The effect of controlled oral hygiene in overdenture wearers

Abstract

The effect of controlled oral hygiene was studied in 40 patients treated with immediate complete overdentures in one or both jaws. Before prosthetic treatment conservative periodontal treatment was conducted with intensive instruction and motivation in oral hygiene care. Caries and periodontal status were recorded before and 2-4 weeks (day 0), 6 months, and 12 months after prosthetic treatment. However, the patients were seen more frequently for motivation and professional tooth cleaning. The material included 44 overdentures with a total of 92 abutments, with 1-4 abutments in each jaw. Before treatment the overall mean plaque index score was 1.43 +/- 0.68 and the overall mean gingival index score 1.57 +/- 0.53, and on day 0 and after 6 and 12 months the overall mean PlI score was 0.33-0.65 and the overall mean GI score 0.67-0.97. Adjacent to the abutments there was a significant reduction of the PlI and the GI scores from before treatment to day 0 and from day 0 to 6 months after prosthetic treatment (P less than 0.001). There was a significant reduction of pocket depth from day 0 to 6 months and from 6 to 12 months (P less than 0.01). The results of this study have shown that it is possible to maintain teeth as abutments for overdentures in patients with an initial poor dental status.

Peri‐implant tissue health in reconstructed atrophic maxillae—report of 88 patients and 470 implants

“…In our findings overdentures had more bleeding on probing (45%) in contrast to patients with partial bridges (36·8%) and full bridges (22·1%). Other studies show also a high bleeding score with overdentures on natural teeth ( Budtz‐Jörgensen, 1991). Despite patient selection and motivation the ability of patients with regards to oral hygiene is different.…”

“…A similar effect of motivation was observed in a clinical study of patients with overdentures supported by natural teeth. Hussey & Linden (1986) and Budtz‐Jörgensen (1991) showed large individual differences in plaque‐scores in patients which were strongly related to their motivation.…”

Improving oral hygiene in the long‐term care of the elderly—a RCT

“…Others have investigated the effect of regular professional denture and teeth cleaning on hygiene indices, body temperature, and pathogens. Improvements of hygiene indices, reduction of the number of days with pyrexia, and reduced prevalence of, for example, candida, lactobacillus, and other organisms were observed; it was also found that professional dental intervention can improve oral health indicators . Although these studies yielded promising results, there is a lack of clinical randomized controlled trials comparing the success and effectiveness of the different approaches used to improve oral hygiene; such studies could help to clarify this topic.…”

Treatment results with immediate overdentures: An evaluation of 4.5 years

“…Many patients, however, were reluctant to come so often because they had no evident problems and were not used to visiting the dentist regularly. Other studies have the same disappointing results, especially in the absence of a strict maintenance protocol.1 [26][27][28] The results regarding the Dyna magnetic attachments were disappointing; most were lost or in a bad condition. "Wear" of the magnet cover often occurred, which lead to cracks and the loss of magnets.…”