Denture Wearers Research Articles

Denture care and oral health-related quality of life among complete denture wearers in Eastern Province of Saudi Arabia.

This study aimed to evaluate denture care and hygiene and oral health-related quality of life (OHRQoL) among complete denture (CD) wearers in the Eastern Province of Saudi Arabia. This cross-sectional study was conducted on CD wearers in the Eastern Province of Saudi Arabia. A pre-tested questionnaire was administered among study participants. Questionnaire was divided in three sections: (1) patients' demographic data, (2) awareness and maintenance of CD and (3) OHRQoL. Independent sample t-test and one-way ANOVA test were performed. The study included data of 300 participants with 71% of males and 28% of females. Majority of participants (82.7%) cleaned CD daily, removed CD while sleeping (88.0%) and knew that unhygienic dentures can cause oral infection (92.7%). Only 19.3% used denture cleansing tables, 41% used toothpaste, and 60.7% rinsed CD with water. Regarding OHIP-DENT domains, highest score was for functional limitation domain (2.20 ± 1.67) and the lowest for handicap domain (0.94 ± 1.09). The mean OHIP-DENT score of the sample was 12.02 ± 8.52. Females (p = 0.006), participants below 65 years of age (p = 0.029), non-Saudis (p = 0.042), those with university education (p = 0.030) and low monthly income (p = 0.045) and participants who visited dentist due to problem with CD (p = 0.041) demonstrated significantly higher mean OHIP-DENT score. Majority of participants demonstrated appropriate denture care behaviours because they were aware of the importance of denture care and hygiene. Female gender, age below 65 years, non-Saudi nationality, university education, low monthly income and visiting dentist due to problem were related to poor OHRQoL.

The Effect of Herbal Denture Adhesive on Patient Satisfaction in Comparison to Traditional Type.

Background The aim of this study was to compare the responses of 30 denture wearers' opinions concerning the efficiency of two types of adhesives and estimate their satisfaction level using denture adhesive (DA). Materials and methods 30 completely edentulous patients were divided randomly into two groups. Each group received one type of DAs (SECURE, COREGA)and was instructed to follow the same sequence of application. Each type of adhesive was used for seven days, as recommended by the manufacturer. The patients were requested to fill out a questionnaire considering their opinion and satisfaction regarding denture retention, chewing ability and duration of adhesives. Results The majority of patients stated that the prosthetic DAs enhanced their retention, chewing, stability, and efficiency of dentures. There was a significant difference in patient satisfaction regarding denture retention in the mandible and the duration of the adhesive in the mouth. Concerning ability of the patient to remove the adhesive from their mouth, the taste, or the retention of the maxillary denture, there were no statistically significant differences between the two DAs. Conclusions The results of the present study showed that overall satisfaction of complete denture wearers was high significantly different when a herbal DA was applied. This includes improvements in their duration of retention effectiveness, greater stability, and retention of the lower mandibular dentures. To use DA effectively, patients should be oriented by their dentists. Patient education is essential to provide them with a better understanding of both the appropriate technique for applying DA and the possible outcome they may experience.

Prevalence of oral mucosal lesions in denture wearers with substance abuse in Mangalore taluk population

Progressive loss of tooth caused by old age or certain systemic conditions, lead to oral handicap that often require a prosthetic appliance for restoring function and aesthetics. While these prostheses require good hygiene maintenance, lack of oral health awareness, compromised dexterity and presence of substance abuse could make the dentures harbingers of certain oral mucosal conditions. The aim of this study is to evaluate the presence of oral mucosal lesions among dental prosthetic wearers and its association with habits of substance abuse. Materials and Methods: A cross sectional survey was conducted?on 1312 subjects aged 18 years and above using?a house-to-house approach to collect information regarding their prosthetic status, duration of prosthesis, usage of tobacco and oral mucosal condition. Results: The results showed a strong co-relation between substance abuse and denture wear with ulcers and denture stomatitis showing the highest prevalence rate amongst the study population. Leukoplakia and Oral Submucosal Fibrosis was seen mostly in non-denture wearers. Summary and Conclusions: According to the results, Denture wearers had a higher tendency of having oral mucosal lesions, most commonly being Ulcers and Denture stomatitis (3.2%). With the exception of leukoplakia that occurred mostly in the non denture wearers. Substsance abuse had a direct co-relation to oral mucosal lesions. Occurrence of ulcers and denture stomatitis followed by candidiasis in smoked tobacco users, while in smokeless tobacco users ulcerative lesions and denture stomatitis followed by Acute Necrotising Denture Stomatitis were most commonly noted. Clinical significance: It is essential to carry out periodic examination of the oral mucosa in denture wearers to establish a preventive protocol to eradicate the pathology caused by the use of dentures and the harmful effects of substance abuse. Key Words: Denture wear, Oral habits, Oral health, Oral mucosal lesions, Substance abuse

Local Factors for Development of Denture Stomatitis and Strategies for Their Management

One of the most frequent diseases of oral cavity in elderly people that use removable dentures is denture stomatitis. Large set of local factors predispose towards the occurrence of denture stomatitis – quantity and Ph of saliva, violations of oral mucosa integrity, surface characteristics of the denture base materials, the maintenance of dentures and oral cavity hygiene, the period of using one and the same dentures, etc. Development of denture stomatitis can deteriorate not only the oral health but general health status of patients, hence their quality of life. This predefines problem’s great social significance. The purpose of this review was to analyse the local factors that make impact on development of denture stomatitis in complete dentures wearers, the contemporary prevention strategies and the role of the patients in their realization. Successful prevention of the disease could be achieved with the application of complex approach that includes evaluation of all the general and local factors and implementation of multi-component strategy for the management of their influence. The active collaboration with patient is essential for successful prevention of the denture stomatitis. Keywords: denture stomatitis; local factors; strategies for prevention

Denture Stomatitis and Candida albicans in the Indian Population: A Systematic Review and Meta-Analysis.

Denture stomatitis (DS), a common oral condition among denture wearers, is frequently associated with Candida albicans (C. albicans) colonization. This systematic review and meta-analysis aimed to provide a comprehensive assessment of DS prevalence and its relationship with C. albicans in the Indian population. We conducted a thorough search of multiple databases for studies without any limitation to the publication timeframe, using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Eligible studies were assessed for quality and included in the meta-analysis. Data regarding DS prevalence, risk factors, and C. albicans colonization were extracted and analyzed. A total of four studies comprising 415 participants were included in the review. The overall odds ratio (OR) and risk ratio (RR) for the prevalence of C. albicans in DS patients were 0.75 (95% CI 0.56 to 0.99) and 0.83 (95% CI 0.70 to 1.00), respectively, indicating a statistically significant association between DS and C. albicans colonization. Several risk factors, including continuous denture wearing, advanced denture age, poor denture hygiene, and high sugar intake, were identified as contributing to DS development. This systematic review and meta-analysis highlight the substantial burden of DS and its association with C. albicans colonization in the Indian population. The findings emphasize the need for comprehensive oral care, improved denture hygiene, dietary counseling, and interventions to enhance salivary flow in denture wearers to mitigate the risk of DS. These insights can inform healthcare providers and policymakers to develop targeted strategies for DS prevention and management in India.Furthermore, this study emphasizes the significance of oral health awareness and preventive strategies in groups with a high frequency of denture usage in a larger population.

Association of Denture Use and Chewing Ability with Cognitive Function Analysed Using Panel Data from Korea Longitudinal Study of Aging (2006-2018).

This study aimed to investigate the association between denture use, chewing ability, and cognitive function in Korean middle-aged adults, using samples representing middle-aged people at the national level. This longitudinal study included 9998 middle-aged adults using the Korea Longitudinal Study of Aging 7th special survey data. Denture use, chewing ability, health-related factors, and general characteristics were assessed using the Computer-Assisted Personal Interview. After controlling for general characteristics using a generalized estimating equation model, the association of denture use and Mini-Mental State Examination (MMSE) scores with the chewing ability of those with or without dentures and MMSE scores were analysed. Among them, 24% of participants wore dentures, and 35.1% complained of difficulty chewing when wearing dentures. Among the participants who did not wear dentures, 16.4% complained of difficulty chewing. MMSE scores were lower among denture wearers than non-denture wearers (β = -0.026, p < 0.001). In both groups, MMSE scores decreased with chewing difficulty and were significantly reduced among non-denture wearers (p < 0.05). Chewing ability was closely associated with cognitive functioning. Therefore, in order to prevent cognitive decline, chewing discomfort while wearing dentures must be eliminated, and oral health must be maintained.

Microbial Spectrum of Complete Denture Wearer in Old Age People of Chitwan.

Human oral cavity contains many microorganisms, the habitat of which may be changed by complete denture among edentulous people. The complete dentures favor aggregation of microorganism. The aim of this study was to identify the microorganisms present in the complete dentures of old age people of Chitwan and assess the sensitivity pattern of the microorganisms to the common antibiotics. A descriptive cross-sectional study was conducted at Chitwan Medical College, Chitwan, Nepal among 45 old age people who have been wearing dentures above one year. The duration of the study was from 18th Nov 2021 to 12th May 2022. Swab was taken from the polished and tissue surfaces of both maxillary and mandibular dentures in the Department of Prosthodontics while the laboratory-based experiments were conducted in the Department of Microbiology. Antibiotic sensitivity was also done. The data was analyzed using Statistical Package for Social Science (SPSS) version 16.0. Descriptive statistics were used. The data was presented in form of frequency, percentage, mean and standard deviation. Streptococcus spp. was predominant microorganism followed by Coagulase-negative Staphylococci and Staphylococcus aureus. The highest sensitivity pattern was observed to Amikacin, Nalidixic acid and Ciprofloxacin while the most resistant antibiotics were Amoxicillin/clavulanic acid and Cefixime. Escherichia coli was sensitive to all the tested antibiotics. In this study, Streptococcus spp. followed by Coagulase-negative Staphylococci and Staphylococcus aureus were the most frequently identified microorganisms from the dentures of old age people. Amikacin, Nalidixic acid and Ciprofloxacin were highly sensitive among the people of old age.

UJI DAYA HAMBAT EKSTRAK JINTAN HITAM (NIGELLA SATIVA) TERHADAP CANDIDA ALBICANS PADA GIGI TIRUAN AKRILIK

Black cumin (nigella sativa) is a traditional plant which has an antifungal effect on candida albicans which causes denture stomatitis in denture wearers. The purpose of this study was to find out whether there is an inhibitory effect of black cumin extract (nigella sativa) on acrylic dentures. The method used is True Experimental and Post Test With Control Group design. The descriptive statistical test was continued by the Kruskal Wallis test. The sample in this finding consisted of 4 samples, namely black cumin extract (nigella sativa) concentrations of 20%, 30%, 40% and 50% Results: In the statistical test there was an inhibition zone of black cumin extract (nigella sativa) concentration of 20%, 30%, 40% and 50%. The conclusion of this study is that the inhibition of Candida albicans will increase along with the increase in the concentration of black cumin extract (nigella sativa).

Human Herpesvirus Detection in Removable Denture Wearers' Saliva Compared to Dentate Cases.

Human Herpesvirus Detection in Removable Denture Wearers' Saliva Compared to Dentate Cases.

A19-saponin–modified polymethyl methacrylate base denture composites: antimicrobial, mechanical and water absorption potentials

Abstract The increased growth of Candida albicans (C. albicans) with allergy reaction of MMA remains an issue of concern among denture wearers. C. albicans growth inhibition, mechanical and water absorption potentials of extracted A19-saponin–commingled PMMA denture base composites were investigated. Soxhlet extraction technique for defatting of Dialium guineense (D. guineense) stem powder was used with ethanol to extract A19-saponin. Fungicidal inhibition concentration of A19-saponin extract of D. guineense was determined. PMMA denture base was prepared with incorporation of A19-saponin at different concentrations of obtained 23.2 % yield. The mechanical and water absorption properties were determined. The minimum and maximum fungicidal inhibition concentrations and susceptibility of 25 and 100 % for extracted A19-saponin were obtained, respectively. PMMA, MMA and extracted A19-saponin of ratio of 30 g: 5 ml: 5 ml denture was optimally fabricated. A19-saponin increased the impact strength and hardness by 352.94 and 11.54 % with reduced water absorption by 82.85 %. Thus, A19-saponin as an additive improved quality of denture.

The Effect of Denture Adhesives on Denture Quality and Occlusal Force.

Complete dentures (CDs) have been associated with substantial problems regarding edentulous patient's function. Denture adhesives seem to be useful adjuncts to improving retention and stability. A clinical study was undertaken to investigate the effect of a denture adhesive (DA) on function in complete denture wearers along with the quality of their CDs. Thirty complete denture wearers participated in the study. The first phase of the experimental procedure comprised 3 groups of measurements performed at 3 distinct time points: the initial measurement (T1), a 2nd measurement after 15 days of DA daily application (T2), and a 3rd measurement following a 15-day washout period (T3). The second phase consisted of the follow-up measurements. The measurements included: recording of relative occlusal force (ROF), distribution of occlusal contacts (DOC) and center of force (COF) using the T-Scan 9.1 device and functional assessment of dentures using the FAD index. The DA use induced a statistically significant increase in ROF (p-value=0.003) and decrease in COF (p-value⟨0.001) and DOC (p-value=0.001). The overall FAD score significantly improved (p-value⟨0.001). The use of the DA improved the occlusal force, the distribution of occlusal contacts as well as the qualitative characteristics of CDs.

Condition of oral health of caregivers of elderly patients in palliative care

The aim of this study was to evaluate the oral health status of caregivers of older adults in palliative care. This cross-sectional observational study comprised 54 caregivers of older adults hospitalized at a public university hospital in Recife, Brazil. The caregivers answered a questionnaire and underwent oral clinical examination. They were a mean of 45.1 years old; 87% were females and the patients’ relatives, 68.2% had supragingival calculus, 51.9% wore dentures, and 96.3% had a very high DMFT index. As for the older adults, 76% had unsatisfactory oral hygiene. Hence, both preventive and rehabilitative actions must be planned for caregivers to improve their oral health and quality of life, thus also improving these in the older adults for whom they care.

Evaluation of complete denture hygiene and nocturnal wearing habits among patients reporting to pgids rohtak: An in-vivo study

This is an in-vivo research conducted in the denture wearing population at PGIDS, Rohtak. The patients evaluated on their methods and frequency of oral and denture hygiene and their nocturnal denture wearing habits.

Application of organoselenium in inhibiting Candida albicans biofilm adhesion on 3D printed denture base material.

Denture Stomatitis, a chronic mucosal inflammation associated with Candida albicans, is common among denture wearers. Several health conditions have been linked to chronic Candida infections. The complex, multifactorial nature of denture stomatitis requires the continuous pursuit of effective long-term solutions. The present in vitro study investigated the effect of incorporating organoselenium into 3D-printed denture base resin on C. albicans adhesion and biofilm formation. Thirty disks were fabricated using 3D-printed denture base resin and assigned to three experimental groups (10/group): disks without organoselenium (control), disks with 0.5% organoselenium (0.5%SE), and disks with 1% organoselenium (1%SE). Each disk was incubated with approximately 1 × 106 cells/mL of C. albicans for 48 h. Microbial viability (CFU/mL) was quantified by the spread plate method, while Confocal laser scanning microscopy and scanning electron microscope were performed for quantifying the biofilm thickness and examining biofilm morphology, respectively. Data were analyzed using One-way ANOVA with Tukey's multiple comparisons test. CFU/mL was significantly (p<0.05) higher in Control when compared with 0.5%SE and 1%SE, but no significant difference between 0.5%SE and 1%SE. A similar trend was observed with biofilm thickness except that there was no significant difference between the Control and 0.5%SE. There was C. albicans biofilm adhesion on the Control disks, with yeast cells and hyphae formation, whereas on 0.5%SE and 1%SE, there was inhibition of yeast cells transition to hyphae formation. Incorporation of organoselenium into 3D-printed denture base resin was effective in reducing C. albicans biofilm formation and growth on denture base material.

The Prevalence of Xerostomia in Older Thai Individuals with Type II Diabetes Mellitus and Its Association with Type of Toothpaste and Oral Functions: A Cross-Sectional Study Using Questionnaires.

To investigate the prevalence of xerostomia in older people with diabetes mellitus and its impacts on oral functions, as well as to determine potential risk factors for xerostomia. An analytical cross-sectional study was conducted on 623 older type 2 diabetes mellitus (T2DM) Thai people using valid structural questionnaires. Patients were interviewed, and data were recorded. Xerostomia was assessed using subjective symptom questionnaires. Risk factors for xerostomia were analyzed using bivariate and multiple logistic regression analyses. Among the study participants, 38.4% of the older T2DM people had xerostomia, which is associated with sex, age, type of toothpaste, years of diabetes, hemoglobin A1c level, other systemic diseases, medication, smoking, alcohol consumption, and denture wearing. It was significant that xerostomia was associated with toothpaste containing spicy herbal extracts (OR: 9.32 [3.46 to 15.25]), while toothpaste containing artificial sweeteners tended to lower the risk of xerostomia. In addition, older T2DM adults with xerostomia had greater impaired oral functions, which include difficulties in speaking (OR: 3.31 [1.11 to 9.80]), tasting (OR: 5.12 [3.26 to 8.06]), swallowing (OR: 3.59 [2.32 to 5.53]), and chewing (OR: 3.34 [1.15 to 5.82]). Xerostomia is prevalent in older Thai people with T2DM. The results suggest that toothpaste containing spicy herbal extracts might increase the risk of xerostomia, resulting in various oral function problems. Therefore, greater awareness of xerostomia in this group should be raised to monitor dental health, and professionals should work in parallel with other aspects of oral health promotion.

Complete mouth rehabilitation with fixed implant-supported restoration for a patient with myasthenia gravis: A clinical report

This clinical report describes a complete mouth fixed implant-supported rehabilitation for a patient with myasthenia gravis. Patients with myasthenia gravis may have impaired manual dexterity from progressive neuromuscular impairment. Muscle weakness and fatigue, reduced denture stability, and the inability to provide maxillary dentures with a peripheral seal have compromised the ability to wear dentures. Therefore, care is needed when providing an implant-supported prosthesis. This clinical report provides step-by-step management of a patient with myasthenia gravis, providing a complete arch implant-supported rehabilitation.

Postinsertion adjustment appointments and their association with cast removable partial denture survival

Statement of problemSuccessful outcomes with cast removable partial dentures (RPDs) are dependent on adequate fabrication and adjustments at the delivery appointment. Evaluation of the number and frequency of postinsertion follow-up appointments helps determine whether the prosthesis continues to fit comfortably and whether function and esthetics continue to be satisfactory. Reports on the number of appointments and frequency and type of adjustments required for RPDs following insertion are sparse. PurposeThe purpose of this university-based population study was to determine the number of appointments and type of adjustments following RPD insertion and their association with patient demographics, type of RPD, and denture survival. Material and methodsThis retrospective clinical study examined the records of 257 patients at the University of Toronto, Faculty Dentistry, wearing 308 RPDs inserted between 2013 and 2014 with a 5-year follow-up. The outcome measures investigated included postinsertion appointments, type of adjustments, and denture survival. ResultsA total of 48.1% of the dentures (19.5% tissue supported; and 28.6% tooth supported) were maxillary, and 51.9% (34.7% tissue supported; and 17.2% tooth supported) mandibular. Most patients (68.9%) had 1 to 3 postinsertion appointments, with 78.6% having no major adjustments. Twenty-six dentures failed (failure rate 8.4%), with the failure-free time estimated at 4.58 years (95% confidence interval (CI) 4.42-4.73 years, Kaplan-Meier survival analysis). Failed dentures were significantly associated with more minor adjustments (Mean (M)=4.12, SD=3.90, Kruskal-Wallis (K-W) P=.027; OR=1.18; 95% CI 1.05-1.32, P=.006). More minor adjustments were needed for mandibular dentures (multivariable Poisson regression (MPR) P=.003) compared with maxillary dentures. More major adjustments were needed for maxillary dentures (MPR P=.030) compared with mandibular dentures. More minor and major adjustments were needed for dentures that were remade from within 5 years to beyond 10 years compared with first time denture wearers (MPR P<.001). Patients with musculoskeletal disorders required a significantly higher number of minor adjustments (M=3.67, MPR P<.001) and appointments (M=3.87, MPR P<.001) than those without these disorders. ConclusionsThe 5-year survival of RPDs following insertion was estimated at 91.6%. Most patients required 1 to 3 appointments after insertion. Mandibular RPDs required significantly more minor adjustments, and maxillary RPDs more major adjustments. More minor and major adjustments were needed for dentures that were remade at any time previously compared with first time denture wearers.

Investigating the challenges faced by denture wearers, such as denture stability, comfort, and esthetics, and their preferences for different types of dentures

ABSTRACT Background: Dentures are common prosthetic devices used to replace missing teeth; however, wearers often encounter challenges related to stability, comfort, and esthetics. Understanding these challenges and preferences for different denture types is crucial for improving oral health outcomes and quality of life. Materials and Methods: We conducted a comprehensive study involving 500 denture wearers. Participants were assessed for denture stability, comfort, and esthetics using standardized measures. In addition, their preferences for various denture types, including conventional complete dentures, implant-supported overdentures, and partial dentures, were explored through structured interviews. Results: In this study, 25% of participants found denture stability to be “very challenging,” 40% considered it “somewhat challenging,” and 35% did not find it challenging. Twenty percent of participants found denture comfort to be “very challenging,” 36% considered it “somewhat challenging,” and 44% did not find it challenging. In the study, 15% of participants found denture esthetics to be “very challenging,” 30% considered it “somewhat challenging,” and 55% did not find it challenging. Thirty percent of participants prefer implant-supported dentures, while 70% do not prefer them. Conclusions: Denture wearers commonly experience challenges associated with stability, comfort, and esthetics. Preferences for denture types differ, highlighting the need for personalized treatment options based on individual needs and circumstances.

Assessment of Oral Stereognosis and Denture Satisfaction in Old Denture Wearers: A Retrospective Study

Assessment of Oral Stereognosis and Denture Satisfaction in Old Denture Wearers: A Retrospective Study

Evaluation of the Denture Impact on the Palatal Rugae: An Original Research.

The palatal rugae may alter their shape based on the various physical pressures that they had to endure. This study's objective is to assess the various alterations in the palatal rugae parameters among the complete denture wearers. Forty subjects in all were chosen for the study. The control group interventional groups had an equal number of participants who were further equally distributed based on gender. For all of the participants, mucostatic maxillary alginate imprints were taken, and gypsum castings were created. They were called at the scheduled intervals of 2, 6, and 12 months following the treatment. The models used during those recalls and all of the palatal rugae were examined under a microscope for quantity, length, form, orientation, and unifications. The unpaired t-test was used to statistically examine palatal rugae alterations. Following the wear of the dentures, the experimental group's primary, secondary, and fragmented rugae all gradually shrank in length. In terms of statistics, the alteration solely affected primary rugae and was significant (P < 0.001). After a year of wearing dentures, a minimal change in rugae's form was noticed in the denture groups, but it was statistically not substantial (P > 0.05). Due to the prolonged mechanical stress the dentures placed on the palatal rugae, complete denture users saw a significant reduction in the length of their primary rugae. Rugae number, orientation, and unification were among the other criteria that did not change during the course of the study. Analysis of the palatal rugae may not be useful in identifying people wearing full dentures. However, in forensic investigations, rugae may act as an adjunct to other methods like fingerprints and DNA analysis.