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Results for “Denture Rebasing”

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PubMed1995

Prosthetic relining and dietary counselling in elderly women.

A reduced consumption of hard-textured fibrous foods may promote the development of digestive disturbances in more susceptible elderly people who wear prostheses having deficient masticatory function. The purpose of this study was to evaluate the effects of a program combining denture relining and dietary counselling on the masticatory performance, fibre intake, and prevalence of digestive symptoms in elderly women with low chewing efficiency. This program was provided to 55 women between 55 and 74 years of age. Chewing ability was assessed quantitatively with the Swallowing Threshold Test Index (STTI), and qualitatively according to the participants' experience in chewing five specific foods. Nutritional data were collected using a food frequency questionnaire. The mean value of the STTI was significantly increased at three weeks and at six to nine months after completion of relining by 37 and 31 per cent, respectively. Subjects included one more food in their diet at the end of the six- to nine-month period only. Fibre intake from vegetables was significantly increased by 18 per cent, while colonic and gastrointestinal symptoms were both reduced. Prosthetic relining increased the masticatory performance of elderly women, but not to a functional level. In addition, dietary counselling stimulated subjects to eat foods that had previously been avoided. These observations suggest that the improvement of chewing efficiency, combined with dietary counselling, could reduce the presence of digestive symptoms.

Aged↗
PubMed1994

A low-cost, portable removable prosthodontic treatment system for the compromised elderly.

The elderly population (people of 65 years and older), especially the compromised elderly, places an overwhelming demand on the health care system in the USA. Dentists must provide services to all segments of the elderly population, but the compromised elderly are labelled as 'poor' candidates for dental treatment because they are unlikely to cooperate, find it difficult to get to the dental surgery, or cannot pay for professional services. The authors of this paper have developed guidelines for on-site patient management using a team approach and a low-cost, portable treatment system for providing removable prosthodontic services using ligh-cured denture resin. The system is cost-effective, reduces chairside time and requires minimal patient cooperation but does not compromise the quality of care. Treatment can be provided in non-traditional settings with family members and support staff on-hand. The feasibility of this approach has been demonstrated by its use in hospitals, clinics, nursing homes and private residences.

Acrylic Resins↗
PubMed1994

The role of the restorative dentist in the diagnosis and maintenance phases of implant therapy--Part III: The restoration and maintenance of oral health prior to the provision of the implant prosthesis.

Establishing and maintaining the patient's oral health prior to provision of the definitive implant restoration is the responsibility of the restorative dentist and is an important aspect of comprehensive treatment. The additional time and expense required to provide oral hygiene and conventional dental treatment needs to be acknowledged by the implant team and the patient. An anticipated three to five treatment hours are often required to provide maintenance and hygiene care, with additional time needed to provide individualized conventional dental treatment to each patient. The provision of implant therapy is a rewarding experience when all aspects of treatment are properly planned and competently performed. The general practitioner is the logical resource to provide much of the necessary treatment that is directly and indirectly related to the provision of implant restorative dentistry.

Dental Care↗
PubMedDate not supplied

Measurement of changes in complete mandibular denture security using visual analogue scales.

The security of mandibular dentures for edentulous patients has been quantified using a visual analogue scale. Relining "loose" dentures was shown to produce an increase in the patients' assessments of denture security for 21 out of 23 patients. The security of a denture after relining was found to correlate with the form of the residual mandibular ridge as measured by the mean anterior ridge height.

Alveolar Process↗
PubMedDate not supplied

A retrospective study on the maintenance and repair of implant-supported prostheses.

This study reviewed the prosthodontic treatment and aftercare required by 29 patients with 32 implant-supported prostheses (12 fixed and 20 removable) placed on 107 implants. Patients were followed for 4 to 39 months. The majority of implant-supported prostheses (53%) were placed in the mandible. Visual analogue scales were used by the patients to rate their satisfaction with their prostheses and their chewing ability. Approximately one third of the patients studied required three or more relines of their existing dentures between first- and second-stage surgeries, while over half of the definitive implant-supported prostheses required a major adjustment or repair. Removable prostheses required 78% of the total repairs and accounted for 80% of those prostheses that needed repeated repairs. In general, patients were very satisfied with their implant-supported prostheses, but 17% complained of mild speech difficulties and 7% noted slight difficulty in cleaning their fixed prostheses. Overall, the short-term prosthetic management required for the implant-supported prostheses in this study was substantial, particularly with the removable prostheses, and this should be taken into account when evaluating prosthetic options.

Dental Clasps↗
PubMed1993

Relining dentures with metal bases.

Metal bases are common in both complete and removable partial dentures. Before the introduction of adhesive denture base material, relining of these bases was almost impossible. This article presents a case on the technique of relining a partial denture metal base, using a 4-META resin (Acrylic Solder). With this technique, metal base can be relined easily in the dental office.

Acrylic Resins↗
PubMedDate not supplied

Overdentures supported by ITI implants: a 6.5-year evaluation of patient satisfaction and prosthetic aftercare.

This study reviews the long-term outcome of overdenture treatment in 64 completely edentulous patients who received 218 one-stage ITI implants during the period 1982 until 1988. The evaluation time averaged a period of 80 months, ranging from 66 to 119 months. The results indicate that no implants were lost during this period and that a minimum of surgical and prosthetic treatment was necessary to maintain the overdentures. Patient satisfaction was high and had not significantly changed in comparison with an earlier study on the same group of patients after a mean period of 18 months. The assumption that there would be significantly more complaints about retention of the maxillary denture is not affirmed by this study.

Dental Prosthesis, Implant-Supported↗