Single Complete Denture Research Articles

Prosthetic rehabilitation with immediate single complete denture for periodontally compromised maxillary teeth: A case report

Prosthetic rehabilitation with immediate single complete denture for periodontally compromised maxillary teeth: A case report

Comparative evaluation of masticatory efficiency, clinical performance, and patient satisfaction of single implant-retained mandibular overdenture versus conventional complete denture: A prospective in vivo study.

The aim of this within-subject prospective clinical study was to investigate the scope of single implant mandibular overdenture by assessing its masticatory efficiency, clinical performance, and patient satisfaction compared to conventional complete dentures. Prospective In Vivo Study. This prospective in vivo study was conducted in the Department of Prosthodontics and Crown and Bridge, Christian Dental College, Ludhiana. A total of 12 completely edentulous patients received a single implant in the mandibular anterior midline region. After the healing period, the conventional maxillary and mandibular dentures were fabricated. 15 days post insertion of the conventional dentures, patients were evaluated for masticatory efficiency, clinical performance including retention and stability, and patient satisfaction. To evaluate the masticatory efficiency blue raspberry and original pink "Hubba Bubba tape gum" were used as a test food. Colorimetric analysis was done to assess variance of hue. To assess clinical performance, retention, and stability of the mandibular denture was recorded using a digital force gauge and was tabulated as per CU-modified Kapur's criteria. OHIP-14 index was used to assess patient satisfaction. After evaluation of the parameters of conventional dentures, the denture was converted into an implant-retained mandibular denture by chairside conversion with locator attachments. 15 days post-implant loading, parameters of the implant retained mandibular overdenture were assessed again followed by statistical analysis. The masticatory efficiency was assessed using a paired t-test. The patient satisfaction was sequentially assessed with Wilcoxon signed rank test and thereafter paired t-test was used to compare between conventional complete denture and overdenture. Clinical performance was assessed using the Wilcoxon signed rank test. The masticatory efficiency of single implant mandibular overdenture was higher than that of conventional complete dentures. The clinical performance of the overdenture was higher than that of the conventional denture. Stability being a time-dependent parameter might need longer follow-ups for further conclusions. Patient satisfaction with single implant retained overdenture was significantly higher than conventional complete dentures. Single implant mandibular overdenture has improved masticatory efficiency, clinical performance, and patient satisfaction compared to conventional complete dentures.

General and orofacial symptoms associated with acute and long COVID in 80- and 90-year-old Swedish COVID-19 survivors

ObjectivesTo describe acute and long COVID-19 symptoms among older elderly Swedes and to find predictive factors for the development symptoms associated with acute and long COVID. Material and methodsA questionnaire about general and oral health was mailed to all 80-year-olds (born 1942, n = 6299) and 90-year-olds (born 1932, n = 1904) in two Swedish counties. Participants reporting COVID-19 were asked to complete an additional questionnaire. ResultsOverall response rate was 66 % (n = 5375). Affirmative responses to having been sick/tested positive for COVID-19 were reported by 577 persons. Response rate to the COVID-19 questionnaire was 49 %. The majority (88 %) reported some general symptoms during the acute stage while 44 % reported orofacial symptom/s. Reporting of any form of long-COVID general symptoms was 37 and 35 % for orofacial symptoms. Predictive factors for contracting COVID-19 (based on self-report from 2017) were living in elderly housing/senior care facility (OR 1.6, CI 1.0–2.3), large number (>10) of weekly social contacts (OR 1.5, CI 1.3–1.9), being married (OR 1.4, CI 1.1–1.7) and high school/university education (OR 1.3 CI 1.1–1–6). The highest odds ratio for general symptoms of long-COVID were a single complete denture (OR 5.0, CI 2.0–12.3), reporting bad breath (OR 3.7, CI 1.9–7.2) and daytime dry mouth (OR 2.2, CI 1.1–4.2). Regarding long-COVID orofacial symptoms, the highest risk factors were bad breath (OR 3.8, CI 1.9–7.5) and a single complete denture in one jaw (OR 3.4, CI 1.2–9.8). ConclusionLong-COVID general and orofacial symptoms are common among older elderly COVID-19 survivors Clinical significanceOral microorganisms may be responsible for development of long-COVID symptoms. Health personnel managing COVID-19 patients should carefully examine dental status, especially in those having acrylic-based removable dentures, for oral signs and symptoms. If found, rigorous oral hygiene procedures should be carried out including cleaning/disinfection of the denture.

Rehabilitation of a patient with single complete tooth supported overdenture against the unmodified natural dentition using functionally generated path technique – A Case Report

Meyer’s proposed chew-in technique also called functionally generated path (FGP) technique, is indicated for the restoration of an edentulous arch that is opposed by natural teeth as it does seem to provide the most accurate method of recording occlusal patterns, also help to minimize the effects of negative factors, and to overcome the deficiencies of articulators. As stated by Rudd and Morrow, this technique is especially suitable for tooth-supported complete dentures, due to inherent stability of tooth-supported record bases helps in recording jaw relationships accurately. Whenever a single complete denture is opposed by natural dentition, problems observed are abrasion of the artificial acrylic resin teeth and frequent fractures of resin denture base due to occlusal stresses. Hence this case report describes the single complete tooth supported overdenture with a metal-based denture and metal occlusal surfaces against unmodified natural dentition which has shown to achieve a good denture stability with occlusal harmony, and patient satisfaction.

Impact of loading protocol of a mandibular single implant-supported complete denture on oral health-related quality of life over a period of 5 years: A randomized controlled trial

ObjectivesThe aim of the present study was to assess the long-term course of OHRQoL and the impact of the loading protocol in patients receiving a single mandibular implant supporting a complete denture over a period of five years. MethodsIn this multicenter RCT, a total of 158 edentulous patients were initially included and were randomly allocated immediately after placement of a mandibular midline implant to either immediate loading (IL) or to conventional loading (CL) with submerged healing. The assessment of OHRQoL was performed with the 49-item Oral Health Impact Profile (OHIP) at baseline and 1, 4, 12, 24, and 60 months after loading. At 5-year follow-up, 100 patients (mean age: 69.2 years; 45.0% female) with completed OHIP were available for analyses. A mixed-effects model with patients as random effect and an unstructured covariance matrix was developed to address repeated outcome measurement. ResultsThe OHRQoL improved substantially after loading, indicated by a decrease of mean OHIP summary scores from 51.0 points at baseline, by 14.2 (95%-CI: 9.4 – 19.1; p<0.001) points to 37.2 points at 1-month follow-up, and by continuous improvement to 20.4 OHIP points at final follow-up. Considering constant treatment effects, the loading protocol had no significant effect on OHIP scores (-3.7, 95%-CI: -9.4 – 2.2; p = 0.204). Time effect was statistically significant with -0.21 (95%-CI: -0.28 – -0.15; p<0.001) points per month. ConclusionBoth the immediate and conventional loading of a single mandibular midline implant supporting a complete denture offer long-lasting high levels of OHRQoL, with no significant or clinically relevant long-term differences. Clinical significanceThe study firstly presents long-term data for OHRQoL by investigating the loading protocol of single mandibular implant-supported complete dentures. Since immediate loading has been associated with a reduced implant survival rate for this concept, information on patient benefits is essential for evidence-based decision making.

SINGLE COMPLETE DENTURE WITH THE INCORPORATION OF A DENTURE TITANIUM MESH INTO THE DENTURE BASE AND METAL OCCLUSAL STOPS: A CLINICAL REPORT

The single complete denture is a complex prosthetic treatment that necessitates a comprehensive understanding of prosthetic rehabilitation for the loss of natural dentition. One of the main challenges encountered during the provision of successful single complete denture treatment is the repeated fracture of the prosthesis. To address this issue, incorporating denture titanium mesh into the denture base is proposed as an ideal solution to strengthen the prosthesis. Another common problem is the wearing off of acrylic denture teeth when opposing natural dentition. To mitigate this issue, the use of metal occlusal stops in the single complete denture is recommended. This clinical report presents a case of successful rehabilitation of an edentulous maxillary ridge using denture titanium mesh incorporated into the heat-cure acrylic denture base material, along with metal occlusal stops in a patient with an edentulous maxillary jaw.

Immediate single complete denture

Immediate single complete denture adalah gigi tiruan lengkap rahang atas atau bawah yang diinsersikan segera setelah pencabutan gigi. Immediate single complete denture dipilih agar pasien tidak kehilangan fungsi estetik, mastikasi dan fonetik setelah pencabutan serta dapat mempercepat proses penyembuhan karena berfungsi sebagai penahan bekuan darah. Pasien wanita umur 53 tahun, aktif pada kegiatan sosial, dengan riwayat sebelumnya pasien telah memakai gigi tiruan sebagian pada rahang atas dan bawah, gigi tiruan yang lama tidak stabil dengan sisa gigi pada rahang atas gigi kaninus kanan dan non vital. Pasien menginginkan gigi tersebut dilakukan pencabutan kemudian segera dipasang dengan gigi tiruan yang baru. Tujuan perawatan agar pasien tidak kehilangan fungsi estetik, pengunyahan dan bicara. Hasil dari metode perawatan immediate single complete denture resin akrilik pada rahang atas dan perawatan dengan removable partial denture resin akrilik pada rahang bawah adalah adanya gigi tiruan yang stabil, retentif, oklusi dan estetik baik. Kesimpulan perawatan immediate single complete denture resinakrilik pada pasien dapat mengembalikan fungsi pengunyahan, bicara dan estetik, serta gigi tiruan yang stabil dan retentif.

Maxillary Single Complete Denture with Metal Mesh Reinforcement: A Case Report

Single complete denture opposing natural dentition is common occurrence in daily practice. Opposing natural dentition could be completely or partially edentulous. Fabrication of single complete denture is always challenging to the dentists. It is difficult to achieve balanced occlusion in such cases because the remaining natural dentition could be extruded from socket, tilted or mispositioned. Heat cured denture base resins are most commonly used material for fabrication of denture but they tend to fracture when it is opposed by the natural dentition. The use of a metal mesh in denture base for reinforcement offers many advantages in such cases. This case report presents a case of fabrication of maxillary single complete denture with metal mesh opposing natural dentition in lower arch.

A digital workflow for single complete denture using a multi-functional diagnostic denture

Creating a single complete denture against natural dentition can be challenging. To facilitate the clinical procedure and promote balanced occlusion, we developed a digital workflow of a single complete denture using a multi-functional diagnostic denture (DD). The DD was digitally designed and fabricated using a three-dimensional printing process to create a guide for tooth grinding in opposing dentition and a final impression that allows the jaw relationship and dynamic articulation to be recorded by an intraoral scanner. The definitive complete denture was combined with a milled artificial dentition and titanium-plated denture base. Within three clinical visits, this digital workflow provided better efficiency and easy implementation for a single complete denture.

Faster, convenient &amp; effective: the single appointment complete denture: A new dental technique

Conventional complete denture fabrication is a traditionally multi appointment procedure which involves 5-6 steps. This creates a hassle for the geriatric clientele for the time, expense &amp; the travelling required for the completion of the treatment. On the other hand, the specialized techniques like BPS system or Digital dentures reduce the appointment schedule and the time taken to fabricate the dentures but these systems are highly technology specific and requires special armamentarium and has a learning curve attached to it. Hence a new technique comprising of 14 clinical and laboratory steps was developed in our department to provide complete dentures to the patients who has uncomplicated intraoral conditions and has time &amp; travel constraints in a single appointment without use of any specialized equipment.

Maxillary Complete Denture Buttressed with Metal Denture Base and Amalgam Stops Opposing Deranged Occlusal Plane: A Case Report

Fracture of a single maxillary complete denture is a common occurrence in patients with opposing retained natural mandibular teeth. Factors like flexural fatigue caused by cyclic deformation, as well as those that aggravate the deformation of the denture base or change its load, have all been linked to the midline fracture. This case report presents oral rehabilitation of a completely edentulous maxillary arch opposing natural mandibular dentition using metal denture base and reinforcing acrylic teeth using amalgam stops along with establishing plane of occlusion with the help of a customized template to improve the longevity of the prosthesis. Single complete denture opposing natural dentition is a challenging job for the prosthodontist due to the biomechanical differences in the supporting tissues. As a prosthodontist, we must provide the patient a stable and functional prosthesis.

Rehabilitation of maxillary arch with attachment-retained reinforced single complete denture

Abstract Introduction: Fracture of maxillary complete denture is a common problem for dentists and denture wearers, occurring especially when it is opposing mandibular natural teeth or fixed and implant-sustained restorations; to prevent it, various methods and materials are available. Case presentation: This case is of a patient losing his old maxillary removable partial denture due to the mobility of the frontal abutments. Considering the age of the patient and the status of the mandibular arch, completely restored and having a mix of natural teeth, fixed and implant-sustained restorations, the functional and esthetic rehabilitation of the maxillary arch, and also the long-term resistance of the denture, are a serious prosthetic challenge. An association between ball attachments, metal-casted reinforcement and masking agents for both are described, underlying their role in the treatment’s succes. Conclusion: The age and health status of the patient and the situation of the mandibular arch imposed the construction of a functional, strong and stable maxillary denture; the technique described in this article offers a good functional and esthetical result and benefits the patient, even if the implant-prosthetic therapy is not available.

OCCLUSAL PLANE CORRECTION TECHNIQUE USING MODIFIED OCCLUSAL TEMPLATE AND CUSTOMIZED TRANSFER JIG.

Single complete denture treatment option is a challenging as there are chances of prosthetic failure because the plane of occlusion will always be disturbed. A correct plane of occlusion is the key to success. To correct the plane different techniques have been described in literature. But there are short comings in each technique. To counter the short comings modications were needed. Those modications are described in following article from which satisfactory results have been obtained.

Prosthodontic rehabilitation of a completely healed edentulous maxillary arch following osteomyelitis using a digital approach: Case report

Single complete denture opposing natural dentition is a challenging situation when the opposing natural dentition is with malaligned tipped or supra-erupted teeth. This clinical scenario further requires more attention when it is accompanied by a defect in the arch. Osteomyelitis is a serious inflammatory condition requiring necrotic removal of the bone leading to defect formation. Every minute detail needs to be recorded in such defects to further enhance the stability and retention of the prosthesis. The digital fabrication of the metal denture base is discussed in this clinical report for the rehabilitation of a completely healed edentulous maxillary arch opposing the natural dentition.

Management of recurrent fracture of single removable complete denture using stainless steel mesh reinforced denture base opposing a removable partial denture: A case report

Midline fracture is the most common fracture seen in the patient with conventional acrylic resin maxillary denture against the opposing complete or partial natural dentition. This happens due to excessive masticatory forces from the natural dentition against the opposing arch. To overcome this problem, stainless steel can be added either in the form of mesh, bar or plate. In this present case report described the prosthetic rehabilitation of a complete maxillary edentulous and partial mandibular edentulous patient with stainless steel mesh reinforced maxillary removable complete denture and conventional removable partial denture to improve the impact strength of the denture and also at the same time to reduce the chances of alveolar ridge resorption.

Management of maxillary single denture fractures: An enigma

Background: The patient’s first complete denture experience is predominantly with the single maxillary denture. The opposing mandibular dentition is usually intact or restored by fixed partial dentures or removable partial dentures. In many instances no attempt has been made to restore a partially edentulous mandibular arch. One of the most common prosthodontic failures encountered is the fracture and failure of the single maxillary denture. This often results in continuous repair of the denture. Often, remaking the denture is the best course to follow. Objective: This article will describe the clinically related causes of single maxillary complete denture fracture and propose preventive and corrective measures. Methods: Electronic searches were performed for articles published in PubMed and manual searches were performed in various journals relevant to the topic of removable prosthodontics. Key words such as maxillary, single, denture, reinforcement were used, Initially, 432 articles were found of which 177 articles were selected by electronic and manual searches from 2005 up to 2020 with few classic articles. After exclusion of 152 articles based on the exclusion criteria, 25 articles were finally included in the review. Conclusion: Factors that contribute to the fracture and failure of the single maxillary denture have been discussed to summarize this review, reinforcements within prostheses undoubtedly had some efficacy in improving the mechanical properties, but the levels varied by material, form, and position of the reinforcement.

The Concepts of Complete Denture Occlusion amongst Dental Fraternity

Objectives: To assess the concepts of complete denture occlusion among dental fraternity. Study Design And Setting: Cross-sectional study conducted at various dental hospitals and institutes of Karachi, for a period of six months, from 1st June’2019 to 30th November’2019 Methodology: Total 849 dental practitioners who are currently practising were included. A well-structured and validated questionnaire was used for data collection. SPSS version 25 was used. Results: Bilateral balanced occlusion was an ideal occlusion by majority subjects i.e, 530(62.4%) in patients with wellformed ridges, followed by 464(54.7%) candidates with skeletal class 1, total 376(44.3%) chose it with uncontrolled diabetes mellitus, 365(43%) in single complete denture cases, 339(39.9%) with increased inter-arch space, 298(35.1%) with parafunction habits, 296(34.9%) in patients with history of neuromuscular disorder and 271(31.9%) where a complete denture opposes a removable partial denture. Furthermore, Lingualized occlusion was preferred by 341(40.25%) participants for patients with skeletal class 3. Total 316(37.2%) candidates chose it for patients with displaceable supporting tissue followed by 264(31.1%) who chose it for skeletal 2 and 260(30.6%) for cases of highly resorbed ridges. Lastly, 311(36.6%) chose canine guided occlusion with highly resorbed ridges accompanied by high aesthetic demand A significant difference between education level and knowledge of occlusal schemes was also found. Chi-square (73.87), df 6, p-value =0.000. Conclusion: Dental practitioners lack adequate knowledge of occlusal schemes in terms of prescription in complete denture patients. A significant difference between the education level and knowledge of occlusal schemes was found. Therefore, awareness of various occlusal schemes should be increased at undergraduate level.

Rehabilitation by Single Complete Removable Denture : A Follow-up in a Tunisian Clinical Study

Rehabilitation by Single Complete Removable Denture : A Follow-up in a Tunisian Clinical Study

Fabrication of maxillary single complete denture opposing deranged mandibular occlusion using customized broadrick occlusal plane analysis (BOPA): A case report

Fabrication of a single complete denture (SCD) is a difficult especially when the opposing natural plane is deranged. There are various problem associated with opposing arch like Mal-aligned, attrition, tilted or supra-erupted teeth with makes it difficult to achieve balanced occlusion which is important for stability of the SCD. Primary objective of any restoration is to achieve harmonious occlusal plane to facilitate natural mandibular movements without interference and ease of mastication. This clinical report describes restoration of mandibular teeth (with severe attrition and deranged occlusion) by establishing normal plane of occlusion with the help of broadrick occlusal plane analysis (BOPA) followed by construction of a complete denture in maxillary arch with metal occlusion.

Perceived Status and Care Practices among Complete Denture Wearers.

ABSTRACTBackground:Oral health is neglected even today. This can be evidently seen in the low utilization rates and poor oral health status. Conventional dentures are the most common treatment option in the restoration of lost teeth. Without appropriate denture care practices, there is an elevated risk of developing a multitude of problems. The aim of this study was to assess the perceived status and care practices among complete denture wearers in Modern Dental College and Research Centre, Indore, Madhya Pradesh, India.Materials and Methods:A cross-sectional study was conducted in the Department of Prosthodontics at the Modern Dental College and Research Centre, Indore, Madhya Pradesh, India. Patients with self-care optimum overall health who were using either single or full complete dentures for more than 1 year from the commencement of the study were requested to participate in the study. A total of 1000 study participants were given a self-administered questionnaire on their denture care practices followed by clinical examination of the denture status. Data were statistically analyzed using the Statistical Package for the Social Sciences software for Windows, version 20.0.Results:Maximum denture wearers informed that they cleaned their dentures once a day, with brush and water, and had the habit of removing the dentures before sleeping at night. Almost 90% of the participants reported their denture status to be good or fair. Clinical examination revealed that slightly more than half of the participants had poor denture status.Conclusion:This study signifies the importance for improvement in patient oral health education and counseling with respect to the maintenance of dentures and upkeep of denture hygiene. It also emphasizes the need for educating patients on how to evaluate the status of their dentures.