Conventional Complete Denture Wearers Research Articles

Psychometric properties of ohip-edent b&h for conventional complete denture wearers.

This study assessed psychometric properties of the Bosnian language version the Oral Health Impact Profile for Edentulous Patients (OHIP-EDENT), translated from the original English language version of and evaluated the Oral Health-related Quality of Life, in complete denture wearers before and after corrections of dentures. Specialist of dental prosthetic interviewed 117 edentulous patients before and after interventions. All patients had problems with their existing complete acrylic resin dentures. During the first visit, the patients were examined by prosthodontic specialists, who registered the status of the existing acrylic complete dentures and described interventions needed to improve denture quality. The patients were interviewed, and they completed the OHIP-EDENT questionnaire. Each patient was re-examined by a prosthodontic specialist one month after the new complete acrylic dentures had been delivered. This study's basic instrument was the Bosnian language version (B&H) OHIP-EDENT questionnaire. The questionnaire's internal consistency was first assessed by Cronbach alpha coefficient, which was 0.80, and after correcting of dentures 0.76. Significantly lower scores were found in domains of functional limitation (p = 0.019), psychological discomfort (p = 0.010), physical pain (p = 0.003), and handicap (p = 0.041) after old denture corrections, as well as significantly better quality of life (reduced OHIP-EDENT Summary scores; p = 0.027). The student's t test of the OHIP EDENT B&H general and group indexes regarding the patients' conditions after denture interventions showed significant reduction of the general index (p = 0.02) along with reductions of functional limitations (p = 0.019), pain (p = 0.003), physical disabilities (p = 0.15), psychological disability (p = 0.002), and handicap (p = 0.002). The OHIP-EDENT B&H exposed good psychometric properties.

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.

A Seven-year Follow-up Study of Patient Satisfaction with Three-implant-retained Mandibular Overdentures

PURPOSE: This study aimed to compare patients’ satisfaction with mandibular overdentures retained by three-splinted implants versus conventional complete denture wearers during a 7-year follow-up study period. MATERIALS AND METHODS: Thirty edentulous male patients (mean age: 60 years) were carefully selected and divided into two equal groups. All patients received a new set of complete dentures. Group I patients received three implants in the anterior mandible and were connected after 3 months with bars, clips, and loaded. Group II patients received conventional complete dentures. Patients’ satisfaction was recorded for both groups at 3 weeks (baseline) and after 1, 3, 5, and 7 years. Patients were then asked to grade their overdentures/dentures on a visual analog scale and written questionnaire to evaluate their overall satisfaction. RESULTS: Satisfaction scores of Group I patients were found to be statistically significantly higher than that of Group II patients (p < 0.05) at 3, 5, and 7 years follow-up, meanwhile, no statistically significant difference was found at baseline or after 12 months. CONCLUSION: The long-term results suggest that three-implant-retained mandibular overdenture with a clip-bar attachment appears to be a successful rehabilitation strategy which is superior to conventional dentures for patients with advanced ridge resorption.

Prostheses satisfaction and diet of elderly wearing a single implant overdenture: A six-month assessment.

To compare prosthesis satisfaction and nutritional intake of edentulous elderly people wearing a conventional complete denture (CD) with those wearing a single implant mandibular overdenture (SIO) after 6months of use. Completely edentulous elderly patients (n=22) were divided between a group rehabilitated with CDs in both dental arches and a group receiving a mandibular SIO with a conventional CD in the upper arch (n=11/group). Patients completed a visual analog scale for degree of satisfaction with their prostheses in seven categories. Nutritional intake of patients (based on patient diaries) was evaluated over a 3-day period. SIO wearers were more satisfied with their prostheses than were CD wearers. Six months after rehabilitation, the SIO group consumed foods higher in vitamins B2 and B6, whereas the CD group consumed more sodium. SIO wearers are more satisfied with their prosthesis and consume greater amounts of vitamin B2 and vitamin B6 in their diets than CD wearers. Brazilian Registry of Clinical Trials (#RBR-3kgttj and #RBR-37gdst).

Relationship Between Masticatory Function Impairment and Oral Health-Related Quality of Life of Edentulous Patients: An Interventional Study.

To investigate the influence of impaired masticatory function on the oral health-related quality of life of conventional complete denture wearers before and after the transition to implant-retained mandibular overdentures. Masticatory function and oral health-related quality of life were evaluated in 40 edentulous patients after 3 months of adaptation to complete dentures and after transition to implant-retained mandibular overdentures. Masticatory function was evaluated through the swallowing threshold test with a standardized portion of an artificial test food (Optocal) to determine median particle size (×50) and homogenization index (B). After the test, the masticatory function outcomes were used to categorize patients in 2 groups according to chewing performance: (i) satisfactory or (ii) unsatisfactory. The cutoff value for ×50 was based on a preestablished value of 3.68mm, whereas for the B index, median values were adopted for categorization. The oral health-related quality of life was analyzed via the Oral Health Impact Profile for Edentulous Adults (OHIP-EDENT) questionnaire. The Mann-Whitney test was used to compare masticatory function outcomes and OHIP-EDENT scores, and associations were checked using the Spearman correlation test and multiple linear regression. Masticatory function was significantly correlated with functional limitation (p = 0.02) and physical disability (p = 0.04) for complete denture wearers with unsatisfactory masticatory function. After the transition to implant-retained mandibular overdentures, only the psychological discomfort domain (p = 0.02) was influenced by the masticatory function category. Multiple linear regression analysis revealed that only the functional limitation domain (p < 0.001) of the complete denture wearers was associated with masticatory function outcomes. Implant-retained mandibular overdentures eliminate the problems that lead to functional limitations, consequently improving masticatory function and oral health-related quality of life of these individuals; however, patients with unsatisfactory masticatory function after transition to implant-retained mandibular overdentures still experience more psychological discomfort.

Masticatory function of conventional complete denture wearers changing to 2-implant retained mandibular overdentures: clinical factor influences after 1 year of function

PurposeEvaluate how clinical factors related to conventional complete denture (CCD) wearers, can influence masticatory function (MF) of totally edentulous patients before and after one-year transitioning to implant-retained mandibular overdentures (IMO). MethodsForty patients using CCD were rehabilitated with IMO and their MF was evaluated by: (i) ST_X50: theoretical aperture through which 50% of the weight of the particles would pass; (ii) STB: distribution homogeneity of the crushed particles. The clinical parameters analyzed were: atrophy, retention, stability, facial type, anteroposterior skeletal discrepancy, and type of loading. The statistical association was tested through crude and adjusted logistic regression. ResultsIMO promoted improvements in the MF, irrespective of the clinical parameters. CCD wearers with poor retention had 86% less chance of achieving a good ST_X50. STB was associated with stability, facial type, and anteroposterior discrepancy. Subjects with poor mandibular CCD stability had a 76% lower chance of achieving a good test food homogenization, whereas brachyfacial individuals were 1.3 times more likely to have a good STB. Class II patients had an 89% lower chance of having a good homogenization of the particles as CCD users and after transition to IMO. ConclusionsCCD users with poor retention achieved an inferior ST_X50. The STB performance can be compromised by poor stability or Class II characteristics, while brachyfacial individuals achieve better homogenezation of the food bolus. Although the transition to IMO improved the masticatory function, the anteroposterior discrepancy still maintained an association with STB, as Class II individuals still presented difficulties homogenizing food.

COMPARISON OF TWO DENTURE ADHESIVES ON MANDIBULAR COMPLETE DENTURE RETENTION AND PATIENT SATISFACTION

Introduction: One of the main problems faced by conventional complete denture wearers is the retention and stability of their dentures during function. To overcome this problem, many attempts have been tried including invasive surgical techniques, implants, suction systems and the least offensive denture adhesives. Dentists have prescribed a range of adhesives of highly varied composition and efficacy. Purpose: The present clinical study evaluates the effectiveness of two adhesives in improving complete denture retention as well as patients’ satisfaction.Material and Methods: An in vivo clinical study is made of 20 patients with complete mandibular dentures to evaluate the retention provided by two commercial complete denture adhesives (Poligrip and Fittydent). A digital force meter scale was used to measure retention strength (in grams). Patients were asked to answer a simple questionnaire before and after using the tested adhesives regarding their acceptance to the retention and chewing ability.Results: The results obtained indicate that retention is enhanced using both adhesives, no significant difference was detected between the two adhesives and patients approved the enhancement of their denture retention and chewing ability in presence of both adhesives.Conclusion: within the limitation of this study it can be concluded that denture adhesives efficiently improve the denture retention.

Using overdenture on implants and complete dentures: Using overdenture on implants and complete dentures: Using overdenture on implants and complete dentures: effects on postural maintenance of masticatory effects on postural maintenance of masticatory musculature musculature

Aims: Thanks to advances in osseointegration, oral rehabilitation specialists have had the option of using implants to improve retention and stability in treatments with complete dentures. This study compared the masticatory muscle electromyographic activity in implant-supported overdenture wearers, complete denture wearers and dentate individuals. The electromyographic activity of the right and left masseter muscles, and the right and left anterior temporalis muscles was analyzed in 10 implant-supported overdenture wearers (Group 1), 10 conventional complete denture wearers (Group 2), and 10 dentate individuals (Group 3), with mean age of 65 years, at rest and during postural position maintenance. The analysis was performed using the MyoSystem-Br1 electromyographer with differential active electrodes. Analysis of variance tests were carried out to compare the groups and muscles and revealed different electromyographic values that were statistically significant at 1% significance level. Duncan’s pos-hoc test showed that Group 3 presented the smallest values (pd”0.01). The electromyographic contraction pattern was similar between Groups 1 and 3 (p>0.01), and hyperactivity of anterior temporalis muscles was observed in Group 2 (pd”0.01). Conclusions: dentate individuals had smaller electromyographic values of masticatory muscles and the overdenture use caused electromyographic contraction patterns similar to those of dentate individuals in both positions.

Masticatory performance of complete denture wearers after using two adhesives: A crossover randomized clinical trial

Masticatory performance analysis of conventional complete denture wearers who use denture adhesives is scarce in the dental literature. The purpose of this study was to assess the effect of the use of 2 denture adhesives on the masticatory performance of conventional complete denture wearers by means of a crossover study. Forty individuals who were edentulous received new maxillary and mandibular complete dentures, and,after an adaptation period, were submitted to masticatory performance analysis without denture adhesive (control). The participants were randomly divided and assigned to 2 protocols: protocol 1, denture adhesive 1 (Ultra Corega cream tasteless) use during the first 15 days, followed by no use of denture adhesive over the next 15 days (washout), and then use of denture adhesive 2(Ultra Corega powder tasteless) for 15 days; protocol 2, denture adhesive 2 (Ultra Corega powder tasteless) use during the first 15 days, followed by no use of denture adhesive during the next 15 days (washout), and then use of denture adhesive 1 (Ultra Corega cream tasteless) for 15 days. The masticatory performance was assessed immediately after the use of denture adhesive bymeans of the sieve method, in which participants were instructed to deliberately chew 5 almonds for 20 chewing strokes. Masticatory performance was calculated by the weight of comminuted material that passed through the sieves. Data were analyzed by a 1-way ANOVA for paired samples and the multiple comparison of means by using the Bonferroni test (α=.05). A significant increase in masticatory performance was noted after using the Ultra Corega cream (mean, 32.6%) andUltra Corega powder (mean, 31.2%) when compared with the control group (mean, 19.8%) (P<.001). No significant difference was found between the 2 denture adhesives evaluated. The use of denture adhesive improved the masticatory performance of conventional complete denture wearers. No difference was found in masticatory performance with the use of cream or powder denture adhesive.

The Effect of Different Mandibular Dentures on Antagonistic Maxillary Ridge

Is to evaluate the antagonistic, maxillary ridge resorption for different prosthetic modalities mainly mucosa-supported mandibular complete overdentures, combined mucosa implant-supported mandibular complete overdenture, and lower conventional complete dentures. Fifteen completely edentulous patients were divided into 3 groups; 5 patients each. Group I patients received maxillary conventional denture and mandibular overdentures retained by magnet attachment on 2 implants (mainly mucosa-supported overdenture). Group II patients received maxillary conventional denture and mandibular overdentures retained by bar attachment on 2 implants (combined mucosa implant-supported overdenture). Group III patients received upper and lower conventional complete denture. All patients were evaluated clinically and radiographically immediately after insertion and after 1 and 2 years. Panoramic radiographic film was used to evaluate the antagonistic maxillary ridge resorption. Indicated a more pronounced annual bone resorption of the antagonistic maxillary ridge after 2 years in patients with conventional complete denture wearers when compared with patients with combined mucosa implant-supported mandibular complete overdenture and mainly mucosa-supported mandibular complete overdenture groups. Using a combined mucosa implant-supported mandibular complete overdenture the amount of antagonistic maxillary alveolar bone resorption increases when compared with the mainly mucosa-supported complete overdenture.

QOL Assessment of Implant Denture and Conventional Complete Denture Wearers

QOL Assessment of Implant Denture and Conventional Complete Denture Wearers