scholarly journals Treatment Outcome with Implant-supported Mandibular Overdenture opposing Natural Dentition

2017 ◽  
Vol 1 (1) ◽  
pp. 45-48
Author(s):  
Sushil Kar ◽  
Arvind Tripathi

ABSTRACT Although the conventional complete denture has been a standard treatment option for edentulous patients, it may not thoroughly fulfill the esthetic or functional needs of many denture wearers. This situation is commonly encountered, especially in relation to the mandibular ridge. Over the last decade, implant-supported overdenture has emerged as a successful alternative to the more commonly used removable prosthesis. The article discusses the fabrication procedure of an implant-assisted overdenture. How to cite this article Kar S, Tripathi A. Treatment Outcome with Implant-supported Mandibular Overdenture opposing Natural Dentition. Int J Clin Dent Res 2017;1(1):45-48.

2020 ◽  
Vol 11 (1) ◽  
pp. 101-108
Author(s):  
Prabal Sharma ◽  
Bhumika Sharma

Removable prosthesis, that is, complete and/or partial dentures cannot function as a substitute for natural dentition, but they have been and will remain the staple treatment for edentulous patients. An edentulous patient is found to be satisfied if prosthodontic rehabilitation restores his/her function with superior esthetics. However, not every case of edentulism, either complete or partial, can be treated with conventional methods of denture fabrication. When a patient is clinically presented with complications such as severely resorbed ridge, microstomia, hyperplastic and/or flabby tissue, xerostomia, osteoma, bruxism, and labially inclined premaxilla, then it becomes difficult for the dentist to fulfill the patient’s desire for both esthetics and function. There is a need for slight modification in the regular clinical procedures by altering the impression technique or the design of the prosthesis so as to achieve best results in compromised cases, commonly known as unconventional approaches. This article intends to highlight the unconventional approaches for the fabrication of complete denture prosthesis that can be kept in mind when such cases are encountered in our daily practice.


2018 ◽  
Vol 5 (2) ◽  
pp. 32
Author(s):  
Patricia Aleixo dos Santos Domingos ◽  
Ana Luísa Botta Martins De Oliveira ◽  
Ariellen Amanda Dos Reis

Aim: This study aims to compare masticatory performance between total prosthesis users and individuals with partial or total natural dentition to evaluate masticatory capacity and efficiency in individuals in Araraquara/SP.Material and Methods: 31 individuals between 55 and 99 years old were evaluated, both genders, frequent users of Dentistry Clinic of the University of Araraquara (Uniara) and residents at Recanto Feliz, in the same town. A cognitive evaluation was carried out through a mini mental state examination in order to define inclusion criteria to individuals of sample. Next, a questionnaire was applied, with pre-coded questions on the masticatory capacity and an efficiency test, through the grinding test, where patients received 5 almonds to be grinded and not swallowed. The fragments were poured in granulometric sieves (2mm, 4mm and 4,75mm) to analyze the food fragmentation under tap water. Participants were divided into 3 groups: G1 (n=13) – superior and inferior total prosthesis user, or total or partial edentulous; G2 (n=4) – Total prosthesis user and/or partial removal prosthesis user (PRP) or partial dentition; and G3 (n=14) – complete or partial dentition or PRP user.Results: Efficiency test results showed the G1 patients presented good efficiency and 8 were considered poor; G2 patients were all classified as poor, and G3 patients were 9 poor, 2 regular and 3 good. Regarding to the questionnaires, most patients from the 3 groups felt impossibility to masticate some food, and need special preparation to chew. On take more time to masticate when compared to other people, all patients from G2 answered affirmatively, while only 46.1% G1 and 50% G3 gave the same answer.Just 15.4% G1 and 28.6% G2 are not satisfied with the tame they take.About avoid in front of other people, most patients from G2 and G3 use to, however, 69.2% G1 answered negatively. Regarding to the masticatory capacity self-evaluation, they answered regular.Conclusions: Masticatory efficiency of people using removable prosthesis did not achieve the ideal of a complete dentition. However, it is still better than in individuals with partial dentition or not rehabilitated.


2018 ◽  
Vol 3 (2) ◽  
pp. 488-491
Author(s):  
Rahul Gupta ◽  
Raj Kumar Singh ◽  
Bishal Babu Basnet

The prosthetic management of the patient with resorbed ridge has long been a major challenge for dentistry. Conventional complete denture for long was the standard of care for all such patients. However, most patients find it difficult to adapt to mandibular denture due to lack of retention and stability. Recent scientific studies carried out over the past decade have determined that the benefits of a mandibular two-implant overdenture are sufficient to propose the two-implant overdenture-rather than the conventional denture - as the first treatment option. BJHS 2018;3(2)6:488-491.


2014 ◽  
Vol 1 (1) ◽  
pp. 1
Author(s):  
Mahesh Verma ◽  
Ankur Gupta

Removable Complete Dentures still exist as the treatment option of choice for majority of edentulous patients. The anatomical and adaptational limitations associated with this modality often refrains a clinician from attending patients of geriatric group. Most of the complaints associated with complete dentures are actual and not psychological, contrary to the belief of most clinicians. This article attempts to cover most of the common complains of complete denture wearers along with their possible causes and remedies.


2021 ◽  
Vol 11 (1) ◽  
pp. 27-31
Author(s):  
Hawraz S. Abdulkareem ◽  
Salem A. Salem

The concept of conditioning edentulous ridge mucosa has gained momentum over the last several years. Frequent relining of the complete denture may be required because of soft tissue changes arising from underlining bone resorption. Patients with the maxillary flabby ridge had difficulty in tolerating hard denture, inadequate retention, and stability of a complete denture are often encountered, so the denture can be made more comfortable using soft liner. Hardening of the soft liner with time, harboring of bacteria, and debonding from denture base is a major drawback of soft lining materials. Introduction of liquid-supported dentures, to be an alternative to conventional complete denture prosthesis in cases suffered from inflamed tissues and severely resorbed edentulous ridges. A liquid supported denture provides an alternate treatment option due to its soft and flexible intaglio surface allows better distribution of masticatory load stress since in such cases. Liquid supported acrylic complete denture can be useful as a permanent solution in edentulous patients with the atrophied ridge. Liquid supported denture could be a useful alternative for soft relining materials.


2021 ◽  
Vol 11 (15) ◽  
pp. 6948
Author(s):  
Gabriele Cervino ◽  
Sergio Sambataro ◽  
Chiara Stumpo ◽  
Salvatore Bocchieri ◽  
Fausto Murabito ◽  
...  

The aim of this study is to demonstrate the use and the effectiveness of cephalometry and golden proportions analysis of the face in planning prosthetic treatments in totally edentulous patients. In order to apply this method, latero-lateral and posterior-anterior X-rays must be performed in addition to the common procedure. Two main concerns for totally edentulous patients are the establishment of the vertical dimension and the new position of the occlusal plane. The divine proportion analysis was carried out by the use of a golden divider. The prosthetic protocol was divided into three steps and a case was selected for better understanding. Referring to the golden relations, if the distance from the chin to the wing of the nose is 1.0, the distance from the nose to eye is 0.618. This proportion is useful and effective in determining the correct prosthetic vertical dimension. The incisal margin of the lower incisor must be positioned between Point A (A) and protuberance menti (Pm) according to the gold ratio 0.618 of the total height A-Pm. Posteriorly the occlusal plane must be placed 2 mm below the divine occlusal plane (traced from the incisal margin of lower incisors to Xi point). A prosthesis made in accordance with cephalometric parameters and divine proportions of the face helps to improve the patient’s aesthetics, function and social personality.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Sahaprom Namano ◽  
Orapin Komin

Abstract Background Complete tooth losses are still being major problems which resulted in lesser quality of life especially for elderly patients. However, there are still lack of questionnaire to evaluate the treatment outcome from the patient’s aspect. The objective of this study is to evaluate the reliability and validity of the Patient’s Denture Assessment-Thai version (PDA-T), then use this questionnaire to assess patient satisfaction with complete denture treatment outcome also investigates the factors involving their satisfaction. Methods The subjects comprised 120 edentulous adult patients (49 men/71 women; average age 70 years-old) from the Prosthodontic and the Geriatric Dentistry and Special Patients Care Clinic at the Faculty of Dentistry, Chulalongkorn University during 2019 March‒2020 March. The patients were divided into two groups: the group experienced (Exper) (n = 54) with wearing complete dentures, and the non-experienced (NonExper) group (n = 66). The patients used the validated PDA-T to self-assess their treatment at different times. The Exper group completed the questionnaire at t0 (during treatment), t0.5 (2‒8-weeks after t0), and t1 (final follow-up). The NonExper group completed the questionnaire only at t1. Results In the Exper group, Cronbach’s α and average inter-item correlation was 0.95 (range 0.76‒0.95) and 0.47 (range 0.57‒0.83), respectively. The intraclass correlation coefficients (n = 18, 95% confidence interval) were 0.98 overall. The paired t-test (p < 0.05) between t0 and t1 indicated a significant difference between t0 and t1 in every PDA-T topic, and the effect size was 1.71. In the NonExper group, the Pearson correlation analysis indicated no significant correlation between the patients' demographics and masticatory function. Conclusion The reliability and validity of the PDA-T indicate it is a valuable tool for evaluating complete denture treatment. Treatment success affected the patients' satisfaction but was not associated with the type of doctors, genders, ages, or educational level.


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.


2021 ◽  
Vol 11 (22) ◽  
pp. 10724
Author(s):  
Abdulaziz A. AlHelal

The aim was to systematically review the efficacy of immediate loaded mini dental implants (MDIs) to retain mandibular overdentures in regards to survival rates of MDIs, peri-implant clinical and radiographic tissue response and associated factors. A literature search of English literature was performed using Google Scholar, Scopus, Web of Science, MEDLINE (OVID), EMBASE, and PubMed using predetermined inclusion criteria. Specific terms were utilized in searching from the inception of the respective databases up to April 2021. The focused question was: Do immediate loaded MDIs supporting mandibular overdentures present favorable treatment options for prosthetic rehabilitation? The 11 articles included in the present review examined 349 patients (198 males + 171 females [66.65 ± 6.28 years]) in which 1190 MDIs were placed to retain mandibular overdentures. The mean follow-up duration was 24.5 months. The cumulative survival rate of MDIs was 97.3%. The mean scores of plaque index, gingival index, probing depth, and bleeding on probing ranged between 0–3, 0–3, and 1.203–1.76 respectively, whereas the mean marginal bone loss values ranged from 0.42 ± 0.56 mm to 1.26 ± 0.64 mm. The results identified that the application of immediate loaded MDIs to retain mandibular overdentures are a potential treatment modality for edentulous patients.


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