scholarly journals DIGITAL OCCLUSAL ANALYSIS AND ORAL HEALTH-RELATED QUALITY OF LIFE OF PATIENTS WITH 3D PRINTED COMPLETE DENTURES VERSUS CONVENTIONAL DENTURES

2021 ◽  
Vol 9 (12) ◽  
pp. 210-221
Author(s):  
Hisham S.El Gabry ◽  
◽  
Sherihan M. Eissa ◽  
Mohamed A. Abuheikal ◽  
◽  
...  
Keyword(s):  
Oral Health ◽  
Health Impact ◽  
Complete Dentures ◽  
Occlusal Force ◽  
Group I ◽  
Related Quality ◽  
Cad Cam ◽  
3D Printed ◽  
Group Ii ◽  
Edentulous Patients

Background: 3D printed complete dentures fabrication with computer-aided designing and computer-aided manufacturing (CAD/CAM) techniques is becoming popular nowadays. However, studies that analyzed the occlusal forces distribution using recent digital methods as T-scan III and further evaluated the dentures effect on patient`s life quality were lacking. Objectives: Evaluation of the occlusal forces distribution using T-scan III, and evaluation of the oral health-related quality of life (OHRQoL) using Oral Health Impact Profile for Edentulous Patients (OHIP-EDEN) questionnaire for 3D printed complete dentures and comparing it with conventional denture fabrication techniques. Methods: Twenty completely edentulous patients were selected and divided randomly into two equal groups according to manufacturing technique group I (patients who received conventional complete dentures), and group II (patients who received 3D printed complete dentures). For all patients, occlusal force analysis (percentage of applied occlusal force on both sides) was performed using the T-Scan III (digital occlusal analysis system). Also, OHRQoL was assessed using (OHIP-EDENT) questionnaire. Results: In the digital occlusal analysis, comparison between right and left sides regarding occlusal forces distribution revealed a significant difference in group I (conventional denture), while in group II (3D printed denture), it revealed an insignificant difference. Regarding, OHIP-EDENT patients in group I (conventional denture) revealed higher scores than group II (3D printed dentures). Also, the correlation between occlusal forces & (OHIP-EDENT) scores revealed a strong negative significant correlation. Conclusions: The 3D printed complete dentures fabricated using CAD/CAM technology proved to be more superior over conventional methods in terms of digital occlusal force analysis and Oral Health Impact Profile for Edentulous Patients (OHIP-EDENT). However, further studies are required on more patients to decide the exact superiority of one technique over the other after long-term follow-up periods.

scholarly journals MICROBIOLOGICAL ASSESSMENT OF CAD/CAM FABRICATED DENTURES & ITS CORRELATION WITH SURFACE PROPERTIES: A RANDOMIZED CLINICAL TRIAL

2021 ◽  
Vol 9 (11) ◽  
pp. 486-497
Author(s):  
Mohamed A. Abuheikal ◽  
◽  
Sherihan M. Eissa ◽  
Hisham S. El Gabry ◽  
◽  
...  
Keyword(s):  
Surface Roughness ◽  
Surface Properties ◽  
Complete Dentures ◽  
Group Iii ◽  
Group I ◽  
Significant Difference ◽  
Computer Aided ◽  
Cad Cam ◽  
3D Printed ◽  
Group Ii

Background: Computer-aided design and computer-aided manufacturing (CAD-CAM) techniques have lately become a popular treatment option for complete dentures fabrication. The two principal CAD-CAM techniques milling and 3D printing used in complete dentures construction have been approved and documented in showing clinically good results. Surface characteristics of dentures fabricated by these new techniques have a great effect on microbiological adherence to denture fitting surfaces. Aim: As other clinical trials and/or in-vitro studies evaluating the microbiological effect and its correlation with the surface roughness of the two advanced manufacturing techniques and comparing it with the conventional technique are lacking. Thus, this study aimed to further assess the microbiological and surface properties of different widely used denture base materials. Methodology: Thirty-six completely edentulous patients were selected and divided randomly into three groups Group I patients received conventional complete denture, Group II patients received CAD/CAM milled complete dentures and Group III patients received 3D printed complete dentures. All denture`s surface roughness were evaluated, also all patients were recalled after 3, 9 & 12 months respectively to evaluate the microbiological adherence. Results: Microbiological count significantly increased (P < 0.05) after 12 months in all groups, after 12 months there was a significant difference (P < 0.05) between three groups as group II (Milled) was significantly the lowest, then the group I (conventional), while group III (3D printed) was significantly the highest. Regarding surface roughness of group II (milled) was significantly the lowest, while group III (3D printed) was significantly the highest. Finally, there was a strong positive significant correlation between microbiological adherence and surface roughness in all groups as (r > 0.5). Conclusion: Group II (Milled) appeared to be the best regarding microbiological adherence and surface roughness followed by the group I (conventional) and finally group III (3D printed). Furthermore, it was evident that surface roughness has a great effect on microbiological adherence regardless of the fabrication technique utilized.

scholarly journals Bosnian Version of Oral Health of Edentulous Patients (OHIP-EDENT-B&H) Questionnaire: Assessment of Reliability and Validity

2021 ◽  
Vol 25 (1) ◽  
pp. 58-65
Author(s):  
Srđan Poštić ◽  
Ajdina Halilović-Asotić ◽  
Esad Kučević ◽  
Amina Asotić ◽  
Damir Džanan ◽  
...  
Keyword(s):  
Oral Health ◽  
Reliability And Validity ◽  
Test Group ◽  
Health Impact ◽  
Good Reliability ◽  
Questionnaire Assessment ◽  
Related Quality ◽  
Health Related ◽  
Internal Coherence ◽  
Edentulous Patients

Summary Background/Aim: The aim of this study was to assess of the internal coherence of Bosnian translated version of the Oral Health Impact Profile for Edentulous Patients (OHIP-EDENT-B&H), and evaluated the validity of this version. Material and Methods: OHIP-EDENT-B&H questionnaires were completed by 117 edentulous patients and specialists of prosthodontics in health institutions of central Bosnia. Results: Test-retesting analysis showed strong correlations, r ranging from 0.46 to 0.58, respecting complete dentures, with Kappa= 0.68, that indicated reliability of the questionnaire. The lowest reliability was obtained for Psychological disability (n= 117, α= 0.636) and the highest was obtained for Social disability (α= 0.859). The reliability of the summary scores for OHIP-EDENT-B&H was good (α= 0.907). Content validity for the test group-retest group did not expose significant differences between the groups tested. Conclusions: The OHIPEDENT-B&H instrument for verifying of oral-health–related quality of life in edentulous patients demonstrated good reliability and validity in Bosnian patients.

scholarly journals Patients’ Satisfaction and Oral Health-Related Quality of Life of Edentulous Patients Using Conventional Complete Dentures and Implant-Retained Overdentures in Saudi Arabia

2022 ◽  
Vol 19 (1) ◽  
pp. 557
Author(s):  
Salwa Omar Bajunaid ◽  
Abdullah S. Alshahrani ◽  
Ahad A. Aldosari ◽  
Atheer N. Almojel ◽  
Rehab S. Alanazi ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Oral Health ◽  
Standard Of Care ◽  
Strong Impact ◽  
Complete Dentures ◽  
Patients Satisfaction ◽  
Related Quality ◽  
Health Related ◽  
Edentulous Patients

The aim of this study was to compare patients’ satisfaction and quality of life (QoL) when using implant overdentures vs. conventional dentures. The QoL of Saudi patients who were provided mandibular implant-supported overdentures was assessed using a structured questionnaire. Overall satisfaction; ability to speak, eat, and chew food; comfort; esthetics; stability; and satisfaction of general oral health were measured. A total of 48.3% vs. 6.9% were, overall, very satisfied with their implant overdentures and conventional dentures, respectively. A total of 37.9% of the patients were very satisfied regarding speaking with their implant overdentures vs. 17.2% with conventional dentures. Furthermore, 41.4% were very comfortable with their implant overdentures vs. 5.2% were very comfortable using conventional dentures. However, only 15.5% were very satisfied with the esthetics of the conventional dentures compared to 43.1% being satisfied with implant overdentures. Only 1.7% were very satisfied with the stability of conventional dentures vs. 44.8% being satisfied using implant overdentures. About 8.6% of the candidates were very satisfied regarding chewing food with conventional dentures vs. 36.2% being very satisfied using implant overdentures. Approximately 10.3% were very satisfied with their general oral health using conventional dentures compared to 29.3% being very satisfied using implant overdentures. Mandibular implant overdentures had a strong impact on patients’ quality of life over conventional complete dentures and should be considered the minimum standard of care provided to completely edentulous patients.

Effect of Complete Denture Therapy on Oral Health-Related Quality of Life of Edentulous Patient

2021 ◽  
Vol 2 (2) ◽  
Author(s):  
Hosein Masoudi Rad ◽  
Hamid Neshandar Asli ◽  
Maryam Rabiei ◽  
Mehran Falahchai ◽  
Fatemeh Ghasemi
Keyword(s):  
Quality Of Life ◽  
Oral Health ◽  
Functional Limitation ◽  
Health Impact ◽  
Complete Denture ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related ◽  
Edentulous Patients

Edentulism is one of the most important oral health challenges, which results in adverse social and psychological consequences. A conventional complete denture is utmost usually used treatment modality for these patients. A few studies assessed the quality of life of patients before as well as one month after complete denture therapy. This study aimed to assess the consequence of complete denture therapy on oral health-related quality of life of edentulous patients. This study was conducted on 43 edentulous patients in 2018-2019 who met the inclusion criteria. After obtaining their written informed consent and ethical approval from the university medical ethics committee, patients were requested to fill out the standardized Persian version of the oral health impact profile-14 (OHIP-14) questionnaire before as well as one month after the delivery of complete denture via an interview. Data were analyzed using SPSS version 21 via the Wilcoxon and MannWhitney U tests. The total score of quality of life (OHIP-14) of patients considerably improved after treatment (P<0.001). The quality of life of patients significantly improved in all domains (P<0.001) except for functional limitation (P=0.122) and physical pain (P=0.009) domains, which had a more favourable status before the denture delivery. The difference in OHIP-14 total score of patients was significant regarding sex and age before (P=0.004 and P=0.006, respectively) and after (P=0.022 and P=0.007, respectively) denture delivery. Edentulous patients showed an improvement in oral health related quality of life at one month after denture delivery.

scholarly journals Eighteen Months Follow-Up with Patient-Centered Outcomes Assessment of Complete Dentures Manufactured Using a Hybrid Nanocomposite and Additive CAD/CAM Protocol

2020 ◽  
Vol 9 (2) ◽  
pp. 324 ◽  
Author(s):  
Corina Marilena Cristache ◽  
Eugenia Eftimie Totu ◽  
Gabriela Iorgulescu ◽  
Aida Pantazi ◽  
Dorel Dorobantu ◽  
...  
Keyword(s):  
Computer Aided Design ◽  
Health Impact ◽  
Poor Quality ◽  
Complete Denture ◽  
Complete Dentures ◽  
Patient Centered ◽  
Computer Aided ◽  
Cad Cam ◽  
Edentulous Patients

The present study aimed to assess the eighteen month follow-up patient-centered outcomes of a simple and predictable protocol for 3D-printed functional complete dentures manufactured using an improved poly(methyl methacrylate) (PMMA)–nanoTiO2. A detailed morphological and structural characterization of the PMMA–TiO2 nanocomposite, using SEM, EDX, XRD, and AFM, after 3D-printing procedure and post-wearing micro-CT, was also performed. Methods: A total of 35 fully edentulous patients were enrolled in this prospective study. A 0.4% TiO2-nanoparticle-reinforced PMMA composite with improved mechanical strength, morphologically and structurally characterized, was used according to an additive computer-aided design and computer-aided manufacturing (CAD/CAM) protocol for complete denture fabrication. The protocol proposed involved a three-step appointment process. Before denture insertion, 1 week, 12 month, and 18-month follow up patients were evaluated via the Visual Analogue Scale (VAS, 0–10) and Oral Health Impact Profile for Edentulous Patients (OHIP-EDENT), with a higher score meaning poor quality of life. Results: A total of 45 complete denture sets were inserted. OHIP-EDENT scored significantly better after 18 months of denture wearing, 20.43 (±4.42) compared to 52.57 (±8.16) before treatment; mean VAS was improved for all parameters assessed. Conclusions: Within the limitations of this study, we can state that the proposed workflow with the improved material used is a viable treatment option for patients diagnosed with complete edentulism.

Effect of Complete Denture Therapy on Oral Health-Related Quality of Life of Edentulous Patient

2021 ◽  
Vol 2 (1) ◽  
pp. 21-28
Author(s):  
Hosein Masoudi Rad ◽  
Hamid Neshandar Asli ◽  
Maryam Rabiei ◽  
Mehran Falahchai ◽  
Fatemeh Ghasemi DDS
Keyword(s):  
Quality Of Life ◽  
Oral Health ◽  
Functional Limitation ◽  
Health Impact ◽  
Complete Denture ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related ◽  
Edentulous Patients

Edentulism is one of the most important oral health challenges, which results in adverse social and psychological consequences. A conventional complete denture is utmost usually used treatment modality for these patients. A few studies assessed the quality of life of patients before as well as one month after complete denture therapy. This study aimed to assess the consequence of complete denture therapy on oral health-related quality of life of edentulous patients. This study was conducted on 43 edentulous patients in 2018-2019 who met the inclusion criteria. After obtaining their written informed consent and ethical approval from the university’s medical ethics committee, patients were requested to fill out the standardized Persian version of the oral health impact profile-14 (OHIP-14) questionnaire before as well as one month after the delivery of complete denture via an interview. Data were analyzed using SPSS version 21 via the Wilcoxon and MannWhitney U tests. The total score of quality of life (OHIP-14) of patients considerably improved after treatment (P<0.001). The quality of life of patients significantly improved in all domains (P<0.001) except for functional limitation (P=0.122) and physical pain (P=0.009) domains, which had a more favourable status before the denture delivery. The difference in OHIP-14 total score of patients was significant regarding sex and age before (P=0.004 and P=0.006, respectively) and after (P=0.022 and P=0.007, respectively) denture delivery. Edentulous patients showed an improvement in oral health related quality of life at one month after denture delivery.

Evaluation of Implant Overdenture Retention with Two Different Attachments at 23mm Standard Inter-Implant Distance

2020 ◽  
Author(s):  
Radwa Mohsen Kamal Emera
Keyword(s):  
Study Groups ◽  
Complete Dentures ◽  
Mean Values ◽  
Group I ◽  
Edentulous Mandible ◽  
Significant Difference ◽  
Baseline Evaluation ◽  
Implant Overdenture ◽  
Group Ii ◽  
Edentulous Patients

Purpose: Evaluation of implant overdenture retention at 23mm standard inter-implant distance using OT Equator and locator attachments. Materials and methods: Twelve completely edentulous patients were selected for this study. For all patients, conventional complete dentures were constructed. Mandibular dentures were replicated into stereolithographic implant placement guide using CBCT. Every participant received 2-implants in the anterior mandibular area with inter-implant distance of 23 mm. After the osseointegration period, the mandibular conventional dentures were converted into implant retained overdentures attached with Locator attachment for (group I) (six patients) and OT Equator attachments for (group II) (six patients). Retention was evaluated for conventional mandibular complete dentures (T0), 3-months (T3) and, 6-months (T6) after overdenture insertion using digital force-meter. Results: Results revealed that there was a statistically significant difference between the study groups representing mean retention force (P<0.05) except at T0 (baseline evaluation with conventional dentures) with higher mean values for group I (Locator attachment) than group II (OT Equator attachment). Conclusion: Regarding the limitations of this study: -Inter-implant distance of 23 mm for 2-implant overdentures could be considered a reliable modality for edentulous mandible. -Locator attachment may be preferable than OT Equator attachment regarding 2-implant overdenture retention at 23 mm inter-implant distance.

scholarly journals Temporary deterioration of oral health–related quality of life (OHRQoL) in nonextraction and extraction modalities of comprehensive orthodontic treatment in adolescents

2020 ◽  
Vol 90 (4) ◽  
pp. 578-586
Author(s):  
Ashok Kumar Jena ◽  
Mounabati Mohapatra ◽  
Jitendra Sharan ◽  
Binod Kumar Patro
Keyword(s):  
Quality Of Life ◽  
Oral Health ◽  
Orthodontic Treatment ◽  
Health Related Quality ◽  
Premolar Extraction ◽  
Group I ◽  
Related Quality ◽  
Health Related ◽  
Group Ii

ABSTRACT Objective To evaluate the effects of nonextraction and all first premolar extraction modalities of orthodontic treatment on oral health–related quality of life (OHRQoL) among adolescents. Materials and Methods Sixty-eight adolescents of aged 12–18 years were chosen. Subjects who required nonextraction orthodontic treatment were included in group I, and those who required all first premolar extractions for orthodontic treatment were included in group II. Baseline OHRQoL data (T0) were recorded before the start of treatment. To evaluate the impact of orthodontic treatment on OHRQoL, the Oral Health Impact Profile-14 (OHIP-14) questionnaire was presented to all subjects for retrospective evaluation at 1 month (T1), 3 months (T2), 6 months (T3) and 1 year (T4) after the start of orthodontic treatment and 1 week after completion of orthodontic treatment (T5). Results At T1 and T2, the physical pain and physical disability domains of OHIP-14 were impacted significantly by comprehensive orthodontic treatment in both groups (P &lt; .001). The negative impact of orthodontic treatment on OHRQoL was maximum at T1 and then slowly recovered to the pretreatment level at T3 in both groups. Recovery of OHIP-14 scores was relatively faster in group I subjects compared to group II subjects. At T1 and T2, social disability and handicap domains were deteriorated significantly in group II subjects compared to group I subjects (P &lt; .01). Conclusions The severity of OHRQoL deterioration was similar in both modalities of orthodontic treatment, but recovery from negative impacts was relatively slower in the first premolar extraction subjects.

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