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At least 199 records · Page 11Linked to original sources
PubMed1991

Relative importance of psychologic factors in denture satisfaction.

The aim of this investigation was to explore the relative importance of psychologic variables in explaining the degree of denture satisfaction in full denture patients. A group of 125 patients who were on a waiting list to have new dentures constructed participated in this study. The patients completed the Dutch version of the Hopkins Symptom Checklist, the Dutch Personality Inventory, a denture satisfaction questionnaire and a denture complaint questionnaire. No relation was found between the personality variables and denture satisfaction as measured by the denture satisfaction questionnaire. When the different aspects of denture satisfaction were measured by means of complaint scales, satisfaction was related to personality traits. Functional complaints of the mandibular denture and complaints about a hollow face were related to the personality trait "extraversion-introversion". Vague denture complaints and complaints about a bulbous face were related to "neuroticism".

Attitude↗
PubMed2005

Risk factors associated with denture stomatitis in the United States.

BACKGROUND: This study reports denture stomatitis (DS) prevalence from a large USA probability sample from the National Health and Nutrition Examination Survey, 1988-1994 (NHANES III). METHODS: Oral examinations were performed on 3450 individuals 18-90+ years of age (mean: 59.2; SD: 0.50 years), 57.7% male and 42.3% female. Multivariable logistic regression models were fitted for DS using sociodemographic, denture quality, blood analytes, alcohol and tobacco use, history of diabetes, and current antibiotic use as covariates. Odds ratios (OR), adjusted for other covariates in each model (AOR) are presented. RESULTS: Of 3450 removable denture wearers, 963 (27.9%) had DS. DS prevalence was associated with wearing maxillary (AOR: 6.20) and mandibular (AOR: 5.21) complete dentures continuously; smoking >/=15 cigarettes day (maxillary complete: AOR = 1.31; mandibular complete: AOR = 1.50; maxillary partial: AOR = 2.04); vitamin A deficiency (mandibular complete: AOR = 5.97; maxillary partial: AOR = 5.67; mandibular partial: AOR = 24.42). Maxillary dentures with inadequate relines had approximately half the OR of DS than those with adequate relines (maxillary complete: AOR = 0.42; mandibular complete: AOR = 0.50). CONCLUSIONS: Denture stomatitis prevalence is associated with the amount of tissue covered by dentures, low vitamin A levels, cigarette smoking, and constant denture wear.

Adolescent↗
PubMed2002

The development of a method for functional assessment of dentures.

AIMS: To design and validate a method of assessing complete dentures from a functional standpoint. SUBJECTS: A random sample of 40 complete denture wearers took part in the study. SETTING: A university clinical department of prosthetic dentistry. INTERVENTION: We undertook a pilot study to refine the protocol and criteria. All participants and their dentures were examined by two authors independently, with no prior knowledge of the patients' complaints. DESIGN: We defined nine clinical factors of functional quality and applied criteria with binary scoring. We analysed the scores for these factors for inter-rater reliability. RESULTS: The method proved simple to apply and took less than 5 minutes to complete. The inter-examiner agreement for all factors was 86% to 100% giving Kappa scores of 0.64 to 1.00 (all Good or Very Good). CONCLUSIONS: This study successfully demonstrates that the technique, which we call the Functional Assessment of Dentures (FAD), can give good inter-examiner reliability. It can therefore be used separately as a routine diagnostic tool and to investigate the relationship between denture qualities and functional 'outcome' such as difficulty eating or dietary selection.

Adult↗
PubMed2002

Validation of indices for functional assessment of dentures.

AIMS: To validate an assessment of qualities of complete dentures that may relate to functional success. SUBJECTS: A consecutive sample of 131 complete denture wearers took part in the study. SETTING: a Greek department of prosthetic dentistry. INTERVENTION: All participants and their dentures underwent clinical examination. DESIGN: The Functional Assessment of Dentures (FAD) 10-item criteria' describing clinical factors of denture quality was used. The rationale for selecting these particular criteria was to include a range of clinical factors to produce an overall assessment of complete dentures. The 10-item scale was examined for Internal Consistency and Construct Validity providing a summated rating scale whose total score could be used as an index for the quality of dentures. RESULTS: Both intra- and inter-examiner agreement for all 10 dichotomous scale criteria were all good or very good; the intra-examiner Kappa values were 0.72 to 0.91 and the inter- examiner values were 0.72 to 0.99. Statistical analysis revealed that a 7-item summated rating scale could be constructed which has marginally better internal consistency (reliability) and Construct Validity with fewer questions. CONCLUSIONS: The FAD criteria' can be used to give good repeatability. The adjustments made to the original summation scale, if confirmed by new studies, would further increase the practical utility of a FAD index for general dentists. In due course with data from future studies, discrimination on weighting of items will be appropriate to relate the impact of denture quality on quality of life.

Adult↗
PubMed1978

Some observations on the diagnosis and treatment of complete denture problems.

Diagnosis of problems in the wearing of complete dentures can only be made after taking a complete history of the difficulties encountered by the patient. This necessitates careful attention whilst the patient relates the various difficulties. The record of these statements should be scrutinized carefully and this will assist in making the correct diagnosis of the cause of the difficulties. Specific problems encountered by elderly patients are examined and some methods of overcoming them are presented.

Dental Occlusion↗
PubMed1995

Complete denture problem solving: a survey.

An investigation was carried out into the problems experienced by 114 referred patients with complete dentures who were considered to be difficult or to have difficult prosthodontic problems. The commonest problems were those of pain and lack of retention, due mainly to occlusal discrepancies and excessive VDO. Treatment was carried out on an individual basis with a large proportion of dentures being remade. However, a small number was satisfied by counselling alone without procedural treatment. A diagnostic denture technique was used for particularly difficult cases. This technique showed that, in two cases, technical prosthodontic inadequacies could definitively be excluded as the problem. The overall success rate for treatment was 80 per cent. Further studies on a larger patient sample are needed so that specific problems can be linked to cause and outcome in a meaningful manner.

Counseling↗
PubMed1994

Comminution of food with mandibular implant-retained overdentures.

When complete-denture wearers are treated with from four to six implants and mandibular implant-borne prostheses, masticatory performance improves. No significant improvement has been observed with two implants and implant-mucosa-borne overdentures, suggesting that the masticatory performance of edentulous subjects depends on the degree of support for their mandibular prostheses by implants or alveolar mucosa. To verify this hypothesis, we studied, in a randomized clinical trial, the comminution of an artificial test food during mastication. The trial involved the provision of a new maxillary denture and either a new conventional mandibular denture, a mandibular overdenture retained by two permucosal cylindric implants through a single bar-clip attachment, or a mandibular overdenture retained by a transmandibular implant through five clips on a triple-bar construction with cantilever extensions. In comparison with the subjects wearing mandibular implant-retained overdentures, the subjects with conventional complete dentures needed between 1.5 and 3.6 times more chewing strokes to achieve an equivalent reduction in particle size. No differences in masticatory performance and efficiency were found between the subjects who had received two permucosal cylindric implants and those who had received a transmandibular implant. The results suggest that the increased retention and stability of the mandibular denture, rather than the degree of support by implants or alveolar mucosa, determine the wearer's ability to comminute food during mastication.

Adult↗
PubMed1979

How to maintain quality in economy dentures.

A method for constructing custom dentures using minimum time at the chair is described. Efficiency with this or any technique is gained only through experience. Although there are many ways of achieving the same goal, the basic principles of sound prosthodontic procedures must be followed for the service to be professionally acceptable.

Alginates↗
PubMed1997

Examining patients' responses about the effectiveness of five denture adhesive pastes.

In this clinical trial, the authors evaluated the responses of 25 experienced denture wearers in regard to the effectiveness of five denture adhesive pastes. The patients responded to questions about the effect of the pastes on quality and duration of retention as well as on mastication. Subjects were also asked which product they considered to be best. Eighteen (72 percent) of the 25 subjects rated Secure (John O. Butler Co.) denture adhesive paste best overall.

Adhesives↗
PubMed2000

The effect of denture adhesive on mandibular movement during chewing.

BACKGROUND: The authors conducted a study to determine if reducing mandibular denture movement through the use of a denture adhesive improves chewing function in edentulous patients. METHODS: The authors compared the mean chewing rates of 10 denture wearers who used and did not use a denture adhesive with that of a control group of 10 dentate people. The authors recorded mandibular movements using a multichannel magnetometer tracking system while the subjects chewed standardized pieces of dried apricots and fresh white bread. They made recordings for the test subjects without the use of denture adhesive and at zero, two and four hours after Fixodent denture adhesive cream (Procter & Gamble Co.) was applied to the mandibular denture. RESULTS: The mean chewing rate for the control group was significantly faster than that of the test group at baseline (P < .01). The authors found statistically significant increases in the mean chewing rates for the test group after the denture adhesive was applied at all time points for both foods. None of the after--adhesive-application rates were significantly different from the control group's rate (P > .05). CONCLUSIONS: Use of denture adhesive increased the mean chewing rate in test subjects immediately after and at two and four hours after denture adhesive was applied to a rate that approximated that observed in control subjects (P > .05). CLINICAL IMPLICATIONS: These findings show that using a denture adhesive promotes a faster and more natural rate of chewing.

Adhesives↗
PubMed2004

Use of cephalometric analysis for implant placement in a patient with an edentulous maxilla with a severe Class III intermaxillary relationship.

A patient with a totally edentulous maxilla and a seVere Class III intermaxillary relationship in the anterior region was treated by implants. In the mandible, there were 10 teeth between the second premolars. The inclination and width of the maxillary anterior residual bone were measured on cephalometric X-ray film obtained before treatment. The results of cephalometric analysis did not support clockwise rotation of the mandible or lingual angling of the maxillary anterior teeth by use of prosthesis to improve the Class III relationship. Ten implants were simultaneously placed in the maxilla. Then, a maxillary temporary full bridge was seated after reduction of the crown lengths of the mandibular anterior teeth. An apically positioned flap operation was performed to eliminate periodontal pockets and to obtain clinically suitable crown lengths of the mandibular anterior teeth. A noncemented, screw-retained maxillary full bridge and a conventional mandibular full bridge were placed. Postoperative cephalometric analysis showed that the outcome was clinically acceptable. The patient has been satisfied for more than 5 years since placement of the implant prostheses.

Cephalometry↗
PubMed2000

Survival of various implant-supported prosthesis designs following 36 months of clinical function.

BACKGROUND: The use of endosseous dental implants to replace natural teeth lost to trauma, dental caries, or periodontal disease has become a predictable form of prosthetic treatment since gaining popularity in the early 1980s. While numerous clinical studies have focused on the survival of implants, few address the survival of different prosthesis designs. METHODS: Beginning in 1991, 882 prostheses supported by more than 2,900 implants (687 patients) were placed by the Department of Veterans Affairs Dental Implant Clinical Research Group (DICRG). These prostheses were divided into five research strata based on arch location. The recommended design for each stratum was: bar-supported overdenture (maxillary completely edentulous); screw-retained hybrid denture (mandibular completely edentulous); screw-retained fixed partial denture (mandibular and maxillary posterior partially edentulous); and cemented single crown (maxillary anterior single tooth). Alternative overdenture designs were utilized in the edentulous arches when the recommended prosthesis could not be fabricated. Prosthesis success rates for the research strata were calculated for an observation time of up to 36 months following prosthesis placement. RESULTS: Success rates for the maxillary edentulous stratum ranged from 94.6% for the bar-retained overdenture supported by five to six fixtures to 81.8% for the cap-retained overdenture. The mandibular edentulous strata produced success rates of 98.1% for the fixed hybrid prosthesis to 91.7% for the cap-retained prosthesis. Success rates for maxillary and mandibular posterior fixed partial dentures were 94.3% and 92.6%, respectively, while the maxillary anterior single-tooth prosthesis yielded a success rate of 98.1% for the 36-month observation period. CONCLUSIONS: The recommended prosthesis designs investigated in this study proved to be reliable, with encouraging success rates for an observation period of 36 months following placement.

Alloys↗
PubMed1998

Judgment of abnormal condylar surface forms in edentulous patients by temporomandibular joint noise.

Forty-five patients with upper and lower complete dentures with no subjective symptoms of temporomandibular disorder (TMD) were studied. On initial examination, the existence of abnormal condylar surface forms and temporomandibular joint (TMJ) noises were checked in order to study the relationship between these abnormalities. Zonography was conducted to observe the abnormal condylar surface forms, and stethoscopy was conducted to detect TMJ noises. The results demonstrated the relationship between the abnormal condylar surface forms and TMJ noise at the significant level of 0.02%. Furthermore, a judgment of the presence of the abnormal condylar surface form could be based upon the existence of TMJ noise at the sensitivity value of 0.60.

Aged↗
PubMedDate not supplied

Occlusal contacts of edentulous patients with mandibular hybrid dentures opposing maxillary complete dentures.

The purpose of this study was to evaluate differences between the occlusal contacts of edentulous patients with mandibular implant-supported hybrid dentures opposing maxillary complete dentures and those of patients with conventional maxillary and mandibular complete dentures. Six parameters related to occlusion were measured in the 2 groups (n = 40 for each group) using pressure-sensitive film. The mean values generated by each test group for each parameter were compared using a t test. Pearson's correlation coefficients between occlusal force, age, and time in function were examined. Occlusal force and area in the implant denture wearers were larger than those in the conventional denture wearers. No significant difference was seen in occlusal force balance between the left and right sides. The center of occlusal load in the implant denture wearers was more anterior. The maxillary denture may become more unstable in implant denture wearers. It is suggested that the stability and retention of a maxillary denture be checked and the occlusion be adjusted more frequently in the hybrid denture wearer than in the conventional denture wearer.

Adult↗