Bilateral balanced occlusion compared to other occlusal schemes in complete dentures: A systematic review

Lemos, Caa; Verri, Fellippo Ramos; Gomes, Jml; Júnior, J. F. Santiago; Moraes, Sandra Lúcia Dantas de; Pellizzer, Eduardo Piza

doi:10.1111/joor.12607

Cited by 29 publications

(56 citation statements)

References 37 publications

(199 reference statements)

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“…However, our findings regarding the superiority of FBBO to PGFO were in contrast to the findings in some other studies . Furthermore, according to two new systematic reviews, evidence is insufficient to draw a definite conclusion in this regard and calls for long‐term clinical trials in this field …”

Section: Introcuctioncontrasting

confidence: 99%

“…Controversy exists regarding the effect of occlusal scheme as a prosthesis‐related factor on patient satisfaction with CCD. To date, different types of occlusal schemes have been investigated to find the occlusion of choice for CCDs . While the conventional prosthodontic wisdom prefers the balanced occlusion to non‐balanced schemes, some studies did not verify this finding .…”

Section: Introcuctionmentioning

confidence: 99%

“…Studies on balanced occlusal schemes have reported variable results. Some such studies indicated the superiority of lingualised occlusion (LO) compared with fully bilateral balanced occlusion (FBBO) . On the other hand, a few studies found similar results for LO and FBBO .…”

Section: Introcuctionmentioning

confidence: 99%

“…Duration of follow‐up is often variable among different studies. Most previous studies followed up the CCD wearers from 2 weeks to 3 months and rarely for up to 6 months …”

Section: Introcuctionmentioning

confidence: 99%

“…To date, different types of occlusal schemes have been investigated to find the occlusion of choice for CCDs. 11,12 While the conventional prosthodontic wisdom prefers the balanced occlusion to non-balanced schemes, some studies did not verify this finding. 2,6,[13][14][15] Studies on balanced occlusal schemes have reported variable results.…”

Section: Intro Cuc Ti Onmentioning

confidence: 99%

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Patient satisfaction with occlusal scheme of conventional complete dentures

Moradpoor

Salari

Mosharraf

et al. 2019

J of Oral Rehabilitation

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Occlusal scheme is a controversial topic that has been linked to patient satisfaction with conventional complete dentures (CCDs). This study aimed to compare the patient satisfaction with CCDs with four different occlusal schemes namely the lingualised occlusion (LO), buccalised occlusion (BO), fully bilateral balanced occlusion (FBBO) and partially group function occlusion (PGFO). In this clinical study, new CCDs were made for 121 patients; out of which, 97 patients (mean age of 57.87 ± 9.5 years) completed the 1‐year follow‐up. The CCD wearers were followed up at 1 month, 3 months and 1 year after CCD delivery. Data were collected via an interview and recorded in a checklist by a blinded examiner. The checklist included the demographic variables, the 19‐item version of Oral Health Impact Profile for Edentulous Patients (OHIP‐EDENT), and seven 100‐mm line visual analogue scales (VASs) to assess the items related to patient satisfaction. The Kruskal‐Wallis and Friedman tests followed by post hoc tests were used to compare the variables among the 4 groups and between the 3 follow‐ups. P‐value ≤ .05 was considered statistically significant for all tests. The patients with BO presented higher satisfaction scores for comfort, stability and retention at the 1‐year follow‐up compared with PGFO. Both PGFO and FBBO groups had higher physical pain scores compared with BO and LO. The psychological discomfort scores of FBBO group were significantly higher than those in LO group. Pairwise comparisons revealed no significant differences in the general patient satisfaction and total OHIP‐EDENT scores between the 4 groups. For most items, within‐group analysis showed significant improvement of the satisfaction scores and reduction of domain scores over time.

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Section: Introcuctioncontrasting

confidence: 99%

Section: Introcuctionmentioning

confidence: 99%

Section: Introcuctionmentioning

confidence: 99%

“…Duration of follow‐up is often variable among different studies. Most previous studies followed up the CCD wearers from 2 weeks to 3 months and rarely for up to 6 months …”

Section: Introcuctionmentioning

confidence: 99%

Section: Intro Cuc Ti Onmentioning

confidence: 99%

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Patient satisfaction with occlusal scheme of conventional complete dentures

Moradpoor

Salari

Mosharraf

et al. 2019

J of Oral Rehabilitation

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Maintaining occlusal stability by selecting the most appropriate occlusal scheme in complete removable prosthesis

Sabir

Regragui

Merzouk

2019

Japanese Dental Science Review

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The search of an adequate occlusal scheme that maximizes dentures’ stability and patients’ satisfaction is an ultimate objective in every complete prosthodontic treatment. Many studies compared occlusal schemes in terms of retention, comfort and masticatory performance. The purpose of this article is to review literature about different occlusal schemes related to complete dentures’ stability and edentulous patients’ satisfaction, in order to select the most appropriate occlusal scheme. Thus, an electronic search was performed from PubMed (MEDLINE), Scopus, Cochrane, Google Scholar and Sciencedirect databases. 65 articles were identified of which 56 were selected to compose the present article. Within the limitations of this review, it has been concluded that edentulous patients prefer anatomic occlusal schemes to non-anatomic teeth. Furthermore, canine guidance seems to be efficace in terms of chewing comfort and dentures’ retention, as well as lingualized occlusion. However, bilateral balanced occlusion does not confer a long-term masticatory performance and satisfaction to edentulous patients.

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