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[Clinical study of evaluation on masticatory function in complete denture wearers. A comparison of masticatory movements between normal natural dentition and complete denture wearers].

The purpose of this study was to comparatively study and elucidate the characteristics of masticatory function of the subjects with complete denture and those with normal natural dentition. The study were carried out on 20 subjects with normal natural dentition and 30 subjects with complete denture having clinically good prognosis. Masticatory movements were analyzed by electromyograph (EMG) and sirognathograph (SGG) when the subjects were chewing peanuts and kamaboko (boiled fish paste). The results were as follows: 1. The duration of chewing cycle, closing phase, occluding phase, and EMGs burst duration (especially after tooth contact) were significantly longer in the subjects with complete denture. 2. The maximum opening distance was significantly shorter, the maximum opening and closing velocity were significantly slower, in the subjects with complete denture. Further, the standard deviation of the coordinates of the sample points in the occluding phase was indisordered in the subjects with complete denture, and standard deviation of the coordinates of sample points in occluding phase were varied in complete denture wearers. 3. The frontal masticatory pattern tended to unstable and typical tear drop shape pattern was found in about 60% of the subjects with complete denture. 4. Different reactions to the test foods were observed in the subjects with normal natural dentition, while such was not noted in the cases of the subjects with normal natural dentition. These results was suggest that the masticatory function in the subjects with complete denture were obviously differ from those of normal natural dentition due to the difference in the sensory-motor-system.

Arachis↗

Some attitudes towards edentulousness, complete dentures, and cooperation with the dentist. A study of denture patients attending a dental school.

Our purpose was to study some patient attitudes related to edentulousness and aspects of the personal relationship between patient and dentist. Seventy-four edentulous patients at a dental school, all experienced denture wearers, were interviewed before the insertion of new complete dentures. Half of them felt bitter and sad about the loss of their teeth. This attitude was found significantly more frequently in women than men. More than 3/4 were quite willing to talk to others about having dentures. Almost as many, however, refused to appear in front of others without their dentures. Nearly 70% seemed to have accepted their dentures as a part of themselves. More than 80% of the patients expressed that satisfaction with new dentures may be influenced by the personal relationship between patient and dentist. A similar proportion expressed that satisfaction with dentures may be influenced by their own cooperation. There seemed to be less agreement about how they should cooperate and also what the responsibilities of the dentist were. None of these patient attitudes or opinions were significantly related to acceptance of new dentures.

Adult↗

Studies of biologic parameters for denture design. Part II: Comparison of masseter muscle activity, masticatory performance, and salivary secretion rates between denture and natural dentition groups.

Bilateral masseter muscle activities exerted during masticatory and salivary secretion rate tests of a group of 18 denture wearers were compared with a group of eight persons with 26 or more natural teeth. Denture wearers applied 22% to 39% of the muscle force applied by the ND group to chew peanuts or carrots and showed markedly lower masticatory performances. The average muscle activity was higher for chewing peanuts than carrots in the ND group but was similar for both test foods in the AD group. Motor discrimination seems to be intact in denture wearers, but their inability to tolerate high masticatory pressures may prevent them from exerting discriminatory forces comparable to those applied by persons with natural dentition when chewing relatively tough foods of varying hardness. The results indicate that the reduced muscle force applied by denture wearers is another important factor that contributes to their diminished chewing ability. Even though the denture wearers were older and applied less muscle activity during chewing, they produced slightly higher rates of stimulated parotid saliva than the ND group. This supports our previous findings and further indicates that the mucosal stimulation of dentures compensates for decreased muscle activity and absence of periodontal receptor stimulation for producing saliva in healthy denture wearers.

Adult↗

Veterans Administration Cooperative Dental Implant Study--comparisons between fixed partial dentures supported by blade-vent implants and removable partial dentures. Part I: Methodology and comparisons between treatment groups at baseline.

This study was conducted to determine whether fixed partial dentures supported by dental implants provide an acceptable alternative to conventional removable partial dentures in patients with Kennedy class I or class II edentulous conditions. The acceptability of the new treatment will be based on success rates, impact on the health of the remaining dentition, masticatory performance, patient satisfaction, and maintenance care and cost. The study was planned also to provide comparisons between two designs commonly used by dentists for fabricating removable partial dentures. The designs differed only in terms of the type of the retainer (clasp type) and tooth support (rest location). A total of 272 patients with Kennedy class I and class II edentulous conditions were assigned on a random basis to one of the treatment groups, 134 to receive a removable partial denture and 138 a fixed partial denture supported by a blade-vent implant. All of the patients were medically screened and met prespecified criteria for oral hygiene, bone support for abutment teeth, and size of the residual ridge. Thirty-four patients were eliminated from the study before completion of their treatment. An additional six patients with early implant failures were reentered in the study and followed up as a separate group. The remaining 232 patients received comprehensive dental care, including removable partial dentures for 118 and fixed partial dentures for 114 patients. A series of examinations, radiographs, masticatory performance tests, patient satisfaction, food selection questionnaires, and dietary history were completed before initiation of the treatment, 16 weeks after the insertion of an RPD or an implant, and thereafter at 6-, 18-, 36-, and 60-month intervals. In addition, patients were seen at 6-month intervals for a recall dental examination, oral prophylaxis, plaque instructions, radiographic survey of the implant, and any needed dental treatment. The randomization stratification approach produced two treatment groups with comparable age, number of remaining maxillary and mandibular teeth, type of opposing dentition, and percent of patients with Kennedy class I and class II edentulous conditions. The mean scores of bone support, tooth mobility, and sulcular depths of abutment teeth were also similar. Significant but comparable improvements in oral hygiene and sulcular depth occurred in the two groups after treatment. The periodontal health scores at the 16-week interval serve as the baseline to measure subsequent changes in periodontal health.(ABSTRACT TRUNCATED AT 400 WORDS)

Adult↗

Effect of denture thickness on tooth movement during processing of complete dentures.

In this investigation the effect of denture thickness on tooth movement during processing of complete dentures was studied. A maxillary cast from a patient was duplicated to obtain 10 identical casts. Base plates were constructed on five casts using 1.25 mm thick wax. Base plates were constructed on the other five casts using 2.5 mm thick wax. Teeth were placed on the ridge of each cast and a TMS pin was placed vertically, upright, in each tooth. The dentures were invested, cured, decasted, finished and polished. Each denture was radiographed immediately before processing, after deflasking, on removal from the cast and after finishing and polishing using a standard technique. The radiographs were digitized using an Eikonix image digitizer. The results showed that there were significant variations in tooth movement between thick and thin denture bases. Also an increase in the molar-to-molar distance was found in both the thin and thick dentures but the magnitude of tooth movement was more in thick dentures.

Dental Casting Technique↗

Effect of viscoelastic properties of resilient denture liners on pressures under dentures.

In order to evaluate the influence of viscoelastic properties of resilient denture liners on the pressures under dentures, a series of creep and stress relaxation tests were carried out using a simplified mandibular edentulous model and denture model. Two diaphragm pressure sensors were attached to the edentulous model so that they contacted the residual ridge and the buccal slope. The results may be summarized as follows: (i) The use of resilient denture liners is effective for stress relief under dentures. (ii) The thickness increase of each denture liners causes the effect of stress relaxation. (iii) The material exhibited viscoelastic behaviour after applying the stress and has the ability to distribute stress or stress relaxation. It is important to understand the viscoelastic behaviours of each resilient denture liner and choose the material according to the clinical situation. The information obtained should be useful to clinicians when they select materials for their patients.

Acrylic Resins↗

Complete denture treatments for a cerebral palsy patient by using a treatment denture. A case report.

This article describes the prosthodontic treatment for a patient with cerebral palsy, in which complete dentures were successfully stabilized using treatment dentures. A 69-year-old edentulous male with no medical complications or mental retardation presented to our clinic. Opening movement of the jaw was possible, but a conspicuous mandibular shift towards the right was observed. He had never received any prosthodontic treatment. Initially, treatment dentures with flat tables were fabricated to rectify his erratic mandibular movements. During the first 3 weeks, the treatment dentures functioned poorly. Eventually, the patient could make tapping movement to some degree and have a meal with less effort. Indentation marks from the cusps of the opposing maxillary denture could be clearly seen on the flat tables. After six weeks, as he did not complain of any pain, definitive dentures were fabricated. When flat table treatment dentures are used, it is considered that the mucosa provides information regarding the vertical stop and bite force. In addition, it is speculated that there is an increase in the response from masseter muscle. In the present case, flat tables were effective for rehabilitation of the mandibular movement.

Aged↗

Effect of surface treatment on the bonding of an autopolymerizing soft denture liner to a denture base resin.

PURPOSE: This in vitro study evaluated the effects of surface treatments and thermocycling on the bonding of autopolymerizing silicone soft denture liner (Sofreliner) to denture base resin. MATERIALS AND METHODS: The bonding surfaces of denture base cylinders were polished with 600-grit silicon carbide paper and pretreated with applications of Sofreliner Primer, Sofreliner Primer after air abrasion, Reline Primer, or Reline Primer after air abrasion. Failure loads and elongation at failure were measured after subjecting specimens to 0, 10,000, 20,000, and 30,000 thermocycles. Failure modes were assessed for all specimens. Seven specimens were fabricated for each of 16 groups, including four pretreatments and four thermocycle groups. RESULTS: Failure loads of the Sofreliner Primer group were significantly higher than those of the air-abrasion group up to 20,000 thermocycles; both groups showed cohesive failures of the soft denture liner. Failure loads of the Reline Primer group were significantly higher than with Reline Primer after air abrasion up to 10,000 thermocycles. Failure mode after 10,000 thermocycles was cohesive for the Reline Primer group and mixed cohesive/adhesive for Reline Primer after air abrasion. Failure loads of the Sofreliner Primer group were significantly higher than those of the Reline Primer group at each thermocycling interval. Elongation values decreased after 10,000 thermocycles for all groups. CONCLUSION: Air abrasion on the denture base resin surface was not effective in enhancing failure load. Cyclic thermal stress is one factor degrading the bond between soft denture liner and acrylic resin denture base.

Acrylic Resins↗

[Mechanical analysis of the denture bases, using the photoelastic-coating method. 1. Influence of the coating on mechanical properties of the test denture].

The anterior palatal area may be related with the flexural rigidity and bending strength of the upper complete dentures. Therefore, the deformation of this area should be measured widely and continuously when new materials were applied to the dentures. The influence of the photoelastic coating on the mechanical properties of the upper complete dentures was investigated, prior to the measurement of surface strains on the denture bases by the photoelastic coatings. In this experiment, the uniform-moment bending method was employed simulating the occlusal situation. The flexural rigidity of the denture bases depended on the palatal materials in spite of the presence of the coating. The strains concentrated on the anterior palatal area were slightly decreased when the coating was bonded to the polished surface of the palate. The reinforcing effect was significant when the resin dentures of low elastic modulus were coated. The photoelastic-coating method was suitable for the qualitative analysis of the strain distribution of the denture base and selecting the test points to make strain measurement accurate.

Dental Stress Analysis↗

The significance of major connectors and denture base mucosal contacts on the functional strain patterns of maxillary removable partial dentures.

The purpose of this study was to investigate the biomechanical significance of major connectors and base mucosal contacts on the mechanical behaviour of maxillary removable partial dentures in vivo. Six subjects wearing maxillary dentures retained by conical crowns were selected for the study. Reflective photoelasticity and strain gauges were used to monitor the development of strain/stress during functional loading. Loading tests were performed initially with a denture design including a palatal major connector and denture bases and then repeated after removal of the major connectors and denture base alveolar muccosa contacts. The palatal major connector and the denture bases mucosal contacts contribute significantly to the rigidity and stability of removable partial dentures retained by conical crowns.

Aged↗

Edentulousness, denture wear and denture needs of Indian elderly--a community-based study.

India has a large geriatric population (60+ years) of 77 millions, comprising 7.7% of its total population. One of the major handicaps in the elderly is loss of teeth, affecting their mastication, dietary intake and nutritional status. The present study was planned to assess the level of edentulousness, denture wearing and denture needs of the elderly in the community and to study the correlation between oral health parameters and socio-demographic variables, diet and body mass index (BMI). A total of 1240 (716 urban and 524 rural) elderly people were studied. It was found that 60% were dissatisfied with their function of mastication because of loss of teeth and lack of dentures. The level of edentulousness was found to be high, more so in rural than in urban people and more so in advancing age, with no significant difference between male and females. The striking finding of this study was the very low level of denture wearing. Only <50% of those needing complete dentures and <13% of those needing partial dentures were wearing dentures. The denture needs of the rural elderly were higher than those of the urban elderly. Vegetarians had a higher level of edentulousness compared with non-vegetarians. The BMI was not correlated with level of edentulousness.

Age Distribution↗

[A clinical investigation into the effect of comfort denture adhesive on masticatory function with complete dentures].

OBJECTIVE: The purpose of this study was to evaluate the clinical effect of the new developed form of Comfort denture adhesive (Comfort DA). METHODS: 10 edentulous patients with complete dentures were selected for this study. The maximum biting force and masticatory efficiency were recorded before and after application of the adhesive to all the new and old dentures. Subjective test was also used to evaluate this adhesive in enhancing retention and stability of complete denture using the questionnaire way. RESULTS: The data indicated that significantly greater biting forces were generated with old dentures than with the new dentures. The major findings were that the adhesive produced a statistically significant improvement in the masticatory efficiency after application. Subjective views of the patients indicated that this tested product significantly improved denture retention, stability and had other favorable features. The time of adhesion was about 6 8 hours. CONCLUSION: The generally favorable clinical performance of the developed Comfort DA formulation indicated that it might be an efficacious denture adhesive.

English Abstract↗

[A quantitative study on mandibular incisor point border movement between the immediate complete denture wearers and the second complete denture wearers]

The mandibular incisor point border movement orbits of 20 patients wearing immediate complete dentures for 3 months and the same patients wearing the second complete dentures for 3 months were raced by SGG then measured and analysed.The results showed that the ranges of mandibular incisor point border movement of patients wearing immediate complete dentures for 3 months were significantly narrower than those of the same patients wearing the second complete dentures for 3 months (P<0.01).The ratio of the former to the latter was only 59.00%-69.96%.It could be concluded that the ranges of mandibular incisor point border movement of immediate complete denture wearers were limited.Thus the immediate complete dentures were transitional dentures and only used for treating purpose.The patients must have another pair of complete dentures after 3 months interim.

Journal Article↗

Adhesive bonding of denture base resins to plastic denture teeth.

The adhesive bonding of denture teeth to denture base resins in dentures with conventional acrylic teeth and crosslinked plastic teeth was investigated. The dentures with highly crosslinked plastic teeth such as SR-Orthosit, Crystal ND, and Mitel-OM showed poor bonding at the tooth/base resin interface using the conventional bonding method. Elimination of the alginate mold lining material in the conventional bonding method effectively improved bonding at the tooth/base resin interface. The application of 4-META adhesive bonding agents to the denture teeth improved the interface bonding of highly crosslinked plastic teeth and the denture base. Dentures with Orthosit and Mitel showed differences in bonding ability when two different adhesives were used.

Acrylic Resins↗

Denture plaque and denture cleansers.

Literature concerning the relationship between denture plaque, oral pathology, and the nature and effectiveness of the products commercially available for cleaning dentures has been reviewed. The literature reports indicate that (1) plaque on the tissue surface side of the denture is unquestionably a major etiologic factor in the pathogenesis of denture stomatitis, inflammatory papillary hyperplasia, and chronic candidiasis and (2) there are shortcomings in the popular products used by the public to clean their dentures. The protocol and results of a study to test the plaque removal effectiveness of a new denture cleansing product are described. In this study, the plaque removal effectiveness of the ultrasonic device tested, when used with water alone, was found to be substantially greater than that of two popular alkaline-peroxide soak-type denture cleansers, Efferdent and Polident.

Dental Plaque↗

The future of teaching of complete denture construction to undergraduates in the UK: is a replacement denture technique the answer?

Due to changes in the amount of curriculum time available for teaching complete denture construction to undergraduate students, course content requires reconsideration and possible modification. The idea that a replica complete denture technique may offer some advantages is explored. A review of the relevant literature fails to support many of the claimed benefits of this technique such as relative ease of adaptation by the elderly to new dentures. This article suggests that the replica denture technique should be considered as no more than an alternative method of making dentures. The relative demerits of the technique are discussed. A modification of the replica block technique to include important aspects of conventional complete denture courses is described. It is suggested that, because less clinical time is required, it may be a suitable way of introducing students to complete denture construction and educating them to a level which would encourage some to take further postgraduate study and would allow all graduates to treat routine cases or diagnose, treatment plan and refer to clinical dental technicians.

Adaptation, Psychological↗

[Adjustment of complete dentures. Have oral stereognosis and denture quality a predictable value?].

The denture complaints of 397 complete denture wearing participants were assessed. The quality of the dentures and denture bearing surfaces were professionally scored as well. Combination of these scores gave a specific denture quality, the so-called 'prosthetic condition'. The oral stereognostic capability was recorded with an Oral Stereognosis Test. There was no correlation between denture complaints and the results of the Oral Stereognosis Test, nor between denture complaints and prosthetic condition.

Adult↗

The prevalence of Candida albicans in complete denture and removable partial denture wearers: a comparative study.

In this study, 60 complete denture wearers, 53 removable partial denture wearers and 50 dentate subjects were examined to determine the Candidal carrier state. The influence of local factors such as denture type, smoking habits and sex on Candidal carrier rate were investigated. Wearing complete or removable partial denture was determined as an important factor increasing Candidal carrier rate. Cigarette smoking is another factor which increases Candidal growth in complete denture and removable partial denture wearers. In contrast to denture wearers Candidal carrier rate was considerably less on dentate smokers. Candidal colonization rate was found to be higher on the dorsum of the tongue. This suggests that the tongue is the primary oral reservoir of Candida albicans in the mouth.

Adult↗