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Zheng H, Shi L, Lu H, Liu Z, Yu M, Wang Y, Wang H. Influence of edentulism on the structure and function of temporomandibular joint. Heliyon 2023; 9:e20307. [PMID: 37829806 PMCID: PMC10565695 DOI: 10.1016/j.heliyon.2023.e20307] [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: 01/25/2023] [Revised: 09/11/2023] [Accepted: 09/18/2023] [Indexed: 10/14/2023] Open
Abstract
Background With the acceleration of the aging process of the population, the number of edentulous patients continuously increased. Edentulism induces the loss of occlusal relationship and cause adverse effects on the stomatognathic system. Temporomandibular joint (TMJ), as a significant component of this system, may also be affected by edentulism in the process of supporting mandibular movement. Purpose Provide a comprehensive review of the structure and function of TMJ in the edentulous population, as well as the prevalence of temporomandibular joint disorder (TMD) in edentulous group. Study selection An electronic search was conducted on articles prior to December 2022 to filter all papers relevant to the structure and function of TMJ in edentulous population. The internet databases (PubMed, Cochrane Library, Embase) were searched using various combinations of keywords for "edentulism" or "edentulous" and "TMJ" or "TMD". Results Firstly, 522 articles were selected from the internet database, and finally, a total of 44 articles met the inclusion and exclusion criteria. The research content of these articles mainly focuses on the structure and function of TMJ in edentulous patients, as well as the clinical signs and symptoms of TMD. Conclusions Edentulous arch induces the loss of occlusal relationship, which may lead to degenerative changes of TMJ components consisting of changes in morphology and bone mass density of condyle, articular fossa, and articular eminence. In addition, the condyle could be shifted backward and upward, and displacement of the articular disc may occur after dentition loss. And the condyle and the articular disc may be guided back to the normal position after effective prosthodontic treatment. But the conclusions of the study on the function of TMJ and the prevalence of TMD in edentulous people are inconsistent. The condition of TMJ, especially the position of condyle-fossa and the symptoms and signs of TMD should not be ignored. If necessary, radiographic examinations should be performed.
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Affiliation(s)
- Huiyun Zheng
- Department of Oral Implantology, Stomatology Hospital, School of Stomatology, Zhejiang University School of Medicine, Zhejiang Provincial Clinical Research Center for Oral Diseases, Key Laboratory of Oral Biomedical Research of Zhejiang Province, Qiutao North Road 166, Hangzhou 310020, China
| | - Lei Shi
- Department of Prosthodontics, Stomatology Hospital, School of Stomatology, Zhejiang University School of Medicine, Zhejiang Provincial Clinical Research Center for Oral Diseases, Key Laboratory of Oral Biomedical Research of Zhejiang Province, Qiutao North Road 166, Hangzhou 310020, China
| | - Hongye Lu
- Department of Prosthodontics, Stomatology Hospital, School of Stomatology, Zhejiang University School of Medicine, Zhejiang Provincial Clinical Research Center for Oral Diseases, Key Laboratory of Oral Biomedical Research of Zhejiang Province, Qiutao North Road 166, Hangzhou 310020, China
| | - Zhichao Liu
- Department of Oral Implantology, Stomatology Hospital, School of Stomatology, Zhejiang University School of Medicine, Zhejiang Provincial Clinical Research Center for Oral Diseases, Key Laboratory of Oral Biomedical Research of Zhejiang Province, Qiutao North Road 166, Hangzhou 310020, China
| | - Mengfei Yu
- Department of Oral Implantology, Stomatology Hospital, School of Stomatology, Zhejiang University School of Medicine, Zhejiang Provincial Clinical Research Center for Oral Diseases, Key Laboratory of Oral Biomedical Research of Zhejiang Province, Qiutao North Road 166, Hangzhou 310020, China
| | - Yu Wang
- Department of Oral Implantology, Stomatology Hospital, School of Stomatology, Zhejiang University School of Medicine, Zhejiang Provincial Clinical Research Center for Oral Diseases, Key Laboratory of Oral Biomedical Research of Zhejiang Province, Qiutao North Road 166, Hangzhou 310020, China
| | - Huiming Wang
- Department of Oral Implantology, Stomatology Hospital, School of Stomatology, Zhejiang University School of Medicine, Zhejiang Provincial Clinical Research Center for Oral Diseases, Key Laboratory of Oral Biomedical Research of Zhejiang Province, Qiutao North Road 166, Hangzhou 310020, China
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Sta Maria M, Hasegawa Y, Marito P, Yoshimoto T, Salazar S, Hori K, Ono T. The impact of residual ridge morphology on the masticatory performance of complete denture wearers. Heliyon 2023; 9:e16238. [PMID: 37251823 PMCID: PMC10208942 DOI: 10.1016/j.heliyon.2023.e16238] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2022] [Revised: 05/08/2023] [Accepted: 05/10/2023] [Indexed: 05/31/2023] Open
Abstract
Statement of the problem Morphology of the residual ridge (RR) is expected to influence the masticatory performance (MP) of complete denture (CD) patients, but considerable details of this relationship are unknown. Purpose We aimed to investigate the association between the objective MP and RR morphology of CD wearers and other contributory factors affecting their MP. Materials and methods Sixty-five patients with well-fitting upper and lower CDs with no complaints of pain were enrolled. The objective MP was measured using test gummy jelly and a fully automated measuring device. The RR form was divided into U-type, V-type, I-intermediate, and F-Flat, then combinations of upper and lower RR forms (combined RR) were classified. The height was measured using CD's denture basal surface replicas, while occlusal contact of CDs was assessed using a tooth contact analysis system. The relationship between surveyed factors and MP was evaluated using Spearman's rank correlation, Kruskal-Wallis test, generalized linear regression, and analysis of covariance. Results Participants with F-F and V-F combined RR forms had the lowest MP, while those with U-U and U-I forms had the highest MP, regardless of RR height. Participants with low RR height had the lowest MP, and those with high RR height had the highest MP, regardless of RR form. The analysis of covariance revealed that mandibular RR height, combined RR forms, and total occlusal contact area significantly affected the MP. Conclusions Our findings confirmed that the mandibular RR height, RR form combinations, and occlusal contact influence the MP of CD wearers.ClinicalImplications:The MP of CD wearers varied, depending on the height and form of the RR, as well as the occlusal contact area of the CDs. The results of this manuscript show that the morphology of the denture bearing area and the occlusion of the CDs are essential factors in predicting the treatment outcome of CD wearers. This allows the clinician to fabricate a complete denture with the denture basal surfaces adjusted and occlusion provided according to the patient. CD patients can be educated on how to chew to improve MP based on their own RR morphology.
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Affiliation(s)
- M.T. Sta Maria
- Division of Comprehensive Prosthodontics, Faculty of Dentistry, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan
- Department of Prosthodontics, College of Dentistry, Manila Central University, Caloocan, Philippines
| | - Yoko Hasegawa
- Division of Comprehensive Prosthodontics, Faculty of Dentistry, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan
| | - Pinta Marito
- Division of Comprehensive Prosthodontics, Faculty of Dentistry, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan
- Department of Prosthodontics, Faculty of Dentistry, Universitas Indonesia, Jakarta, Indonesia
| | - Tasuku Yoshimoto
- Division of Comprehensive Prosthodontics, Faculty of Dentistry, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan
| | - Simonne Salazar
- Department of Prosthodontics, Faculty of Dentistry, Centro Escolar University, Makati, Philippines
| | - Kazuhiro Hori
- Division of Comprehensive Prosthodontics, Faculty of Dentistry, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan
| | - Takahiro Ono
- Division of Comprehensive Prosthodontics, Faculty of Dentistry, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan
- Department of Geriatric Dentistry, Faculty of Dentistry, Osaka Dental University Osaka, Japan
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Vasavi M, Ramaraju AV, Sajjan MCS, Rao DB, Manikyamba YJB, Thorreti VSL. An evaluation of the effect of wearing complete dentures on temporomandibular joint vibrations over time using the joint vibration analyzer. J Indian Prosthodont Soc 2023; 23:30-37. [PMID: 36588372 PMCID: PMC10088448 DOI: 10.4103/jips.jips_215_22] [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: 04/28/2022] [Revised: 10/14/2022] [Accepted: 10/22/2022] [Indexed: 12/29/2022] Open
Abstract
Aim To evaluate the changes in temporomandibular joint (TMJ) vibrations after insertion of the complete denture in edentulous patients. Settings and Design An observational in vivo study conducted to evaluate the changes in maximum mouth opening, total integrals, peak amplitude, and peak frequency in TMJ vibrations on the day of complete denture insertion and 6 months of follow up. Materials and Methods Twenty patients (male: 12 and female: 8) were selected for the fabrication of balanced complete dentures following conventional procedure. Joint vibration analysis was recorded using the joint vibration analyzer. The patients were instructed to open as wide as possible and close to the intercuspal position with rhythmic speed following the metronome projected on the screen. The TMJ vibrations were amplified and displayed as waveforms in a graphical representation by system software. Statistical Analysis Used Wilcoxon test. Results A significant decrease in the total integral (P = 0.001) and peak amplitude (P = 0.044) for opening and closing movements of the left and right joints was observed. There was no significant change in maximum mouth opening (P = 0.624). A decrease in peak frequency was noted only at left opening movements between the day of insertion and at 6 months (P = 0.025). Conclusion The function of TMJ mechanics was improved till 6 months after insertion of complete denture with balanced articulation (BA).
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Affiliation(s)
- Majji Vasavi
- Department of Prosthodontics and Implantology, Vishnu Dental College, Bhimavaram, Andhra Pradesh, India
| | - Alluri Venkata Ramaraju
- Department of Prosthodontics and Implantology, Vishnu Dental College, Bhimavaram, Andhra Pradesh, India
| | - M. C. Suresh Sajjan
- Department of Prosthodontics and Implantology, Vishnu Dental College, Bhimavaram, Andhra Pradesh, India
| | - D. Bheemalingeswara Rao
- Department of Prosthodontics and Implantology, Vishnu Dental College, Bhimavaram, Andhra Pradesh, India
| | - Yenumula J. B. Manikyamba
- Department of Prosthodontics and Implantology, Vishnu Dental College, Bhimavaram, Andhra Pradesh, India
| | - V. S. Lakshmi Thorreti
- Department of Prosthodontics and Implantology, Vishnu Dental College, Bhimavaram, Andhra Pradesh, India
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Emami E, Lavigne G, Feine JS, Karp I, Rompré PH, Almeida FR, Huynh NT. Effects of nocturnal wearing of dentures on the quality of sleep and oral-health-related quality in edentate elders with untreated sleep apnea: a randomized cross-over trial. Sleep 2021; 44:zsab101. [PMID: 33955479 PMCID: PMC8503827 DOI: 10.1093/sleep/zsab101] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2020] [Revised: 04/07/2021] [Indexed: 11/28/2022] Open
Abstract
STUDY OBJECTIVES This study aims to assess whether the nocturnal wear of dentures has an effect on the quality of sleep and oral-health-related quality of life of the edentulous elderly with untreated sleep apnea. METHODS A single-blind randomized cross-over design with two sequences and two periods was used. Participants (n = 77) were randomly assigned either to sequence 1 (nocturnal wear followed by nocturnal nonwear of the denture for 30-30 days) or sequence 2 (nocturnal nonwear followed by nocturnal wear of denture for 30-30 days). The primary sleep outcome was the quality of sleep, assessed through sleep fragmentation measured as Apnea-Hypopnea Index (AHI) and respiratory arousal from portable polysomnography. Secondary outcomes were daytime sleepiness, sleep quality (Pittsburgh Sleep Quality Index, PSQI) and oral-health-related quality of life measured by validated questionnaires. RESULTS The mean paired difference in AHI scores for the period of wearing versus not wearing dentures at night was small 1.0 event per hour (p = 0.50; 95% confidence interval (CI) = -2.0 to 4.1). The mean respiratory arousal index was higher when wearing dentures at night than when not wearing dentures at night, with a mean paired difference of 2.3 events per hour (p = 0.05; 95% CI = 0.0 to 4.6). No difference in sleepiness and PSQI were noted. Wearing dentures at night resulted in a statistically significantly higher mean score of psychological discomfort when compared to not wearing dentures at night. CONCLUSIONS The results provide some support to usual practice guidelines to remove dentures at night in edentulous elders suffering from sleep apnea. CLINICAL TRIAL REGISTRATION NCT01868295.
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Affiliation(s)
- Elham Emami
- Faculty of Dentistry, McGill University, Montréal, Québec, Canada
| | - Gilles Lavigne
- Faculty of Dentistry, Université de Montréal, Montréal, Québec, Canada
| | - Jocelyne S Feine
- Faculty of Dentistry, McGill University, Montréal, Québec, Canada
| | - Igor Karp
- Department of Epidemiology and Biostatistics, Schulich School of Medicine and Dentistry, University of Western Ontario, London, Ontario,Canada
| | - Pierre H Rompré
- Faculty of Dentistry, Université de Montréal, Montréal, Québec, Canada
| | - Fernanda R Almeida
- Faculty of Dentistry, University of British Colombia, Vancouver, British Columbia, Canada
| | - Nelly T Huynh
- Faculty of Dentistry, Université de Montréal, Montréal, Québec, Canada
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A Comparison of Endodontic Treatment Factors, Operator Difficulties, and Perceived Oral Health-related Quality of Life between Elderly and Young Patients. J Endod 2021; 47:1844-1853. [PMID: 34499888 DOI: 10.1016/j.joen.2021.08.017] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2021] [Revised: 08/19/2021] [Accepted: 08/30/2021] [Indexed: 02/03/2023]
Abstract
INTRODUCTION The purpose of this study was to compare endodontic treatment factors, treatment difficulties, and oral health-related quality of life (OHRQOL) between elderly and young patients. METHODS A total of 150 adults, 75 elderly (≥65 years) and 75 young patients (18-64 years), were recruited. Operators enumerated difficulties associated with communication, diagnosis, rubber dam application, access cavity preparation, canal localization, working length determination, instrumentation, and obturation after root canal treatment. The number of treatment visits, maxillary first molars with a second mesiobuccal canal, and the technical quality of the root filling were registered. Patients filled out questionnaires on pain, attendance of regular dental visits, esthetics, and masticatory function and the Oral Health Impact Profile-14. RESULTS Significantly more elderly had necrotic pulp (P < .001) and needed root canal treatment on teeth with full-coverage crown/bridge abutment (P < .001). It was significantly difficult to perform access cavity preparation and localize root canals on the elderly and on teeth with a full-coverage crown/bridge abutment. In regression analysis, the elderly presented with difficulties only during canal localization (P < .05). Second mesiobuccal canals were obturated in 43.5% of the young patients and 23.1% of the elderly patients. There were no significant differences in the number of treatment visits or the technical quality of root filling between the 2 groups. There were no significant differences in pain sensation, esthetics, masticatory function, or regular dental visits between the 2 groups. Elderly patients reported a significantly better OHRQOL (P < .05). Patients experiencing pain, patients needing treatment on anteriors/premolars, and females reported a significantly poorer OHRQOL (P < .05). CONCLUSIONS The elderly presented with treatment difficulty during canal localization and had better OHRQOL compared with young patients.
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Al-Zahrani MS, Alhassani AA, Zawawi KH. Tooth loss as a potential risk factor for deficient sleep: an analysis of a nationally representative sample of adults in the USA. Sleep Breath 2021; 25:1101-1107. [PMID: 32583273 DOI: 10.1007/s11325-020-02131-z] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/09/2020] [Revised: 05/28/2020] [Accepted: 06/13/2020] [Indexed: 10/24/2022]
Abstract
PURPOSE Sleep deficiency is implicated as a risk factor for several systemic conditions. Loss of teeth has a profound effect on the individual's physiologic and psychologic health and quality of life. This study aimed to assess the association between tooth loss and sleep duration and determine if anterior and/or posterior tooth loss is a significant predictor. METHODS A total of 22,483 individuals ≥ 18 years who participated in the United States National Health and Nutrition Examination Survey (NHANES) 2005-2016 cycles were included. Multinomial logistic regression adjusted for age, gender, race/ethnicity, smoking, diabetes, body mass index, socioeconomic level, education, alcohol, and depression was performed to examine the association between sleep duration and tooth loss. RESULTS Compared to individuals with > 20 remaining teeth, those who were completely edentulous, had 1-10 or 11-20 teeth remaining were more likely to be in the deficient sleep category (OR [95% CI] = 1.59 [1.35-1.87], 1.29 [1.07-1.54], and 1.26 [1.11-1.43], respectively). When the numbers of both missing anterior and posterior teeth were entered in the model, only posterior teeth were significant. There was a 4% increase in the odds of being in the deficient sleep category for each missing posterior tooth (OR [95% CI] = 1.04 [1.02-1.05]). CONCLUSIONS Tooth loss was significantly associated with deficient sleep and posterior tooth loss appeared to be the main contributor. Although further research is needed to clarify the nature of this association, our results suggest that improving oral health might have an impact on overall health and quality of life.
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Affiliation(s)
- Mohammad S Al-Zahrani
- Department of Periodontics, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia
| | - Ahmed A Alhassani
- Department of Periodontics, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia
| | - Khalid H Zawawi
- Department of Orthodontics, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia.
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Turgut Cankaya Z, Yurdakos A, Gokalp Kalabay P. The association between denture care and oral hygiene habits, oral hygiene knowledge and periodontal status of geriatric patients wearing removable partial dentures. Eur Oral Res 2020; 54:9-15. [PMID: 32518905 PMCID: PMC7252529 DOI: 10.26650/eor.20200048] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
Purpose: This study aims to evaluate the association of the denture care with oral hygiene
habits, knowledge and periodontal status geriatric patients wearing removable
partial denture (RPD) and to compare the relationship between denture cleaning
and tooth brushing frequency. Patients and methods: In total, 553 participants wearing RPD for at least 6 months and aged 65–86 years
were asked to complete a questionnaire following the clinical examination. Chisquare
analysis and Fisher’s exact test utilized to analyze the data. Results: A significant relationship was found between the frequency of smoking, denture
age, overnight denture wearing, denture stomatitis and denture cleaning (p<0.05).
54.10% of the participants reporting that they did not have information about
denture care had poor denture cleaning. Among patients brushing once per day,
26.34% had a good level of denture cleaning; whereas, this was 39.40% for those
brushing three times in a day. Conclusion: The type of advice (verbal or written) and oral hygiene habits demonstrated a
more significant impact on the cleaning level of dentures than the socioeconomic
level, smoking, overnight use, denture age. The success of denture maintenance
might depend on the patients’ knowledge of denture care and hygiene habits and
geriatric patients’ motivation.
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Affiliation(s)
- Zeynep Turgut Cankaya
- University of Gazi, Faculty of Dentistry, Department of Periodontology, Ankara,Turkey
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Shala K, Tmava-Dragusha A, Dula L, Pustina-Krasniqi T, Bicaj T, Ahmedi E, Lila Z. Evaluation of Maximum Bite Force in Patients with Complete Dentures. Open Access Maced J Med Sci 2018; 6:559-563. [PMID: 29610620 PMCID: PMC5874385 DOI: 10.3889/oamjms.2018.141] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2017] [Revised: 02/20/2018] [Accepted: 02/28/2018] [Indexed: 11/20/2022] Open
Abstract
OBJECTIVE: This study aimed to evaluate maximum bite forces (mBF) in dominant (DS) and non-dominant sides (NDS) at certain time periods after the insertion of new complete dentures based on prior experience and gender. MATERIALS AND METHODS: A total of 88 patients, complete denture wearers (CDWs), were examined. The maximum bite force at the intercuspal position between the first molars in 3 seconds was registered and recorded with piezoelectric gnathodynamometer. The procedure was repeated 3 times in identical conditions, with relaxation intervals of 1 minute between repeats and the limiting factor was the subjective feeling of pain. Testing of parametric data was performed with One Way Repeated Measurement of ANOVA test. RESULTS: The average mBF values increased during the observational period, both on the DS and NDS, with significant difference in DS, which was greater. The analysis of one-factor variance showed that there were differences of average mBF values in DS and NDS during six consecutive measurements (mBF–DS = 11.3, p = 0.0001, and mBF-NDS = 2.26, p = 0.047). Significant changes in the masticatory force (mBF) on the DS and NDS is explained by different measurement times and with the prior experience with complete dentures, BF–DS = 11.76, p = 0.0000; mBF–NDS = 2.42, p = 0.0351; mBFe–DS = 40.48; P = 0.0000 mBFe–NDS = 39.93, p = 0.0000. CONCLUSION: mBF represents a significant discriminating variable of the level of functional adaptation of new complete denture wearers (nCDWs) about the initial measurements.
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Affiliation(s)
- Kujtim Shala
- Department of Prosthetic Dentistry, Faculty of Medicine, School of Dentistry, Prishtina, Kosovo
| | - Arlinda Tmava-Dragusha
- Department of Prosthetic Dentistry, Faculty of Medicine, School of Dentistry, Prishtina, Kosovo
| | - Linda Dula
- Department of Prosthetic Dentistry, Faculty of Medicine, School of Dentistry, Prishtina, Kosovo
| | - Teuta Pustina-Krasniqi
- Department of Prosthetic Dentistry, Faculty of Medicine, School of Dentistry, Prishtina, Kosovo
| | - Teuta Bicaj
- Department of Prosthetic Dentistry, Faculty of Medicine, School of Dentistry, Prishtina, Kosovo
| | - Enis Ahmedi
- Department of Prosthetic Dentistry, Faculty of Medicine, School of Dentistry, Prishtina, Kosovo
| | - Zana Lila
- Department of Prosthetic Dentistry, Faculty of Medicine, School of Dentistry, Prishtina, Kosovo
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Dev S, Perti S, Garhnayak M, Sahoo KK, Dhal A, Garhnayak L. Intricate Estimation and Evaluation of Mandibular Movements in Geriatric Patients Suffering from Rheumatoid Arthritis. J Contemp Dent Pract 2017; 18:781-784. [PMID: 28874641 DOI: 10.5005/jp-journals-10024-2126] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
BACKGROUND Rheumatoid arthritis (RA) is an autoimmune disorder that usually affects joints and making them warm, painful, and swollen. The chief purpose of this study was to evaluate movements of mandible in geriatric patients suffering from RA with or without temporomandibular joint dysfunction. MATERIALS AND METHODS A total of 45 people were included in this study with age of 60 years and above. Partially or completely edentulous patients were divided into experimental and control group. Experimental group consists of 20 people suffering from arthritis and control group consists of 25 people without arthritis. Movements were recorded with or without prosthesis while mastication in both experimental and control group. RESULTS Statistical evaluation of two studied groups showed decrease opening angle (p < 0.05) during mastication; however, insertion of new prosthesis showd a significant increase in values in both groups, with an increase in opening and closing angles. CONCLUSION Positive correlation was found between arthritis and movements of the mandible in older people suffering from RA. CLINICAL SIGNIFICANCE Patients suffering from RA are having restricted mandibular movements thus imposing an overall negative impact however; presence of prosthesis has been shown to enforce a positive effect on mandibular movement.
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Affiliation(s)
- Shruti Dev
- Department of Prosthodontics, Kalinga Institute of Dental Sciences, KIIT University, Bhubaneswar, Odisha, India, Phone: +919437062100 e-mail:
| | - Sonali Perti
- Department of Prosthodontics, Kalinga Institute of Dental Sciences, KIIT University, Bhubaneswar, Odisha, India
| | - Mirna Garhnayak
- Department of Prosthodontics, Institute of Dental Sciences Siksha 'O' Anusandhan University, Bhubaneswar, Odisha, India
| | - Kalinga K Sahoo
- Department of Prosthodontics, Hi-Tech Dental College & Hospital, Bhubaneswar, Odisha, India
| | - Angurbala Dhal
- Department of Prosthodontics, S.C.B. Dental College & Hospital, Cuttack, Odisha, India
| | - Lokanath Garhnayak
- Department of Prosthodontics, S.C.B. Dental College & Hospital, Cuttack, Odisha, India
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Polyzois G, Lagouvardos P, Omar R, Brunton P. Attitudes of dentists toward denture adhesives: A questionnaire survey in Greece. J Prosthet Dent 2017; 118:643-649. [DOI: 10.1016/j.prosdent.2017.01.011] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2016] [Revised: 01/16/2017] [Accepted: 01/17/2017] [Indexed: 11/27/2022]
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Mays S. A test of a skeletal ageing method based on resorption of the alveolar crest following tooth loss using a skeletal population of documented age at death. AMERICAN JOURNAL OF PHYSICAL ANTHROPOLOGY 2017; 163:242-251. [DOI: 10.1002/ajpa.23202] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/26/2016] [Revised: 02/06/2017] [Accepted: 02/20/2017] [Indexed: 12/19/2022]
Affiliation(s)
- Simon Mays
- Research Department; Historic England; Portsmouth PO4 9LD United Kingdom
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Akçiçek G, Akkaya N, Boyacıoğlu Doğru H. Removable denture-related oral mucosal lesions: descriptive clinical study. ACTA ODONTOLOGICA TURCICA 2016. [DOI: 10.17214/gaziaot.267234] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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Raschke GF, Eberl P, Thompson GA, Güntsch A, Peisker A, Schultze-Mosgau S, Gomez-Dammeier M, Djedovic G, Rieger UM, Beuer F. Wearing complete dental prostheses - Effects on perioral morphology. Med Oral Patol Oral Cir Bucal 2016; 21:e413-9. [PMID: 27031069 PMCID: PMC4920453 DOI: 10.4317/medoral.21102] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2015] [Accepted: 01/15/2016] [Indexed: 12/05/2022] Open
Abstract
Background To adequately perform rehabilitation of edentulous patients by a complete removable dental prosthesis (CRDP) is from basic interest to dentists to understand the morphologic changes caused by re-establishment of a physiologic jaw relationship. Anthropometric analyses of standardized frontal view and profile photographs may help elucidate such changes. Material and Methods Photographs of 31 edentulous patients were compared in relaxed lip closure and after insertion of a CRDP in stable occlusion. 2232 anthropometric distances were raised. Eighteen anthropometric indices reflecting the perioral morphology and its integration in the vertical facial harmony were investigated. Results The intercanthal – mouth width index (p<.001), medial - lateral cutaneous upper lip height index (p=.007), lower vermilion contour index (p=.022), vermilion - total upper lip height index (p=.018), cutaneous - total upper lip height index (p=.023), upper lip - nose height index (p=.001), nose - upper face height index (p=.002), chin - mandible height index (p=.013), upper lip - mandible height index (p=.045), nose - lower face height index (p=.018), and nose - face height index (p=.029) showed significant pre- to post-treatment changes. Conclusions The investigated anthropometric indices presented reproducible results related to an increase in occlusal vertical dimension. Their application may be helpful in assessment, planning, and explanation of morphologic effects of CRDPs on the perioral and overall facial morphology, which may helps to improve the aesthetic outcome. Key words:Dentures, removable dentures, anthropometry, perioral morphology.
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Affiliation(s)
- G-F Raschke
- Department of Cranio-Maxillofacial & Plastic Surgery, Friedrich Schiller University Jena, Universitätsklinikum Jena, D-07747 Jena, Germany,
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The effect of nocturnal wear of dentures on the sleep quality: a systematic review and meta-analysis. Sleep Breath 2016; 21:9-18. [DOI: 10.1007/s11325-016-1369-1] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2016] [Revised: 05/31/2016] [Accepted: 06/07/2016] [Indexed: 10/21/2022]
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15
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Shekhawat KS, Chauhan A, Koshy AA, Rekha P, Kumar H. Reliability of Malayalam version of Geriatric Oral Health Assessment Index among institutionalized elderly in Alleppey, Kerala (India): A pilot study. Contemp Clin Dent 2016; 7:153-7. [PMID: 27307659 PMCID: PMC4906855 DOI: 10.4103/0976-237x.183050] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
Abstract
Background: Oral health has a profound effect on the daily activities of geriatric group. India being a multilingual country, it is essential that instruments used to evaluate the quality of life is in local languages. However, the validation and translational aspect are important before involving a larger cohort of geriatrics. Aim: To assess the reliability of Malayalam version of Geriatric Oral Health Assessment Index (GOHAI-m). Settings and Design: Institutionalized elderly in Alleppey, Kerala, cross-sectional study. Materials and Methods: The 12 items in GOHAI were translated into Malayalam using a back-translation technique. The comprehensibility of the Malayalam version was assessed by a pilot study. Fifty institutionalized elderly answered the questionnaire. Impact based on age and marital status was also assessed. Statistical Analysis: Independent sample t-test, Cronbach's alpha, test–retest reliability using intraclass correlation coefficient (ICC). Results: The mean GOHAI-m scores were higher for elderly participants with slightly more impact on quality of life such as for biting or chewing food, and lower mean GOHAI-m scores indicated a positive impact on quality of life such as their self-conscious of oral health. Cronbach's alpha of 0.677 was reached with 12 items. Item 12 had a negative item-total correlation, −0.016, the deletion of Item-12 increased the item correlation to 0.7. Test–retest reliability of 0.65 for ICC indicated moderate stability. Females had more impact than males (P < 0.05). Age and marital status had no impact on their quality of life. Conclusion: The primary analysis of GOHAI-m indicated moderate stability. The elimination of negative items depends on the objectives of the study and/or after conducting a larger study keeping in view various parameters of the study.
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Affiliation(s)
- Kuldeep Singh Shekhawat
- Department of Public Health Dentistry, Srinivas Institute of Dental Sciences, Mangalore, Karnataka, India
| | - Arunima Chauhan
- Department of Oral Biology, Faculty of Dentistry, Melaka Manipal Medical College, Manipal University, Udupi, Manipal, Karnataka, India
| | | | - P Rekha
- Department of Public Health Dentistry, Vokkaligara Sangha Dental College, Bengaluru, Karnataka, India
| | - Hemanth Kumar
- Department of Pedodontics and Preventive Dentistry, AME Dental College and Hospital, Raichur, Karnataka, India
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Chang CH, Lee CY, Feng SW, Miao NF, Lin PH, Lin CT, Tsai SH, Huang YK. Effects of Salivary Oxidative Markers on Edentulous Patients' Satisfaction with Prosthetic Denture Treatments: A Pilot Study. PLoS One 2016; 11:e0151605. [PMID: 26986841 PMCID: PMC4795643 DOI: 10.1371/journal.pone.0151605] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2015] [Accepted: 03/01/2016] [Indexed: 11/18/2022] Open
Abstract
Objectives The purpose of this study was to assess relationships among periodontal conditions, salivary antioxidant levels, and patients’ satisfaction with their prostheses. Methods This study was conducted at the Division of Prosthodontics, Department of Dentistry, Taipei Medical University Hospital. The periodontal condition of patients was based on an assessment of the plaque index (PI) and gingival index (GI). The pH value, flow rate, and buffer capacity of the saliva were estimated. The salivary total antioxidant status (TAS) and superoxide dismutase (SOD) level were also determined. Patients’ satisfaction with prosthetic treatments was evaluated using the Chinese version of the short-form Oral Health Impact Profile (OHIP-14C). A multivariate regression model was used to determine whether patients’ satisfaction with prosthetic treatment was affected by their oral health status. Results In total, 35 edentulous patients were recruited. In the Spearman correlation analysis, salivary pH (r = -0.36, p = 0.03) and the buffer ability (r = -0.48, p<0.01) were associated with OHIP-14C scores. In the multivariate analysis, patients who had a higher GI also had a higher score of physical disabilities (β = 1.38, p = 0.04). Levels of SOD increased with the scores of psychological discomfort (β = 0.33 U/g protein, p = 0.04). Conclusions This study suggested that both the GI and SOD levels were associated with patients’ satisfaction with prosthetic treatments. To the best of our knowledge, this is the first study to elucidate the relationship between OHIP scores and salivary oxidative markers in edentulous patients.
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Affiliation(s)
- Chia-Huang Chang
- College of Public Health and Nutrition, Taipei Medical University, Taipei, 110, Taiwan
| | - Chang-Yu Lee
- School of Oral Hygiene, College of Oral Medicine, Taipei Medical University, Taipei, 110, Taiwan
- Division of Periodontics, Department of Dentistry, Taipei Medical University Hospital, Taipei Medical University, Taipei, 110, Taiwan
| | - Sheng-Wei Feng
- School of Dentistry, College of Oral Medicine, Taipei Medical University, Taipei, 110, Taiwan
| | - Nae-Fang Miao
- School of Nursing, Taipei Medical University, Taipei, 110, Taiwan
| | - Pei-Huan Lin
- School of Dentistry, College of Oral Medicine, Taipei Medical University, Taipei, 110, Taiwan
| | - Che-Tong Lin
- School of Dentistry, College of Oral Medicine, Taipei Medical University, Taipei, 110, Taiwan
- Division of Prosthodontics, Department of Dentistry, Taipei Medical University Hospital, Taipei, 110, Taiwan
| | - Shin-Han Tsai
- College of Public Health and Nutrition, Taipei Medical University, Taipei, 110, Taiwan
| | - Yung-Kai Huang
- School of Oral Hygiene, College of Oral Medicine, Taipei Medical University, Taipei, 110, Taiwan
- * E-mail:
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17
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O’Donnell LE, Robertson D, Nile CJ, Cross LJ, Riggio M, Sherriff A, Bradshaw D, Lambert M, Malcolm J, Buijs MJ, Zaura E, Crielaard W, Brandt BW, Ramage G. The Oral Microbiome of Denture Wearers Is Influenced by Levels of Natural Dentition. PLoS One 2015; 10:e0137717. [PMID: 26368937 PMCID: PMC4569385 DOI: 10.1371/journal.pone.0137717] [Citation(s) in RCA: 71] [Impact Index Per Article: 7.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2015] [Accepted: 08/21/2015] [Indexed: 01/29/2023] Open
Abstract
Objectives The composition of dental plaque has been well defined, whereas currently there is limited understanding of the composition of denture plaque and how it directly influences denture related stomatitis (DS). The aims of this study were to compare the microbiomes of denture wearers, and to understand the implications of these towards inter-kingdom and host-pathogen interactions within the oral cavity. Methods Swab samples were obtained from 123 participants wearing either a complete or partial denture; the bacterial composition of each sample was determined using bar-coded illumina MiSeq sequencing of the bacterial hypervariable V4 region of 16S rDNA. Sequencing data processing was undertaken using QIIME, clustered in Operational Taxonomic Units (OTUs) and assigned to taxonomy. The dentures were sonicated to remove the microbial flora residing on the prosthesis, sonicate was then cultured using diagnostic colorex Candida media. Samples of unstimulated saliva were obtained and antimicrobial peptides (AMP) levels were measured by ELISA. Results We have shown that dental and denture plaques are significantly distinct both in composition and diversity and that the oral microbiome composition of a denture wearer is variable and is influenced by the location within the mouth. Dentures and mucosa were predominantly made up of Bacilli and Actinobacteria. Moreover, the presence of natural teeth has a significant impact on the overall microbial composition, when compared to the fully edentulous. Furthermore, increasing levels of Candida spp. positively correlate with Lactobacillus spp. AMPs were quantified, though showed no specific correlations. Conclusions This is the first study to provide a detailed understanding of the oral microbiome of denture wearers and has provided evidence that DS development is more complex than simply a candidal infection. Both fungal and bacterial kingdoms clearly play a role in defining the progression of DS, though we were unable to show a defined role for AMPs.
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Affiliation(s)
- Lindsay E. O’Donnell
- Glasgow Dental School, School of Medicine, College of Medicine, Veterinary and Life Sciences, University of Glasgow, 378 Sauchiehall Street, Glasgow, G2 3JZ, United Kingdom
| | - Douglas Robertson
- Glasgow Dental School, School of Medicine, College of Medicine, Veterinary and Life Sciences, University of Glasgow, 378 Sauchiehall Street, Glasgow, G2 3JZ, United Kingdom
| | - Christopher J. Nile
- Glasgow Dental School, School of Medicine, College of Medicine, Veterinary and Life Sciences, University of Glasgow, 378 Sauchiehall Street, Glasgow, G2 3JZ, United Kingdom
| | - Laura J. Cross
- Glasgow Dental School, School of Medicine, College of Medicine, Veterinary and Life Sciences, University of Glasgow, 378 Sauchiehall Street, Glasgow, G2 3JZ, United Kingdom
| | - Marcello Riggio
- Glasgow Dental School, School of Medicine, College of Medicine, Veterinary and Life Sciences, University of Glasgow, 378 Sauchiehall Street, Glasgow, G2 3JZ, United Kingdom
| | - Andrea Sherriff
- Glasgow Dental School, School of Medicine, College of Medicine, Veterinary and Life Sciences, University of Glasgow, 378 Sauchiehall Street, Glasgow, G2 3JZ, United Kingdom
| | - David Bradshaw
- GlaxoSmithKline, St Georges Avenue, Weybridge, Surrey, United Kingdom
| | - Margaret Lambert
- GlaxoSmithKline, St Georges Avenue, Weybridge, Surrey, United Kingdom
| | - Jennifer Malcolm
- Glasgow Dental School, School of Medicine, College of Medicine, Veterinary and Life Sciences, University of Glasgow, 378 Sauchiehall Street, Glasgow, G2 3JZ, United Kingdom
| | - Mark J. Buijs
- Department of Preventive Dentistry, Academic Centre for Dentistry Amsterdam, University of Amsterdam and VU University Amsterdam, Amsterdam, the Netherlands
| | - Egija Zaura
- Department of Preventive Dentistry, Academic Centre for Dentistry Amsterdam, University of Amsterdam and VU University Amsterdam, Amsterdam, the Netherlands
| | - Wim Crielaard
- Department of Preventive Dentistry, Academic Centre for Dentistry Amsterdam, University of Amsterdam and VU University Amsterdam, Amsterdam, the Netherlands
| | - Bernd W. Brandt
- Department of Preventive Dentistry, Academic Centre for Dentistry Amsterdam, University of Amsterdam and VU University Amsterdam, Amsterdam, the Netherlands
| | - Gordon Ramage
- Glasgow Dental School, School of Medicine, College of Medicine, Veterinary and Life Sciences, University of Glasgow, 378 Sauchiehall Street, Glasgow, G2 3JZ, United Kingdom
- * E-mail:
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18
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Flores-Hidalgo A, Altay MA, Atencio IC, Manlove AE, Schneider KM, Baur DA, Quereshy FA. Management of fractures of the atrophic mandible: a case series. Oral Surg Oral Med Oral Pathol Oral Radiol 2015; 119:619-27. [DOI: 10.1016/j.oooo.2015.01.016] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2014] [Revised: 01/23/2015] [Accepted: 01/28/2015] [Indexed: 10/24/2022]
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Alzarea BK. Temporomandibular Disorders (TMD) in Edentulous Patients: A Review and Proposed Classification (Dr. Bader's Classification). J Clin Diagn Res 2015; 9:ZE06-9. [PMID: 26023660 DOI: 10.7860/jcdr/2015/13535.5826] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2015] [Accepted: 03/17/2015] [Indexed: 11/24/2022]
Abstract
Temporomandibular disorders (TMD) are a collective term given to a number of clinical problems that involve the masticatory musculature, the temporomandibular joints and associated structures, or both. Although the aetiology of TMD has not been fully understood, in general it is considered to be multifactorial. The signs and symptoms of TMD which present in patients with natural teeth may also occur in edentulous patients. These symptoms may appear in various combinations and degrees. TMD has attained a prominent role within the context of dental care due to its high prevalence. The present paper is a review of the current literature on TMD in edentulous patients; with an attempt to propose a classification for the same.
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Affiliation(s)
- Bader K Alzarea
- Assistant Professor, Department of Prosthodontics, College of Dentistry, AlJouf University , Skaka, AlJouf, Kingdom Saudi Arabia
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20
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Slack-Smith LM, Hearn L, Wilson DF, Wright FAC. Geriatric dentistry, teaching and future directions. Aust Dent J 2015; 60 Suppl 1:125-30. [DOI: 10.1111/adj.12291] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- LM Slack-Smith
- School of Dentistry; The University of Western Australia; Perth Western Australia Australia
| | - L Hearn
- School of Dentistry; The University of Western Australia; Perth Western Australia Australia
| | - DF Wilson
- School of Dentistry and Health Sciences; Charles Sturt University; Orange New South Wales Australia
| | - FAC Wright
- Centre for Education and Research on Ageing; Concord Clinical School; The University of Sydney; Aged Care and Rehabilitation; Concord Repatriation General Hospital; Sydney Local Health District; Concord New South Wales Australia
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Emami E, Nguyen PTH, Almeida FR, Feine JS, Karp I, Lavigne G, Huynh N. The effect of nocturnal wear of complete dentures on sleep and oral health related quality of life: study protocol for a randomized controlled trial. Trials 2014; 15:358. [PMID: 25218696 PMCID: PMC4177759 DOI: 10.1186/1745-6215-15-358] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2014] [Accepted: 09/09/2014] [Indexed: 11/23/2022] Open
Abstract
BACKGROUND Edentulism and sleep disturbance are chronic conditions that are common in older people and have serious adverse consequences for their functioning and quality of life. Edentulism can disturb sleep through the alteration of the craniofacial structure and surrounding soft tissue. However, the effect of prosthetic rehabilitation of edentulism on sleep quality is still not well understood. The objectives of this study are to test whether nocturnal denture wear affects sleep quality, daytime sleepiness, and the oral health related quality of life of edentate older people with moderate to severe sleep apnea, and to identify modifiers of effect of nocturnal denture wear. METHODS/DESIGN We will carry out a single-blind randomized cross-over trial. Seventy edentate older people with moderate to severe obstructive sleep apnea will be enrolled. The study participants will be assigned to wear and not wear their dentures on alternate periods of 30 days. The outcome measures will be sleep quality (assessed by portable polysomnography), daytime sleepiness (assessed by the Epworth Sleepiness Scale), and oral health related quality of life (assessed by validated questionnaire). A number of characteristics (sociodemographic, oropharyngeal morphology, oral and prosthesis characteristics, and perceived general health quality of life) will be assessed by means of clinical examination, 3D imaging of the craniofacial structure, and validated questionnaires at baseline. Linear mixed effects regression models for repeated measures will be fitted to test the study hypotheses. The main analyses will be based on the intention-to-treat principle. To assess the robustness of the findings to potential incomplete adherence, sensitivity analyses will be conducted while applying the per-protocol principle. DISCUSSION This practice-relevant evidence could represent a preventive approach to improve sleep characteristics of the older population and improve their well-being and quality of life. TRIAL REGISTRATION ClinicalTrials.gov NCT01868295.
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Affiliation(s)
- Elham Emami
- />Faculty of Dentistry, Université de Montréal, 2900 Edouard-Montpetit, Montreal, QC H3T 1J4 Canada
- />Faculty of Dentistry, McGill University, 3550 University Street, Montreal, QC H3A 2A7 Canada
| | - Phan The Huy Nguyen
- />Faculty of Dentistry, Université de Montréal, 2900 Edouard-Montpetit, Montreal, QC H3T 1J4 Canada
| | - Fernanda R Almeida
- />Faculty of Dentistry, University of British Colombia, #103 - 2786W 16th Ave, Vancouver, BC V6K 4M1 Canada
| | - Jocelyne S Feine
- />Faculty of Dentistry, McGill University, 3550 University Street, Montreal, QC H3A 2A7 Canada
| | - Igor Karp
- />Faculty of Dentistry, Université de Montréal, 2900 Edouard-Montpetit, Montreal, QC H3T 1J4 Canada
- />Schulich School of Medicine and Dentistry, University of Western Ontario, 1151 Richmond Street, London, ON N6A 5C1 Canada
| | - Gilles Lavigne
- />Faculty of Dentistry, Université de Montréal, 2900 Edouard-Montpetit, Montreal, QC H3T 1J4 Canada
| | - Nelly Huynh
- />Faculty of Dentistry, Université de Montréal, 2900 Edouard-Montpetit, Montreal, QC H3T 1J4 Canada
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Rodakowska E, Mierzyńska K, Bagińska J, Jamiołkowski J. Quality of life measured by OHIP-14 and GOHAI in elderly people from Bialystok, north-east Poland. BMC Oral Health 2014; 14:106. [PMID: 25141902 PMCID: PMC4145358 DOI: 10.1186/1472-6831-14-106] [Citation(s) in RCA: 38] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2014] [Accepted: 08/15/2014] [Indexed: 11/19/2022] Open
Abstract
BACKGROUND The Oral Health Impact Profile-14 (OHIP-14) and the Geriatric/General Oral Health Assessment Index (GOHAI) have never been compared for a group of the same subjects in the Polish population. The aim of the study was to compare the OHIP-14 and GOHAI measures. METHODS 178 independently living people over the age of 55 were included in the study. The GOHAI and OHIP-14 measures were used. Other variables included age, gender, self-ratings of oral general health, education, number of missing teeth, chewing problems and dry mouth. RESULTS The mean age of respondents was 70.8 years. The internal reliability (Cronbach's alpha) showed a high internal consistency for both measures. Spearman's rank correlation coefficient between the GOHAI and OHIP-14 scores was 0.81. Using the additive method of creating scores, 1.1% of respondents had the GOHAI score of zero, indicating no impact from oral conditions, while 13.5% of them had an OHIP-14 score of zero. Dental status, partial dentures, chewing problems, dry mouth and self-rated oral health were significantly associated with the results of the GOHAI and the OHIP-14 (Kruskal-Wallis test, Mann-Whitney U test). The numbers of preserved and missing teeth significantly correlated with the GOHAI and the OHIP-14, while DMF was significantly associated with the GOHAI only. 6 individuals with discrepant results were revealed. After the exclusion of the abovementioned patients, the internal reliability (Cronbach's alpha) still showed a high internal consistency, and the correlation between the GOHAI and OHIP-14 scores using Spearman's rank-correlation coefficient increased to 0.87. This phenomenon was identified as a "fatigue effect". CONCLUSIONS There was a strong correlation between the GOHAI and the OHIP-14. Both instruments demonstrated good discriminant properties and helped capture the respondents' oral health problems. The questionnaires should be randomly distributed to avoid the influence of "fatigue effect" on the results of a comparison of different measures.
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Affiliation(s)
- Ewa Rodakowska
- Department of Restorative Dentistry, Medical University of Bialystok, Bialystok, Poland
| | - Karolina Mierzyńska
- NZOZ Przychodnia Stomatologiczna Lucyna Mierzyńska-Ładny dentine Stomatologia, Bialystok, Poland
| | - Joanna Bagińska
- Department of Dentistry Propaedeutics, Medical University of Bialystok, Bialystok, Poland
| | - Jacek Jamiołkowski
- Department of Public Health, Medical University of Bialystok, Bialystok, Poland
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Effect of adaptation time on the occlusal force at denture dislodgement with or without denture adhesive. J Prosthet Dent 2014; 111:216-21. [DOI: 10.1016/j.prosdent.2013.06.020] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/09/2013] [Revised: 06/13/2013] [Accepted: 06/15/2013] [Indexed: 11/17/2022]
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Mays S. Resorption of mandibular alveolar bone following loss of molar teeth and its relationship to age at death in a human skeletal population. AMERICAN JOURNAL OF PHYSICAL ANTHROPOLOGY 2014; 153:643-52. [PMID: 24449179 DOI: 10.1002/ajpa.22465] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/24/2013] [Revised: 12/17/2013] [Accepted: 12/19/2013] [Indexed: 12/29/2022]
Abstract
Estimating adult age at death in skeletal remains is problematic, particularly in older adults. Molar wear is arguably the most reliable ageing technique for palaeopopulations, but many older adult skeletons have lost their molar teeth ante mortem, precluding its application. Resorption of the alveolar process occurs following tooth loss, and this appears to continue for a prolonged period. The current work investigates the relationship of this process to individual age in a nineteenth century AD European archaeological skeletal series of known age at death (N = 92 individuals), and discusses its potential as an age indicator. Mandibular corpus height was measured at the different molar positions. In females, reduction of corpus height with age was found at molar positions showing ante mortem loss. In both sexes, a relationship was found between age and a simple composite measure of corpus height in the molar region in those showing ante mortem loss of one or more mandibular molars. The correlation was stronger in females (r = -0.74) than in males (r = -0.49), appeared approximately linear, and continued into the ninth decade, the oldest age group in the study material. The results suggest that investigation of height of the posterior part of the mandibular corpus as a skeletal age indicator for individuals that have lost one or more molar teeth is merited in other palaeopopulations.
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Affiliation(s)
- Simon Mays
- Investigation and Analysis Division, English Heritage, Fort Cumberland, Eastney, Portsmouth, PO4 9LD, UK
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26
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Emami E, Kabawat M, Rompre PH, Feine JS. Linking evidence to treatment for denture stomatitis: a meta-analysis of randomized controlled trials. J Dent 2013; 42:99-106. [PMID: 24316341 DOI: 10.1016/j.jdent.2013.11.021] [Citation(s) in RCA: 50] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2013] [Revised: 11/08/2013] [Accepted: 11/29/2013] [Indexed: 11/17/2022] Open
Abstract
OBJECTIVES The aim of this meta-analysis was to compare the efficacy of antifungal therapy with any other alternative methods used for the treatment of denture stomatitis. DATA SOURCES MEDLINE, EMBASE, the Cochrane Central Register of Controlled Trials and the Cochrane Database of Systematic Reviews were searched, complemented by hand searching, until the first week of January 2013. STUDY SELECTION Included studies consisted of randomized clinical trials published in English or French, which compared antifungals with any other alternative or placebo, used for the treatment of denture stomatitis. The remission of clinical signs of denture stomatitis, and the reduction in Candida colony counts were considered as the clinical and microbiological outcomes, respectively. Random effects models were used to conduct the statistical analyses. RESULTS From 233 identified articles, a total of 15 manuscripts on 14 randomized controlled trials were included in systematic review and 8 in the meta-analysis. No statistically significant difference between antifungal treatment and disinfection methods was found for both clinical (OR=0.7; 95% CI: 0.32-1.36; Z=-1.14; p=0.256) and microbiological (OR=0.8; 95% CI: 0.26-2.5; Z=-0.35; p=0.724) outcomes. The meta-analysis showed a statistically significant difference between an antifungal and a placebo for the microbiological outcome (OR=0.32; 95% CI: 0.12-0.89; Z=-2.2; p=0.028), favouring the antifungals. However, there was no statistically significant difference between antifungal and placebo for the clinical outcome (OR=0.2; 95% CI: 0.04-1.04; Z=-1.9; p=0.056). CONCLUSIONS Disinfection agents, antiseptic mouthwashes, natural substances with antimicrobial properties, microwave disinfection and photodynamic therapy could be suggested as an adjunct or alternative to antifungal medications in the treatment of denture stomatitis.
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Affiliation(s)
- Elham Emami
- Département de Dentisterie et de Restauration, Faculté de Médecine Dentaire, Université de Montréal, Montreal, Canada.
| | - Marla Kabawat
- Département de Dentisterie et de Restauration, Faculté de Médecine Dentaire, Université de Montréal, Montreal, Canada
| | - Pierre H Rompre
- Département de Stomatologie, Faculté de Médecine Dentaire, Université de Montréal, Montreal, Canada
| | - Jocelyne S Feine
- Oral Health and Society Research Unit, Faculty of Dentistry; Department of Epidemiology and Biostatistics and Department of Oncology, Faculty of Medicine, McGill University, Montreal, Quebec, Canada
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Mays SA. Loss of molar occlusion and mandibular morphology in adults in an ancient human population consuming a coarse diet. AMERICAN JOURNAL OF PHYSICAL ANTHROPOLOGY 2013; 152:383-92. [PMID: 24104725 DOI: 10.1002/ajpa.22362] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/17/2012] [Revised: 08/15/2013] [Accepted: 08/15/2013] [Indexed: 11/08/2022]
Abstract
The purpose of the study is to investigate the link between number of molar teeth retained in occlusion and mandibular morphology in adults in an ancient, high dental wear human population. The study material comprises skeletons from Mediaeval Wharram Percy, England (N = 50 female, 69 male adults). It was hypothesized that adults retaining fewer occluding molars would show reduction in mandibular dimensions, particularly in the ascending ramus and gonial regions where the main muscles of mastication have their insertions. Molar occlusal status is assessed using the concept of functional units. Mandibular morphology is assessed using a suite of ten linear measurements plus the mandibular angle. Results show no evidence for any association between number of molars retained in occlusion and mandibular angle. There was an association between mandibular size and number of molars retained in occlusion, with smaller mandibular dimensions in those retaining fewer occluding molars. Some measurements were affected more than others so that there was also some shape alteration. Alteration of mandibular dimensions was more clearly demonstrable in females than in males. Only in females could significant reduction in the ascending ramus and gonial regions be demonstrated. Reasons for the apparent difference in response to loss of molar occlusion between male and female mandibles are unclear, but sex differences in bony metabolism mediated by hormonal factors may be implicated. Results suggest that care should be exercised when including mandibles from individuals showing loss of molar occlusion in morphological studies.
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Affiliation(s)
- Simon A Mays
- English Heritage Investigation and Analysis Division, Eastney Portsmouth PO4 9LD, UK
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The impact of edentulism on oral and general health. Int J Dent 2013; 2013:498305. [PMID: 23737789 PMCID: PMC3664508 DOI: 10.1155/2013/498305] [Citation(s) in RCA: 178] [Impact Index Per Article: 16.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/08/2013] [Revised: 04/15/2013] [Accepted: 04/15/2013] [Indexed: 11/18/2022] Open
Abstract
An adequate dentition is of importance for well-being and life quality. Despite advances in preventive dentistry, edentulism is still a major public health problem worldwide. In this narrative review, we provide a perspective on the pathways that link oral to general health. A better understanding of disease indicators is necessary for establishing a solid strategy through an organized oral health care system to prevent and treat this morbid chronic condition.
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Jorge JH, Silva Junior GSD, Urban VM, Neppelenbroek KH, Bombarda NHC. Desordens temporomandibulares em usuários de prótese parcial removível: prevalência de acordo com a classificação de Kennedy. REVISTA DE ODONTOLOGIA DA UNESP 2013. [DOI: 10.1590/s1807-25772013000200001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
OBJETIVO: O objetivo deste estudo foi determinar a prevalência das desordens temporomandibulares em pacientes com prótese parcial removível, de acordo com a classificação de Kennedy. MÉTODO: A população estudada consistiu de pacientes que procuraram tratamento na Universidade Estadual de Ponta Grossa. Os pacientes selecionados eram usuários de prótese total superior e prótese parcial removível inferior, e esse uso, à época do estudo, fazia entre 1 e 5 anos. Os pacientes foram divididos em cinco grupos (n = 15): G1: usuários de prótese total superior e prótese parcial removível inferior Classe I (Kennedy); G2: usuários de prótese total superior e prótese parcial removível inferior Classe II (Kennedy); G3: usuários de prótese total superior e prótese parcial removível inferior Classe III (Kennedy); G4: usuários de prótese total superior e prótese parcial removível inferior Classe IV (Kennedy), e G5: pacientes totalmente dentados (grupo controle). O questionário de Fonseca foi aplicado para verificar o grau de DTM. O teste qui-quadrado (α = 0,05) foi usado para avaliar a associação entre as variáveis. RESULTADO: Nenhuma diferença estatística (P > 0,05) foi encontrada entre os grupos. Em todos os grupos, os pacientes apresentaram DTM leve ou moderada. CONCLUSÃO: Os resultados deste estudo clínico mostraram que a presença de DTM em pacientes usuários de prótese não pôde ser correlacionada ao uso de prótese, já que a presença de DTM para pacientes desdentados e dentados apresentou-se semelhante.
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Sipilä K, Näpänkangas R, Könönen M, Alanen P, Suominen AL. The role of dental loss and denture status on clinical signs of temporomandibular disorders. J Oral Rehabil 2012; 40:15-23. [DOI: 10.1111/j.1365-2842.2012.02345.x] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/09/2012] [Indexed: 01/01/2023]
Affiliation(s)
- K Sipilä
- Department of Prosthetic Dentistry and Stomatognathic Physiology, Institute of Dentistry, University of Oulu, Oulu, Finland.
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Takamiya AS, Monteiro DR, Marra J, Compagnoni MA, Barbosa DB. Complete denture wearing and fractures among edentulous patients treated in university clinics. Gerodontology 2011; 29:e728-34. [DOI: 10.1111/j.1741-2358.2011.00551.x] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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