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Journal of Prosthodontic Research Jan 2018Several studies reported better outcomes when restoring edentulous mandible with unsplinted IODs compared to CCDs; however, it is not clear if these outcomes remain when... (Comparative Study)
Comparative Study Meta-Analysis
PURPOSE
Several studies reported better outcomes when restoring edentulous mandible with unsplinted IODs compared to CCDs; however, it is not clear if these outcomes remain when the full literature is considered. The aim of this systematic review is to compare conventional complete dentures (CCDs) to unsplinted implant-retained overdentures (IODs) with regard to efficacy, satisfaction and quality of life.
STUDY SELECTION
The main question addressed was: How do CCDs compare to unsplinted IODs with regard to efficacy, satisfaction and quality of life? Three databases were electronically searched to identify articles comparing CCD to unsplinted IOD. Twenty-six articles were selected and reviewed in full. Of these selected articles, twenty-five compared CCDs restoring function in both arches to a maxillary CCD opposing a mandibular IOD retained by two unsplinted implants. Only one articles compared a maxillary CCDs to a maxillary IOD.
RESULTS
Outcome measures varied among the studies, including the Oral Health Impact Profile (OHIP), visual analogue scales (VAS), and masticatory performance tests. Overall, IODs were associated with significantly better patient's masticatory performance and quality of life as indicated by Oral Health as Related to Quality of Life (OHRQoL). Mandibular unsplinted IODs were more likely than CCDs to be associated with improved OHRQoL for edentulous patients and were associated with significantly higher ratings of overall satisfaction, comfort, stability, ability to speak and ability to chew.
CONCLUSIONS
Results of this systematic review indicate the superiority of IODs retained by two unsplinted mandibular implants when compared to CCDs with regards to efficacy, satisfaction and quality of life.
Topics: Dental Implants; Dental Prosthesis, Implant-Supported; Denture Retention; Denture, Complete; Denture, Overlay; Humans; Jaw, Edentulous; Mandible; Mastication; Patient Satisfaction; Quality of Life
PubMed: 28666845
DOI: 10.1016/j.jpor.2017.06.004 -
La Tunisie Medicale Dec 2023A relatively common oral health problem, gag reflex is a clinical challenge during dentures fabrication. In the current literature several techniques have been described...
A relatively common oral health problem, gag reflex is a clinical challenge during dentures fabrication. In the current literature several techniques have been described regarding this clinical condition. The latter use either psychological, pharmacological and prosthetic therapies to treat these patients. The purpose of this case report is to highlight an original prosthetic strategy which consists on a progressive lengthening of the maxillary complete prosthesis allowing a patient with acute gag reflex to adapt to the denture palatal extension.
Topics: Humans; Denture, Complete, Upper; Denture Design; Denture Retention; Reflex
PubMed: 38477203
DOI: No ID Found -
Evidence-based Dentistry Oct 2017Data sourcesMedline and Embase.Study selectionClinical reports, randomised controlled trials, controlled clinical trials and reviews about the simplified fabrication of...
Data sourcesMedline and Embase.Study selectionClinical reports, randomised controlled trials, controlled clinical trials and reviews about the simplified fabrication of complete dentures published in English were considered.Data extraction and synthesisA narrative summary is presented.ResultsEleven studies were included, seven of which were randomised controlled trials. Comparisons of time and cost, patient satisfaction, clinical effects, masticatory performance, masticatory ability and professional evaluation were undertaken. Patients' ratings for general satisfaction, OHIP-edentulous scale, denture quality or masticatory ability were no different between simplified and traditional approaches. The traditional approach was more expensive and time consuming.ConclusionsCurrent scientific evidence suggests that a simplified fabrication method can replace or partly replace the conventional method to produce dentures.
Topics: Costs and Cost Analysis; Denture Design; Denture, Complete; Humans; Mouth, Edentulous; Patient Satisfaction
PubMed: 29075022
DOI: 10.1038/sj.ebd.6401255 -
Journal of Prosthodontic Research 2023
Topics: Denture, Partial; Denture, Partial, Removable
PubMed: 37839869
DOI: 10.2186/jpr.JPR_D_23_00246 -
Primary Dental Journal Sep 2020Whilst increasing numbers of older people retain natural teeth, a sizable proportion of older people are still edentate. Replacement of missing teeth is important for...
Whilst increasing numbers of older people retain natural teeth, a sizable proportion of older people are still edentate. Replacement of missing teeth is important for function, aesthetics and to facilitate social interactions. The process of providing oral rehabilitation for edentate older adults can be challenging, but clinicians can utilise a number of treatment options including removable or implant retained prostheses. In this article, complete denture construction will be described using both conventional and copy denture techniques. Recent innovations in the process for constructing complete dentures using computer aided design and manufacturing (CAD-CAM) techniques will also be discussed. Dental implants can be used to help retain removable complete prostheses for edentate patients and the use of implant-retained overdentures is presented as a treatment alternative.
Topics: Aged; Aged, 80 and over; Computer-Aided Design; Dental Prosthesis, Implant-Supported; Denture, Complete; Denture, Overlay; Humans
PubMed: 32940588
DOI: 10.1177/2050168420943410 -
Letters in Applied Microbiology Aug 2022The United Nations suggests the global population of denture wearers (an artificial device that acts as a replacement for teeth) is likely to rise significantly by the... (Review)
Review
The United Nations suggests the global population of denture wearers (an artificial device that acts as a replacement for teeth) is likely to rise significantly by the year 2050. Dentures become colonized by microbial biofilms, the composition of which is influenced by complex factors such as patient's age and health, and the nature of the denture material. Since colonization (and subsequent biofilm formation) by some micro-organisms can significantly impact the health of the denture wearer, the study of denture microbiology has long been of interest to researchers. The specific local and systemic health risks of denture plaque are different from those of dental plaque, particularly with respect to the presence of the opportunist pathogen Candida albicans and various other nonoral opportunists. Here, we reflect on advancements in our understanding of the relationship between micro-organisms, dentures, and the host, and highlight how our growing knowledge of the microbiome, biofilms, and novel antimicrobial technologies may better inform diagnosis, treatment, and prevention of denture-associated infections, thereby enhancing the quality and longevity of denture wearers.
Topics: Anti-Infective Agents; Biofilms; Candida albicans; Dentures; Humans; Microbiota
PubMed: 35634756
DOI: 10.1111/lam.13751 -
Oral and Maxillofacial Surgery Clinics... Aug 2015Preprosthetic oral and maxillofacial surgery has changed dramatically over the last 3 decades. Surgical preparation for dentures has been displaced by site development... (Review)
Review
Preprosthetic oral and maxillofacial surgery has changed dramatically over the last 3 decades. Surgical preparation for dentures has been displaced by site development for implants. Nonetheless, there is still a role to play for several preprosthetic procedures. In this article, historical context is provided, enduring concepts are reviewed, and procedures that remain relevant are described and discussed.
Topics: Alveolar Ridge Augmentation; Dental Implants; Denture Design; Denture Retention; Esthetics, Dental; Humans; Oral Surgical Procedures, Preprosthetic
PubMed: 26231818
DOI: 10.1016/j.coms.2015.04.002 -
Dental Materials Journal Oct 2022The need for denture adhesives is increasing worldwide, but few denture-care products target denture adhesive users. Foam denture cleaners have been recently marketed to...
The need for denture adhesives is increasing worldwide, but few denture-care products target denture adhesive users. Foam denture cleaners have been recently marketed to assist brush denture cleaning, but there is a lack of objective evaluation. In this study, we compared the detergency of denture adhesives using six commercial foam-denture cleaners. For removing the adhesives, most of the tested cleaners were effective in immersion experiments, and three cleaners were more effective in the denture cleaning experiment compared to control water. However, only one could effectively remove the slime that is derived from the adhesive and detergency of artificial dirt. The surface roughnesses of the denture base and the relining material revealed that prolonged immersion in some cleaners could be affected. The results suggest that different commercial foam denture cleaners have different detergency levels, and that some cleaners may affect the properties of denture materials upon long-term use.
Topics: Adhesives; Dental Cements; Denture Cleansers; Denture Retention; Dentures; Surface Properties; Water
PubMed: 35768221
DOI: 10.4012/dmj.2022-007 -
Dental Clinics of North America Jan 2015Implant-supported removable prostheses improve patients' satisfaction with treatment and quality of life. Improvements in the implant's surface and in attachment... (Review)
Review
Implant-supported removable prostheses improve patients' satisfaction with treatment and quality of life. Improvements in the implant's surface and in attachment elements have made this treatment method very successful. However, some biological and mechanical complications remain. Mechanical complications associated with implant-supported overdentures and implant-supported removable partial dentures are loss of retention of attachment systems, the need to replace retention elements and to reline or repair the resin portion of the denture, and implant fracture. Despite their success, implant-supported removable prostheses require periodic maintenance.
Topics: Biomechanical Phenomena; Dental Prosthesis, Implant-Supported; Dental Restoration Failure; Denture Bases; Denture Rebasing; Denture Repair; Denture Retention; Denture, Overlay; Denture, Partial, Removable; Humans
PubMed: 25434567
DOI: 10.1016/j.cden.2014.08.001 -
Minerva Stomatologica Feb 2017When the patient cannot be rehabilitated with a fixed denture, or when he does not succeed in adapting to a traditional removable denture, a possible alternative... (Review)
Review
When the patient cannot be rehabilitated with a fixed denture, or when he does not succeed in adapting to a traditional removable denture, a possible alternative solution consists in the use of a limited number of implants, placed in strategic positions in the arches of the patient, and subsequently connected to their residual teeth. The aim of this review is to evaluate the progress made on connections between teeth and implants in removable denture, to analyze their advantages and disadvantages and to compare the survival rate, both of the teeth and of the implants used as abutments, present in the various studies taken into examination, with the aim of being able to evaluate the effectiveness of this rehabilitative option. The concept of preserving residual teeth, even if these are unfavorably distributed, and inserting a minimum number of implants in strategic positions, thanks to which an area of favorable support for the denture can be created, seems reasonable; this will guarantee a better adaptation of the patient to the denture, as well as an improvement in the quality of life. The study of articles present in literature suggests that the survival rate of the implants in removable dentures, supported by teeth and implants through traditional systems of anchorage, appears to be quite high. However, further studies with a higher level of evidence, more representative test subjects and a longer follow-up period are necessary, in order to confirm the validity of this rehabilitative solution.
Topics: Crowns; Dental Abutments; Dental Implants; Dental Prosthesis Design; Dental Prosthesis, Implant-Supported; Denture Design; Denture, Overlay; Denture, Partial, Removable; Equipment Failure; Humans; Jaw, Edentulous, Partially; Quality of Life; Stress, Mechanical
PubMed: 27583529
DOI: 10.23736/S0926-4970.16.03953-9