-Stg-Stgn angle as the independent variable. Result This study shows that the angle Stp-Stg-Stgn had a significant negative correlation with FWS.

Comparative Evaluation of Colony Forming Units of Candida After Using Plain and Probiotic Added Denture Adhesive in Completely Edentulous Patients: A Randomised Crossover Trial

Comparative Evaluation of Colony Forming Units of Candida After Using Plain and Probiotic Added Denture Adhesive in Completely Edentulous Patients: A Randomised Crossover Trial

Oral Health Related Quality of Life Among Completely Edentulous Patients

Objectives: Age and tooth loss are expected to have a complex relationship with oral health-related quality of life so the purpose of this study was to assess the impact of tooth loss ( Edentulous) on oral health-related quality of life, using the short form of Oral Health Impact Profile (OHIP-14) among completely edentulous patients in one dental institution in Benghazi, Libya.
 Subjects and Methods: The study was performed at Faculty of Dentistry University of Benghazi, Libya. Patients attending dental clinics of prosthetic department. Those who needed dentures were interviewed using (OHIP-14), by one investigator. OHIP-14 assess perceived experiences of quality of life using 5 likert scale from 1 to 5 (1=never , 5=very often). The enrolment period was five months (January –May 2017). Socio demographic information were also collected. Only individuals who have been edentulous for the last three month were involved in the study. Data were analysed using descriptive statistics.
 Results: A total of 48 edentulous patients were recruited for this study, (56.2 %) of them were females. About 52.1% of participants were illiterate, while only (8.3%) have been graduate from university. About (75%) of participants have been often unable to function due to loss of their teeth. On the other hand (79.2%) of them ever or hardly ever got difficulty doing usual jobs because loss of their teeth. In our study we conclude that less than half of participants never or hardly ever got trouble with pronouncing any word because loss of their teeth.
 Conclusion: These findings suggest that teeth loss has significant impacts on quality of life. Further work is required to fully investigate these impacts and how we can intervene to improve the quality of life of these important group of patients.

Double Investment Technique of Hollow Bulb Denture Obturator Fabrication in a Completely Edentulous Patient

Introduction: Prosthodontic management of palatal defects has been employed for many years. Palatal defects of any extent cause multiple problems in speech, mastication and aesthetics. Obturator prosthesis for an edentulous patient is more critical in terms of its movements as there is no mechanical retention available. Obturators and facial prostheses are important not only for rehabilitation and aesthetics, but also in patient resocialisation. Maxillary defects are created by surgical treatments of benign or malignant neoplasms and by trauma, in which case, denture is supported only by the underlying residual ridge and the defect. This clinical report describes the rehabilitation of a maxillary resected patient with a single piece hollow bulb denture obturator fabricated by double investment technique. Materials & Methods: In this double investment technique of hollow bulb denture obturator fabrication two same size transposable flasks were used for flasking and curing of the prosthesis. Results: Hollow bulb denture obturator was obtained by this double investment technique. Conclusion: Decreased weight of prosthesis positively affects retention leading to improved physiologic function, and it also does not cause excessive atrophy in muscle balance.

A Clinical Comparison between Mini and Short Dental Implants in Completely Edentulous Patients with Atrophic Ridges

Aim: This study aimed to compare between mini implants and short implants supported overdentures in completely edentulous patients with atrophic ridges not suitable for conventional implants. Materials and methods: Ten completely edentulous patients with severely resorbed mandible and age ranged between 55 and 60 years were selected for this study. Complete heat cured acrylic resin dentures were constructed for all patients. Patients were divided into two groups, each group had five edentulous patients, In Group I, each patient received two mandibular mini-implants at the canine site with a standard diameter 2.5 mm and standard length 10 mm, while in Group II, each patient received two mandibular short implants at the canine site with standard diameter 3.4 mm and standard length 10 mm. All implants in both groups were placed following immediate loading protocol. Patients were recalled for a follow-up period of 1 year, evaluating implants clinically for pocket depth and gingival index at baseline, then 3, 6 and 9 months intervals, and evaluating bone height loss radiographically at baseline, then 6, 9 and 12 months intervals. Results: Pocket depth and crestal bone height loss increased in patients using short implants than patients using mini implants, while gingival index parameter in all patients was not affected by using the two types of implants. Conclusion: Mini dental implants have a favorable effect on the supporting structure than short dental implants in both clinical and radiographic evaluation.

Comparative Analysis of Sagittal Condylar Guidance Recorded by Intraoral Gothic Arch Tracing and Panoramic Radiograph in Completely Edentulous Patients

To compare the intraoral gothic tracing method with panoramic radiographs in patients requiring complete dentures. The present study was conducted on 20 edentulous subjects of both genders. Hanau Wide-Vue semi-adjustable articulator was used to record sagittal condylar guidance in all patients. Panoramic radiographs were taken in all patients and Frankfurt horizontal plane was traced on both sides of orthopantomogram (OPG) and second plane was marked by joining the most superior and most inferior point on the glenoid fossa curvature. Frankfort's horizontal plane was crossed with this line to record radiographic condylar guidance angle. NNT software was used to record the condylar guidance angle. Mean ± standard deviation (SD) clinical SCG (25.15 ± 3.24) and radiographic seismocardiography (SCG) (27.54± 5.01) was non significant (p > 0.05) on left side. Mean ± standard deviation (SD) clinical SCG (26.84 ± 3.69) and radiographic SCG (29.3 5 ± 4.58) was significant (p < 0.05) on right side. The SCG did not show difference in values recorded by both methods on both sides. The difference in values in both sides by clinical method and radiographic method was non-significant (p > 0.05). There was correlation between sagittal condylar guidance obtained by both intraoral gothic arch method as well as radiographic method done on digital panoramic radiographs. Correct centric jaw relation determines the success of the complete denture. Radiographic and clinical methods provide sufficient minute details necessary for the betterment of management.

OSC24: Need for A Panoramic Radiographic Assessment Prior to Prosthetic Treatment in Complete Edentulous Patients.

OSC24: Need for A Panoramic Radiographic Assessment Prior to Prosthetic Treatment in Complete Edentulous Patients.

Learner Reactions and Responses to Individualized Coaching on Communication Skills for Treating Completely Edentulous Patients

Purpose: Communication skills (CS) of each doctor vary as individual approach is unique. Assessment of particular skills they apply and what they lack in, permits us to individualize CS training i.e.dentist specific communication skill (DSCS). This study was designed to assess individual prosthodontic resident’s skills while treating real patients and to subsequently plan individualized coaching to strengthen the deficiencies identified. Methods: Videorecordings were done during treatment for 50 complete denture patients treated by six prosthodontic residents in a dental institution. The videointeractions were analyzed to identify their individual strengths and weakness and an individualized coaching was planned .Post training the residents were observed while treating another set of 50 edentulous patients. Results: It was found that each resident had an ‘individual pattern’ (IP) in practicing some skills as showing care and concern, empathy etc and were lacking in certain other skills e.g. consideration of psychosocial aspects etc. Conclusion: Individual feedback and personalized coaching were very well appreciated by the prosthodontic residents and a change in their attitude and patient-centered approach were apparent.

Modified Complete Denture Prosthesis to Support Lip and Improve Speech in Completely Edentulous Patients with Neurological Problem—A Case Report

AbstractLip has an important role in esthetics and phonetics of an individual. Damage to marginal mandibular nerve leads to loss of motor function and muscle tone of the affected side of lip. Eventually, it leads to loss of both primary functions of lip. Various surgical approaches of treatment do exist, but the treatment time is long and results are often not satisfactory. Prosthetically, these patients can be managed with the help of lip plumber prosthesis. This case report presents simple and accurate method to restore the harmonious relation of the lip.

MINI-IMPLANT- VERSUS CONVENTIONAL IMPLANT-RETAINED MANDIBULAR OVERDENTURE IN COMPLETELY EDENTULOUS PATIENTS: A SYSTEMATIC REVIEW AND META-ANALYSIS.

29Nov 2017 MINI-IMPLANT- VERSUS CONVENTIONAL IMPLANT-RETAINED MANDIBULAR OVERDENTURE IN COMPLETELY EDENTULOUS PATIENTS: A SYSTEMATIC REVIEW AND META-ANALYSIS. Marwa Hassan Mostafa , Ali Abdulghani AlSourori , Amal Fathy Kaddah and Ahmed Emad Fayyed. Assistant Researcher, Department Of Fixed And Removable Prosthodontics, National Research Center, Egypt. PhD Candidate Prosthodontics, Faculty of Oral and Dental Medicine Cairo University, Egypt. Lecturer of Prosthodontics, Faculty of Dentistry, Ibb University, Yemen. Head of Department Of Prosthodontics, Faculty of Oral and Dental Medicine Cairo University, Egypt. Assistant Professor at Faculty of Oral and Dental Medicine Cairo University, Egypt.

Assessment of Dimensional Disparity in Posterior Arch Width Between Opposing Maxillae and Mandibles in Completely Edentulous Patients with Increased Resorption and Edentulous age - An in vivo Study

Aim: To assess the dimensional disparity in arch width between opposing maxillae and mandibles with edentulous age and increased resorption in edentulous subjects wearing complete denture. Materials and Method: One hundred edentulous subjects wearing complete denture were selected for the study. Maxillary and mandibular casts and a panoramic radiograph were made for each subject. The original height of the mandible before loss of teeth and resorption was predicted by multiplying the distance between the inferior border of the mandible to the lower edge of the mental foramen by a factor of 2.9. The reduction in height of the edentulous mandible was expressed as percentage of the original height of the mandible. The maxillary arch widths immediately anterior to the tuberosities and mandibular arch widths immediately anterior to the retromolar pads were measured. The difference between these two measurements was calculated to determine the discrepancy in posterior arch width. Results: There was no statistically significant difference in the mean values of posterior arch width discrepancy for different groups of edentulous age as well as percentage resorption. The differences in the mean values for amount of resorption with edentulous age were statistically significant. Conclusion: The discrepancy in posterior arch width between opposing maxillae and mandible does not increase progressively with edentulous age and increased reduction in mandibular height. The arch width of the mandible exceeds the arch width of the maxillae in the molar region by an average of 6 to 8 mm after sufficient resorption establishes a definitive alveolar crest. This remains constant regardless of the amount of resorption or edentulous age. The mandibular ridge reduction is found to increase with edentulous age.

Outcomes Assessment of Treating Completely Edentulous Patients with a Fixed Implant-Supported Profile Prosthesis Utilizing a Graftless Approach. Part 2: Patient-Related Outcomes.

To assess outcomes of treating completely edentulous patients with a fixed implant-supported profile prosthesis, utilizing a graftless approach, for the maxilla and for the mandible, with an emphasis on patient-related outcomes, specifically maximum occlusal force, patient satisfaction, and impact on quality of life. This was a cross-sectional study with the following inclusion criteria: completely edentulous patients rehabilitated with a fixed implant-supported profile denture, utilizing a graftless approach. Patients fulfilling the inclusion criteria were asked to participate in the study during their follow-up visits; hence, a consecutive sampling strategy was used. To measure maximum occlusal force, a digital occlusal force gauge was used. Subjects were asked to answer a paper survey distributed in the clinic. The survey contained general demographic questions, visual analog scale (VAS) categories, and Oral Health Impact Profile-14 (OHIP-14). The mean VAS score was 8.9 out of a possible 10. The mean OHIP-14 score was 7.5 out of a possible 56. The mean maximum occlusal force recorded in the anterior region was 108 Ncm. The mean maximum occlusal force recorded in the posterior region was 205 Ncm. Results indicated that patients treated with a graftless approach reported high satisfaction and impact on quality of life. Regarding maximum occlusal force values, significant differences between men and women were reported. The impact on quality of life seemed to improve when patients presented completely edentulous at the time of treatment as opposed to terminal dentition. Finally, significant positive correlations were detected between satisfaction and impact on quality of life, impact on quality of life and posterior maximum occlusal force, anterior and posterior maximum occlusal force, and complications and anterior maximum occlusal force.

Outcomes Assessment of Treating Completely Edentulous Patients with a Fixed Implant-Supported Profile Prosthesis Utilizing a Graftless Approach. Part 1: Clinically Related Outcomes.

To assess outcomes of treating completely edentulous patients with a fixed implant-supported profile prosthesis utilizing a graftless approach for the maxilla and for the mandible, with emphasis on clinically related outcomes, specifically implant and prosthesis survival. This was a retrospective study with the following inclusion criteria: completely edentulous patients rehabilitated with a fixed implant-supported profile denture utilizing a graftless approach. Patients fulfilling the inclusion criteria were asked to participate in the study during their follow-up visits, and hence a consecutive sampling strategy was used. Data regarding implant and prosthesis cumulative survival rates (CSRs) were gathered and calculated. Thirty-four patients were identified with a total of 220 implants placed. An overall CSR of 98.2% was recorded with an observation of up to 10 years. For tilted, axial, and zygomatic implants, CSRs of 96.9%, 98.0%, and 100%, respectively, were observed for up to 10 years. For provisional prostheses, CSRs of 92.3% at 1 year, and 84.6% at 2 years were observed. For final prostheses, a CSR of 93.8% was observed at 10 years. The results suggest that treating completely edentulous patients with a fixed profile prosthesis utilizing a graftless approach in the maxilla and the mandible can be a reliable treatment option.