Periodontal health of prosthodontic patients should be maintained to support the succeed of prosthodontic treatment.The purpose of periodontal preparation i.e. examination and diagnose of periodontal disease/condition and itstreatment; the need of preprosthetic periodontal surgery is to support the succeed of prosthodontic treatment. It’sincluded the quality, quantity, and topography of periodontium and alveolar mucosa, occlusal traumatism, toothmobility, and the need of mucogingival surgery, crown lengthening, ridge augmentation etc. The prosthetic proceduresshould be done with fully aware of the periodontal health i.e. the roughness of denture surface, the place and conditionof marginal restoration, contact point, and improper the contour of restoration. It is concluded that to support thesucceed of prosthodontic treatment, periodontal preparation should be planned and carried out before prosthodonticprocedures.
How to cite this article: Budiman L, Masulili C, Ariani N. Can denture wearing increase the nutritional status in preelderly and elderly patients?. Pesqui Bras Odontopediatria Clín Integr. 2020; 20:e5679.
Introduction: Tooth loss can disrupt masticatory ability and often impacts a patient's general health and quality of life. Among the variety of means to classify tooth loss, the Kennedy's classification is perhaps the most popular. The use of removable partial denture made of acrylic, based on Kennedy's classification of tooth loss may restore oral function and is therefore expected to increase patient's masticatory ability. However, not all patients wearing a denture show improved masticatory ability after using removable partial denture. Material and methods: A cross-sectional study was conducted on 30 patients at the Rumah Sakit Khusus Gigi dan Mulut, Faculty of Dentistry, University of Indonesia (subjects aged 20 years and over), who used only a removable partial denture. Subjects' data were obtained, and an interview to assess masticatory ability was conducted. Results: There was a significant impact (p = 0.00) of using a removable partial denture on tooth loss based on Kennedy's classification of masticatory ability. Kennedy classes 1 and 2, classes 2 and 3, and classes 2 and 4 removable partial dentures had a significant impact on masticatory ability. There was no significant difference between sociodemographic factors (age, gender, educational level, and income level) on tooth loss and masticatory ability. Conclusion: The use of removable partial dentures based on Kennedy's classification may increase patient's masticatory ability.
Objective: To analyze the efficacy of retraction cord with a hemostatic agent in comparison with retraction paste on lateral gingival displacement, to achieve the success of fixed dental prostheses (FDP). Material and Methods: Test samples included 32 teeth that required treatment with metal-porcelain FDP at RSKGM FKG Universitas Indonesia. Impressions were taken before the gingival retraction procedure. From the 32 samples, 16 teeth were retracted using a combination of retraction cord and hemostatic agent, whereas the other half were retracted with retraction paste. Impressions were then taken. The sample was made using cutting die. Lateral gingival displacement width was measured on die-cast using an optical microscope. Results: The mean value of group A before gingival retraction was 0.1695 mm, and after gingival retraction was 0.4705 mm. The mean value of group B before gingival retraction was 0.1767 mm, and after gingival retraction was 0.3289 mm. Lateral gingival displacement width between a combination of cord retraction and hemostatic agent group in comparison with the retraction paste group showed a significant difference (p<0.001). The combination of cord retraction and hemostatic agent group showed higher mean value. Conclusion: Gingival displacement width as a result of cord retraction with the hemostatic agent was larger compared to the retraction paste. Even though both of them are still considered to be effective in providing access for impression material.
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