Decision to use denture adhesive in complete denture wearers after one-month run-in period: A quasi-experimental study

Abstract

Objectives The aim of this study was to assess two patient-based outcomes of complete denture (CD) wearers who continued or discontinued using denture adhesive (DA) after one-month run-in period of DA use. Methods This quasi-experimental study comprised 76 CD wearers. The two patient-based outcomes were oral health-related quality of life and masticatory performance, determined by the Thai-version of oral impacts on daily performances index and multiple sieve method of 20-stroke peanut mastication. Denture retention and stability were evaluated using the CU-modified Kapur criteria to classify the CD into acceptable or unacceptable quality. The outcomes were collected at 3 time points: 1) at baseline (T0), 2) after a 1-month run-in period of DA use (T1), at which time the participants decided whether to continue using DA, and 3) 1-month after continuing or discontinuing using DA (T2). Changes in the percentages of having an oral impact from T0 to T2 were evaluated using the McNemar’s test. The effect of denture quality and the decision to use DA on peanut particle size across time points were assessed using repeated measures ANOVA. The peanut particle size changes in each group between time points were evaluated using the one-way repeated measures ANOVA and Tukey post-hoc comparison test. Results The participants who continued using DA at T2 had greater oral impact reduction after the 1-month run-in period of DA use, whereas cleaning and emotional impacts emerged in those who discontinued using DA. At T1 and T2, the peanut particle size of the participants who continued and discontinued using DA was not significantly changed from T0, except for the acceptable CD wearers who discontinued using DA at T2, whose peanut particle size decreased from T0 to T2. Conclusions Baseline oral impacts and their change influenced CD wearers’ decision whether to continue using DA. However, masticatory performance did not affect the patients’ decision.

O uso do adesivo protético está associado a uma melhora no desempenho mastigatório dos usuários de próteses totais? Uma revisão sistematizada

“…Alguns estudos relatam não haver diferença quanto ao tipo de adesivo utilizado, mas sim quanto ao uso ou não do material. A efetividade da mastigação intensifica quando o adesivo é utilizado nos usuários de próteses totais convencionais (LIMPUANGTHIP NAREUDEE et al, 2022).…”

“…Conclui-se que adesivo de dentadura contribui para reduzir o movimento da dentadura e, portanto, melhorar a função mastigatória. Limpuangthip et al (2022) Os participantes que continuaram usando adesivo tiveram maior redução do impacto oral após o período inicial de 1 mês, enquanto os impactos de limpeza e emocionais surgiram naqueles que interromperam o uso. O tamanho da partícula de amendoim dos participantes que continuaram e descontinuaram o uso de adesivo não foi significativamente alterado, exceto para os usuários aceitáveis de próteses totais (CD) que interromperam o uso de adesivos para próteses dentárias (DA) em T2, cujo tamanho de partícula de amendoim diminuiu de T0 para T2.…”