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Hideki de Lima Toyoshima G, Maria da Silva Costa S, Campos Costa MS, Egídio Cota RM, de Oliveira TM, Soares S, Santiago Junior JF, de Almeida ALPF. Fixed partial dentures in adult patients with cleft lip and palate and their relationship with the quality of life: A cross-sectional clinical study. J Prosthet Dent 2024; 131:598-602. [PMID: 35431029 DOI: 10.1016/j.prosdent.2022.03.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2021] [Revised: 03/11/2022] [Accepted: 03/11/2022] [Indexed: 11/21/2022]
Abstract
STATEMENT OF PROBLEM Reports on the impact of fixed partial denture treatments on the quality of life of patients with cleft lip and palate are lacking. PURPOSE The purpose of this cross-sectional clinical study was to assess the impact of fixed partial dentures on the quality of life of adults with cleft lip and palate. MATERIAL AND METHODS A total of 52 participants (23 women and 29 men) with cleft lip and palate, aged between 20 and 50 years old, and who required treatment with fixed partial dentures were enrolled in the study. They responded to the Oral Health Impact Profile (OHIP)-14 questionnaire before and 30 days after the fixed prosthodontic treatment. The final value from the OHIP-14 was generated by totaling the 14 answers, giving a range from 0 to 56, with higher values indicating a worse relationship between oral health and the quality of life. Nonparametric statistical analysis was performed with the Wilcoxon test (α=.05). RESULTS Forty-six participants reported some negative experience before the fixed partial denture, and 48 indicated an improved quality of life 30 days after delivery. All domains assessed showed significant quality of life improvements between the periods compared (P≤.014). CONCLUSIONS Oral treatment with fixed partial dentures improved the quality of life in adults with cleft lip and palate.
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Affiliation(s)
- Guilherme Hideki de Lima Toyoshima
- Postgraduate student, Department of Prosthodontics and Periodontics, Bauru School of Dentistry, University of São Paulo (USP), Bauru, São Paulo, Brazil
| | - Sandy Maria da Silva Costa
- Postgraduate student, Department of Prosthodontics and Periodontics, Bauru School of Dentistry, University of São Paulo (USP), Bauru, São Paulo, Brazil
| | - Matheus Souza Campos Costa
- Postgraduate student, Department of Prosthodontics and Periodontics, Bauru School of Dentistry, University of São Paulo (USP), Bauru, São Paulo, Brazil
| | - Raphael Márcio Egídio Cota
- Postgraduate student, Hospital for Treatment of Craniofacial Anomalies, University of São Paulo, Bauru, Brazil
| | - Thais Marchini de Oliveira
- Associate Professor, Department of Pediatric Dentistry, Orthodontics, and Collective Health, Bauru School of Dentistry, University of São Paulo (USP), Bauru, São Paulo, Brazil
| | - Simone Soares
- Associate Professor, Department of Prosthodontics and Periodontics, Bauru School of Dentistry, Hospital for the Rehabilitation of Craniofacial Anomalies, University of São Paulo (USP), Bauru, São Paulo, Brazil
| | - Joel Ferreira Santiago Junior
- Professor, Department of Prosthodontics and Periodontics, Bauru School of Dentistry, Hospital for the Rehabilitation of Craniofacial Anomalies, University of São Paulo (USP), Bauru, São Paulo, Brazil
| | - Ana Lúcia Pompéia Fraga de Almeida
- Associate Professor, Department of Prosthodontics and Periodontics, Bauru School of Dentistry, Hospital for the Rehabilitation of Craniofacial Anomalies, University of São Paulo (USP), Bauru, São Paulo, Brazil.
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Swelem AA, Mesallum EE, Qutub OA, Abdelnabi MH. Influence of different denture adhesives on patient-based outcomes: A crossover randomized controlled trial. J Prosthet Dent 2023:S0022-3913(23)00553-X. [PMID: 37741725 DOI: 10.1016/j.prosdent.2023.08.017] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2023] [Revised: 08/18/2023] [Accepted: 08/21/2023] [Indexed: 09/25/2023]
Abstract
STATEMENT OF PROBLEM The influence of different denture adhesive forms on retention, stability, denture movement, and masticatory efficiency have been studied. However, studies that investigated their effect on patient-based outcomes are scarce. PURPOSE The purpose of this crossover randomized controlled trial was to investigate the influence of 3 different denture adhesive forms on patient satisfaction and oral health-related quality of life (OHRQoL) in edentulous individuals. MATERIAL AND METHODS A total of 30 edentulous participants were enrolled. They initially received conventional dentures, which they used for 3 months. They were then instructed to use 3 forms of denture adhesives (cushion, paste, and powder) for 3 months each. Patient satisfaction was assessed by using a visual analog scale (VAS), and OHRQoL was assessed by using the oral health impact profile in the edentulous adults instrument. Assessments were done 3 months after wearing the conventional dentures, then after by using each denture adhesive form for 3 months, with a 1-month washout period. The average retention duration for each form and participant preference were also evaluated. Statistical analysis was conducted by using the repeated measures ANOVA test followed by the Scheffé test for VAS scores and retention duration. The Friedman test followed by the Wilcoxon signed-rank test was used for OHRQoL scores (α=.05). RESULTS Irrespective of their forms, denture adhesives significantly improved patient satisfaction in most aspects (P<.001) and significantly improved OHRQoL (P<.001). VAS scores for the cushion form were significantly higher than those for the other 2 forms regarding general satisfaction, comfort, and ease of cleaning dentures and tissues. For stability and masticatory ability, the cushion and paste forms were significantly better (P<.05) than the powder form. OHRQoL scores were significantly higher (worse) for the powder form compared with the other 2 forms for the functional limitation, physical pain, and physical disability domains, with insignificant differences between the cushion and paste forms (P>.05). The powder form found the shortest retention duration and the least preference. CONCLUSIONS Denture adhesives significantly improved OHRQoL and almost all aspects of patient satisfaction. The cushion form provided higher satisfaction levels for most aspects, followed by paste and then powder. OHRQoL outcomes were comparable for all forms, except for the functional limitation, physical pain, and physical disability domains, which were significantly better with the cushion and paste forms. The cushion and paste forms were more retentive and more preferred by the participants than the powder form.
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Affiliation(s)
- Amal A Swelem
- Professor, Prosthodontic Department, Faculty of Dentistry, Cairo University, Cairo, Egypt.
| | - Enas E Mesallum
- Assistant Professor, Oral and Maxillofacial Prosthodontic Department, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia
| | - Osama A Qutub
- Associate Professor and Consultant Prosthodontist, Oral and Maxillofacial Prosthodontic Department, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia
| | - Mohamed H Abdelnabi
- Professor, Oral and Maxillofacial Prosthodontic Department, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia; Professor, Removable Prosthodontic Department, Faculty of Dentistry, Minia University, Minia, Egypt
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Rella E, De Angelis P, Papetti L, Damis G, D'Addona A, Manicone PF. The Effects of a Mandibular Overdenture on Edentulous Patients' Quality of Life: A Clinical Study. Healthcare (Basel) 2023; 11:healthcare11111577. [PMID: 37297717 DOI: 10.3390/healthcare11111577] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2023] [Revised: 05/16/2023] [Accepted: 05/24/2023] [Indexed: 06/12/2023] Open
Abstract
Edentulous patients' quality of life can be greatly diminished by the use of a badly fitting removable prosthesis, as many aspects of social life become notably impaired. The object of this study was to evaluate if treating these patients with a two implants mandibular overdenture could improve their quality of life as measured with the Italian version of the OHIP-14 (Oral Health Impact Profile). Edentulous patients, in good clinical condition, were selected. Two implants were placed following the recommended guidelines and three months after new mandibular dentures were manufactured, implants were uncovered and connected to the prosthesis using LOCATOR abutments. OHIP-14 was measured at baseline, one month after delivery and one year after delivery. An improvement was observed even after one month (with a mean reduction of 17 points in OHIP) and that improvement appeared to be stable at the one-year follow-up. Mandibular overdentures can improve a patient's quality of life when compared to a tissue-supported removable complete denture, as long as the patient is subjected to an appropriate follow-up as the retentive rings of the attachment can deteriorate even after two years and lose a great deal of retentive capabilities.
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Affiliation(s)
- Edoardo Rella
- Division of Oral Surgery and Implantology, Department of Head and Neck and Sensory Organs, Fondazione Policlinico Universitario A. Gemelli IRCCS-Università Cattolica del Sacro Cuore, 00168 Rome, Italy
| | - Paolo De Angelis
- Division of Oral Surgery and Implantology, Department of Head and Neck and Sensory Organs, Fondazione Policlinico Universitario A. Gemelli IRCCS-Università Cattolica del Sacro Cuore, 00168 Rome, Italy
| | - Laura Papetti
- Division of Oral Surgery and Implantology, Department of Head and Neck and Sensory Organs, Fondazione Policlinico Universitario A. Gemelli IRCCS-Università Cattolica del Sacro Cuore, 00168 Rome, Italy
| | - Giovanni Damis
- Division of Oral Surgery and Implantology, Department of Head and Neck and Sensory Organs, Fondazione Policlinico Universitario A. Gemelli IRCCS-Università Cattolica del Sacro Cuore, 00168 Rome, Italy
| | - Antonio D'Addona
- Division of Oral Surgery and Implantology, Department of Head and Neck and Sensory Organs, Fondazione Policlinico Universitario A. Gemelli IRCCS-Università Cattolica del Sacro Cuore, 00168 Rome, Italy
| | - Paolo Francesco Manicone
- Division of Oral Surgery and Implantology, Department of Head and Neck and Sensory Organs, Fondazione Policlinico Universitario A. Gemelli IRCCS-Università Cattolica del Sacro Cuore, 00168 Rome, Italy
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Decision to use denture adhesive in complete denture wearers after one-month run-in period: A quasi-experimental study. PLoS One 2022; 17:e0276760. [PMID: 36454894 PMCID: PMC9714889 DOI: 10.1371/journal.pone.0276760] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2022] [Accepted: 09/20/2022] [Indexed: 12/04/2022] Open
Abstract
OBJECTIVES The aim of this study was to assess two patient-based outcomes of complete denture (CD) wearers who continued or discontinued using denture adhesive (DA) after one-month run-in period of DA use. METHODS This quasi-experimental study comprised 76 CD wearers. The two patient-based outcomes were oral health-related quality of life and masticatory performance, determined by the Thai-version of oral impacts on daily performances index and multiple sieve method of 20-stroke peanut mastication. Denture retention and stability were evaluated using the CU-modified Kapur criteria to classify the CD into acceptable or unacceptable quality. The outcomes were collected at 3 time points: 1) at baseline (T0), 2) after a 1-month run-in period of DA use (T1), at which time the participants decided whether to continue using DA, and 3) 1-month after continuing or discontinuing using DA (T2). Changes in the percentages of having an oral impact from T0 to T2 were evaluated using the McNemar's test. The effect of denture quality and the decision to use DA on peanut particle size across time points were assessed using repeated measures ANOVA. The peanut particle size changes in each group between time points were evaluated using the one-way repeated measures ANOVA and Tukey post-hoc comparison test. RESULTS The participants who continued using DA at T2 had greater oral impact reduction after the 1-month run-in period of DA use, whereas cleaning and emotional impacts emerged in those who discontinued using DA. At T1 and T2, the peanut particle size of the participants who continued and discontinued using DA was not significantly changed from T0, except for the acceptable CD wearers who discontinued using DA at T2, whose peanut particle size decreased from T0 to T2. CONCLUSIONS Baseline oral impacts and their change influenced CD wearers' decision whether to continue using DA. However, masticatory performance did not affect the patients' decision.
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Cao Y, Yap AU, Lei J, Zhang MJ, Fu KY. Oral health-related quality of life of patients with acute and chronic temporomandibular disorder diagnostic subtypes. J Am Dent Assoc 2021; 153:50-58. [PMID: 34756591 DOI: 10.1016/j.adaj.2021.07.011] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/12/2020] [Revised: 07/01/2021] [Accepted: 07/16/2021] [Indexed: 10/24/2022]
Abstract
BACKGROUND Studies have indicated the negative effects of temporomandibular disorders (TMDs) on oral health-related quality of life (OHRQoL). The authors investigated the OHRQoL of patients with acute and chronic TMD subtypes. METHODS The authors recruited a total of 830 patients. They derived TMD diagnoses using the Diagnostic Criteria for TMDs protocol involving symptom history, physical examination, and diagnostic imaging as indicated. The authors categorized patients into acute (≤ 3 months) or chronic (> 3 months) pain-related TMD (PT), nonpainful intra-articular TMD (IT), and combined TMD (CT) groups. They also gathered sociodemographic information and assessed OHRQoL with the Oral Health Impact Profile (OHIP)-TMDs. The authors evaluated data using 2-way analysis of variance and Bonferroni test and multiple regression analysis. RESULTS Patients in the chronic PT and CT subgroups had significantly higher mean global OHIP scores than their acute counterparts. The authors observed significant acute-chronic differences in OHIP-TMDs domain scores in 5 and 2 domains for the PT and CT groups, respectively. Patients in the acute IT group had significantly higher functional limitation scores than those in the chronic IT group. The ranking of mean global scores, in descending order was CT, PT, and IT for acute TMDs and PT, CT, and IT for chronic TMDs, with significant differences observed among the 3 TMD subtypes (P < .001). CONCLUSIONS Both TMD chronicity and subtypes influenced OHRQoL. Painful TMDs (PT and CT) were associated with significantly poorer OHRQoL than nonpainful TMDs. TMD chronicity appeared to affect OHRQoL only for the painful TMD conditions. Future work on the impact of TMDs on OHRQoL should strive to stratify patients by TMD chronicity and subtypes. PRACTICAL IMPLICATIONS TMD chronicity and subtypes influence the impact of TMDs on OHRQoL. Given that chronic painful TMDs impair quality of life, early biopsychosocial intervention of acute TMD pain is important for minimizing chronification and OHRQoL deterioration.
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Ito Y, Hong G, Tsuboi A, Kawai Y, Kondo H, Nomura T, Kimoto S, Gunji A, Suzuki A, Ohwada G, Minakuchi S, Sato Y, Suzuki T, Kimoto K, Hoshi N, Saita M, Yoneyama Y, Sato Y, Morokuma M, Okazaki J, Maeda T, Nakai K, Ichikawa T, Nagao K, Fujimoto K, Murata H, Kurogi T, Takase K, Nishimura M, Nishi Y, Murakami M, Hosoi T, Hamada T. Multivariate analysis reveals oral health-related quality of life of complete denture wearers with denture adhesives: a multicenter randomized controlled trial. J Prosthodont Res 2021; 65:353-359. [PMID: 33116029 DOI: 10.2186/jpr.jpr_d_20_00132] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
Purpose To investigate the difference in improvement of oral health-related quality of life (OHR-QoL) depending on the oral and denture conditions of a complete denture wearer when using a cream or powder type denture adhesive in a 10-center parallel randomized clinical trial.Methods Two hundred edentulous subjects who wore complete dentures were allocated to each of the three groups according to denture adhesive type: cream, powder, and control (saline solution). The materials were applied to the mucosal surface of the dentures for 4 days, and baseline data and data after the intervention were collected. OHR-QoL was assessed using the Japanese version of the modified Oral Health Impact Profile for Edentulous Patients (OHIP-EDENT-J) scale for outcome. Multivariate analysis was used to investigate improvements in OHR-QoL according to participant characteristics among complete denture wearers using these materials.Results OHIP-EDENT-J scores were significantly decreased in all groups after the intervention (p < 0.05); however, there were no statistically significant differences among the groups. Multiple logistic regression analysis revealed a significant association between the vertical height of the maxillary and mandibular alveolar ridge and OHIP-EDENT-J scores in the cream-type denture adhesive group. In contrast, there were no significant association between participant characteristics and OHIP-EDENT-J scores in the powder-type adhesive and control groups.Conclusions The use of denture adhesives could improve OHR-QoL for complete denture wearers. The cream-type denture adhesives may be expected to improve OHR-QoL in patients with poor residual ridge conditions compared with patients with good residual ridge conditions.
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Affiliation(s)
- Yoshihiko Ito
- The Japan Denture Care Society, Japan.,Division of Aging and Geriatric Dentistry, Tohoku University Graduate School of Dentistry, Sendai, Japan
| | - Guang Hong
- The Japan Denture Care Society, Japan.,Division for Globalization Initiative, Liaison Center for Innovative Dentistry, Tohoku University Graduate School of Dentistry, Sendai, Japan
| | - Akito Tsuboi
- The Japan Denture Care Society, Japan.,Division of Community Oral Health Science, Department of Community Medical Supports, Tohoku Medical Megabank Organization, Tohoku University, Sendai, Japan
| | - Yasuhiko Kawai
- The Japan Denture Care Society, Japan.,Department of Removable Prosthodontics, Nihon University School of Dentistry at Matsudo, Chiba, Japan
| | - Hisatomo Kondo
- The Japan Denture Care Society, Japan.,Department of Prosthodontics and Oral Implantology, School of Dentistry, Iwate Medical University, Morioka, Japan
| | - Taro Nomura
- The Japan Denture Care Society, Japan.,Department of Prosthodontics and Oral Implantology, School of Dentistry, Iwate Medical University, Morioka, Japan
| | - Suguru Kimoto
- The Japan Denture Care Society, Japan.,Department of Removable Prosthodontics, Nihon University School of Dentistry at Matsudo, Chiba, Japan
| | - Atsuko Gunji
- The Japan Denture Care Society, Japan.,Department of Removable Prosthodontics, Nihon University School of Dentistry at Matsudo, Chiba, Japan
| | - Asako Suzuki
- The Japan Denture Care Society, Japan.,Department of Removable Prosthodontics, Nihon University Graduate School of Dentistry at Matsudo, Chiba, Japan
| | - Gaku Ohwada
- The Japan Denture Care Society, Japan.,Gerodontology and Oral Rehabilitation, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan
| | - Shunsuke Minakuchi
- The Japan Denture Care Society, Japan.,Gerodontology and Oral Rehabilitation, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan
| | - Yusuke Sato
- The Japan Denture Care Society, Japan.,Gerodontology and Oral Rehabilitation, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan
| | - Tetsuya Suzuki
- The Japan Denture Care Society, Japan.,Section of Oral Prosthetic Engineering, Tokyo Medical and Dental University, Tokyo, Japan
| | - Katsuhiko Kimoto
- The Japan Denture Care Society, Japan.,Division of Prosthodontics & Oral Rehabilitation Department of Oral Function and Restoration Graduate School of Dentistry Kanagawa Dental University, Kanagawa, Japan
| | - Noriyuki Hoshi
- The Japan Denture Care Society, Japan.,Division of Prosthodontics & Oral Rehabilitation Department of Oral Function and Restoration Graduate School of Dentistry Kanagawa Dental University, Kanagawa, Japan
| | - Makiko Saita
- The Japan Denture Care Society, Japan.,Division of Prosthodontics & Oral Rehabilitation Department of Oral Function and Restoration Graduate School of Dentistry Kanagawa Dental University, Kanagawa, Japan
| | - Yoshikazu Yoneyama
- The Japan Denture Care Society, Japan.,Department of Removable Prosthodontics, Tsurumi University School of Dental Medicine, Kanagawa, Japan
| | - Yohei Sato
- The Japan Denture Care Society, Japan.,Department of Removable Prosthodontics, Tsurumi University School of Dental Medicine, Kanagawa, Japan
| | - Masakazu Morokuma
- The Japan Denture Care Society, Japan.,Morokuma Dental Clinic, Nagasaki, Japan
| | - Joji Okazaki
- The Japan Denture Care Society, Japan.,Department of Removable Prosthodontics and Occlusion Osaka Dental University, Osaka, Japan
| | - Takeshi Maeda
- The Japan Denture Care Society, Japan.,Department of Removable Prosthodontics and Occlusion Osaka Dental University, Osaka, Japan
| | - Kenichiro Nakai
- The Japan Denture Care Society, Japan.,Department of Removable Prosthodontics and Occlusion Osaka Dental University, Osaka, Japan
| | - Tetsuo Ichikawa
- The Japan Denture Care Society, Japan.,Department of Prosthodontics and Oral Rehabilitation, Graduate School of Biomedical Sciences, Tokushima University, Tokushima, Japan
| | - Kan Nagao
- The Japan Denture Care Society, Japan.,Department of Prosthodontics and Oral Rehabilitation, Graduate School of Biomedical Sciences, Tokushima University, Tokushima, Japan
| | - Keiko Fujimoto
- The Japan Denture Care Society, Japan.,Department of Prosthodontics and Oral Rehabilitation, Graduate School of Biomedical Sciences, Tokushima University, Tokushima, Japan
| | - Hiroshi Murata
- The Japan Denture Care Society, Japan.,Department of Prosthetic Dentistry, Graduate School of Biomedical Sciences, Nagasaki University, Nagasaki, Japan
| | - Tadafumi Kurogi
- The Japan Denture Care Society, Japan.,Department of Prosthetic Dentistry, Graduate School of Biomedical Sciences, Nagasaki University, Nagasaki, Japan
| | - Kazuma Takase
- The Japan Denture Care Society, Japan.,Department of Prosthetic Dentistry, Graduate School of Biomedical Sciences, Nagasaki University, Nagasaki, Japan
| | - Masahiro Nishimura
- The Japan Denture Care Society, Japan.,Department of Oral and Maxillofacial Prosthodontics, Field of Oral and Maxillofacial Rehabilitation, Course for Advanced Therapeutic, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan
| | - Yasuhiro Nishi
- The Japan Denture Care Society, Japan.,Department of Oral and Maxillofacial Prosthodontics, Field of Oral and Maxillofacial Rehabilitation, Course for Advanced Therapeutic, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan
| | - Mamoru Murakami
- The Japan Denture Care Society, Japan.,Denture Prosthodontic Restoration, Advanced Dentistry Center, Kagoshima University Medical and Dental Hospital, Kagoshima, Japan
| | - Toshio Hosoi
- The Japan Denture Care Society, Japan.,Tsurumi University School of Dental Medicine, Kanagawa, Japan
| | - Taizo Hamada
- The Japan Denture Care Society, Japan.,Hiroshima University, Hiroshima, Japan
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Masticatory performance of denture wearers with the use of denture adhesives: A systematic review. J Prosthet Dent 2020; 127:233-238. [PMID: 33279156 DOI: 10.1016/j.prosdent.2020.10.011] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2020] [Revised: 10/14/2020] [Accepted: 10/15/2020] [Indexed: 01/24/2023]
Abstract
STATEMENT OF PROBLEM Denture adhesives are products used by wearers of removable dental prosthesis; however, systematic reviews on their influence on masticatory performance are lacking. PURPOSE The purpose of this systematic review was to evaluate the efficiency of denture adhesives in improving the masticatory performance of users of complete dentures (CD). MATERIAL AND METHODS This systematic review was organized from the Preferred Reporting Items for Systematic Reviews and Meta-Analyses checklist, and the methods were registered on the international prospective register of systematic reviews (PROSPERO-CRD42020187385). The focus question was as follows: "Does the use of denture adhesives improve the masticatory performance of patients with removable dental prostheses?" The databases PubMed/MEDLINE, Scopus, Web of Science, and Cochrane Library were used to extract information. RESULTS The search yielded 1338 articles, of which 6 met the inclusion criteria and were selected. All included studies were crossover randomized controlled trials including bimaxillary edentulous individuals. Masticatory performance was evaluated by using a comminution and sieve method. CONCLUSIONS Denture adhesives significantly increased the masticatory performance of CD users.
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El Osta N, Haddad E, Fakhouri J, Saad R, El Osta L. Comparison of psychometric properties of GOHAI, OHIP-14, and OHIP-EDENT as measures of oral health in complete edentulous patients aged 60 years and more. Qual Life Res 2020; 30:1199-1213. [PMID: 33226604 DOI: 10.1007/s11136-020-02709-w] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/11/2020] [Indexed: 11/27/2022]
Abstract
OBJECTIVES To compare the psychometric properties of three OHRQoL indicators (GOHAI, OHIP-14, and OHIP-EDENT) in a group of complete edentulous subjects and to explore the ability of these instruments to distinguish between individuals with different prosthetic and oral health status. METHODS This was a cross-sectional study. Edentulous individuals aged 60 years and more were recruited between January 2019 and February 2020 in a medical and dental care centers. The Lebanese versions of GOHAI, OHIP-14, and OHIP-EDENT were used. External and internal consistencies were assessed using intraclass correlation coefficient (ICC) and Cronbach alpha, respectively. The concurrent validity was evaluated by testing the indicators against a proxy measure of a similar concept. To test their discriminative abilities, the ADD (GOHAI and OHIP) and SC (GOHAI and OHIP) scores were dichotomized according to the 25th and 75th percentile, respectively, and multivariate analyses were performed using sociodemographic, clinical, and subjective health parameters as explanatory variables. RESULTS Two hundred and two edentulous subjects (age: 72.94 ± 7.378 years) were included. The proportion of subjects with no impact was lower for OHIP-EDENT (7.9%) compared to GOHAI (28.2%) and OHIP-14 (38.6%). Reproducibility was satisfactory for all OHRQoL tools since they were able to reproduce the results consistently in time (ICC > 0.80). The Cronbach alpha values were greater than 0.8 indicating acceptable internal consistency. The concurrent validity of the three tools was acceptable since subjects with lower OHRQoL score were less satisfied with their dentures and reported a higher need for self-rated therapy. Concerning the discriminant validity, OHIP-EDENT was more discriminant than OHIP-14 and GOHAI, since it was more able to identify patients with poor prosthetic issues or using instable denture. CONCLUSION The OHIP-EDENT was more effective in identifying edentulous individuals with oral and prosthetic problems. Our results can help decide which dental instrument to use to assess the perception of oral health in edentulous individuals. More prospective studies are required to compare their evaluative properties.
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Affiliation(s)
- Nada El Osta
- Department of Removable Prosthodontics, Faculty of Dental Medicine, Saint Joseph University of Beirut, Beirut, Lebanon.
- Equipe d'accueil EA 4847, Centre de Recherche en Odontologie Clinique (CROC), Université Clermont Auvergne, Clermont-Ferrand, France.
- Laboratoire de Recherche Cranio-Faciale, Unité de Santé Orale, Faculty of Dental Medicine, Saint Joseph University of Beirut, Beirut, Lebanon.
- Department of Public Health, Faculty of Medicine, Saint Joseph University of Beirut, Beirut, Lebanon.
| | - Elissa Haddad
- Department of Removable Prosthodontics, Faculty of Dental Medicine, Saint Joseph University of Beirut, Beirut, Lebanon
- Laboratoire de Recherche Cranio-Faciale, Unité de Santé Orale, Faculty of Dental Medicine, Saint Joseph University of Beirut, Beirut, Lebanon
| | - Jihad Fakhouri
- Department of Removable Prosthodontics, Faculty of Dental Medicine, Saint Joseph University of Beirut, Beirut, Lebanon
| | - Robert Saad
- Public Health, Private Practice, Beirut, Lebanon
| | - Lana El Osta
- Department of Public Health, Faculty of Medicine, Saint Joseph University of Beirut, Beirut, Lebanon
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Tharakan SR, Chander NG, Anitha KV, Balasubramaniam M. Retention of removable complete dentures made with different posterior palatal seal techniques and oral health quality of life: A clinical study. J Prosthet Dent 2020; 126:393-397. [PMID: 32951870 DOI: 10.1016/j.prosdent.2020.08.005] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2019] [Revised: 08/19/2020] [Accepted: 08/19/2020] [Indexed: 11/24/2022]
Abstract
STATEMENT OF PROBLEM How different methods of recording posterior palatal seal affect removable complete-denture retention and oral health quality of life is unclear. PURPOSE The purpose of this clinical study was to compare the retention and oral health quality of life (OHIP-14) between conventional and arbitrary posterior palatal seal techniques in participants with removable complete dentures. MATERIAL AND METHODS Edentulous patients were recruited according to definitive criteria. The participants were randomly divided into conventional and arbitrary seal. After the delivery of the denture, the retention was evaluated with a force gauge dynamometer and at 3, 6, 9, and 12 months. Denture satisfaction was evaluated with the OHIP-14 questionnaire. Data were statistically analyzed by using the t test and repeated measure ANOVA (α=.05). RESULTS The mean ±standard deviation values (N) for conventional seal at 0, 3, 6, 9, and 12 months by dynamometer in the anterior region ranged from 4.73 ±0.78 to 4.90 ±0.81 and in the posterior region between 5.07 ±0.84 and 5.31 ±0.99. Dynamometer values for arbitrary seal in the anterior region were from 4.56 ±0.77 to 4.88 ±0.81, and in the posterior, it varied between 4.74 ±0.74 and 5.15 ±0.81. Force gauge values (N) for conventional and arbitrary seal were in the range of 18.35 ±2.84 to 20.69 ±3.89. The general mean ±SD OHIP-14 was higher for the conventional seal at 3.12 ±0.25 than for the arbitrary seal at 2.73 ±0.23 The difference between the conventional and arbitrary seal techniques was not statistically significant (P>.05) CONCLUSIONS: No significant difference in complete denture retention was detected between the 2 posterior palatal seal techniques. Oral health quality of life was higher with the conventional seal technique.
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Affiliation(s)
- Sanjana Rebecca Tharakan
- Postgraduate student, Department of Prosthodontics, Sri Ramaswami Memorial Dental College, Ramapuram, India
| | - Naveen Gopi Chander
- Professor, Department of Prosthodontics, Sri Ramaswami Memorial Dental College, Ramapuram, India.
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Clinical Performance of Short Expandable Dental Implants for Oral Rehabilitation in Highly Atrophic Alveolar Bone: 3-year Results of a Prospective Single-Center Cohort Study. ACTA ACUST UNITED AC 2020; 56:medicina56070333. [PMID: 32635173 PMCID: PMC7404768 DOI: 10.3390/medicina56070333] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/24/2020] [Accepted: 06/30/2020] [Indexed: 02/06/2023]
Abstract
Background and Objectives: Oral health-related quality of life (OHRQOL) is compromised during the post-implant healing period, especially when vertical augmentation is required. A long-term trial sought to evaluate a short dental implant system with an apically expandable macro-design. Materials and Methods: Over 4.5 years, patients with limited vertical alveolar bone were consecutively recruited into this prospective cohort study. Implant success rate, OHRQOL (Oral Health Impact Profile (OHIP)-14), implant stability, and crestal bone changes were evaluated. Results: Data from 30 patients (mean age: 64.6 years, range 44–83) were analyzed, which related to 104 implants (53 in the maxilla, 51 in the mandible). Over the mean follow-up (42.6 ± 16.4 months), the implant success rate was 94.7% in the mandible (two implants lost) and 83.6% in the maxilla (four implants lost; p = 0.096), and the prosthetic success rate was 100%. The median OHIP-14 scores improved from 23 (interquartile range (IQR) 9–25.5) to 2 (IQR 0–5; p < 0.001). The mean implant stability quotient (ISQ) was 71.2 ± 10.6 for primary stability and 73.7 ± 13.3 (p = 0.213) for secondary stability, without significant maxilla-versus-mandible differences (p ≥ 0.066). Compared to the baseline, median crestal bone changes after loading were 1.0 mm (IQR 0–1.3) and 1.0 mm (IQR 0.2–1.2) in the maxilla and mandible (p = 0.508), respectively, at the end of the first year, 1.1 mm (IQR 0–1.3) and 1.0 mm (IQR 0.1–1.2) (p = 0.382), respectively, at the end of the second year, and 1.2 mm (IQR 0–1.9) and 1.1 mm (IQR 0.1–1.2) (p = 0.304), respectively, at the end of the third year. Conclusions: In patients with limited vertical bone height, short implants with optimized macro-design constitute a reliable method for functional rehabilitation, avoiding extensive alveolar bone augmentation.
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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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