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Dietary intake in edentulous subjects with good and poor quality complete dentures.

STATEMENT OF PROBLEM: Previous studies in complete denture wearers evaluated the relationship between diet and measures of chewing, yet only isolated nutrient intake was considered. This limited information makes the assessment of overall diet quality and the planning of interventions difficult. PURPOSE: This study investigated the relationship of complete denture quality to masticatory performance, perceived ability to chew, and diet quality as measured by the Healthy Eating Index (HEI), an overall diet quality index. MATERIAL AND METHOD: The study population comprised 54 complete denture wearers. Data were obtained from clinical examinations, masticatory performance measurements, and 2 non-consecutive 24-hour dietary recalls. (Masticatory performance data were not collected for 9 subjects because of time constraints, patient fatigue, or patient refusal. Statistical analysis showed no significant effect of their absence on the reported findings.) Based on a composite rating scale, subjects were divided into 3 denture quality groups described as good, medium, and poor. The outcome variables were the HEI and its components, plus selected nutrient and non-nutrient intake. Explanatory variables were quality of complete dentures, masticatory performance, and reported chewing ability. Data were analyzed with Kruskal-Wallis tests, Mann-Whitney U-tests, and Fisher exact tests. Because a large number of dietary components were examined, results were considered significant at alpha=.01. RESULTS: Masticatory performance and perceived ability to chew were unrelated to diet quality. The good quality denture group had significantly better masticatory performance than the medium and poor quality groups, but the median HEI scores and dietary intakes were not significantly different among these 3 groups. Milk, vegetable, fruit, and grain intake scores were mainly responsible for the low overall HEI scores. CONCLUSION: In the population evaluated, complete denture quality, food comminution capacity, and perceived chewing ability were not related to diet quality. The majority of subjects had deficient diets regardless of the technical quality of their dentures.

Aged↗

Treatment for acute craniomandibular dysfunction symptoms in edentulous patients with unserviceable or no existing complete dentures.

This article describes techniques to make unserviceable complete dentures rapidly serviceable and to facilitate using them in the diagnosis and treatment of acute craniomandibular dysfunction symptoms in edentulous patients. A technique is described to make complete dentures rapidly in the event that the complete dentures cannot be made serviceable or the patient has no complete dentures. This technique uses the TRIAD visible light-cure system. Once the complete dentures are made, they can be used alone or in conjunction with an occlusal splint for the diagnosis and treatment of acute craniomandibular dysfunction symptoms.

Dental Occlusion↗

Current concepts for relining complete dentures: a survey.

Reline procedures for complete dentures have received scant attention in the literature. Fifty-seven dental colleges responded to an 11-item survey on reline procedures. According to the tabulated data, most dental schools recommended the following (not necessarily our recommendations). Leave the denture(s) out of the mouth for at least 24 hours prior to fabrication of the reline impressions. Use tissue-conditioning material only on selected patients. Use Coe Comfort as the tissue-conditioning material of choice. Place either none or one relief hole in the maxillary denture, and place no relief holes in the mandibular denture prior to the impression(s). Place relief holes along the palatal midline of the maxillary denture. No specific size is recommended for the palatal relief holes. Place 1 mm of basal surface relief and 1 to 2 mm of border relief before the reline impression is made. Use a polysulfide rubber base material as the material of choice for reline impressions. Use a closed mouth impression technique. Remove the palate from the maxillary denture prior to processing. Use heat-cured resin (Lucitone) for processing. Use pressure-indicator paste prior to delivery of the denture(s). Remount the complete denture(s) on an articulator after processing for making occlusal corrections.

Denture Rebasing↗

Complete-denture esthetics.

This review of complete denture esthetics addresses the process of tooth selection, tooth arrangement, and characterization of the denture bases. The guidelines discussed in this article are all gleaned from the classic prosthodontic literature. These principles, which were developed over the past century, coupled with state-of-the-art materials are artificial teeth enable contemporary dentists to fabricate complete dentures with a level of esthetics never before possible.

Color↗

An investigation into the effect of denture fixatives in increasing incisal biting forces with maxillary complete dentures.

The effect of denture fixatives on incisal biting forces was investigated in five subjects wearing maxillary complete dentures. Forces required to displace new and old dentures with and without fixatives were measured up to six hours post-insertion using a force transducer. The results showed that incisal forces were greater with new dentures than with old dentures when only saliva was present. After the application of fixative to the old dentures, the difference from the new dentures without fixative became insignificant. It is concluded that the improvement in retention of complete dentures with the use of fixatives allowed patients to increase their incisal biting capability.

Adhesives↗

[A comparative study of masticatory efficiency between partial denture wearers having one remaining tooth and complete denture wears]

Masticatory efficiency is one of the important indexes of judging masticatory function after dentures restored.The aim of this study was to measure and analyze masticatory efficiency of partial dentur wearers having one tooth left and complete denture wearers,by using a method of measuring msticatory crushed granules.The results showed that the crushed granules for partial denture wearers with one remaining tooth were smaller than that for complete ones.Therefore,partial dentures with a few remaining teeth were better than complete ones on effects.

Journal Article↗

Validation of communication between elderly denture wearers and dentists: a questionnaire on satisfaction with complete dentures using semi-structured interviews.

OBJECTIVES: To validate a semi-structured interview (SSI) for communication between complete denture wearers and dentists. DESIGN: A SSI using a questionnaire with eight questions on satisfaction with complete dentures (CD): covering function, aesthetics and comfort. The first seven questions used a five-point Likert scale and the last was dichotomous. Two dentists, carefully trained in the use of the structured questionnaire, administered the SSI. SETTING: A Greek Department of Prosthetic Dentistry. SUBJECTS: A consecutive sample of 78 CD wearers took part in the study. All subjects presented with complaints from their dentures. INTERVENTION: All participants and their dentures underwent clinical examination. RESULTS: The method showed good reliability, verified by the Cronbach alpha (0.86). Both dentists used the questionnaire produced very similar results. (Wilcoxon test 61-99%). Further, the association of the answers with respect to the five-point Likert scale was very high; all gamma coefficients were statistically significant except for pain and discomfort from the upper CD (CDU). CONCLUSIONS: This method of communication between patients and dentists is reliable and can be used to give good repeatability for qualitatively assessing satisfaction with CD. It can be valuable for clinical use and for extending the study of denture quality to establish outcome measures based on the subjective criteria of satisfaction.

Aged↗

Immediate complete dentures.

When dentists treat patients for immediate complete dentures, they assume responsibility not only for the clinical and laboratory techniques unique to immediate complete denture fabrication, but also the responsibility for informing their patients about their treatment options, instructing their patients in the care of their oral tissues and dentures, and for continuing maintenance of the immediate dentures. Immediate dentures can be a traumatic introduction to complete dentures if patients are not informed fully about the complexity of the clinical and laboratory procedures, the need for immediate denture maintenance, and the costs associated with immediate denture treatment. The importance of 8 to 12 months of continuing care for immediate denture patients must be explained to patients and the dangers of neglecting continuing care must be emphasized.

Attitude to Health↗

Nontraumatic immediate complete denture placement: a clinical report.

This clinical report presents a treatment procedure that makes immediate denture placement a more predictable and less stressful procedure. It provides greater control over the prosthodontic aspects of denture delivery by the restorative dentist, and the convenience of performing the placement procedures in a clean, blood-free environment. The delivery of the prosthesis is less traumatic because extractions and/or surgery are deferred. In addition, by the time the remaining roots are extracted, all denture adjustments will have been made and the patient will have accommodated to the prosthesis.

Denture Design↗

Changes in the facial profile following insertion of complete dentures.

The effect of the topography of prostheses on the facial profile is poorly understood. This study was undertaken to identify changes in the facial profile, following insertion of dentures. The maxillary denture produced a more dominant effect than the mandibular, the greatest change affecting the philtrum and lips. The evidence also supports the concept that the tip of the upper incisors supports the lower lip. The actual length of facial tissues between selected landmarks in the midline did not change measurably following insertion of dentures in the rest position. A relationship between soft tissue shift and the known thickness of denture base was found for three landmarks, however, it was not possible to predict the size of these changes for other thicknesses of denture base with confidence.

Adult↗