Evaluating problems and function of complete denture prostheses
Subject Areas : Prosthodontics
Keywords: Complete denture, Dental prosthesis, Patient satisfaction, edentulous ,
Abstract :
Background: The use of complete dentures is increasing as the average age in communities rises. Dentures might cause various problems in some patients. This study aimed to evaluate the challenges and functionality of complete dentures among these patients. Materials and Method: This cross-sectional retrospective study, examined 138 patients who received dentures last year (55 women and 83 men) with a mean age of 64.8±9.3. Oral lesions and denture function were evaluated using a self-assessment questionnaire based on the Patient’s Denture Assessment. Additionally, distribution of impaction, occlusion, occlusal plane, and vertical dimension of occlusion in patients were assessed. Data were analyzed by using Chi-square and student t-test (p < 0.05). Results: The average age of dentures was 12.1±6.8. Mean scores for denture function included: esthetic and speech 2.8±0.9, lower jaw function 2.9±0.8, patients’ expectations 3.7±0.7, upper jaw was 2.5±0.7, and denture importance 2.7±0.7. Prevalence rates were 12.3% for stomatitis, 9.4%ulcers, 16%angular cheilitis, and 7.2% for epulis fissuratum. False denture occlusion occurred in 52.9% with false centric jaw relation in 56.5%. The vertical dimension of occlusion was low in 66.6% of cases and high in 10.9% of cases. Inadequate denture retention was seen in 45.2%, with the denture base fracture and artificial teeth fractures at 10.2% and 10.95, respectively. Conclusion: In this study, patients noted average denture function and experienced lip and mucosal lesions. The main complaint was poor denture retention. Improved design and replacement of worn dentures could enhance function and reduce problems.