Evaluating problems and function of complete denture prostheses
Subject Areas : ProsthodonticsPouya Samadi 1 , Sahar Mousavi 2 , Firooz Amani 3
1 - Postgraduate Student, Department of orthodontics, Faculty of dentistry, Isfahan (Khorasgan) branch, Islamic Azad university, Isfahan, Iran
2 - School of Dentistry, Ardabil University of Medical Science, Ardabil, Iran
3 - School of Medicine, Ardabil University of Medical Science, Ardabil, Iran
Keywords: Denture, Complete, Stomatitis, Prosthodontics ,
Abstract :
Background: There is an increasing use of complete dentures with increasing age average in communities. However, patients who use denture report numerous problems when using complete dentures. This study aimed to evaluate problems and function of complete dentures among patients. Materials and Method: In this cross-sectional and retrospective study, 138 patients who had received denture 1 year ago were examined in Ardabil during 2017. Evaluated oral lesions consisted of ulcer, angular cheilitis, Stomatitis, and Epulis fissuratum. Denture function was evaluated using self-assessment questionnaire of PDA (Patient’s Denture Assessment); moreover, impaction distribution, occlusion, occlusal plane and vertical dimension of occlusion in patients were assessed. Data were analyzed through SPSS19 Software. Results: Respondents consisted of 55 (39.3%) women and 83 (59.3%) men. Age average of patients was 64.8±9.3. Age average of denture was 12.1±6.8. Mean score of denture function in terms of esthetic and speaking was 2.8±0.9, function of lower jaw (mandible) denture was 2.9±0.8, patients’ expectations was 3.7±0.7, upper jaw (maxilla) denture was 2.5±0.7, and denture importance was 2.7±0.7. Values related to prevalence of stomatitis, ulcer, angular cheilitis, and epulis fissuratum obtained to 12.3%, 9.4%, 16%, and 7.2%, respectively. There were 73 (52.9%) cases of false denture occlusion. Centric jaw relation was false 56.5%. Vertical dimension of occlusion was low in 66.6% of cases and high in 10.9% of cases. Prevalence of no retention of denture was observed in 125 cases (45.2%), and prevalence of denture base fracture and artificial teeth fracture obtained to 10.2% and 10.95, respectively. Conclusion: A considerable number of denture wearer in this study suffered from lips and mucosal lesions and patients gave an average score to denture function. Most of the patients complained about lack of denture retention. Seemingly, better design of denture and replacement of worn denture could reduce denture’s problems and improved its function.
1. Kendrick S, Wong D. Treatment options for the edentulous mandible. Dent Today. 2009;28(10):72–6.
2. Freedman GA. Contemporary Esthetic Dentistry. St. Louis: Elsevier, 2012. p. 560–74.
3. Roessler DM. Complete denture success for patients and dentists. Int Dent J. 2003;53(5 Suppl):340-5.
4. Allen PF, McMillan AS. A review of the functional and psychosocial outcomes of edentulousness treated with complete replacement dentures. J Can Dent Assoc. 2003;69(10):662.
5. Gosavi SS, Ghanchi M, Malik SA, Sanyal P. A survey of complete denture patients experiencing difficulties with their prostheses. J Contemp Dent Pract. 2013 1;14(3):524-7
6. Toheedast Arakad Z, Rezaei Nezhad L. The incidence of lesions caused by removable denture wears among the of dental faculty of Tehran university of medical sciences 2000-2001. J Islamic Dent Associat Iran 2003;15 (2): 68-74.
7. Zarb JA, Eckert S, Hobkik JA. Prosthodontic treatment foredentulous patients: Complete dentures and implant-supported prostheses.13th ed. London: Elsevier;2013.p. 43
8. Singh H, Sharma S, Singh S, Wazir N, Raina R. Problems faced by complete denture-wearing elderly people living in Jammu district. J Clin Diagnostic Res. 2014;8(12):ZC25-ZC27.
9. McCord JF, Grant AA. Prosthetics: Identification of complete denture problems: A summary. Br Dent J. 2000;189(3):128–34.
10. Shirani M, Mosharraf R, Shirany M. Comparisons of patient satisfaction levels with complete dentures of different occlusions: A randomized clinical trial. J Prosthodont. 2014;23(4):259–66.
11. Bilhan H, Erdogan O, Ergin S, Celik M, Ates G, Geckili O. Complication rates and patient satisfaction with removable dentures. J Adv Prosthodont. 2012;4(2): 109-15.
12. Komagamine Y, Kanazawa M, Kaiba Y, Sato Y, Minakuchi S. Reliability and validity of a questionnaire for self-assessment of complete dentures. BMC Oral Health. 2014;14:45.
13. Bekiroglu N, Çiftçi A, Bayraktar K, Yavuz A, Kargul B. Oral complaints of denture-wearing elderly people living in two nursing homes in Istanbul, Turkey. Oral Health Dent Manag. 2012;11(3):107-15.
14. McCord JF, Grant AA. Identification of complete denture problems: a summary. Br Dent J. 2000;189(3):128-34.
15. Fenlon MR, Sherriff M. Investigation of new complete denture quality and patients' satisfaction with and use of dentures after two years. J Dent. 2004;32(4):327-33
16. Bilhan H, Geckili O, Ergin S, Erdogan O, Ates G. Evaluation of satisfaction and complications in patients with existing complete dentures. J Oral Sci 2013;55(1):29–37
17. de Baat C, van Aken AA, Mulder J, Kalk W. "Prosthetic condition" and patients' judgment of complete dentures. J Prosthet Dent. 1997;78(5):472-8.
18. Ogunrinde TJ, Dosumu OO. The influence of demographic factors and medical conditions on patients complaints with complete dentures. Ann Ib Postgrad Med. 2012;10(2):16-21.
19. Mubarak S, Hmud A, Chandrasekharan S, Ali A. Prevalence of denture-related oral lesions among patients attending College of Dentistry, University of Dammam: A clinico-pathological study. J Int Soc Prev Community Dent 2015;5(6):506.
20. Tuominen R. Oral health in relation to wearing removable dentures provided by dentists, denturists and laboratory technicians. J Oral Rehabil. 2003;30(7):743–8.
21. Proffit WR, Fields HW Jr, Larson, BE, Sarver DM. Contemporary orthodontics.6th ed. Philadelphia: Elsevier, 2019,p. 683
22. Yoshida M, Sato Y, Akagawa Y, Hiasa K. Correlation between quality of life and denture satisfaction in elderly complete denture wearers. Int J Prosthodont. 2001;14(1):77–80.
23. Yuzbasioglu E, Kurt H, Turunc R, Bilir H. Comparison of digital and conventional impression techniques: Evaluation of patients’ perception, treatment comfort, effectiveness and clinical outcomes. BMC Oral Health. 2014;14:10
24. Nevalainen MJ, Rantanen T, Närhi T, Ainamo a. Complete dentures in the prosthetic rehabilitation of elderly persons: five different criteria to evaluate the need for replacement. J Oral Rehabil 1997;24(4):251–8.
25. Wöstmann B, Budtz-Jørgensen E, Jepson N, Mushimoto E, Palmqvist S, Sofou A, et al. Indications for removable partial dentures: a literature review. Int J Prosthodont. 2005 18(2):139-45
26. Blackman R, Barghi N, Tran C. Dimensional changes in casting titanium removable partial denture frameworks. J Prosthet Dent. 1991;65(2):309-15.
27. Vellappally S, Gardens SJ, Al Kheraif AAA, Krishna M, Babu S, Hashem M, et al. The prevalence of malocclusion and its association with dental caries among 12-18-year-old disabled adolescents. BMC Oral Health. 2014;14:123.
28. Shetty S, Zargar NM, Shenoy K, Rekha V. Occlusal plane location in edentulous patients: a review. J Indian Prosthodont Soc. 2013;13(3):142-8.
29. Nayar S, Bhuminathan S, Bhat WM, Mahadevan R. Relationship between occlusal plane and ala-tragus line in dentate individuals: A Clinical pilot study. J Pharm Bioallied Sci. 2015;7(Suppl 1):S95-7.
30. Nelson MW, Kotwal KR, Sevedge SR. Changes in vertical dimension of occlusion in conventional and microwave processing of complete dentures. J Prosthet Dent. 1991;65(2):306–8.