A randomised bite force study assessing two currently marketed denture adhesive products compared with no‐adhesive control

Abstract

Unlike other oral care products, there are limited technologies in the denture adhesive category with the majority based on polymethyl vinyl ether/maleic anhydride (PVM/MA) polymer. Carbomer‐based denture adhesives are less well studied, and there are few clinical studies directly comparing performance of denture adhesives based on different technologies. This single‐centre, randomised, three‐treatment, three‐period, examiner‐blind, crossover study compared a carbomer‐based denture adhesive (Test adhesive) with a PVM/MA‐based adhesive (Reference adhesive) and no adhesive using incisal bite force measurements (area over baseline over 12 hr; AOB0–12) in participants with a well‐made and at least moderately well‐fitting complete maxillary denture. Eligible participants were randomised to a treatment sequence and bit on a force transducer with increasing force until their maxillary denture dislodged. This procedure was performed prior to treatment application (baseline) and at 0.5, 1, 3, 6, 9, and 12 hr following application. Forty‐four participants were included in the modified intent‐to‐treat population. AOB0–12 favoured both Test adhesive to No adhesive (difference: 2.12 lbs; 95% CI [1.25, 3.00]; p < 0.0001) and Reference adhesive to No adhesive (difference: 2.76 lbs; 95% CI [1.89, 3.63]; p < 0.0001). There was a numerical difference in AOB0–12 for Test versus Reference adhesive (−0.63 lbs; [−1.51, 0.25]); however, this was not statistically significant (p = 0.1555). Treatments were generally well tolerated. Both PVM/MA and carbomer‐based denture adhesives demonstrated statistically significantly superior denture retention compared with no adhesive over 12 hr, with no statistically significant difference between adhesives.

A randomized clinical study to assess the performance of a marketed denture adhesive in a model of food infiltration in healthy, edentulous adults

“…More participants in the no adhesive groups also reported multiple (>1) dislodgements. This is in agreement with previous studies examining the maximum incisal bite force a person can exert until denture dislodgement, which generally shows that a greater bite force is achievable when denture adhesive is used compared to no adhesive use (Axe et al, 2018 ; Jose et al, 2018 ; Varghese et al, 2019 ). Fewer denture dislodgements with the use of denture adhesive may be related to reduced movement of the denture while chewing (Tarbet et al, 1980 ) and supports the reduction in peanut particle infiltration observed in the primary analysis (Munoz et al, 2012 ).…”

“…Denture adhesives can improve these factors by creating a seal along the inner, gum‐facing denture borders. This can help improve denture fit, increase retentive hold (Hoke et al, 2017 ; Papadiochou et al, 2015 ), and reduce denture movement while chewing, which can, as a result, help with mastication and reduce infiltration of potentially irritating food particles under the denture (Axe et al, 2018 ; Gosavi et al, 2013 ; Kumar et al, 2015 ; Ozcan et al, 2005 ; Papadiochou et al, 2015 ; Varghese et al, 2019 ).…”

The effect of using denture adhesives on patient satisfaction with complete dentures; a randomized clinical trial

“…The lack of differences between the different products investigated in this study might potentially facilitate a broader selection for consumers, allowing them to choose a denture adhesive based on personal preference and product availability. This broader range of options could potentially enhance acceptance and utilization among individuals who wear complete dentures [ 29 ].…”

Change in Bite Force of Completely Edentulous Patients After Placement of Single Implant-Retained Mandibular Overdentures

“…Maximum bite force [MBF] is a significant variable to evaluate oral function (5) .It additionally impacts diet selection, which has a vital role in the maintenance of masticatory activity (6)(7) . Old age people with missing teeth avoid a fibrous diet, which is considered an essential source of fibers, proteins, and vitamins (8)(9) .…”