Power spectrum density analysis for the influence of complete denture on the brain function of edentulous patients - pilot study

Rehabilitation with dental prostheses and its influence on brain activity: A systematic review

STATEMENT OF PROBLEM

The consequences of edentulism depend on its complexity and are far-reaching, but limited evidence regarding its association with neurologic health is available.

PURPOSE

The purpose of this systematic review was to establish the relationship between oral prosthetic rehabilitation and the regional increase in brain activity.

MATERIAL AND METHODS

This systematic review was registered in the International Prospective Register of Systematic Reviews (CRD42021262247), and the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guideline was followed. Randomized clinical trials, prospective studies comparing the brain activity of patients rehabilitated with and without the use of dental prostheses, and studies that analyzed the human brain by using noninvasive techniques were used as inclusion criteria. The risk of bias in each study was assessed by using the Risk Of Bias In Non-randomized Studies-of Interventions (ROBINS-I).

RESULTS

The search was carried out in the PubMed/MEDLINE, Embase, Cochrane Library, and https://clinicaltrials.gov databases up to June 2021. After a search conducted by 2 reviewers, 8 articles were included in the review. A regional increase in blood flow and regional cerebral activity during dental prosthesis use was identified in the studies.

CONCLUSIONS

A positive association was found between the different types of prosthetic rehabilitation and brain function. Prostheses may preserve and restore neurological health.

The Effect of Alteration of Vertical Dimension of Occlusion on Brain Activity in Complete Denture Wearers

BACKGROUND: The establishment of appropriate vertical dimension of occlusion (VDO) is paramount for successful and functioning complete dentures (CDs). AIM: The aim of this study was to assess the effect of alteration of VDO on the brain activity in CD wearers. MATERIALS AND METHODS: Ten completely edentulous patients participated in this study. Each patient received three sets of CDs: one control set and two duplicates’ CDs. The control CDs was designed with appropriate VDO (control - VDO), while the duplicate CDs were designated as followed: one with VDO lowered by –3 mm (low - VDO) the other one VDO was increased by +5 mm (high - VDO). The effect of alteration of VDO on brain activity was assessed by measuring alpha waves changes using electroencephalogram (EEG) before and after chewing gum. Statistical analysis was carried out using one-way ANOVA and dependent t-test. The significance level was set at p < 0.05. RESULTS: There was a significant increase in the alpha waves mean values after chewing (p < 0.05) gum compared to before except for low - VDO CDs (p > 0.05). The control-VDO revealed a statistically significant higher mean values compared to the duplicate dentures. CDs with high - VDO showed higher mean value than low - VDO dentures, however, it was statistically insignificant (p > 0.05). CONCLUSION: Appropriate determination of VDO is not only important for the success of CDs but also for the functional augmentation of brain activity.

Effect of fixed dental prosthesis on the brain functions of partially edentulous patients - pilot study with power spectrum density analysis

Purpose:

This study was done to analyse the influence of fixed dental prosthesis (FDP) on brain function by analysing power spectral density of partially edentulous patients.

Materials and methods:

The study included unilateral missing mandibular molar replacement patients. The patients were restored with three-unit metal ceramic FDP restorations. The cognitive function was analysed with a mental state questionnaire. Power spectral density (PSD) analysis of EEG alpha waves was made pre- treatment, post treatment and 3 months after FDP treatment to analyse the brain function. The data in various phases were obtained before and after chewing. The results were statistically analysed.

Results:

The mean pre and post treatment PSD was 0.0175 (SD ±0.0132) and 0.0178 (SD ±0.0135). The mean post treatment PSD after three months was 0.024 (SD± 0.019). The results were analysed with repeated ANOVA and were statistically significant. (p<0.01).

Conclusion:

The study displayed improvement in brain function of partially edentulous patients with FDP rehabilitation.