Pouring a cast for immediate complete denture that simplifies setting of teeth.
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In a controlled clinical trial, 74 patients who required complete immediate dentures were randomly treated with immediate mandibular overdentures on two mandibular canines with or without magnetic attachments or with complete immediate dentures. All were borderline situations for overdenture therapy. The patients were evaluated for 4.5 years after denture insertion. The results demonstrated that 50% of the dentures had been renewed or had required replacement; in this respect, no differences were found among the three groups. In the overdenture groups, 15% of the abutments were extracted; most abutment restorations were replaced or had to be replaced. Two thirds of the magnets were lost or in bad condition. No significant differences were found in relation to patient satisfaction; most patients were satisfied with their dentures. It is the authors' opinion that even though the abutment conditions were disappointing after 4.5 years, mandibular overdenture therapy is indicated in borderline situations because of the 50% reduction in mandibular bone loss found.
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Bimaxillary protrusion and severe labioversion of anterior teeth complicate impression procedures and increase the difficulty in making esthetic predictions for the immediate complete denture patient. The presented technique, performed in reverse order of traditional methods, is accomplished in stages in which the anterior and nonessential posterior teeth are extracted and interim removable partial dentures placed. An opportunity is thus created to evaluate esthetics, phonetics, and anterior tooth function before extraction of the remaining dentition and delivery of immediate complete dentures. This technique facilitated the determination of the need for alveoplasty of the anterior maxilla.
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A technique for making complete maxillary immediate denture impressions has been described. With this procedure impressions of the edentulous area and remaining dentition can be made in sections and they can be removed from the mouth joined together.
Food plays a significant and essential role in the survival of all people. There has been a suggestion that there is a strong association between changes in dental status such as loss of teeth and denture wearing and low intake of essential nutrients. This paper explores the relationship between diet and nutrition and a change from (A) an old complete denture to an implant-supported denture, from (B) the dentate status to an immediate complete denture, and from (C) an old complete denture to a functionally corrected new complete denture. A summary of the findings is that loss of teeth influences masticatory efficiency and function and that a replacement prosthesis may improve function but does not significantly change dietary intake.
A longitudinal electromyographic (EMG) investigation was performed on thirty subjects provided with an immediate complete upper and a partial lower denture. Electromyographic recordings in maximal clench, light tapping and postural position were obtained from the anterior temporal and masseter muscles before final extractions and 7 weeks, 6 months, 1 year and 2 years after denture insertion. The maximal clench activity of the jaw closing muscles showed an average tendency to decrease upon insertion of the dentures, but thereafter significant increases in mean voltages were observed during the first year of denture wear. During the second year no significant changes in EMG clenching force were noted. At the 2-year stage most of the muscles showed significantly greater clench activity than at the post-insertion stage, but did not exceed the pre-extraction level. The jaw muscle activity in light tapping showed no significant mean changes during the observation period. The postural activity tended to decrease during the period of denture wear, the decrease being significant for some of the muscles at the 2-year stage.
Parotid salivary flow rates in response to chewing or citric acid stimulation were studied in two patients who had their last maxillary teeth extracted and immediately replaced with complete dentures. The patients were monitored 6 months from the last week before extraction. Parotid salivary flow rate in response to chewing was increased after insertion of the denture. For one of the patients a particularly high output from the parotid gland was found 2 weeks after treatment. Throughout the experiment, parotid salivary flow was higher on the chewing side than on the contralateral side. At the end of the experimental period the dentures were relined. Salivary flow measured immediately after relining was lower than prior to this procedure. An increased salivary response was also observed during citric acid stimulation after transition from the dentate to the denture wearing state. This increase was more marked if the patients had their dentures in situ when the gustatory provocations were performed. It is concluded that parotid salivation increases during masticatory and gustatory stimulation in patients subjected to total extraction and immediate complete denture treatment, and that the presence of a complete denture per se appears to act as an additional mechanical stimulus in the salivary reflexes.
OBJECTIVES: The purpose of the study was to investigate denture satisfaction related to treatment modality, age, gender, denture quality, chewing ability, denture experience and patients' attitude towards denture wearing. METHODS: In a randomized controlled clinical trial 74 patients who required immediate denture therapy were treated either with complete immediate dentures, or with complete immediate overdentures on the lower canines with and without Dyna Direct magnetic attachments. All patients were evaluated clinically and by questionnaires over a one year period after denture insertion. RESULTS: Regression analysis showed that the quality of the denture, chewing ability, attitude towards dentures in general and the expectation of the new dentures can explain the variance in denture satisfaction for 23-27%. CONCLUSIONS: It can be concluded that with respect to satisfaction the technical quality of the dentures, as well as patients' previous attitude towards wearing dentures are the most important factors in immediate denture treatment. The treatment modality, having received an overdenture or not, appeared to be unimportant in this respect in the first year after denture insertion.
A technique is described for construction of an immediate transitional complete denture in one appointment using self-curing tooth color and visible light-cured resins. Conventional immediate denture therapy may be too prolonged for medically or physically compromised patients. This alternative treatment reduces laboratory, dentist, and patient time, thereby providing a fast and economical service.
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Changes in functional jaw movements during a 2-year period of denture wear were investigated. The sample consisted of 27 partially edentulous subjects who were provided with an immediate complete maxillary denture and a removable partial mandibular denture. Recordings of habitual chewing of apple and empty open-close cycles were made with a mandibular kinesiograph. At the pretreatment stage, when the patients occluded on a residual anterior dentition, irregular patterns of movement were observed. After placement of the dentures, which restored posterior occlusion, the chewing and open-close patterns showed marked improvement and were characterized by significant mean decreases in sagittal and transversal range of movement. Relining of the maxillary dentures further stabilized the functional patterns. During the second year, significant reductions in vertical range of movement and lateral chewing excursions were observed, and were probably related to impaired retention of the complete upper denture.
In 30 partially edentulous subjects provided with an immediate complete upper and a partial lower free-end denture the lip activity in swallowing was studied before and after denture treatment and during a 2-year period of denture wearing. Electromyographic recordings of the right side upper and lower orbicularis oris, mentalis and anterior temporal muscles were obtained during swallowing saliva and during swallowing of water with and without the dentures in the mouth. In the different types of swallows recorded, the lower lip and mentalis muscles showed much stronger activity than the upper lip and anterior temporal muscles and also initiated the swallowing activity. No significant changes in mean voltages of the swallowing activity were observed during the 2-year observation period. On the other hand, the durations of the swallows showed marked increases after 1 year of denture use, when no further rebasings of the complete upper denture had been made.