Complication rates and patient satisfaction with removable dentures

Abstract

PURPOSEThe purpose of this clinical study was to evaluate the frequency and type of prosthetic complications in relation to type and properties of removable dentures and to investigate the influence of these complications and several data about the existing dentures on patient satisfaction.MATERIALS AND METHODSNinety nine patients (44 males and 55 females) wearing removable dentures have been included in the study. The complications of the patients were recorded; patient satisfaction was determined with a Visual Analog Scale (VAS) and the relationship of complications and patient satisfaction with several data about the dentures such as denture age, type of denture, centric relation and vertical dimension was investigated. Kruskal Wallis, Mann Whitney U and Chi square tests were used for statistical analyses. The results were evaluated statistically at a significance level of P<.05.RESULTSNeed for addition of artificial teeth for dentures with correct centric relations was found to be significantly lower than dentures with wrong centric relations (P<.01). Loss of retention, ulcerations and high vertical dimension affected the VAS chewing ability scores negatively and ulcerations affected the VAS phonation scores negatively (P<.05).CONCLUSIONConsidering the results of this study, it can be concluded that loss of retention, ulcerations and high vertical dimension caused patient dissatisfaction. Additionally, dentures with wrong centric relations caused need for addition of artificial teeth.

Evaluation of satisfaction and complications in patients with existing complete dentures

“…The denture has to be constructed so that the border conforms to the shallowest point that the sulcus reflection reaches during normal function. This means that for some of the time when the patient is at rest, the denture will be slightly underextended (1,5). The results of the present study showed that ulceration caused dissatisfaction and difficulties while speaking.…”

“…It should not mechanically traumatize the mucosa, or interfere with the normal function of the tongue, lips and cheeks, thus impairing the retention of the denture, and should not interfere with esthetics or speech (1,48). An overbulked denture base may make it difficult for the cheek muscles to position the food bolus between the teeth, and interfere with lip movement during speech (48).…”

“…The increase in the prosthetic restorations of elderly individuals due to longer life expectancy means that the demand for prosthodontic treatment will increase in the next few decades due to a higher frequency of edentulism, even in countries with a high standard of dental health care (1). Reports issued by the World Health Organization have indicated that the incidence of edentulism in individuals older than 65 years was 58% in Canada in 1993, 36% in Finland in 1997, and 46% in the United Kingdom in 1998 (2).…”

Clinical Performance of Removable Partial and Complete Dentures at a Speciality Dental Clinic, Hyderabad: A Retrospective Study

“…Our findings are similar to that of Bilhan H who found ulceration in 47 of 99 patients (47.5 %). [4,7,8] Hence, the quality of the prosthetic treatment will affect oral health. This clinical study was designed to collect information about the various complications such as fracture of denture base or other components, the need for relining, the need for repair of artificial teeth, and to evaluate their possible relation with denture type and several properties of the dentures.…”

“…The main problems that patients encounter after insertion of the removable dentures are loss of retention, ulcers, denture stomatitis, loss of artificial teeth, epulis fissuratum, fractured denture base etc. [4][5][6] Failure of dentures will affect oral health and in turn the quality of life. There are only few studies reported evaluating complications after treatment with removable dentures.…”