scholarly journals Prevalencia del Síndrome de Combinación y sus factores asociados en la Clínica de la Facultad de Odontología de la Universidad de Cuenca, periodo 2015-2016

2020 ◽  
Vol 12 (1) ◽  
pp. 25-29
Author(s):  
Brian Andrés García Orellana ◽  
María de Lourdes León Vintimilla ◽  
Martha Alejandra Cornejo Córdova ◽  
Verónica Cecibel Chamba Montaño

BACKGROUND: The set of pathological changes in the stomatognathic system in the presence of a total maxillary prosthesis and a removable partial mandibular prosthesis has been described as the Combi-nation Syndrome. The main purpose of this study was to determine its prevalence and if features such as age, sex or type of mandibular edentulism are associated with the syndrome in the patients of the Odon-tologic Clinic of the of Faculty of Dentistry, Universidad de Cuenca during the academic period 2015-2016. METhODS: Cuantitative, cross sectional descriptive and correlational study. The sample consisted of 312 edentulous patients. The diagnosis of the syndrome in this study was determined by the presence of a minimum of three associated signs. We determine the prevalence of combiantion syndrome and the association between sex, age and edentulism type and combination syndrome. RESUlTS: The prevalence of combination syndrome is 21.8%. Adults 60 years or older (1.8 times higher probability) and patients who suffer from Kennedy class I partial edentulism (3.6 times higher probability than other types of edentulism), have a higher probability for developing the syndrome. CONClUSiON: The prevalence of CS was 21.8%, age and suffering from Kennedy class I partial edentulism should be considered as risk factors for developing the syndrome. KEYWORDS: PARTIAL DENTURE, COMPLETE DENTURE, PREVALENCE, EDENTULOUS JAW.

Author(s):  
Guilherme Andrade Meyer ◽  
Francisco Oliveira Júnior ◽  
Luciana Valadares Oliveira ◽  
Bruno Peixoto de Souza ◽  
Felipe Vilasboas Rodrigues ◽  
...  

The construction of a removable partial denture (RPD) aims the replacement of lost dental units, incorporating them into the stomatognathic system, without harming the biomechanical balance. Besides, there is a great challenge today, of combining function and esthetics. The difficulty in achieving esthetic harmony by the presence of metal clasps on labial surfaces of anterior teeth justify studies aimed at solving this problem in the RPDs. There is still the fact that this procedure is simpler and less costly for the patient compared to other treatment options. Therefore, this study presents esthetic solutions for RPD and suggests the comparison among conventional metal clasps on buccal retainers with clips in the palatal area, through three clinical cases of patients with partial absence of anterior dental units. Two prosthetic pieces for each patient were made: 1) prioritizing only the biomechanical principles and 2) considering both the biomechanical and cosmetic principles. It was observed that MDL and Quereilhac clasps are viable alternatives to get esthetics in RPDs of anterior edentulous patients with Class III and IV of Kennedy. Therefore, it can be concluded that there was an improvement in smile of individuals partially edentulous in the anterior region, by not viewing the metal structure on the buccal area of the teeth.


2021 ◽  
Vol 15 (12) ◽  
pp. 3488-3490
Author(s):  
Amna Masood ◽  
Muhammad Shakeel Akram Khawaja ◽  
Nafeesa Abdullah ◽  
Noor Tarim Fahim

Objective: The aim of this study was to find out the role of depression in complete denture dissatisfaction and to determine frequencies of depression among the satisfied and dissatisfied patients. Study design: A cross sectional survey was carried out at Department of Prosthodontics, De’Montmorency College of Dentistry. Punjab Dental Hospital. The sample size was 80 edentulous patients having adequate maxillary and mandibular ridges. Methodology: The patients selected would be wearing complete dentures for the first time. All dentures were carefully designed. A socio-demographic form and depression rating questionnaire was filled by every participant involved in the study. After six months, satisfaction or dissatisfaction with the provided complete denture set was assessed through a separate questionnaire. The patients’ opinion concerning satisfaction with their dentures and depression was recorded and statistical analysis done. The results showed that 36.25% depressed versus 63.75% non-depressed. 28.75% were dissatisfied versus 71.25% satisfied. Conclusion: It was concluded that depression played a significant role in decreasing the satisfaction rating in first time denture wearers. Keywords: Depression, dissatisfaction, complete dentures,


2020 ◽  
Vol 71 (5) ◽  
pp. 265-282
Author(s):  
Simina Gaman ◽  
Cristina Maria Bortun ◽  
Monica Scrieciu ◽  
Veronica Mercut ◽  
Roxana Maria Pascu ◽  
...  

Removable partial denture are prosthetic solutions that replace missing teeth of partially edentulous patients, ensuring stomatognathic system functionality with affordable costs.The purpose of this study is to analyze the dimensional variations caused by the execution errors, which can lead to premature deterioration of the removable partial dentures and to conclude what sizes are deficient and can lead to the deterioration of the prosthetic part. The material involved in the present study was represented by the metal framework of 181 removable partial dentures. Of the total of 181 removable prosthetic parts, 88 were maxillary prostheses and 93 were mandibular prostheses. Measurements were made at the retentive arms, opposing arms, minor connectors, rests and junction areas between the body of the clasps and the active arms and studied compared to the edentulous classes. The results are focused on dimensional changes of both the retentive arms and the opposing arms of the clasps, which are roughly modeled in the first 3 edentulous classes, with a significant difference from those achieved in Kennedy`s 4th class edentulous, where these segments of the clasps are much shorter. Regarding the size of the rests, although their thickness approximates the values indicated in the literature, they do not fit into the occlusal relief of the tooth. The length of the retentive arms varies according to the classes of edentulous, the clinical situation, but also the size and type of the tooth (premolars, molars) on which the clasp is applied. Regarding the opposing arm, the observed differences cannot be correlated with the objective criteria of their achievement because the attention is directed towards the realization of the retentive arm.


2021 ◽  
Vol 14 (1) ◽  
pp. 43
Author(s):  
Kartika Kajal ◽  
Masoud Mohammadnezhad ◽  
Gowri Sivaramakrishnan ◽  
Kritesh Bhai ◽  
Sabiha Khan

BACKGROUND: Wearing dentures helps rehabilitate the oral health status for the older people. Due to lack of previous data, this objective of this study was to determine the level of utilization and satisfaction of complete denture treatment at dental clinics in Fiji. MATERIALS & METHODS: A cross sectional descriptive study was conducted on 85 edentulous patients and dentures at the Fiji National University (FNU) teaching dental clinic from 2010-2016.Patients who utilized the dentures fabricated at FNU and identified as complete denture patients from 2010-2016 were included in this study. Data was collected using the denture assessment form and Oral Health Impact Profile for Edentulous Patients (OHIP-EDENT) questionnaire. Correlation test was done and p less than 0.05 was considered as level of significance. RESULTS: Participants were between the age range of 40-79 years with majority being male (54%). Greater level of satisfaction noted among 60-69 years male participants and those wearing the dentures for 3-4 years than other groups. Difficulty in chewing (40%) and food catching underneath the denture (33%) were common denture related complains. One thirds of participants reported of uncomfortable dentures while 24% had sore spots due to their dentures. More than two thirds of them, (71%) were unable to eat and enjoy food and for most patients, the vertical dimension (94%), esthetics assessment (94%), tooth selection (91%), boarder extension (78%), posterior seal (99%) and centric relation (99%) were acceptable. Patients with acceptable vertical dimension (46.1±7.6), acceptable esthetics (45.8±7.9) and boarder extension (48.0±7.2) showed greater satisfaction level compared to those with unacceptable denture characteristics. CONCLUSION: This study highlighted that satisfaction among recent denture wearers was low and majority participants portrayed poor understanding regarding denture aftercare and hygiene. It can be recommended for the teaching institutes and dental clinics to evaluate the quality of treatments and help to improve the quality of services being provided to the patients. Further study is needed to determine the in- depth perceptions of denture wearers. It also can be recommended for the patients to take heed of the post operative denture hygiene instructions being given.


2021 ◽  
Vol 4 (1) ◽  
pp. 35-40
Author(s):  
Charfi Nihel ◽  
Ouni Imed ◽  
Mansour Lamia ◽  
Trabelsi Mounir

Management of partially edentulous patients can still be a prosthodontic challenge especially for extensive maxillary Kennedy Class I. Replacing the missing teeth using conventional fixed and removable partial dentures (FPD/RPDs) associated with extracoronal attachments remains sometimes the only remedy for partial edentulism. The use of osseointegrated dental implants turn the possibilities of prosthetic reconstruction endless, but what about patients with absolute contraindication of surgery. It is therefore the objective of this article to describe the treatment sequence and technique for the use of attachments in therapy combining FPD/RPD.


2018 ◽  
Vol 25 (07) ◽  
pp. 1034-1040
Author(s):  
Farzana Memon ◽  
Diya Ram Khatri ◽  
Salwa Memon

Objectives: This study was carried out to assess the clinical evaluation of thepreference for prosthodontics treatment modalities in the patients visiting at the Welfare OPD,Isra Dental College, Hyderabad. Study Design: Cross sectional study. Setting: Welfare OPD,Department of Prosthodontics at Isra Dental College, Hyderabad. Period: Six months, from Jan,2016 to June, 2016. Materials and Methods: The study comprised of 191 patients belongingto both genders ranging in age from 10 years to the 60+ years, divided into six groups. Dataanalysis by distribution was performed according to the various kinds of prosthesis, includingremovable partial denture, removable complete denture, fixed partial denture, repair of RPD,immediate denture, lower CD & upper PD, obturator, upper CD & lower PD, relining of dentures,splints, over denture and provisional restorations. Data was analyzed via SPSS version 21.Descriptive statistics such as percentage, frequency distribution, cross tabulation and descriptivewere included in Data analysis. The level of significance was set at <0.05%. Results: This studyrevealed that the most of the patients were fell in group IV (41-50 years), which represents28.3% and the most common treatment were given RPD restoration (49.2%), followed by FPD(22.5%). Majority of the patients were prefer the RPD as 32 (34.0%) and 27 (28.7%) from the agegroup IV and III respectively while 13 (13.8%) patients were prefer RPD and 13 (30.8%) patientswere prefer FPD from the age group II. Out of 191 patients, 47 (50.0%) Males and 47 (50.0%)Females as well prefer the RPD while 26 (60.5%) females and 17 (39.5%) males were preferFPD as treatment modalities. Younger female patients preferred the FPD while with the increaseof age both genders prefer removable prosthesis. Conclusion: This study concludes that inthe treatment modalities, mostly patients preferred the removable partial denture, provisionalrestorations and removable complete denture. Younger patients preferred fixed partial dentureand removable partial denture as well.


2019 ◽  
Vol 18 ◽  
pp. e191414
Author(s):  
Laura Lourenço Morel ◽  
Anna Paula da Rosa Possebon ◽  
Fernanda Faot ◽  
Luciana de Rezende Pinto

Aim: The prevalence of denture stomatitis and the relationship with its risk factors was evaluated via secondary data from 62 complete denture (CD) wearers, between 2015 and 2017. Methods: The data was stored in an Excel database and was analyzed using the statistics software STATA/SE 12.0. A descriptive analysis was performed taking into account a categorization of the clinical variables according to risk factor in 4 domains:  CD usage, systemic health, hygiene habits, and usage habits. The association amongst the denture stomatitis and risk factors variables was tested by the Chi-square test and the results were statistically significant at p-values <0.05. Results: The CD wearers participants were composed by a majority of elderly (80.64%) and women (72.78%); with 45.16% having been using the current denture for more than 10 years and another 74.19% related a continuous usage. Diabetes and hypertension were related by 83.87% and 67.74%, respectively, with 87.10% using medication. Although 75.80% reported cleaning their dentures 3 times per day or more, and 59.68% considered their oral hygiene very good, 50% of the complete dentures showed dirtiness and clinical signs of Denture Stomatitis were present in 30.64% of the patients. Despite of the evaluated sample shows many risk factors for the development of the disease, an association between the variables was not observed. Conclusion: Considering the high prevalence of the disease in the studied sample, preventive and educational measures on denture usage and hygiene must be reinforced in order to maintain the oral health of the edentulous patients.


Author(s):  
Rajesh Akula ◽  
H. P. Srinath ◽  
Sohani Maroli ◽  
Siva Kiran Babu Yarlagadda ◽  
D. Uday Kiran Tej ◽  
...  

Aims: The aim of this study is to evaluate the rugae pattern changes (rugae number, length, shape, direction, and unification) in completely edentulous patients treated with complete denture. Materials and Methods: A total of 100 subjects were selected for the study. The experimental group comprised 60 participants (30 males and 30 females) who had undergone complete denture treatment and the control group comprised 40 participants (20 males and 20 females) who were dentulous and patients with fixed partial denture treatment. Mucostatic maxillary alginate impressions were made for all the subjects, and casts were poured with gypsum. Patients were recalled at the regular intervals of 1, 6, and 18 months after the treatment. During those recalls, the same impression procedure was made, and all the palatal rugaes were observed for number, length, shape, direction, and unifications under magnifying lens. Changes in the palatal rugae were statistically analyzed using the unpaired t‑test. Results: A gradual decrease in the length was observed in primary, secondary, and fragmentary rugae for the experimental group after denture wearing (Group 1). Statistically, the change was significant (P < 0.001) in primary rugae only. A slight change in rugae shape was also observed in the experimental group after 18 months period of denture wearing which is statistically insignificant (P > 0.05). Conclusions: Significant decrease in primary rugae length in complete denture wearers was due to sustained mechanical stress posed by the dentures on palatal rugae. The other parameters such as rugae number, direction, and unification remained constant throughout the study. Palatal rugae analysis may not be helpful for human identification in complete denture wearers. Nevertheless, palatal rugae may serve as an adjuvant to other techniques such as DNA analysis and finger prints in forensic investigations.


Crisis ◽  
2016 ◽  
Vol 37 (2) ◽  
pp. 130-139 ◽  
Author(s):  
Danica W. Y. Liu ◽  
A. Kate Fairweather-Schmidt ◽  
Richard Burns ◽  
Rachel M. Roberts ◽  
Kaarin J. Anstey

Abstract. Background: Little is known about the role of resilience in the likelihood of suicidal ideation (SI) over time. Aims: We examined the association between resilience and SI in a young-adult cohort over 4 years. Our objectives were to determine whether resilience was associated with SI at follow-up or, conversely, whether SI was associated with lowered resilience at follow-up. Method: Participants were selected from the Personality and Total Health (PATH) Through Life Project from Canberra and Queanbeyan, Australia, aged 28–32 years at the first time point and 32–36 at the second. Multinomial, linear, and binary regression analyses explored the association between resilience and SI over two time points. Models were adjusted for suicidality risk factors. Results: While unadjusted analyses identified associations between resilience and SI, these effects were fully explained by the inclusion of other suicidality risk factors. Conclusion: Despite strong cross-sectional associations, resilience and SI appear to be unrelated in a longitudinal context, once risk/resilience factors are controlled for. As independent indicators of psychological well-being, suicidality and resilience are essential if current status is to be captured. However, the addition of other factors (e.g., support, mastery) makes this association tenuous. Consequently, resilience per se may not be protective of SI.


Crisis ◽  
2019 ◽  
Vol 40 (2) ◽  
pp. 134-140 ◽  
Author(s):  
Christopher R. DeCou ◽  
Stephanie P. Kaplan ◽  
Julie Spencer ◽  
Shannon M. Lynch

Abstract. Background and Aim: This study evaluated trauma-related shame as a mediator of the association between sexual assault severity and perceived burdensomeness and thwarted belongingness. Method: A total of 164 female undergraduates who reported attempted or completed sexual assault completed self-report measures of sexual assault, trauma-related shame, perceived burdensomeness, and thwarted belongingness. Results: Using path analysis, trauma-related shame mediated the association between sexual assault severity and perceived burdensomeness, and between sexual assault severity and thwarted belongingness. Limitations: The findings of this study are limited by the retrospective, self-report, and cross-sectional nature of these data, and do not allow for causal inference. Conclusion: Trauma-related shame warrants additional investigation as a mechanism that explains the association between sexual assault and psychosocial risk factors for suicidal ideation and behavior.


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