[Studies on occlusion in complete dentures].
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In four full maxillary dentures, the physical mechanisms of retention were examined and quantitatively determined by inductive pressure and motion recorders, in tests performed on a model and on the patients. In addition to capillary or viscous forces, the pressure difference existing in the space between denture and palate on the one hand and the oral environment on the other and resulting during pull-off, provides the greatest retaining effect.
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Criteria were developed to clinically evaluate denture base stability and retention. Six completely edentulous subjects participated in the study. Each patient was treated with two sets of complete dentures. Six prosthodontists who were not involved in the patients' treatment evaluated the stability and retention of each denture at the delivery appointment and weekly for the following 2 weeks by means of criteria in a standardized form. Evaluation of stability and retention for maxillary and mandibular complete dentures worn during weeks 1 and 2 were compared with the evaluations made at the delivery appointment for each denture. In tabulation of the data, the criteria considered reliable were mandibular denture retention, maxillary denture retention evaluated unilaterally, and maxillary denture stability. In each category most examiners rated the judgments the same or better when compared with the delivery appointment data for each patient.
STATEMENT OF PROBLEM: Reproducible and quantitative clinical evaluation of complete denture prostheses is of great importance for preoperative diagnosis, treatment planning, and assessment of quality of denture treatment. PURPOSE: This study attempted (1) to clarify the degree of contribution each clinical factor made to the general assessment of experienced prosthodontists to complete denture prostheses, and (2) to develop a method for quantitative assessment of complete denture quality. METHODS: Sixteen clinical factors with a three-grade scale were used to evaluate complete denture prostheses in 320 patients. The general assessment of the dentures was conducted with a 10-point scale. The contribution of each grade of the 16 factors to the general assessment level was determined by a multiple regression analysis. RESULTS: Seven factors were highly correlated to the general assessment. On the basis of these significant contributions, a complete denture scoring method was established followed by the calculation of the category scores of these factors and conversion of the total sum of each category score to an integer number between 0 and 100. The resultant quantification score was closely correlated with the general assessment of the denture. CONCLUSION: An evaluation protocol used for scoring of complete dentures was developed based on the scientifically analyzed knowledge of experienced prosthodontists.
The frequency and distribution of complete dentures were studied in a population of 358 persons aged 20--69 living in a community in Northern Norway. Among the 83% who attended the investigation, 49% had a maxillary and 26% a mandibular denture. The occurrence of dentures increased with increasing age and with decreasing income and/or social class, while dentures were almost equally common in both sexes, when differences of age and income were taken into account. Of the participants between 50--69 years 39% had received their first maxillary denture at the age 17--24 years. In the age group 30--49 years the corresponding percentage was 20. Forty-four percent of the participants had maxillary dentures and 33% mandibular dentures which were older than 10 years. According to an index on the clinical evaluation of complete dentures as well as to the denture wearers' own opinion, the insufficiency of the dentures tended to increase with increasing age of the dentures. Sex, age, income and social class, however, were found to have only a minor effect on the age and the condition of the dentures as well as on the denture wearers' degree of satisfaction with their dentures. Persons who had natural mandibular teeth, tended to be less satisfied with their maxillary dentures than persons with complete dentures in both jaws.
OBJECTIVE: To learn retention and stability of linear occlusal complete dentures by investigating the subjective feelings of patient and the value of retention force. METHODS: Static retention forces of maxillary and mandibular dentures were measured for 25 patients wearing linear occlusal dentures by using Hz-1 retention dynamometer. The subjective feelings of patients in functional state were gained simultaneously through questionnaire. RESULTS: Linear occlusal dentures demonstrate good retention in static and dynamic state. Among patients with severe resorption of residual ridge (RRR), mandibular linear occlusal dentures (shown good retentive subjective feelings) demonstrate significantly smaller retention force than those with slight or medium degree of RRR. There is no correlation between the subjective feelings and the values of retention forces of mandibular dentures. The subjective feelings of patients wearing new linear occlusal dentures are much better than that of old anatomic occlusal dentures. CONCLUSION: Linear occlusal dentures improve the performances of dentures by enhancing their stability during mastication movement.
This paper reports variation in complete denture assessment between three groups of examiners, viz. general dental practitioners (GDPs), teachers of prosthetic dentistry and undergraduate students. A panel of three patients was assembled; each member wore complete dentures with specific faults. A short questionnaire was prepared covering the basic parameters of complete denture design; comments were also invited on desirability of denture renewal. The panel was examined by 30 GDPs, 30 students and 10 teachers. For the parameters, jaw relationship and need for renewal, there was little inter- or intra-group variation. However, for freeway space 90 per cent of the teachers agreed on the estimation of this parameter for each panel member but only 26 per cent of GDPs and 46 per cent of the students had similar findings.
Many factors can contribute to the fracture of complete dentures. This article has identified some of these factors and presented some methods that can greatly reduce or eliminate functional complete denture base fractures when used with a thorough diagnosis and treatment plan.