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Results for “Denture Retention”

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PubMedDate not supplied

One-year prosthetic outcomes with implant overdentures: a randomized clinical trial.

PURPOSE: This randomized clinical trial examined implant overdenture (IOD) fabrication and maintenance time and costs, adjustment and repair incidence, and patient satisfaction after 1 year. MATERIALS AND METHODS: Sixty-four patients received 2 mandibular implants and an IOD with either a bar with 2 clips or 2 ball attachments for denture retention. RESULTS: Fabrication time, number of appointments, and chair time for adjustments were similar for the 2 denture designs. The most common adjustments for both types were to the IOD contours. Ball-attachment dentures required about 8 times longer for repairs than bar-clip prostheses. Approximately 84% of patients with ball-attachment dentures needed at least 1 repair, versus 20% of those with a bar-clip mechanism. The most common repairs were replacement of the cap spring or cap for the ball-attachment IOD and replacement of a lost or loose clip for bar-clip dentures. DISCUSSION: Patients were equally and highly satisfied with the improvements in function, comfort, and appearance with both types of IOD compared to their original conventional dentures. CONCLUSIONS: Given equivalent levels of patient satisfaction with either method of retention and a much higher repair rate for the ball attachment, it is suggested that a bar-clip design be used rather than the particular ball attachment utilized in this study.

Adult↗
PubMedDate not supplied

Wettability of visible light-curing denture lining materials.

PURPOSE: Wetting characteristics of denture lining materials indicate the degree of salivary lubricating effect, which promotes denture retention and patient comfort. This in vitro study investigated the wettability of ten commercially available visible light-cured denture lining materials. MATERIALS AND METHODS: Ten soft and hard visible light-curing materials, one autopolymerized hard lining material, and one autopolymerized denture base material were evaluated for wettability. Wettability was estimated by measuring the equilibrium and hysteresis contact angles using the dynamic contact angle analysis, or Wilhelmy, technique. RESULTS: The equilibrium contact angle ranged from 59.9 to 77.3 degrees, and contact angle hysteresis ranged from 14.7 to 30.6 degrees. CONCLUSION: Visible light-curing lining materials exhibit wetting properties similar to the conventional hard lining and denture base materials.

Acrylic Resins↗
PubMed1996

Denture fixatives--an update for general dental practice.

While some clinicians accept that denture fixatives have a valuable function in certain situations and contribute significantly to denture retention and stability, others disapprove of their use, believing that there is no substitute for a properly constructed, accurately fitting denture. It is also believed that their inappropriate use can lead to problems such as impairment of the development of the neuromuscular system which is important for the retention and stability of dentures. However, because these fixatives are available over the counter, it is important that clinicians, whatever their opinion, can give patients informed advice. The aim of this paper, therefore, is to provide an update, advice and recommendations on the use of denture fixatives.

Adhesives↗
PubMed2006

Adsorption of human salivary mucin MG1 onto glow-discharge plasma treated acrylic resin surfaces.

It has been suggested that altering the surface properties of acrylic resin material may change the nature of the adsorbed pellicle affecting denture retention and microbial adherence. This study aimed at evaluating the adsorption of salivary high molecular-weight mucins, a major component of denture pellicle, onto modified acrylic resin surfaces. (Poly) methylmethacrylate specimens were treated by glow discharge plasma technique, using hydrophilic 2-Hydroxyethylmethacrylate monomer or oxygen (O(2)) gas and hydrophobic Hexamethyldisiloxane monomer, at different discharge powers. Acrylic samples were incubated with high-molecular weight mucin, MG1 purified from saliva, the adsorbed fractions were transferred to nitrocellulose membranes by slot-blot technique, stained by periodic acid-Schiff and colour intensities were analysed by a colour densitometer. Higher amounts of mucins were adsorbed on all the surfaces modified by glow-discharge plasma treatment. Within the limitations of this study, it was concluded that glow-discharge plasma altered the surfaces of acrylic resin denture base materials and significantly increased the adsorption of high molecular-weight mucins at varying levels depending on plasma parameters.

Adsorption↗
PubMed2000

The satisfaction with the removable partial denture therapy in the Croatian adult population.

Little is known about the outcomes of treatment and patient's satisfaction with removable partial dentures in adult Croatian population. Therefore patient's satisfaction with their partial dentures in relation to some socio-economic variables was studied. Patient's satisfaction with denture retention, speech, aesthetics, comfort of wearing dentures, chewing ability was also studied in relation to different denture classification, construction, material, denture base shape (major connectors), denture support and the number of missing teeth. A total of 165 patients, 59 males and 105 females between 38 and 87 years took part in this study. A questionnaire, devised for a purpose of the study, was divided into three parts. In the first part, patients answered questions about age, gender, marital status, education, general health, socio-economic status, self-supporting life, period of tooth loss and number of previous denture experiences and in the second part, patients graded their partial dentures, depending on the level of satisfaction, by using a scale from 1 to 5. In the third part a dentist determined Kennedy classification and their modifications, denture material and denture support, denture base shape and the number of missing teeth and graded a denture construction. Influence of these factors on patient's satisfaction was analyzed. A majority of the examined patients were satisfied with the partial prosthesis, but a small amount of dissatisfaction existed. More then half of them scored all the examined parameters to the best score category. Considering chewing with lower partial dentures, women were more satisfied than men (p < 0.05). Patients with more missing teeth gave lower grades for the comfort of wearing dentures (p < 0.05). Patients of higher education gave lower grades (p < 0.05) for the aesthetics. Patients were not satisfied with speech if the dentist graded a construction of a lower partial denture low (p < 0.05). Dissatisfaction was related to mastication, aesthetics, number of missing teeth and ability of speech. These findings can aid a clinician in discussing a treatment plan and help a patient understand the risk of dissatisfaction in the presence of certain factors.

Adult↗
PubMedDate not supplied

[Influence of impressions' border formation on retention of lower complete dentures].

Examinations of the retention of lower individual trays without formation of borders and with borders shaped of wax for impressions have been carried out in 32 patients with toothless mandible. The retention of impressions and lower complete dentures has also been examined. The examinations have been demonstrated that formation of lower individual impression trays' borders increases the retention of lower complete denture. The formation of borders in the anterior region of sublingual fovea influences the retention of lower complete dentures most. Simultaneous formation of borders in the anterior regions of sublingual salcus and oral cavity vestibule ensures the greatest retention of the dentures. The retention of lower complete dentures shows positive correlations with the retentions of impression trays and impressions and that is why the estimation of the impression's retention of the toothless mandible should be done each time to determine the recommendations for the end of the procedure or performance of suitable corrections. Carrying lower complete dentures for 1-4 weeks doesn't influence the retention force of these dentures.

Dental Impression Technique↗
PubMed1997

[Three-dimensional finite element stress analysis of magnetical retaining and bar retaining in overdenture implants].

The purpose of this study was to determine which type of denture retaining implants can produce better biomechanical effect on the bone tissue. Two mechanical models of magnetically retained complete overdenture supported by osseo-integrated implant and bar-retained complete over denture supported by osseo-integrated implant were made. The peak stress in mandibular peri-implant bone tissue of the models were studied under the same loading conditions vertically and horizontally by three-dimensional FEM stress analysis. The results were as follows: (1) Both types of dentures retention can produce significant stress effect on the peri-implant and other regions of the jaw bone and (2) Magnetical retention is more beneficial to maintenance both of peri-implant bone tissue and long-term success of denture supported by osseo-integrated implant than bar retention does.

Dental Implantation, Endosseous↗
PubMed1992

The sublingual crescent extension and its relation to the stability and retention of mandibular complete dentures.

The extension of the flange in the sublingual crescent region is an important factor for mandibular denture stability and retention. Making the impression with minimal pressure on the floor of the mouth while the tongue is at rest allows greater mobility of the underlying muscles without denture dislodgment and without occlusion of the sublingual gland ducts. The anatomy of the sublingual crescent region and the clinical procedure for recording the anterior lingual seal region are described. Upon completion of the impression, resistance to dislodgment is usually achieved.

Denture Bases↗
PubMed1989

[The role of guide planes in the retention of removable partial dentures].

Modern understanding of the retention mechanism of partial denture assumes that the path of insertion and the path of displacement of denture form a definite angle. The denture is possible to insert in a given direction only after forming guide planes which, in the same time, possible take part in retention of denture. The aim of this work was to test the hypothesis that the preparation of guide planes and bending of models in the surveyor brings, the rigid parts of framework to increase the ability of denture to be kept on supporting tissue. The research was performed on the frameworks of denture which were of same design and models with and without preparation guide planes. Total of 60 framework removings from the vertical direction were made under the different conditions of the measurement, using universal electronic machines.

Denture Design↗
PubMed2004

Resin bonded attachments for maxillary obturator retention: a clinical report.

This clinical report describes the prosthetic rehabilitation of a maxillary defect with an obturator retained by extracoronal resilient attachments. Resin-bonded cast-metal units were used to retain and stabilize the obturator through abutment contour modification, addition of retentive elements, and primary abutment splinting. The resulting rehabilitation conserved tooth structure and satisfied both esthetic and functional needs.

Adult↗
PubMedDate not supplied

Root intrusion in tooth-implant combination cases.

The various proposed etiologies for root intrusion in tooth-implant combination cases are discussed. Clinical examples of root intrusion are illustrated. Advantages and disadvantages of nonrigid connector and coping/suprastructure techniques are presented.

Dental Abutments↗