Complete Edentulous Patients Research Articles

Comparative Evaluation Between Conventional Earplugs and Modified Earplugs in Reducing the Severity of Gag Reflex While Making Impression in Completely Edentulous Patients: A Randomized Controlled Trial.

Background The gag reflex is a common problem encountered during impression-making in completely edentulous patients. The use of music therapy and earplugs reduces gag reflex severity. However, no comparative study has been reported to establish their effectiveness. Methods This randomized controlled trial randomly assigns 56 completely edentulous patients with gag reflexes to either the conventional earplug group or modified earplug group. The patients will, with earplugs on, listen to music while waiting and resting for a period of 10 minutes before maxillary impression-making. The Gagging Severity Index (GSI) and Gagging Prevention Index (GPI) will be measured to assess whether music therapy with earplugs would be effective in minimizing the gag reflex. Results The results showed that, in the conventional earplug group, GPI at 2.9643 ± 1.20130 was more effective than GSI at 2.9286 ± 0.81325, but it was not significant at p = 0.051. On the contrary, in the modified earplug group, a gain was observed with respect to the significant effectiveness of GPI at 2.8929 ± 1.31485 compared to GSI at 2.6786 ± 0.77237, reaching a significance of p = 0.003. The result also indicates no significant difference between the two groups in GPI at p = 0.430. Conclusion There was a reduction in the severity of the gag reflex with the use of modified earplugs as compared to a conventional earplug. Music therapy and earplugs can be used as an adjunct to reduce gag reflex during impression-making in completely edentulous patients.

Comparative Evaluation of Condylar Guidance Obtained by Digital Panoramic Radiographic Images Using Two Different Interocclusal Recording Material During Jaw Relation in Completely Edentulous Patients: An In Vivo Study.

Objective To compare the condylar guidance value obtained during jaw relation by two different interocclusal recording materials to that obtained from OPG (Orthopantomogram). Materials and methods Two different interocclusal recording materials were used, namely bite registration wax (reinforced wax, by MAARC Dental Company) and bite registration paste (jet bite, coltene) for interocclusal records during jaw relations. An OPG is shot prior to the treatment, and horizontal condylar guidance (HCG) is traced joining the bony landmarks in a completely edentulous patient seeking complete denture treatment. All the conventional steps for complete denture fabrication up to jaw relation are performed. A facebow transfer is done on a Hanau H2 articulator, and height tracers (extra oral tracing devices) are attached. After satisfactory training, the tracing is performed by the patient, and the interocclusal records are obtained. The articulator is programmed to obtain the value of HCG using protrusive records, which are then compared to the value obtained from OPG. Statistics were carried out to determine angles. Followed by statistical analysis with Pearson correlation to analyze the results (α = 0.01). Results A substantial relationship was discovered between the horizontal condylar inclination between two interocclusal recording materials and the corresponding OPG for both the right (p = 0.0015) and left (p = 0.0007) sides. Conclusion The condylar guidance obtained with jet bite was closer than the condylar guidance value obtained with reinforced wax when compared with the horizontal condylar inclination obtained in OPG by tracing with a mean difference of 10° for polyvinyl siloxane and 20° for reinforced wax in seven subjects evaluated.

“Comparative Evaluation Of The Pre And Post Treatment Head Postural Change In Completely Edentulous Patients Rehabilitated With Complete Dentures - An In Vivo Prospective Study”

“Comparative Evaluation Of The Pre And Post Treatment Head Postural Change In Completely Edentulous Patients Rehabilitated With Complete Dentures - An In Vivo Prospective Study”

CLINICAL IMPACT OF DIODE LASER ON TRUENESS, PRECISION, AND QUALITY OF LIFE OF COMPLETE DENTURE WEARERS (CLINICAL STUDY)

Background: Candida Albicans (C. albicans) is a major fungal infection affecting the majority of complete denture wearers and causes denture stomatitis (DS) which has many local treatment modalities, such as Chlorohexidine mouthwash and the Diode Laser. Their clinical impact on denture Accuracy, Retention, and the Patients ability to utilize dentures normally has not yet been discussed. Hence, a complete dentures Accuracy titled Trueness and Precision is a vital hidden key for achieving its success post-disinfection. Objectives: This studys objective was to evaluate and compare Diode Laser and Chlorhexidine mouthwashs impact on Trueness, Precision, Retention, and the Patients oral health-related quality of life (OHRQoL) in complete denture wearers. Materials and Methods:An overall of 16 complete edentulous patients were elected, dentures constructed from Heat-cure acrylic resin, and grouped equally owing to the antifungal disinfectant employed into Group I (Diode Laser) and Group II (Chlorhexidine). Assessments were carried out pre- and post-disinfectant application in both groups. The Pre-Disinfectant assessments of Trueness and Precision took place before delivery whereas, those of Retention andOHRQoLwere carried out immediately post-delivery. All the Post-Disinfectant assessments were carried out 60 days following delivery. Results: There was an insignificant difference between Diode Laser and Chlorhexidine mouthwash regarding Trueness, Precision, Retention, and OHRQoLin maxillary complete dentures. Conclusion:It has been concluded that the Diode Laser beam and the 2% Chlorhexidine mouthwash are safe antifungal Heat-cure CD disinfectants regarding Trueness, Precision, Retention, and the OHRQoL.

Prevalence Of Flabby Ridge In Completely Edentulous Patients Among The Chennai Population

Aim: The aim of this present study was to evaluate the prevalence of flabby ridge in completely edentulous patients among the Chennai population. Background: Flabby tissue refers to excessive and movable soft tissue, while a ridge is an elevated, long, narrow, and raised crest. A flabby ridge is a specific condition characterized by the mobility of the soft tissue of maxillary or mandibular alveolar ridge. This occurs when soft tissue hyperplasia replaces the underlying alveolar bone. Materials and Methods: The study is a retrospective study with data collection obtained from Dental Information Archiving Software (DIAS). Parameters assessed include age, gender, and flabby ridge patients. The collected data was tabulated in Microsoft Excel sheet and statistically analyzed. The correlation between the prevalence of flabby ridge, genders and different ages was analyzed by employing the Chi-Square test. Results: In the present study, a total of 31 patients aged between 31 to 85 year old were assessed for specific parameters such as gender, ages, flabby ridge, and its occurrence in different arches. Patients with flabby ridge were found more in females with 83.9% when compared to males. The most common age group is 51 to 60 years old with a 41.9% prevalence. The maxillary arch is most commonly affected by flabby ridge (55.6%) compared to the mandibular arch. There is a positive correlation between gender and flabby ridge prevalence with a p-value <0.05 (statistically significant). However, the correlation between age and flabby ridge prevalence showed insignificant value, p>0.05. Conclusion: Within the limits of the present study, the prevalence of flabby ridge among the completely edentulous patient, female is most affected with the most common age between 51 to 60 years old and the maxillary arch being the most common arch.

Four-year assessment of masticatory function in mandibular overdenture wearers: A randomised clinical trial comparing two to four implants to retain the prosthesis.

Limited data exist on the mid- to long-term masticatory capacity of mandibular overdenture (IOD) wearers, particularly regarding the use of posterior implants to retention. To periodically evaluate mastication of IOD wearers, comparing the effectiveness of two to four implants to retain the prosthesis. In a randomised controlled clinical trial, 20 complete edentulous patients (14 women), aged 51-84 years (mean age 69.1 ± 9.6), received new bimaxillary complete dentures (CD). After adaptation, baseline measurements of masticatory performance (X50) and swallowing threshold were conducted using the sieving method. Patients were then randomly assigned to groups: control (two intra-foraminal regular implants) and experimental (two intra-foraminal regular implants and two extra-short posterior implants) (n = 10 each). After 4 months, implants were splinted, and a new mandibular IOD was fabricated with bar/clip retention. Mastication was reassessed after 6, 12, and 48 months, and data analysed with repeated measures ANOVA and Sidak's post hoc (α = 0.05). Despite a loss of two patients per group, masticatory performance significantly improved after mandibular IOD installation (p = .031) in both groups (p = .670). A second improvement was observed after 6 months (p = .027), with no subsequent changes (p > .05). Swallowing threshold improvements were noted with IOD, and no discernible differences between groups were observed (p > .05). Masticatory function significantly improved after mandibular IOD installation, with the number of implants demonstrating minimal influence. The present study was not registered in a public database, as mandated. It is important to note that the recommendation for registration was initiated in 2017 by the Committee of Medical Journal Editors, while patient inclusion in the research took place in 2016. Given that the data presented in this manuscript cover a follow-up period of up to 4 years post-surgical intervention, delayed registration was not feasible.

Zirconia Dental Implants Surface Electric Stimulation Impact on Staphylococcus aureus.

Tooth loss during the lifetime of an individual is common. A strategy to treat partial or complete edentulous patients is the placement of dental implants. However, dental implants are subject to bacterial colonization and biofilm formation, which cause an infection named peri-implantitis. The existing long-term treatments for peri-implantitis are generally inefficient. Thus, an electrical circuit was produced with zirconia (Zr) samples using a hot-pressing technique to impregnate silver (Ag) through channels and holes to create a path by LASER texturing. The obtained specimens were characterized according to vitro cytotoxicity, to ensure ZrAg non-toxicity. Furthermore, samples were inoculated with Staphylococcus aureus using 6.5 mA of alternating current (AC). The current was delivered using a potentiostat and the influence on the bacterial concentration was assessed. Using AC, the specimens displayed no bacterial adhesion (Log 7 reduction). The in vitro results presented in this study suggest that this kind of treatment can be an alternative and promising strategy to treat and overcome bacterial adhesion around dental implants that can evolve to biofilm.

Analysis of Satisfaction Levels in Completely Edentulous Patients Treated with Different Configurations of Implant- Supported Prostheses.

To evaluate and compare patient satisfaction levels in edentulous patients treated with different configurations of implant-supported prostheses as well as previous prosthesis experiences before implant treatment. A study population of 142 patients was identified and separated into four treatment groups: group 1 comprised 43 patients treated with an implant-supported overdenture in the mandible and conventional complete denture in the maxilla; group 2 comprised 32 patients treated with implant-supported overdentures in the maxilla and mandible; group 3 comprised 26 patients treated with an implant-supported overdenture in the mandible and a fixed prosthesis in the maxilla; and group 4 comprised 41 patients treated with implant-supported maxillomandibular fixed restorations. Questionnaires asking about masticatory performance, pronunciation, comfort, and social ability were used to evaluate treatment outcomes. The patients in group 4 were significantly more satisfied regarding masticatory performance than other treatment modalities. Visual analog scale (VAS) scores for comfort and social ability were similar in groups 3 and 4 and significantly higher than those in groups 1 and 2. The patients who used a conventional removable prosthesis before implant treatment were more satisfied with their implant-supported prosthesis regarding social ability (P = .03). The treatment design of an implant-supported fixed prosthesis in the maxilla and implant overdenture in the mandible provided a comparable level of satisfaction with maxillomandibular fixed prosthesis for edentulous patients. This combination served as a practical solution especially for patients with mandibular atrophy who would require extensive surgeries to support maxillomandibular fixed prostheses. In the maxilla, patient satisfaction with an implantsupported overdenture was not superior to that with a conventional prosthesis. Note that previous removable prosthesis experience may influence social comfort for patients.

ASSESSMENT OF NUMBER AND LEVEL OF ATTACHMENT OF BUCCAL FRENUM IN THE EDENTULOUS OLD AGE PEOPLE IN A TERTIARY CARE CENTER OF NEPAL

Background: Frenum is a fold of mucous membrane that encase muscle fibers. Frenum are important anatomical structure during complete denture fabrication. There is paucity of data related to buccal frenum. This study aimed to assess the number and level of buccal frenal attachment among the edentulous age groups and genders in both the maxillary and mandibular arches. Methods: A descriptive cross-sectional study was conducted in the Department of Prosthodontics & Maxillofacial Prosthetics of Chitwan Medical College. In total 97 patients of within the age of 55-85 years’ old participated in the study. In this study demographic details of participants followed by level and number of buccal mucosa in the oral cavity were noted in a predesigned proforma. The collected data was then transferred into SPSS and was analyzed for descriptive statistics using SPSS version 26. Results: In this study, in total 97 complete edentulous patients participated in which 59 (60.8%) were males and rest were females. Single buccal frenum was mostly observed in the maxillary arch. About 49(50.5%) of the participants showed single buccal frenum on right side of maxillary arch, while on the left side 40 (41.2%) of the participants had single buccal frenum. In the mandibular arch, 62 (63.9 %) on the right side and 68 (70.1%) on the left side had no frenum at all. Conclusions: From this study it can be concluded that there is variation in the buccal frenum too. In order to provide proper retention, stability, and support with the least amount of post-placement corrections, a solid understanding of the morphological variation of frenum is thus necessary.

Analysis of Prevalence of Lateral Throat Form in Completely Edentulous Patients: A Systematic Review

Analysis of Prevalence of Lateral Throat Form in Completely Edentulous Patients: A Systematic Review

Use of the universal scan template to achieve a predictable optical impression: Preliminary data of a case series study in complete edentulous patients.

Full-arch IOS scan of edentulous areas rehabilitated with dental implants is nowadays still described as an unpredictable procedure. To improve the accuracy, a universal scan template (UST®) is proposed in this article. The clinician can easily assemble the template with a mechanical coupling, by matching the scan bodies with objects of known dimension characterized by specific markers. The UST® facilitates the scanning of an entire arch on scan bodies, reducing the learning curve, simplifying acquisition movements, shortening the scanning time, and drastically reducing the risk of distortions and aberrations of the scans. In a case series study on 12 patients, the improvement in the accuracy of the scans with UST® was validated by comparing the STL files derived from scans with and without the guide in place. A titanium bar was produced from each optical impression. The bars obtained from the optical impressions taken without UST® were found to be nonpassive in the mouth in the majority of the cases. On the contrary with the use of UST® we obtained 12 passive prosthetic rehabilitations. The proposed solution may represent a valid method to improve the predictability of full arch optical impressions on implants.

Evaluation of the Role of Dentures & Dietary Advice on Nutritional Status of Complete Edentulous Patients Using MNA®-SF: An Observational Study.

Aim This study aims to evaluate the role of dentures and dietary advice on the nutritional status of complete edentulous patients using the mini nutritional assessment-short form (MNA®-SF). Objective The objective of this study is to assess patients' nutrition using MNA®-SF before denture insertion and nutritional advice, to evaluate patients' nutrition usingMNA®-SF after denture insertion and nutritional advice at one month and three months, and to assess and compare pre- and post-insertion differences in nutrition usingMNA®-SF. Material and Method An observational study was conducted among 50 completely edentulous patients using theMNA®-SFquestionnaire. They were asked the questions at baseline and then after they were given complete dentures, after which they were recalled after one month and three months to assess the nutritional status usingMNA®-SF. All the questions were in the native language, so it was easy to understand the question and respond to it. Result It was found that the patient's nutritional status had significant changes, which shows that the dietary advice and complete denture affected the patient's nutritional status. Conclusions This study helped assess the efficacy and application ofMNA®-SFin completely edentulous patients. In this study, we provided nutritional guidance to patients in addition to complete denture prostheses to encourage them to have healthy eating habits.

Impact of Denture Prostheses on Cognitive Functioning in Completely Edentulous Patients: A Pilot Study.

The aim is to evaluate the impact of denture prostheses on cognitive functioning in completely edentulous patients using a novel cognitive assessment tool. Thirty (n=30) completely edentulous patients of age groups above 60 years were taken in the present study group. Pre- and post-cognitive assessments were done on the patients using a novel cognitive assessment tool, Dental Cognitive Functioning Assessment Tool (DCFAT). These assessments were done in the pre-treatment stage and after two weeks and three months of prostheses function. The mean DCFATscore of 30patients shows 10.13 recorded prior to denture fabrication and 11.5 and 14 after two weeks and three months of prosthesis function, respectively. A mean difference in the DCFATscore of 1.37 was seen between the pre-denture fabrication stage and two weeks of prosthesis function. The mean difference in DCFATscore of 3.87 was seen between the pre-denture fabrication stage and three months of prosthesis function and the mean difference score of DCFAT score 2.5 was observed after two weeks and three months of prosthesis function. One-way ANOVA was used to investigate the statistical difference between bivariate samples followed by the post hoc Tukey test. The results were statistically significant p< 0.00001. The inference obtained suggest that the replacement of missing teeth by denture prostheses enhances the cognitive functioning in the elderly population which can eventually reduce the occurrence of dementia.

Survival Rate of Sandblasted, Large Grit, Acid-Etched (SLA) versus Laser-Treated Implants in Completely Edentulous Patients Rehabilitated with Mandibular Implant-Retained Overdentures: A Split-Mouth Study

Survival Rate of Sandblasted, Large Grit, Acid-Etched (SLA) versus Laser-Treated Implants in Completely Edentulous Patients Rehabilitated with Mandibular Implant-Retained Overdentures: A Split-Mouth Study

MANAGEMENT OF NON-HEALING SOLITARY ORAL ULCER IN PATIENT RECEIVING COMPLETE DENTURE: A CASE REPORT

Non-healing oral ulcer with non-vital bone exposure is an uncommon phenomenon and rarely seen in daily clinical practice. The clinical presentation of this kind of ulcer usually mimics a carcinoma appearance, which always gives a diagnostic dilemma. Regarding this case, an accidental finding of a solitary non-healing oral ulcer on the hard palate of a 65-year-old complete edentulous patient has been observed. The painless ulcer has existed for more than three months before the patient came to the clinic. This article provides a detailed description of the investigation done to obtain a proper diagnosis for this case and the treatment that has been given until the patient is cured. It highlights a take-home message that oral mucosa lesion is difficult to manage and might require a multidisciplinary approach for the success of treatment.

Masticatory Efficiency and Perceived Masticatory Ability Evaluation in Completely Edentulous Patients Rehabilitated with A Thermoplastic Denture

Masticatory Efficiency and Perceived Masticatory Ability Evaluation in Completely Edentulous Patients Rehabilitated with A Thermoplastic Denture

Functional Neuroplasticity of Adults with Partial or Complete Denture Rehabilitation with or without Implants: Evidence from fMRI Studies.

Tooth loss may affect food ingestion and, consequently, nutrition intake. The neuroimaging literature using functional magnetic resonance imaging (fMRI) was reviewed to summarize the changes in brain functions in response to denture rehabilitation in patients with partial or complete edentulous dentition. Overall, this review covered nine fMRI studies on denture rehabilitation. Eight recruited complete edentulous patients, whereas one recruited partially edentulous patients. The risk-of-bias assessment revealed concerns regarding all nine studies. Due to the heterogeneity of the studies and the lack of brain coordinates reported, a meta-analysis could not be conducted, and this review could only summarize the findings without statistical validation. The evidence from jaw-clenching studies suggested that implant-supported fixed dentures could be the best option, as compared to implant-supported overdentures and complete dentures, as it was associated with higher brain activity levels in various brain regions, including those corresponding to the primary sensory (postcentral gyrus) and motor cortices (precentral gyrus). Gum-chewing studies indicated that perhaps the medial and middle frontal gyri were associated with food comminuting and food mixing, which could be improved by the full replacement of the dental arch, instead of only partial replacement. All the fMRI studies described the functional neuroplasticity of the patients undergoing denture rehabilitation and suggested that certain rehabilitation options were more beneficial in restoring masticatory functions, as well as their associated brain activity levels.

Assessment of the Impact of a Multistrain Probiotic on the Quantity of Saliva in Completely Edentulous Patients: An Observational Study

Abstract Background: Probiotics are being used to treat oral infections, for instance, periodontitis, caries, fungal infections, and halitosis. Probiotics play a significant role in the overall health of infants, teenagers, adults, and the elderly. However, there is scarce literature regarding its role in completely edentulous patients. Aim: The aim of this study was to assess the impact of multistrain probiotics on the quantity of saliva in completely edentulous patients. Materials and Methods: A total of 52 patients were recruited for the study, who were completely edentulous and wearing removable complete denture prostheses. These patients were divided into two groups. Group I (experimental) patients on multistrained probiotics named Lee-Biotic (Leeford Healthcare Ltd.) and Group II (control) consisted of patients who were not prescribed any probiotics. Saliva samples of all the patients were collected at the baseline, after 2 months, and after 3 months. The complete data were formulated systematically on the Microsoft Excel sheet, and then, it was analyzed using the Statistical Package for the Social Sciences version 21. Results: The mean value of the amount of saliva at the baseline in probiotic and nonprobiotic groups was 2.042 ml and 0.888 ml, respectively (P &lt; 0.001 for both). After 3 months, there was a significant increase in the amount of saliva; i.e. for the probiotic group, it was 2.219 ml, and for nonprobiotic, it was 1.273 ml. Conclusion: Commercially available multistrain probiotic supplements increased the quantity of saliva in edentulous patients who were old denture wearers.

Perfil proteico de la saliva total de pacientes edéntulos parcial y total

Objective. Aim of this study was to characterize the protein profile of whole saliva in partial and complete edentulous and determine the changes in salivary protein expression of adults with varying degrees of tooth loss. Methods. In this observational study, unstimulated saliva samples were collected from 80 adults (age 18-73 years), 20 dentulous and 60 edentulous. Partial and complete edentulous patients (EP) were divided into three groups with different number of teeth lost. Concentration and electrophoretic profile (cellulose acetate membrane and polyacrylamide gels) of the salivary proteins were compared between the groups. Results. Total protein and albumin concentration was highest in the group of dentulous patients (DP) and significantly different in PE groups (p&lt;0.0001). A significant difference (p&lt;0.011) was observed in the gamma globulin fraction between PD versus PE and in the electrophoretic profile of salivary proteins between the different groups. A high number of 66 kDa bands was founded in all groups (p=0.049). Conclusions. The concentration and electrophoretic profile of the salivary proteins of DP and EP were different.

Benefit of Hyaluronic Acid to Treat Facial Aging in Completely Edentulous Patients.

Hyaluronic acid (HA) is widely used in aesthetic medicine for its moisturizing and anti-aging action. This molecule, which is naturally present in the body, has an interesting response to aging, accentuated in totally edentulous patients. While its aesthetic benefits for facial rejuvenation are well-documented, there is a lack of description and investigation on its therapeutic usefulness for edentulous patients. The management of completely edentulous patients is a daily reality in dental practice and requires specific attention. The aesthetic and functional challenge is considerable. The displacement of the bone base, which is often marked, and lack of soft tissue support are sometimes difficult to correct with prosthetic reconstruction. This review aims to present the physiological processes appearing in completely edentulous patients and prosthetic solutions available to recreate oral functions and counteract facial aging. As prosthetic rehabilitations are not fully satisfying for counterbalancing the impression of excessive facial aging, we investigated the applications of HA injection in the perioral area, in order to improve edentulism treatment, and discussed the advantages and disadvantages, compared to other dermal fillers and rejuvenation therapies. Considering the specific situations of edentulous patients, dermal HA injections help to correct uncompensated bone losses and mucous volume losses and appear to be a therapeutically beneficial for treating completely edentulous patients, without the requirement to full rejuvenation therapy.