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Ozdogan MS, Gungormus M. Salivary opiorphin levels in denture-related traumatic ulcers. Oral Dis 2024; 30:3136-3141. [PMID: 37793134 DOI: 10.1111/odi.14754] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/24/2022] [Revised: 09/07/2023] [Accepted: 09/15/2023] [Indexed: 10/06/2023]
Abstract
OBJECTIVE Opiorphin is a pentapeptide secreted in saliva and has a strong analgesic effect. Salivary opiorphin has been shown to increase in orofacial pain and may act as a pain reliever in pain caused by denture-related ulcers. The current study aimed to evaluate the salivary opiorphin levels in traumatic ulcers caused by ill-fitting dentures and demonstrate whether there is any correlation between trauma-related pain levels and salivary opiorphin levels. MATERIALS AND METHODS Twenty-two individuals with new full dentures and a complaint of pain due to ill-fitting were included in this study. Patients were asked to rate their level of pain on a visual analog scale (VAS). Then, saliva specimens were collected at the first visit with the complaint of pain and 7 days following the denture adjustment. RESULTS The average saliva opiorphin level before and after denture adjustment were 19.29 ± 5.44 and 15.78 ± 3.95 ng/mL, respectively. A dependent (paired) t-test determined that the mean salivary opiorphin level differed statistically significantly before and after the adjustment of the dentures. CONCLUSIONS The findings show that salivary opiorphin levels increase in pain associated with denture-related traumatic ulcers. Adjusting the dentures resulted in pain relief and a statistically significant reduction in opiorphin levels.
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Affiliation(s)
- Mahmut Sertac Ozdogan
- Department of Prosthodontics, Faculty of Dentistry, Ankara Yıldırım Beyazıt University, Ankara, Turkiye
| | - Mustafa Gungormus
- Department of Basic Sciences, Faculty of Dentistry, Ankara Yıldırım Beyazıt University, Ankara, Turkiye
- Central Research Laboratory Application and Research Center, Ankara Yildirim Beyazit University, Ankara, Turkiye
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Wu Q, Zhang N, Dong B, Sun M, Yang X, Yu H. Esthetic rehabilitation for a Kennedy Class IV patient using detachable 3D printing diagnostic denture and removable partial denture with polyetheretherketone framework. Heliyon 2022; 8:e10834. [PMID: 36303934 PMCID: PMC9593186 DOI: 10.1016/j.heliyon.2022.e10834] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/04/2022] [Revised: 08/14/2022] [Accepted: 09/26/2022] [Indexed: 12/01/2022] Open
Abstract
For patients with high aesthetic expectation, using removable partial dentures (RPDs) to restore the missing teeth in the aesthetic area rapidly and obtain the patients' approval is challenging. This case described an alternative digital protocol to solve this situation. A detachable 3DP diagnostic denture was involved in the procedure, which not only allowed patient to evaluate the possible outcome of the RPD, but also can be duplicated to form a definitive RPD, by bonding a milled PEEK framework and a customized PMMA dentition containing posts, using a thermoplastic compression molding (CM)process.
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Affiliation(s)
- Qin Wu
- State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Disease, West China Hospital of Stomatology, Sichuan University, Chengdu, PR China
| | - Na Zhang
- State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Disease, West China Hospital of Stomatology, Sichuan University, Chengdu, PR China
| | - Bo Dong
- Department of Dental Technology, West China Hospital of Stomatology, Sichuan University, Chengdu, PR China
| | - Manlin Sun
- State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Disease, West China Hospital of Stomatology, Sichuan University, Chengdu, PR China
| | - Xin Yang
- State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Disease, West China Hospital of Stomatology, Sichuan University, Chengdu, PR China
| | - Haiyang Yu
- State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Disease, West China Hospital of Stomatology, Sichuan University, Chengdu, PR China
- Corresponding author.
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Mann RS, Ruse ND. Fracture toughness of conventional, milled and 3D printed denture bases. Dent Mater 2022; 38:1443-1451. [PMID: 35840356 DOI: 10.1016/j.dental.2022.06.029] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2022] [Revised: 06/07/2022] [Accepted: 06/22/2022] [Indexed: 11/24/2022]
Abstract
OBJECTIVES The aim of this study was to determine and compare fracture toughness (KIC) and work of fracture (WOF) of a conventional (C) denture base, using the notchless triangular prism (NTP) specimen KIC test, with CAD/CAM (milled, M) and 3D-printed (P) materials at 7 d and 90 d. METHODS Lucitone 199 (C), Lucitone 199 CAD (M) and Lucitone Digital Print (P) (Dentsply, USA) were used to fabricate NTP specimens. Samples were stored in 37 °C water for 7 d (20/group) and 90 d (20/group) and conditioned in 23 °C water for 1 h prior to testing. For testing, samples were secured in custom-made jigs and loaded in tension until crack arrest/failure. The maximum-recorded load was used to calculate KIC. The results were analyzed by two-way ANOVA, Scheffé multiple mean comparisons (α = 0.05), independent t-tests and Weibull. WOF (in KJ/m2) was calculated by dividing the area under the load-displacement graphs by twice the corresponding crack-arrested cross sectional area of the fractured surfaces. RESULTS The results have shown that: 1) the tested materials had significantly different KIC (P > C > M; p < 0.005) and WOF at both 7d and 90d; 2) ageing in 37 ºC water for 90 d resulted in a significant decrease of KIC in the C and M groups (p < 0.001) and of WOF in all groups. SIGNIFICANCE The tested P denture base exhibited significantly higher KIC and WOF, suggesting that it could be more resistant to crack propagation than the C and M materials tested. Water storage for 90 d significantly decreased KIC of C and M materials and WOF of all.
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Affiliation(s)
- Ravdeep S Mann
- Biomaterials, Faculty of Dentistry, The University of British Columbia, 2199 Wesbrook Mall, Vancouver, BC V6T 1Z3, Canada
| | - N Dorin Ruse
- Biomaterials, Faculty of Dentistry, The University of British Columbia, 2199 Wesbrook Mall, Vancouver, BC V6T 1Z3, Canada.
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Edentulous Patient Satisfaction with Conventional Complete Dentures. Medicina (B Aires) 2022; 58:medicina58030344. [PMID: 35334520 PMCID: PMC8953744 DOI: 10.3390/medicina58030344] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/24/2022] [Revised: 02/17/2022] [Accepted: 02/21/2022] [Indexed: 11/17/2022] Open
Abstract
Background and Objectives: Edentulism is considered to be an impediment impacting both patients’ quality of life and their nutrition. Conventional complete dentures are still a preferred treatment. However, there is no consensus on the most important factors which could substantially reduce the risk of patient dissatisfaction. This study evaluated the following determinants concerning patient satisfaction with complete maxillary and mandibular dentures: sex, denture-related functional and aesthetic aspects, and the degree of bone resorption. Materials and Methods: This study included 70 patients aged 34–81 years of age. All complete dentures were made by following the same technology. Visual analogue scales were used to assess patients’ overall satisfaction with dentures, comfort, ability to speak and chew, denture aesthetics, stability, and ease of prosthesis cleaning. Satisfaction with upper and lower dentures was rated separately. The degree of bone resorption was classified by using the Kalk and de Baat (1989) method. Results: The mean (SD) age of the study participants was 67.3 (10.4) years; 65.7% (n = 46) were females and 34.3% (n = 24) were males. There were no significant sex-based differences in resorption of the maxilla or mandibula. There were significant differences between maxillary and mandibular dentures, with lower mean satisfaction scores concerning chewing and maxillary complete dentures, and in regard to stability and comfort for mandibular complete dentures. There was a non-significant overall lower satisfaction with increased age. In multivariate analysis for mandibular complete dentures, aesthetics and stability significantly predicted the patient’s comfort levels, and the patient’s comfort significantly predicted overall satisfaction. For maxillary complete dentures, patient comfort and aesthetics significantly predicted overall patient satisfaction. Conclusions: Age, sex, and degree of resorption were not associated with patient satisfaction with complete dentures. Overall, patient satisfaction with both maxillary and mandibular complete dentures was related to their comfort level and denture aesthetics, and patient comfort itself was associated with stability of the mandibular denture.
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Sindi AS, Mittal R, Mattoo K, Deep A, Khateeb SU, Algarni YA, Baba SM, Hakami AM. Impact of an Auditory Mediated Patient Health Education (PHE) Program on Treatment Compliance and Satisfaction Among Patients Seeking Prosthodontic Care During COVID Pandemic - A Prospective Interventional Study. Patient Prefer Adherence 2022; 16:1247-1255. [PMID: 35602466 PMCID: PMC9121987 DOI: 10.2147/ppa.s366684] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/23/2022] [Accepted: 05/09/2022] [Indexed: 11/23/2022] Open
Abstract
BACKGROUND Patients health education by healthcare workers has been affected by pandemic guidelines. This study aimed to evaluate the influence of an audio-mediated intervention for patient health education (PHE) on treatment compliance and treatment satisfaction among patients seeking prosthodontic treatment during the Covid pandemic. METHODS A total of 666 patients (aged 40-70 years) who fulfilled the study criteria were treated for denture-associated disease. PHE for 5 different categories was performed using an educational audio (MP3) in the experimental group (Group E), and traditional methods (oral/verbal) in the control group (Group C). Patient/clinician satisfaction with the PHE program was evaluated with a pre-validated questionnaire, whereas treatment compliance and satisfaction were evaluated using a denture hygiene index (DHI) and a visual analog scale (VAS). Differences between qualitative variables were determined using the chi-square test, whereas continuous variables were assessed using an unpaired t-test. Differences were considered to be statistically significant at p ≤ 0.05. RESULTS Patient satisfaction with PHE was significantly higher and differed in the Group E for two parameters: education method (80%), educational material (94%). For all parameters of procedural education, patient/clinician satisfaction was significantly higher for Group E [method (93%), material (85%), patient preparation (89%), personalized education (84%), program (93%)]. From three different ratings of disease education, 70% in Group E rated education as "effective" as compared to 41% in the Group C. Effectiveness of post treatment, education measured through DHI, revealed a lower hygiene score in Group E (m = 1.18) as compared to Group C (m = 2.92), with differences being significant. For treatment satisfaction, patients in Group E rated higher for speech (m = 8.21), ease of chewing (m = 7.36), and general satisfaction (m = 7.9). CONCLUSION This study concluded that using audio as a means of imparting PHE positively influences the treatment compliance and satisfaction among outpatients and overcomes the drawback of wearing mask during the pandemic.
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Affiliation(s)
- Abdulelah Sameer Sindi
- Department of Restorative Dental Sciences, College of Dentistry, King Khalid University, Abha, 61421, Kingdom of Saudi Arabia
| | - Rashmi Mittal
- Department of Prosthodontics, S. R. Aggarwal Dental Clinic, Badaut, Uttar Pradesh, 250611, India
- Department of Prosthodontics, Subharti Dental College and Hospital, Swami Vivekananda Subharti University, Uttar Pradesh, 250005, India
| | - Khurshid Mattoo
- Department of Prosthodontics, Subharti Dental College and Hospital, Swami Vivekananda Subharti University, Uttar Pradesh, 250005, India
- Department of Prosthetic Dental Sciences, College of Dentistry, Jazan University, Jazan, 45142, Kingdom of Saudi Arabia
- Correspondence: Khurshid Mattoo, Department of Prosthetic Dental Sciences, College of Dentistry, Jazan University, Jazan, 45142, Kingdom of Saudi Arabia, Tel +966595086078, Fax +960173295000, Email
| | - Anchal Deep
- Department of Prosthodontics, Subharti Dental College and Hospital, Swami Vivekananda Subharti University, Uttar Pradesh, 250005, India
- Department of Prosthodontics, IDEAS Dental College, Madhya Pradesh Medical Science University, Madhya Pradesh, 482003, India
| | - Shafait Ullah Khateeb
- Department of Restorative Dental Sciences, College of Dentistry, King Khalid University, Abha, 61421, Kingdom of Saudi Arabia
| | - Youssef Abdullah Algarni
- Department of Restorative Dental Sciences, College of Dentistry, King Khalid University, Abha, 61421, Kingdom of Saudi Arabia
| | - Suheel Manzoor Baba
- Department of Restorative Dental Sciences, College of Dentistry, King Khalid University, Abha, 61421, Kingdom of Saudi Arabia
- Department of Restorative Dentistry, Subharti Dental College and Hospital, Swami Vivekananda Subharti University, Uttar Pradesh, 250005, India
| | - Areej M Hakami
- Department of Prosthodontics, College of Dentistry, Jazan University, Jazan, 45142, Kingdom of Saudi Arabia
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Extra-oral assessment of conventional and CAD-CAM complete denture appearance by dental professionals and CRDP wearers: A randomized survey. J Dent 2021; 115:103843. [PMID: 34637891 DOI: 10.1016/j.jdent.2021.103843] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/22/2021] [Revised: 09/29/2021] [Accepted: 10/03/2021] [Indexed: 11/20/2022] Open
Abstract
INTRODUCTION Complete removable dental prostheses' (CRDPs) appearance may vary between conventional and contemporary CAD-CAM manufacturing techniques. OBJECTIVES The aim of this randomized survey was to analyze appreciation of CRDPs, manufactured with different techniques, by dental professionals and elder CRDP wearers. METHODS Four participant groups, comprised of undergraduate students (n=10), postgraduate residents (n=10), dental technicians (n=10) and elder CRDP wearers (n=10), evaluated the appearance of maxillary CRDPs manufactured by six different techniques: three conventional methods 1. flask-pack-press (FP), 2. Injection-molded (IM), 3. intrinsically colored natural gingiva finish before injection-molded (NG) and three CAD-CAM methods 4. milled base with bonded prefabricated teeth (M), 5. fully milled including milled teeth (FM) and 6. rapid-prototyped including printed teeth (P). A randomized, blinded survey included 18 pairwise comparative assessments and 12 individual judgements of the CRDPs on general appearance as well as pink and white aspects. Statistical analyses included parametric- and nonparametric tests as well as linear regression models; the level of statistical significance was set at p<.05. RESULTS NG was preferred by the professional groups but not by the elder CRDP wearers (p<.05). P was scored lowest by all four participant groups (p<.05). CRDP wearers' ratings were less severe and within a narrower range. The ratings of the two CAD-CAM milled CRDPs (M and FM) were ranked closer to FP and IM); the order of preference was different depending on the participant groups. CONCLUSIONS The findings of this study revealed marked differences in the assessment of CRDP appearances between dental professionals and older CRDP wearers. CLINICAL SIGNIFICANCE A shared and informed approach to decision making concerning the CRDP appearance might foster denture acceptance and treatment success.
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Gray D, Patel J. Implant-supported overdentures: part 1. Br Dent J 2021; 231:94-100. [PMID: 34302089 DOI: 10.1038/s41415-021-3224-4] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2020] [Accepted: 12/03/2020] [Indexed: 11/09/2022]
Abstract
The ability to provide high-quality complete dentures is a key skill for the GDP. The increasing prevalence and utilisation of implant-supported overdentures has opened the possibility of a wide variety of treatment options to support patient care, while also creating the need for primary care practitioners to have a greater awareness of commonly used prosthetic attachments.A thorough understanding of the advantages and disadvantages of implant-supported overdentures is essential to ensuring appropriate treatment planning, consent and maintenance. This two-part series explores various aspects of implant-supported overdentures including assessment of the patient, treatment planning, different attachment systems and maintenance requirements.Part one will explore availability of implants in the NHS, the commonly available implant attachment systems, including their relative advantages and disadvantages.
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Affiliation(s)
- David Gray
- Leeds Dental Institute, The Worsley Building, Clarendon Way, LS2 9LU, UK
| | - Jaymit Patel
- Leeds Dental Institute, The Worsley Building, Clarendon Way, LS2 9LU, UK.
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Alqarni MA, Mattoo K, Dhingra S, Baba SM, Al Sanabani F, Al Makramani BMA, Akkam HM. Sensitizing Family Caregivers to Influence Treatment Compliance among Elderly Neglected Patients-A 2-Year Longitudinal Study Outcome in Completely Edentulous Patients. Healthcare (Basel) 2021; 9:healthcare9050533. [PMID: 34063316 PMCID: PMC8147452 DOI: 10.3390/healthcare9050533] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2021] [Revised: 04/23/2021] [Accepted: 04/27/2021] [Indexed: 11/16/2022] Open
Abstract
Healthcare workers have reported a certain segment of geriatric patients that are suffering from abuse/neglect, which in turn has been associated with anxiety, depression, and helplessness in the individual. Family caregivers (blood relations), being the most common perpetrators of elder abuse and neglect (EAN), have also been shown to respond to sensitization if the type of EAN and the interventions are appropriate. This study was aimed to comparatively analyze the influence of intervention (psychotherapeutic sensitization of FCG) upon long-term (24 months) treatment maintenance and satisfaction in elderly neglected patients. One hundred and fifty patients (aged 41–80 years) suffering from elder neglect (EN) (self-confession) and their respective FCGs, fulfilling the study criteria, participated in this longitudinal 2-year study. The patients were randomly distributed (simple random, convenient) in two equal groups (75 each), namely Group (GP) A (control) and GP B (test). A standardized, complete denture treatment was initiated for all the participants. Both the FCGs and the patients of GP B were sensitized (psychotherapeutic education) for EN, while there was no such intervention in GP A. The influence of such intervention was measured for denture maintenance [denture plaque index (DPI) scores] and treatment satisfaction (10-point visual analog scale). Absolute/relative frequencies and means were major calculations during data analysis. Differences between the groups for any treatment compliance parameter was done through the unpaired t-test, while Karl Pearson’s test determined the level of relationship between variables (p-value < 0.05). Decrease in mean DPI scores (suggesting improvement) was seen among patients in GP A from 1 month (m = 2.92) to 24 months (m = 2.77). A negligible increase in DPI scores was observed among patients of GP B from 1 month (m = 1.38) to 24 months (m = 1.44). Differences in mean values between the two groups were statistically significant at 24-month intervals, while the relationship between the variables was nonsignificant. FCG sensitization through psychotherapeutic education shows a long-term positive influence on the treatment compliance (maintenance and satisfaction). Identifying the existence of EAN among geriatric patients, followed by psychotherapeutic education of FCGs is recommended for routine medical and dental long-duration treatment procedures.
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Affiliation(s)
- Mohammed A. Alqarni
- Department of Restorative Dental Sciences, College of Dentistry, King Khalid University, Abha 61421, Saudi Arabia; (M.A.A.); (S.M.B.)
| | - Khurshid Mattoo
- Department of Prosthetic Dental Sciences, College of Dentistry, Jazan University, Jazan 45142, Saudi Arabia; (F.A.S.); (B.M.A.A.M.); (H.M.A.)
- Correspondence: ; Tel.: +966-595-086-078
| | - Surbhi Dhingra
- Department of Oral Maxillofacial Prosthetics, Subharti Dental College, Swami Vivekananda Subharti Univeristy, Meerut 250001, India;
| | - Suheel Manzoor Baba
- Department of Restorative Dental Sciences, College of Dentistry, King Khalid University, Abha 61421, Saudi Arabia; (M.A.A.); (S.M.B.)
| | - Fuad Al Sanabani
- Department of Prosthetic Dental Sciences, College of Dentistry, Jazan University, Jazan 45142, Saudi Arabia; (F.A.S.); (B.M.A.A.M.); (H.M.A.)
| | - Bandar M. A. Al Makramani
- Department of Prosthetic Dental Sciences, College of Dentistry, Jazan University, Jazan 45142, Saudi Arabia; (F.A.S.); (B.M.A.A.M.); (H.M.A.)
| | - Hadeel Mohammed Akkam
- Department of Prosthetic Dental Sciences, College of Dentistry, Jazan University, Jazan 45142, Saudi Arabia; (F.A.S.); (B.M.A.A.M.); (H.M.A.)
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Impact of Sensitization of Family Caregivers upon Treatment Compliance among Geriatric Patients Suffering from Elder Abuse and Neglect. Healthcare (Basel) 2021; 9:healthcare9020226. [PMID: 33670706 PMCID: PMC7922918 DOI: 10.3390/healthcare9020226] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2021] [Revised: 02/01/2021] [Accepted: 02/13/2021] [Indexed: 11/21/2022] Open
Abstract
Geriatric patients in various outpatient department (OPDs) have been found to agonize from elder abuse and neglect (EAN). Such suffering imposes depressive states within individuals, which in turn affects treatment compliance. The objective of this study was to evaluate the impact of sensitization (psychotherapeutic) of family caregivers (FCGs) upon two denture treatment parameters (maintenance and treatment satisfaction) among EAN patients and compare the differences in outcome with non-abused patients. A survey of completely edentulous subjects (n = 860, aged 41–80 years) provided a sampling frame of 332 EAN patients from which 150 patients (including FCGs) fulfilling the study criteria were distributed (simple random, convenient) into two groups (Group A—control, Group B—test). FCG sensitization for subjects in Group B was performed by a clinical psychologist in 2–4 short (30 min) sessions. Demographic characteristics (frequency) were measured using a self-reported questionnaire, denture maintenance was measured using a denture hygiene index (scores), and treatment satisfaction was analyzed on a 10-point visual analog scale. Relevant data were calculated for means and absolute/relative frequencies. Any difference between two groups was estimated using an unpaired t-test while the level of relationship was determined by Karl Pearson’s test at a p-value of < 0.05. The results showed highest frequency (38.6%) for neglect, with elder neglect (EN) being most common (38.14% alone and 14% in combination). EN was found more if the FCG was a son (52%), in the age group (21–30 years), and with low education and low income (75%). Patients whose FCGs were counselled (Group B) demonstrated low denture plaque scores (mean = 1.38 ± 0.618), while demonstrating comparatively higher scores in six different parameters of treatment satisfaction. Differences between the two groups for both parameters were also found to be statistically significant. Psychotherapeutic counselling in the form of FCG sensitization brings better results of denture maintenance and treatment satisfaction.
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Kim TH, Huh JB, Lee J, Bae EB, Park CJ. Retrospective Comparison of Postinsertion Maintenances Between Conventional and 3D Printed Complete Dentures Fabricated in a Predoctoral Clinic. J Prosthodont 2021; 30:158-162. [PMID: 33434330 DOI: 10.1111/jopr.13322] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/05/2021] [Indexed: 11/29/2022] Open
Abstract
PURPOSE A retrospective study to analyze the clinical performance of 3D printed complete dentures in edentulous patients compared with conventional complete dentures regarding postinsertion visits and patient reported outcomes. MATERIAL AND METHODS Electronic charts were reviewed to analyze 420 (maxilla 270, mandible 150) heat-polymerized conventional complete dentures (CCD) inserted between July 1, 2015 and June 30, 2016 and 217 (maxilla 130, mandible 86) 3D printed complete dentures (PCD) inserted between July 1, 2017 and June 30, 2018. Number of remakes, number of postinsertion adjustments, type and number of repairs, and patient reported complications were compared between two types of complete dentures. The frequency of denture repair and patient reported complications were analyzed using chi-square of independence test. RESULTS The frequency of pain and visible ulcer lesions in the maxilla was determined to be 46.67% with CCD and 36.15% in PCD (p = 0.047). There was no statistical significance in other items. The majority of esthetic concerns was dissatisfaction with the shape of dentures with CCD (4.67%) and they had statistically significant, less frequent, esthetic problems than PCD (11.63%) (p = 0.047). CONCLUSIONS Similar clinical performance was recorded between the two groups, but the overall pain and visible ulcer lesions were less in the printed complete dentures then the conventionally processed dentures. However, the esthetic aspect was better in conventionally processed complete dentures.
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Affiliation(s)
- Tae Hyung Kim
- Removable Prosthodontics, Division of Restorative Sciences, Herman Ostrow School of Dentistry, University of Southern California, Los Angeles, CA
| | - Jung Bo Huh
- Department of Prosthodontics, Institute for Dental Research, Institute of Translation Dental Science, School of Dentistry, Pusan National University, Yangsan, Republic of Korea
| | - Janet Lee
- University of Pennsylvania, Philadelphia, PA
| | - Eun-Bin Bae
- Department of Prosthodontics, Institute of Translational Dental Sciences, School of Dentistry, Pusan National University, Yangsan, Republic of Korea
| | - Cheryl J Park
- Division of Restorative Sciences, Herman Ostrow School of Dentistry, University of Southern California, Los Angeles, CA
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Policastro VB, Cassiano AFB, Silva MDDD, Viotto HEDC, Leite ARP, Marin DOM, Pero AC. Influence of the height of the mandibular ridge on the masticatory function during the functional adaptation with new complete dentures. J Appl Oral Sci 2020; 28:e20200092. [PMID: 33111881 DOI: 10.1590/1678-7757-2020-0092] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2020] [Accepted: 08/15/2020] [Indexed: 11/22/2022] Open
Abstract
BACKGROUND The period of functional adaptation to a new conventional complete denture embraces many transitory issues, and this period is directly related to the rehabilitation success. OBJECTIVE This clinical trial evaluated the influence of the height of mandibular ridge on the masticatory function of complete denture (CD) wearers during the adaptation period. METHODOLOGY A total of 28 individuals wearing new CDs (NR, n=14, normal mandibular ridges, 64±12.5 years, 9 female; RR, n=14, resorbed mandibular ridges, 69±6.8 years, 9 female) were assessed at 24 hours, 30 days, three months and six months after the insertion of the CDs for masticatory performance (MP, sieves method), satisfaction with CDs (questionnaire) and maximum occlusal bite force (MOBF) (gnatodynamometer). The classification of the mandibular ridges followed the Kapur index. Data of MP and MOBF were analyzed by two-way ANOVA and satisfaction with CDs was analyzed by Generalized Estimating Equations (GEE), α=.05. RESULTS Participants with NR presented better masticatory performance (p=.000 - NR 30.25±9.93%, RR 12.41±7.17%), general satisfaction (p=.047), retention of mandibular denture (p=.001), chewing ability (p=.037), and comfort of wearing a mandibular denture (p=.000). Regardless of the mandibular ridge, MP (p=.000) was higher at three (21.26±12.07%) and six months (24.25±12.26%) in comparison to 24 hours (18.09±10.89%), the MOBF (p=.000) was higher at three months (78.50±6.49 N) compared to 24 hours (57.34±5.55 N) and 30 days (62.72±5.97 N), and the comfort of wearing a mandibular denture (p=.002) at three months (1.61 ± 0.07) was greater than 24 hours (1.29±0.10) and 30 days (1.36±10). CONCLUSIONS The study suggests that the participants with NR have higher MP and satisfaction with their CD, regardless of the follow-up period after the insertion of the new CD. After subjects received the CD, a period of 3 months was necessary for achieving better achievement MOBF, MP, and self-perceived comfort with the mandibular denture, regardless of the height of the mandibular ridge.
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Affiliation(s)
- Vivian Barnabé Policastro
- Universidade Estadual Paulista (UNESP), Faculdade de Odontologia de Araraquara, Departamento de Materiais Odontológicos e Prótese, Araraquara, SP, Brasil
| | - Ana Flávia Balestrero Cassiano
- Universidade Estadual Paulista (UNESP), Faculdade de Odontologia de Araraquara, Departamento de Materiais Odontológicos e Prótese, Araraquara, SP, Brasil
| | - Marcela Dantas Dias da Silva
- Universidade Estadual Paulista (UNESP), Faculdade de Odontologia de Araraquara, Departamento de Materiais Odontológicos e Prótese, Araraquara, SP, Brasil
| | - Hamile Emanuella do Carmo Viotto
- Universidade Estadual Paulista (UNESP), Faculdade de Odontologia de Araraquara, Departamento de Materiais Odontológicos e Prótese, Araraquara, SP, Brasil
| | - Andressa Rosa Perin Leite
- Universidade Estadual Paulista (UNESP), Faculdade de Odontologia de Araraquara, Departamento de Materiais Odontológicos e Prótese, Araraquara, SP, Brasil
| | - Danny Omar Mendoza Marin
- Universidade Federal de Santa Catarina, Faculdade de Odontologia, Departamento de Odontologia Restauradora, Florianópolis, SC, Brasil
| | - Ana Carolina Pero
- Universidade Estadual Paulista (UNESP), Faculdade de Odontologia de Araraquara, Departamento de Materiais Odontológicos e Prótese, Araraquara, SP, Brasil
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Tang J, Wang Y, Wang Z, Guo Y, Wang C. Facial aesthetic evaluation of rehabilitation effects in edentulous patients with varying degrees of residual ridge resorption by 3D stereophotogrammetry. J Oral Rehabil 2020; 47:1095-1102. [PMID: 32535931 DOI: 10.1111/joor.13035] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/08/2020] [Revised: 05/11/2020] [Accepted: 05/30/2020] [Indexed: 11/28/2022]
Abstract
BACKGROUND Residual ridge resorption impairs patients' satisfaction with complete denture (CD) treatment, but influence of bone resorption on the aesthetic rehabilitation of edentulous patients still remains unclear due to insufficient quantitative investigations. OBJECTIVES To quantitatively evaluate the effects of residual ridge resorption on facial aesthetic reconstruction in elderly edentulous patients. METHODS According to radiological examination, a total of 19 edentulous subjects were categorised into two groups, atrophic patients (APs) and non-atrophic patients (NAPs). Before CD treatment and 3 months after treatment, patients were asked to complete the Orofacial Esthetic Scale (OES). The changes in facial appearance were measured by 3D stereophotogrammetry, and the facial parameters of two groups were compared. RESULTS The patient's subjective satisfaction of oro-facial aesthetics and 3D objective assessment of facial appearance improved after CD treatment. Subnasale-gnathion (Sn-Gn) significantly increased from 60.13 ± 3.91 mm to 62.27 ± 3.82 mm. After rehabilitation, glabella-subnasale (G-Sn)/Sn-Gn, nasolabial (Cm-Sn-Ls) and mentolabial (Li-Sm-Pg) significantly decreased and were closer to normal values. Moreover, the subtraction value between G-Sn/Sn-Gn and normal value before treatment of APs and NAPs was 14.47 ± 8.04% and 6.94 ± 3.69%, respectively (P = .026), while after treatment, the values decreased to 10.61 ± 6.33% and 3.86 ± 2.31% (P = .013), respectively. CONCLUSION The increased volume of lips and cheeks played an important role in the facial aesthetic reconstruction of edentulous patients. NAPs tended to have more attractive faces after CD treatment, as their facial profile parameters (G-Sn/Sn-Gn and Cm-Sn-Ls) were closer to normal Chinese with well-balanced faces.
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Affiliation(s)
- Jinxin Tang
- Jiangsu Key Laboratory of Oral Diseases, Affiliated Hospital of Stomatology, Nanjing Medical University, Nanjing, China.,Department of Prosthodontics, Affiliated Hospital of Stomatology, Nanjing Medical University, Nanjing, China
| | - Yu Wang
- Jiangsu Key Laboratory of Oral Diseases, Affiliated Hospital of Stomatology, Nanjing Medical University, Nanjing, China.,Department of Prosthodontics, Affiliated Hospital of Stomatology, Nanjing Medical University, Nanjing, China
| | - Zhongyi Wang
- Jiangsu Key Laboratory of Oral Diseases, Affiliated Hospital of Stomatology, Nanjing Medical University, Nanjing, China.,Department of Prosthodontics, Affiliated Hospital of Stomatology, Nanjing Medical University, Nanjing, China
| | - Yanyang Guo
- Jiangsu Key Laboratory of Oral Diseases, Affiliated Hospital of Stomatology, Nanjing Medical University, Nanjing, China.,Department of Prosthodontics, Affiliated Hospital of Stomatology, Nanjing Medical University, Nanjing, China
| | - Chen Wang
- Jiangsu Key Laboratory of Oral Diseases, Affiliated Hospital of Stomatology, Nanjing Medical University, Nanjing, China.,Department of Prosthodontics, Affiliated Hospital of Stomatology, Nanjing Medical University, Nanjing, China
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Colvin J, Dawson DV, Gu H, Marchini L. Patient Expectation and Satisfaction with Different Prosthetic Treatment Modalities. J Prosthodont 2018; 28:264-270. [DOI: 10.1111/jopr.12983] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/07/2018] [Indexed: 11/27/2022] Open
Affiliation(s)
- Joshua Colvin
- College of Dentistry; University of Iowa; Iowa City IA
| | - Deborah V. Dawson
- Dows Institute for Dental Research; University of Iowa College of Dentistry; Iowa City IA
| | - Hongjie Gu
- Washington University School of Medicine; St. Louis MO
| | - Leonardo Marchini
- Department of Preventive and Community Dentistry; University of Iowa College of Dentistry; Iowa City IA
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AlRumaih HS, AlHelal A, Baba NZ, Goodacre CJ, Al-Qahtani A, Kattadiyil MT. Effects of denture adhesive on the retention of milled and heat-activated maxillary denture bases: A clinical study. J Prosthet Dent 2018; 120:361-366. [DOI: 10.1016/j.prosdent.2017.10.013] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2017] [Revised: 10/13/2017] [Accepted: 10/13/2017] [Indexed: 11/25/2022]
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Extending the service life of existing dental restorations with esthetic and functional limitations. J Prosthet Dent 2018; 119:893-896. [DOI: 10.1016/j.prosdent.2017.08.011] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2017] [Revised: 08/08/2017] [Accepted: 08/09/2017] [Indexed: 11/17/2022]
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