Complete dentures: an update on clinical assessment and management: part 1

Patel, Jaymit; Jablonski, Rachael Y.; Morrow, Leean A

doi:10.1038/sj.bdj.2018.866

Cited by 14 publications

(14 citation statements)

References 32 publications

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“…These factors related to denture displacement are of great importance for mandibular prostheses due to the frequently encountered retention problems 24 . The retromolar pad plays an essential role in stability and provides resistance to posterior displacement of the mandibular denture 23 . PM showed the lowest and CM showed the highest gap measurements for all locations in the mandible.…”

Section: Discussionmentioning

confidence: 99%

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Evaluation of Denture Base Adaptation Fabricated Using Conventional, Subtractive, and Additive Technologies: A Volumetric Micro‐Computed Tomography Analysis

Oğuz

Kılıçarslan

Özcan

et al. 2021

Journal of Prosthodontics

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Purpose An in vitro study to compare the adaptation of denture bases fabricated with 4 different techniques using volumetric 3‐dimentional (3D) analysis. Material and Methods Edentulous maxillary and mandibular casts were scanned, and standardized denture bases were designed using CAD design software. The same standard tessellation language (STL) data were used to produce the denture bases with 4 different fabrication methods: compression molding (CM), injection molding (IM), PMMA milling (PM), and 3D printing (3D) (n = 11/group). Milled wax denture bases were used to fabricate CM and IM groups. Denture bases placed on edentulous casts were scanned using micro‐computed tomography (micro‐CT). Volumetric gap between denture base and cast was calculated from 6 locations for maxilla (anterior ridge crest, posterior ridge crest, labial vestibule, buccal vestibule, palate, and posterior palatal seal) and 3 locations for mandible (intermolar, molar, and retromolar) in addition to overall gap measurements for edentulous arches. The data were analyzed with factorial analysis of variance (ANOVA), 1‐way ANOVA, and post‐hoc Duncan tests. Reproducibility of fabrication methods with regard to each location was assessed using Z test (α = 0.05). Results In the maxilla, the highest and lowest palatal gap measurements were recorded for CM (898.44 ± 87.73 mm3) and PM (357.16 ± 57.68 mm3) (p = 0.05). The highest gap measurements for CM and 3D were at palate and, for IM and PM were at posterior ridge crest. In mandible, the volumetric gap measurements for CM were the highest and for PM were the lowest irrespective of location (p = 0.05). PM group showed the best reproducibility and adaptation with the lowest overall mean gaps for both edentulous arches (p = 0.05). Conclusions Denture bases milled from PMMA blocks showed better adaptation than 3D printed, or wax milled and conventionally fabricated denture bases for both maxillary and mandibular arches. PMMA milling is a reproducible technique that enables the construction of accurate dentures. Clinicians should be cautious about the palatal gap when the compression molding technique is used. Micro‐CT is a valid technique for evaluating the denture base adaptation.

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Section: Discussionmentioning

confidence: 99%

“…The anatomical structure and the denture base area of the maxilla and the mandible are different 6,23 . The adaptation of denture base may vary depending on which edentulous arch the prosthesis is applied to as much as the fabrication method 6 .…”

mentioning

confidence: 99%

Evaluation of Denture Base Adaptation Fabricated Using Conventional, Subtractive, and Additive Technologies: A Volumetric Micro‐Computed Tomography Analysis

Oğuz

Kılıçarslan

Özcan

et al. 2021

Journal of Prosthodontics

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“…6 Kehilangan gigi sangat berpengaruh dengan kesehatan pasien secara langsung, salah satunya adalah pemenuhan kebutuhan gizi. 3,7 Tujuan kajian kasus ini untuk memberikan gambaran prosedur ekstraksi dengan kondisi perubahan matriks tulang posterior pada pasien lansia sebagai persiapan pembuatan gigi tiruan lengkap sesuai dengan prosedur yang telah ditetapkan serta untuk menekankan pada pembaca bahwa setelah dilakukannya pencabutan gigi, sebaiknya dilakukan prosedur rehabilitasi, sesuai dengan rencana perawatan yang dirumuskan.…”

Section: Ekstraksiunclassified

Laporan Kasus: Ekstraksi Gigi dengan Perubahan Matriks Tulang sebagai Persiapan Pembuatan Gigi Tiruan Lengkap

Shabrina

Hartomo

2021

stoma

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Patients in the elderly group have a higher risk for dental and oral health problems because in old age, caries and periodontal tissue are generally more severe and progressive. The aging process causes changes in the structure and appearance of the teeth, the oral mucosa, the decline in function salivary glands, and loss of bone minerals through bone matrix resorption. The occurrence of bone matrix resorption results in the elderly group more often experiencing tooth loss which can be exacerbated by the occurrence of periodontal disease. After tooth extraction, this condition needs to be considered by dentist so that the denture made later has good retention and stabilization and remains comfortable for the patient to use. The aim was providing an overview regarding the procedure of extraction teeth with the change of bone matrix as a preparation for the prosthodontic complete dentures treatment. A 56-year-old female patient came to RSGM Unsoed wanted to order complete dentures so that the remaining teeth shoul be extracted. Patient feels discomfort and difficulties when eating and drinking. Intraoral examination, only teeth 16 were left with gingival recession. The patient's alveolar bone condition showst ends to be flat in the edentulous posterior area. The extraction case in elderly patients must be carried out according to the right procedure with minimal trauma so as not to damage the supporting tissue around the tooth and facilitate the process of denture treatment.

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“…An accurate fit will enhance the border seal of the denture and increase retention of complete denture. 4 Overextension of denture borders can cause ulceration and pain and may impair retention. Retention and stability are also negatively influenced by short denture borders.…”

Section: Introductionmentioning

confidence: 99%

Comparative evaluation of sulcus/ vestibular depth by intraoral examination and on master cast/denture in completely edentulous cases

Parihar

Vyas

Srivastava³

et al. 2022

ijhs

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Context: Residual ridge resorption(RRR) affect the patient’s satisfaction with complete denture by decreasing the sulcus / vestibular depth, Aims: The aim of this study is to find the correlation between difference in sulcus / vestibular depth by intraoral examination and on master cast/ old denture with patient’s satisfaction from complete denture. Settings and Design: The study included old denture wearer and complete denture prosthesis made by different operators in the college. Methods and Material: The vestibular sulcus depths at 7 different sites in edentulous maxilla and 12 different sites in edentulous mandible and respective flange height in maxillary and mandibular denture were measured. Prevalidated questionnaire was used to measure the satisfaction of patients with denture. Statistical analysis used: Pearson correlation was done to find the correlation between satisfaction score and difference in sulcus / vestibular depth. Results: The difference in sulcus depth in maxilla with maxillary cast and mandible with mandibular master cast/ denture showed medium to large negative correlation with p value 0.01. The increase in difference will lead to decrease in satisfaction score of patients.

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Complete dentures: an update on clinical assessment and management: part 1

Cited by 14 publications

References 32 publications

Evaluation of Denture Base Adaptation Fabricated Using Conventional, Subtractive, and Additive Technologies: A Volumetric Micro‐Computed Tomography Analysis

Evaluation of Denture Base Adaptation Fabricated Using Conventional, Subtractive, and Additive Technologies: A Volumetric Micro‐Computed Tomography Analysis

Laporan Kasus: Ekstraksi Gigi dengan Perubahan Matriks Tulang sebagai Persiapan Pembuatan Gigi Tiruan Lengkap

Comparative evaluation of sulcus/ vestibular depth by intraoral examination and on master cast/denture in completely edentulous cases

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