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At least 343 records · Page 19Linked to original sources
PubMed1999

Time-related wettability characteristic of acrylic resin surfaces treated by glow discharge.

STATEMENT OF PROBLEM: Adhesion and cohesion have important roles in denture retention, and attempts have been made to improve the wettability of the acrylic resin material by surface treatments. PURPOSE: This study examined the initial and subsequent wettability of an acrylic resin denture base material treated under air or argon plasma atmosphere before and after exposure to air or distilled water. MATERIAL AND METHODS: Acrylic resin specimens were treated with plasma under air or argon atmosphere and were either exposed to air or distilled water for up to 60 days. Wettability characteristics of the acrylic resin specimens were determined by contact-angle measurements after 2 hours and after 60 days. Surface composition of the specimens also was analyzed with x-ray photoelectron spectroscopic (XPS) measurements. RESULTS: Statistically significant difference was found between control and each of the plasma treatment groups (P <.05). Although the storage condition and storage period caused statistically significant difference on contact angle values (P <.05), atmosphere type did not have any effect on the results (P >.05). XPS spectra of the plasma-treated specimens differed from control specimens only in the O1s region with a narrower and more intense peak that could be assigned to -COH groups. During 60 days of exposure, the O/C atomic ratios decreased within the first 2 weeks but settled to 0.40 and 0. 32 up to 60 days compared with 0.26 for untreated control specimens. CONCLUSION: Glow discharge plasma altered the surfaces of the acrylic resin and increased thc wettability as shown both by XPS and contact-angle measurements, and plasma treatment seemed to offer a durable (at least up to 60 days) wettability.

Acrylic Resins↗
PubMed2006

Clinical correlates of oral health-related quality of life: evidence from a national sample of British older people.

This study investigated the relationships between an oral health-related quality of life (OHRQoL) indicator and specific clinical dental measures, in a national representative sample of the British older population. A random subsample was drawn from the free-living sample of the National Diet and Nutrition Survey (people aged >or= 65 yr). This subsample consisted of 407 dentate and 346 edentate participants, who were clinically examined and interviewed. The OHRQoL was assessed through the Oral Impacts on Daily Performance (OIDP) indicator. After adjusting for age, gender, and education, dentate subjects with up to 8 occluding pairs of teeth were 2.66 [95% confidence interval (CI): 1.08, 6.51) times, and those with up to 2 anterior occluding pairs were 3.00 (95% CI: 1.55, 5.81) times, more likely to report oral impacts when compared with those having more occluding pairs of teeth. Edentate participants with inadequate denture adaptation were 1.92 (95% CI: 1.04, 3.53) times, and subjects with inadequate denture retention were 2.04 (95% CI: 1.13, 3.69) times, more likely to report oral impacts than the remaining edentate sample in each case. OHRQoL in older British people is significantly related to the number of occluding pairs of natural teeth among the dentate and denture quality among the edentate.

Aged↗
PubMed1989

Role of the surface and volume of palatal relief chambers in retention of maxillary complete dentures.

Maxillary complete dentures were made with thickened denture bases for 10 patients. The retentive force was measured with a dynamometer. Acrylic resin was then removed with a bur from the mucosal side of the denture base, thus progressively enlarging the palatal chamber. Each enlargement was followed by measurement of the surface and volume of the chambers and the retention force of the dentures. The mean force of the denture retention diminished progressively from 57 N to 13.5 N as the chambers enlarged. An analysis of the results showed that the retention of maxillary complete dentures does not depend on the surface of the palatal chambers but is inversely proportionate to their volume.

Acrylic Resins↗
PubMed2000

Immediate loading of implants in partially and fully edentulous jaws: a series of 27 case reports.

BACKGROUND: The concept of immediate loading of dental implants has been researched in animal and man. High predictability with titanium screw implants can be expected under certain circumstances. Delayed loading, which is empirically based, may offer roadblocks to success in the complex case. Micromotion under a denture, retention of compromised teeth, and the necessity for multiple implant surgeries complicate the situation. The present study was undertaken to demonstrate whether in partial and fully edentulous patients, titanium screw implants may be installed and loaded within 72 hours. METHODS: The study included 27 jaws (23 mandibles and 4 maxillas) in patients who refused to wear a denture or were told of the possibility of immediately loading their implants. Criteria similar to delayed loading was utilized. The patient had to have adequate volume and density for a minimum of 4 (10 mm) implants in the mandible and 6 in the maxilla, in addition to other requirements. After a thorough presurgical evaluation by the restorative dentist, a template and heat-cured/metal-reinforced provisional were fabricated. Following fixture installation, either the fixed provisional was placed or an impression was taken, and the provisional was seated within 72 hours. Once the temporary was placed, it remained until osseointegration was complete. RESULTS: Success rates similar to those in delayed loaded cases may be expected (95%). Fewer sandblasted/acid-etched titanium screws were lost than machined titanium screws. All patients went on to completion of their original prosthetic prescription. CONCLUSIONS: Patients who are partially or fully edentulous may predictably be restored with fixed implant prostheses immediately upon fixture placement if certain parameters are met.

Aged↗
PubMed1991

Measurement of oral status and treatment need among subjects with dental prostheses: are the measures less reliable than the prostheses? Part I: Oral status in removable prosthodontics.

Indices used to measure the oral status of removable dental prostheses generally do not conform to criteria essential to high-quality measures. Existing indices fail to meet accepted standards of reliability and validity, and most lack specified training protocols, use ambiguous terminology, are limited to nominal, ordinal, or dichotomous level data, and require high levels of observer inference. As a result it is virtually impossible to compare one study with another, to combine data from more than one study to broaden the results obtained, and even to collect longitudinal data without being able to rule out examiner drift. More successful measures, in particular for vertical dimension of occlusion, maxillary denture retention, and arch size and shape, hold promise for future developments in research data collection and quality assessment. These improvements, combined with a growing awareness of the importance of measuring nondental factors, should lead to more reliable, valid measures of need for treatment.

Denture, Complete↗
PubMed2004

Endodontic considerations in the elderly.

Tooth retention has increased significantly in older adults, and dentists are now challenged by the need to preserve critical teeth. There will be a need to consider endodontic therapy, and this paper describes how successful endodontics can be provided for elderly patients. Strategic treatment planning is essential, and preservation of key teeth will facilitate satisfactory oral function for elderly patients. These teeth may be important in achieving and maintaining an intact anterior dental arch, for removable partial denture retention or preservation of alveolar bone. In some cases, this can only be achieved if endodontic procedures are undertaken. When infection of a root canal is present, there is no reason why good quality endodontic therapy should not work in a healthy elderly patient. Elimination of infection can be challenging in narrow root canals, and a systematic approach for improving access into and negotiating these canals is outlined.

Age Factors↗
PubMed1976

[Quantitative studies on the retention mechanism of complete dentures. I. Studies on a phantom model].

In four full maxillary dentures, the physical mechanisms of retention were examined and quantitatively determined by inductive pressure and motion recorders, in tests performed on a model and on the patients. In addition to capillary or viscous forces, the pressure difference existing in the space between denture and palate on the one hand and the oral environment on the other and resulting during pull-off, provides the greatest retaining effect.

Denture Retention↗
PubMed1999

Horseshoe Le Fort I osteotomy: an augmentation technique for the severely atrophied maxilla--an eight-year follow-up.

Twenty-three patients (19 female, 4 male; 37-69 years old; mean age, 52 years) underwent horseshoe Le Fort I osteotomy from 1989 to 1997; 178 iMZ implants were placed either simultaneously by horseshoe Le Fort I osteotomy (76 implants) or in a second operation 6-12 months later (102 implants). Removable overdentures were made. Twenty-two patients wear an implant-borne overdenture; 1 patient refused an additional operation for placing implants and received a conventional, mucosally supported, upper-jaw prosthesis. The anteroposterior relationship satisfactorily improved in all patients, allowing for class I occlusion. All patients were satisfied with the aesthetic results, denture retention, speech, and mastication. Nevertheless, we lost 8 implants in 1 patient. We placed 178 endosteal implants in 22 patients; 8 were lost in 1 patient, and 7 more implants have been lost in 5 patients.

Acute Disease↗
PubMed2006

[Preliminary clinical study of microimplants in the restoration of edentulous jaws].

OBJECTIVE: To investigate if magnetic- attached overdenture supported by microimplants of 2.5 mm in diameter was able to function properly. METHODS: Fourteen microimplants were placed in 4 patients. Implants were exposed 3 months later and magnetic abutments were connected directly. X-ray was taken during the 3 year follow-up to examine marginal bone level. Peri-implant soft tissue was also checked. Denture retention, chewing stability and overall satisfaction with the microimplants retained overdenture were evaluated. RESULTS: All of the 14 microimplants achieved initial primary stability without infection or any other postoperative complications. No implant was lost during the follow-up period. Only one magnetic abutment fractured one year after restoration and was replaced. X-ray showed highly stable marginal bone level around the microimplants. The patients were satisfied with the restoration. CONCLUSIONS: The microimplants retained overdenture leads to a significant improvement of function despite of the small dimensions of these implants. In particular for elder patients with severe residual ridge resorption, this treatment represents a less invasive alternative compared to conventional implant systems.

Aged↗
PubMed2005

Interventions for replacing missing teeth: denture chewing surface designs in edentulous people.

BACKGROUND: When constructing complete dentures for edentulous patients, ultimately patient satisfaction is key. Complete dentures can be produced with different types of occlusal schemes (chewing surfaces) and it is widely accepted that the occlusal scheme for complete dentures has a direct influence upon their success. OBJECTIVES: To assess the relative effectiveness of differing occlusal schemes for complete dentures with regard to patient satisfaction. The null hypothesis is that there is no difference in terms of patient satisfaction between different designs of chewing surfaces for complete dentures. SEARCH STRATEGY: Several electronic databases were searched in order to identify relevant trials: Cochrane Oral Health Group Trials Register, Cochrane Central Register of Controlled Trials (CENTRAL) (The Cochrane Library, Issue 2, 2004), MEDLINE (1966 to week 2 April 2004), OLDMEDLINE (1953 to 1965), EMBASE (1980 to week 16 2004),Zetoc (1993 to December 2003), SIGLE (1980 to December 2003), SCI (Science Citation Index) (1945 to 04 April 2004 ). Reference lists of identified, relevant trials and review articles were scanned. Unpublished data were sought through personal contact with experts in the field. There was no language restriction. SELECTION CRITERIA: Randomised or quasi-randomised controlled clinical trials (RCTs), recruiting edentulous adults, and comparing complete dentures produced with different occlusal schemes with regard to patient satisfaction and masticatory function. DATA COLLECTION AND ANALYSIS: The quality assessment of the included trials was undertaken independently and in duplicate by two reviewers based initially on what was written in the articles. Data were extracted by two reviewers independently. Disagreements were discussed and a third reviewer consulted as necessary. Authors were contacted for clarification or missing information. Data were excluded until further clarification if agreement could not be reached. MAIN RESULTS: 1076 titles and abstracts were identified through the electronic searches. Thirteen trials were thought to be potentially relevant. Ten of these studies were subsequently excluded following further analysis. Two trials require further information from the author before being considered eligible for inclusion. Only one cross-over trial (n = 30), comparing lingualised teeth and zero-degree teeth, fully met the review's inclusion criteria. Twenty patients preferred the lingualised denture, five the zero-degree denture and five patients had no preference. There was a statistically significant difference in favour of the lingualised denture with an odds ratio of 10 (95% confidence interval 2.04 to 48.96). AUTHORS' CONCLUSIONS: There is weak evidence that it may be advantageous, for dentists providing a complete denture service, to prescribe prosthetic posterior teeth with cusps to improve patient satisfaction compared to providing cuspless teeth. However, this conclusion may only be made tentatively until further well conducted trials comparing different occlusal schemes for complete dentures are undertaken.

Adult↗