Installation Of Dentures Research Articles

PERBANDINGAN TINGKAT KEPUASAN MASYARAKAT YANG MEMAKAI GIGI TIRUAN BUATAN DOKTER GIGI DAN TUKANG GIGI DI BANJARMASIN

Background: Riskesdas data for South Kalimantan Province for 2018 stated that 3.3% of the population who received denture installation treatment in the last 12 months in Banjarmasin, 22.9% of the population in Banjarmasin received treatment at dentists and 0.79% received treatment at dental artisans. There are differences in the manufacture of dentures made by dentists and dental artisans, both in terms of quality, indications, contraindications, and cost. Purpose: To analyze the comparison of the level of satisfaction of people who use dentures made by dentists and dentists in Banjarmasin. Method: Using a comparative analytical method with a cross-sectional approach. The sampling technique uses quota sampling. The population is Dentist and Dentist patients in Banjarmasin City. The minimum sample size is calculated using the Lemeshow formula and the results are 100 samples. Results:. Analysis of the Mann Whitney test data yielded a significant value of 0.000 <0.05 which indicated that the H0 decision was rejected or meant that there was a difference in satisfaction with dentures made by dentists and dental artisans. Conclusion: There is a difference in satisfaction with dentures made by dentists and dentists, where the satisfaction level of users of dentures made by dentists is higher than the level of satisfaction made by dentures made by dentists in Banjarmasin City.Keywords: Artisan Dental, , Dentist, Denture, Satisfaction.

Legal Protection For Consumers Using Dentures By Dental Services

The research aims to analyse the legal protection for consumers who use prosthodontics by dental worker, and the legal authority and responsibility of dental worker (dentists) regarding the installation of false teeth (prosthodontics). The research used is normative legal research, using a statutory approach and a conceptual approach with primary legal material and secondary legal material. Legal protection for consumers regarding dental service practices has not been fully implemented in the Consumer Protection Law. The authority of dental worker (dentists) has been regulated in Minister of Health Regulation 39 of 2014. However, in practice, it is not implemented following applicable regulations. The responsibility of dental worker (dentists) for patients who use dentures (prosthodontists) is they provide pain relief medication due to the installation of dentures as well as repairing the installation of the dentures they have made. Additionally, the dental worker shall provide compensation following the applicable law.

Analysis of public knowledge about the risk of denture treatment by dental artisans

Background: Tooth loss can be experienced by all ages, gender, ethnicity or race, which will result in reduced masticatory, speech and aesthetic functions of a person. Problems that are often found in cases of denture installation at dental technicians are patients experiencing severe infections, swelling of the face, red and swollen gums accompanied by trismus or difficulty opening the mouth. People assume that the safety of the action, hygiene, and authority possessed by dental artisans are similar to those of dentists. To find out and describe the knowledge of the people of Semarang City regarding and the risks of dentures treatment by dental artisans. 
 Method: This typed of researched was quantitative with a descriptive observational researched design. The sampling technique was purposive sampling, used the lemeshow formula, obtained 67 respondents with the inclusion criteria of the Pedurungan district community aged 35-44 years.
 Result: The level of public knowledge about the risks of dentures treatment by dental artisans had good level of knowledge, namely 40 respondents (59.7%) and 26 respondents (38.8%) had sufficient knowledge
 Conclusion: The leveled knowledge of the people of Pedurungan district regarding the leveled of knowledge about risks of dentures treatment by dental artisans was classified as good and sufficient.

To Study the Effect of Anterior Palatal Surface Modifications of Complete Denture on Speech Intelligibility Oral Perception and Cortical Brain Function Activity: An In Vivo Study.

The classic maxillary full denture covers the whole palate,preventing the tongue from touching the denture base tissues itself.Thus, it has deleterious effects on cortical brain function and the ability to understand spoken language. This study aimed to determinethe effect of anterior palatal surface modifications of the complete denture on speech intelligibility oral perception and cortical brain function activity. This study compared the speech clarity, oral discernment, and cortical mind capability activity of complete denture wearers in three study groups: a)complete denture wearers with a small opening (SO) in the maxillary front palatal base; b) complete denture patients who wear regular complete denture; c) complete denture patients who did not wear complete denture; and d) complete denture patients who wear a functionally contoured modified palate(FCMP). Patients with no teeth at all underwent four phases of testing to assess their cognitive abilities and speech quality (pitch and volume). In the first phase, partial dentures were used. During phase 2, a conventional full denture was inserted.In the third phase, a palatal base denture was functionally altered. In phase 4, dentures with a little aperture at the front of the palatal base were used. Results:The values of pitch and intensity of sound in category A with FCMP modification I were 180.76 ± 24.12 and 73.27 ± 9.74,respectively. On the other hand, the values of pitch and intensity of sound in category B with FCMP modification I were 185.41 ± 27.29and 73.91 ± 8.31, respectively. The values of pitch and intensity of sound in category A with SO modification II were 188.52 ± 21.11 and 76.13 ± 5.21, respectively. On the other hand, the values of pitch and intensity of sound in category B with SO modification II were 194.59 ± 24.02and 75.21 ± 6.12, respectively. The findings for values of pitch and intensity were statistically significant among the four phases (p < 0.001). The highest speech intelligibility and cortical brain function were observed in phase 4 in both categories A and B, with the highest scores by experts of 3.21 and 3.42, respectively. Conclusion:Based on the findings of this in vivo investigation, it can be concluded that using modified dentures (modification types I and II) following denture installation improves speech intelligibility, oral perception, and cortical brain function activity.

A simplified technique for fabricating complete dentures for patients with Parkinson’s disease: a case report

Background and Objective: Parkinson’s disease is a neurological disorder that affects 1% of individuals aged 60 years and older. The associated symptoms can impose limitations on the available dental treatment options. Case description: This case report follows the CARE guidelines and presents an adapted and simplified technique to fabricate complete dentures for a 74-year-old male edentulous patient with Parkinson’s disease. This modified technique enabled the fabrication of complete dentures in 4 clinical sessions of approximately 40 minutes. The first session involved manufacturing a preliminary impression with fast-setting alginate. The base plates and occlusal rims were then adjusted for artificial teeth arrangement during the second session. The final prosthesis was completed in the third session, which involved a teeth try-in and fabrication of a functional impression with low-melting thermoplastic material and polyether. Finally, denture installation was performed in the fourth session and follow-up consisted of 3 weekly sessions. Discussion: Considering that the treatment provided satisfactory aesthetics and function, mastication and socialization benefits, and improved the self-esteem and well-being of the older patient with Parkinson’s disease, the authors suggest this adapted and simplified technique for fabricating complete dentures. Keywords: Parkinson’s disease; complete denture; aged.

Oral health-related multiple outcomes of holistic health in elderly individuals: An umbrella review of systematic reviews and meta-analyses.

Along with an aging population, exploring the impact of oral health on holistic health and determining exact outcomes in elderly individuals are important in both scientific research and clinical practice. Significant increase in the number of systematic reviews shows that oral health can directly or indirectly affect the overall health of elderly people physically, mentally and socially. To systematically collate, appraise, and synthesize the current evidence, we carried out an umbrella review of the impacts of oral health on holistic health in elderly individuals. A systematic reviews and meta-analyses search was performed in the major databases PubMed, MEDLINE, Web of Science and the Cochrane Library from inception to February 1, 2022, according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. The JBI (Joanna Briggs Institute) Critical Appraisal Checklist for Systematic Reviews and Research Syntheses was referred to assess methodological quality, and the GRADE (Grading of Recommendations, assessment, Development, and Evaluation working group classification) was used to assess the quality of evidence for each outcome included in the umbrella review. Out of 1,067 records, a total of 35 systematic reviews were included. Respiratory diseases, malnutrition, age-related oral changes, frailty, cognitive impairment, depression and poor quality of life were identified as seven key outcomes that affect the physical, mental and social health of elderly individuals. Meanwhile, three intervention measures of oral health were summarized as (i) more rigorous and universal scales, (ii) dental cleaning and denture installation, and (iii) improving self-awareness regarding oral care. Evidence showed that oral health can significantly affect holistic health, and the diverse oral diseases directly lead to multiple health outcomes in elderly individuals. Clear high-quality evidence revealed that oral health is strongly associated with seven health outcomes covering physical, mental, and social levels, which directly corresponds to holistic health, and impacts the quality of life of elderly individuals. Such the results remind the importance of oral care in public health, and further studies need to be conducted to verity more specific association between oral health and other chronic diseases. https://www.crd.york.ac.uk/PROSPERO/#recordDetails, identifier: CRD42022315315.

Vestibular deepening to improve periodontal pre-prosthetic: A case report

Objective: The treatment of partial or complete denture installation can be challenged by a shallow vestibule. As a preventive, the vestibule must be deepened. The purpose of deepening the vestibule is to improve the esthetics and retention of the denture by increasing the width of the attached gingiva. Methods: The patient visited the Department of Periodontics, Dental and Oral Hospital Universitas Airlangga to eliminate tartar. The patient says that his maxillary front tooth had fallen out the day before and that he wished it replaced. A previous history of hypertension and takes amlodipine 10 mg daily regularly. Because the patient's vestibule is shallow, vestibuloplasty is required to deepen it. Conventional surgical procedures were used to perform vestibuloplasty. Results: One week post-surgical, there was minimal inflammation surrounding the stitches, periodontal pack falls out on the fifth day, and thread suture remains. On the 14th day, there was no inflammation and the clinical results were as expected. Conclusion: Vestibular deepening is effective in increasing the depth of the vestibule and the width of keratinized gingiva.

Effect of Different Locator heights on peri-implant bone changes in Mandibular implant retained Overdenture

Introduction: The implant supported overdentures offered better chewing and masticatory functions. Locator attachment has more advantages than other attachment types. Aim: The aim of the study was to compare radio-graphically the effect of implant locator’s height on peri-implant bone height and density in mandibular over-denture. Patients and method: Twelve completely edentulous male patients had received con­ventional complete maxillary dentures and mandibular overdenture that retained by two implants that were inserted in the canine region by the help of CAD/CAM based surgical guides. The patients were divided randomly into two groups. Group I: the patients were received locator abutment with 1mm in height. Group II: the patients were received locator abutment with 3mm in height, a series of cone beam radiographs were taken at 0, 6, 12 and 18 months starting from the first day of lower over denture installation, peri-implant bone changes regarding height and density were estimated. Results: It was found that the mean marginal bone loss measurements were relatively higher for group I than group II with non-statistical significant difference. The aver­age difference in bone density measurements around the implants for both groups showing initial increase followed by marked decrease through the follow up periods. Conclusion: locator height has an effect on peri-implant bone height, bone density.

Comprehensive Treatment and Rehabilitation of Patients With Osteosarcoma of the Mandible.

The article studies state-of-the art physical therapeutic techniques as a high degree of relevance to minimize invalidation and improve quality of life for patients with dental osteosarcoma. A randomized controlled clinical trial was conducted in 21 patients with osteogenic sarcoma of mandible (C41.1). There were 10 patients in the experimental group and 11 patients in the control group. A comprehensive treatment and rehabilitation program for patients with osteosarcoma of mandible was developed. The first part of the program comprised 3 basic phases: preop chemotherapy, surgery, and postop rehabilitation. The surgical treatment further included resection of an affected part of the mandible and primary repair of the defect with jaw fragments and an autoimplant joined together with the help of positioning devices. The postop rehabilitation included postop chemotherapy and mesodiencephalic modulation (MDM). The second part of the program comprised preop examination, modeling, using stereolytic 3-dimensional models of the mandible, corrective surgeries, including implantation into the autoimplant-a fragment of patient's fibula, and building of a removable titanium alloy-based denture. MDM sessions were administered after each invasive intervention. Higher psychological and physical well-being was observed in the experimental group as compared with the control group (P < 0.01) in 2 weeks after the first surgery and 2 months after scheduled corrective surgeries, which finished in denture installation.

Prosthetic rehabilitation using adhesive bridge and fixed-fixed bridge on the maxilla and telescopic crown overdenture on mandible

Prosthetic rehabilitation is the rehabilitation process of masticatory and esthetics function for patients missing teeth and alveolar bone by means of manufacture and installation of dentures. The prosthetic rehabilitation commonly used include denture adhesive bridge, fixed-fixed bridge, as well as telescopic overdenture. Adhesive bridge is bridge denture consisting of single pontic and two retainer wings attached to the abutment using cement or resin. Fixed-fixed bridge is a bridge denture with rigid connectors on both ends of the pontics, whereas the telescopic crown Overdenture is a removable denture that uses linked precision on the original tooth in the form of primary coping on abutment and secondary coping on the denture. To expose the procedures of prosthetic rehabilitation using adhesive bridge and fixed-fixed bridge on the maxilla and telescopic crown Overdenture on mandible. Male patients aged 32 years came with complaints of difficulty to chew food because he had lost some teeth behind. In the maxilla, teeth are lost in the region of 15 and 16 performed by making the fixed-fixed bridge with abutment teeth 14 and 17. Loss of teeth in the region of 26, performed the manufacture of adhesive bridge with a box preparation on the occlusal 25 and 27. In the mandible, tooth loss in the region of 36,37,46, and 47 performed manufacture of telescopic crown Overdenture with primer coping on the teeth 35.38, 45, and 48 and the secondary coping on a metal frame. Prosthetic rehabilitation especially in the case of loss of back teeth is very important because with the denture patients can chew properly and maintain the stomatognathic system.

The effect of denture installation at mandibular rest position on unsteady motion of the centre of pressure in postural sway

Wearing dentures has been believed to decrease the instability of the postural sway using the total length of centre of pressure (CoP) trajectory or the magnitude of its variability. However, the physical aspects of the postural sway have not been taken into account while evaluating the CoP in patients who wear dentures. The CoP fluctuations are found to show a random walk process. Therefore, changes in the random movement of CoP caused by wearing dentures should be examined by nonlinear dynamics that enables analysis of the characteristics found in the random movement. We evaluated the effect of complete denture installation on CoP sway for twenty-six edentulous patients by performing the following steps. First, we excluded subjects who did not show crossover in spectral analyses. Then, we evaluated the spectral characteristics and phase shifts of the velocities of CoP sway for the subjects who showed crossover. We found that wearing complete dentures decreased the fluctuations in the high-frequency part of the power spectral density (PSD) and the phase shift in the mediolateral direction. On the other hand, we also found that the use of complete dentures decreased the fluctuations of PSD amplitude in the anteroposterior direction. From the point of view of the kinetic energy of the musculoskeletal system, we suggested that the use of complete dentures could reduce the energy consumption for the standing posture.

Chewing ability, nutritional status and quality of life

In the literature, most researchers evaluate individuals' nutritional status and chewing ability by types of foods chosen or blood test. However, most of previous researches enrolled small sample size and the results might be influenced by personal preference of foods as well as the individuals' response to invasive examination. In this study, researchers assessed individuals' nutritional status and chewing ability with non-invasive test and excluded the personal preference of foods. This study had two aims: first, to explore associations between chewing ability, edentulous or dentulous, self-perceived oral health and individuals' nutritional status and quality of life; second, to assess whether the association proposed by Locker's model is valid. This study used the database of Phase I 'Publicly-funded Denture Installation Plan for the Elderly' of Kaohsiung City Government. Nine hundred and fifty-four subjects aged 65 years and older completed the questionnaires for data analysis. The research results supported and verified the theoretical model proposed by Locker. Individual's chewing ability associated significantly with his/her nutritional status and quality of life. The results demonstrated that better chewing ability of the elderly leads to better nutritional status and quality of life. The appropriateness of the indicators and measurements of individual's chewing ability and nutritional status used in this study has been evaluated and presented. These indicators and measurements are suggested to be generally used for clinical or research application on future-related issues. Consequently, the maintenance or improvement in the chewing ability of the elderly is extremely beneficial to healthy ageing.

일부 노인들의 가철성 틀니 사용 실태 및 만족도 조사

Purpose: It is to survey old men's utilization status of dental clinic and temporary-binding dentures and then to provide basic data to make a program for manufacturing old men's dentures and their teeth health education. Methods: Random selection was made on old men living in Daejeon and Chungnam, and a survey was conducted from April 15 to May 20, 2011. 500 questionnaires were distributed and 420 questionnaires were collected. Using spss 18.0 program, final analysis was made on 363 questionnaires except for 57 questionnaires which had missing value or showed some doubts about the unreliability. Results: 1. With respect to number of natural teeth as per the age, the upper/lower jaws had meaningful differences (P<.001), which means that the older the person is, the smaller number of natural teeth is. In the meantime, there was no meaningful difference according to sex. 2. With respect to kind of prosthetics installed in a mouth as per the age, there was meaningful difference in the upper jaws (P<.05) but there was no meaningful difference in the lower jaws. It was found out that the older the persons are, the more they use removable dentures while the younger the persons are, the more they use fixed partial dentures. 3. With respect to mouth health condition recognized by oneself, it showed bad (44.4%) and good (10.3%),which means recognition as bad is greater, and the age when prosthetics were first used is dispersed variously from below 40 to over 70. 4. Dental care institutions which they mainly used are hospital and clinics (91.5%), and 66.4% of them visited dental clinics lately. Preferential treatment if they go to dentists is as follows in the order of prosthetics (33.9%), gum treatment (24.2%) and pain treatment (14.9%). 5. 68.4% of them revisited dentists after installation of dentures and the reason for revisit is as follows in the order of poorly fitted dentures (35.1%), painful gum 25.9%, regular check-up 25.4% and difficult chewing 9.6%. Conclusion: As our country enters into an aging society, mouth health problem of old men has come to a serious issue, and therefore, a survey was conducted on some old men with respect to their utilization status of dental clinic and removable dentures in order to provide basic data for improvement of quality of their life, maintenance and enhancement of their mouth health. The study result shows that the older they are, the higher the loss rate of teeth as well as needs for prosthetics are, and thus it is thought the study will help to develop mouth health education program which may improve quality of old men's life by recovery of mouth functions declined due to loss of teeth and by regular check-up, education for mouth health control and following-up control of dentures.

Does Implant Staging Choice Affect Crestal Bone Loss?

The purpose of the present study was to compare the crestal bone loss around implants placed according to either a 1-stage or 2-stage implant installation procedure using a digital subtraction radiography technique. In the present randomized clinical trial, screw-shaped tapered implants were inserted in the posterior mandible of patients needing fixed partial dentures. In each edentulous area, according to the randomization table, 1 implant was inserted using a 1-stage procedure (group 1) and 1 was placed using a 2-stage approach (group 2). The implants were temporized with the relined denture after 2 weeks. All implants were functionally loaded with fixed partial dentures after 3 months. Crestal bone loss (primary outcome variable) was measured using a digital subtraction radiography technique. Standardized radiovisiographs were taken after implant insertion, after fixed partial denture installation (3 months after surgery), and after 6 and 12 months of functional loading. The data were analyzed using the Wilcoxon signed ranks test (α = 0.05). Eleven patients (mean age 46.9 years, 3 women and 8 men) were included in the study. A total of 34 implants were inserted, 17 using a 1-stage protocol and 17 using a 2-stage protocol. Three months after implant placement, the 2-stage implants showed significantly more crestal bone loss (0.65 ± 0.71 mm) than the 1-stage implants (0.41 ± 0.53 mm; P = .02). However, after 6 and 12 months of functional loading, both groups showed comparable changes in bone level (P > .05). No differences were found between 1-stage and 2-stage implant placement in crestal bone loss after 1 year of functional loading.

Rapid denture fabrication for institutionalized patients

Purpose: Edentulism is a common condition among the elderly population. However, it is difficult for elderly subjects who are institutionalized, hospitalized, or bedridden to visit dental offices for the repair or replacement of broken dentures. This paper describes a fast technique with minimum clinical sessions to fabricate a new maxillary denture. Case description: An institutionalized 78-year-old man with an extremely damage broken maxillary denture complained about repairing his denture. With the impossibility of repairing, the technique described was proposed so as to offer a treatment that would maximize the comfort of the patient. The maxilla-mandibular relationship was done at the first clinical session, after fabricating the maxillary resin baseplate in mouth, by fixing the old complete mandibular denture with the maxillary wax plane. At the second clinical session, the esthetics and function of artificial teeth was checked and final impression was made to the denture installation at next session. Conclusion: The reduced number of clinical sessions is a convenient option for clinicians to provide a more comfortable treatment for institutionalized or bedridden patients. This technique is also particularly useful when a replacement denture is urgently required, allowing its installation within few hours.