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Papalexopoulos D, Tsirogiannis P, Sykaras N. Fabrication of complete dentures for an older patient with mobility impairment in three appointments: A dental technique. Gerodontology 2024; 41:305-309. [PMID: 38422399 DOI: 10.1111/ger.12731] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/15/2023] [Indexed: 03/02/2024]
Abstract
OBJECTIVE To describe the clinical procedures of complete denture set fabrication in three appointments. BACKGROUND Simplified approaches have proven not to be inferior to conventional ones in terms of quality, patient satisfaction and masticatory ability. MATERIALS AND METHODS The patient was a 77-year-old edentulous adult with mobility impairment seeking dental rehabilitation in a small number of appointments due to commuting difficulties. RESULTS A set of complete dentures was delivered within three appointments. The second appointment was dedicated to set-up trial due to the patient's aesthetic demands. CONCLUSION Under certain circumstances and after a thorough study of each case, dental clinicians may propose the fabrication of complete dentures in a three-appointment protocol incorporating a set-up trial session.
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Affiliation(s)
- Dimokritos Papalexopoulos
- Department of Prosthodontics, School of Dentistry, National and Kapodistrian University of Athens, Goudi, Greece
| | - Panagiotis Tsirogiannis
- Department of Prosthodontics, School of Dentistry, National and Kapodistrian University of Athens, Goudi, Greece
| | - Nikitas Sykaras
- Department of Prosthodontics, School of Dentistry, National and Kapodistrian University of Athens, Goudi, Greece
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Sadowsky SJ, Landesman HM. Comments regarding Ereifej NS, Oweis YG, El Manaseer W, Al Omoush S, Abu Awwad M, Sartawi S. Simplified versus conventional complete dentures: A randomized crossover clinical trial. J Prosthet Dent 2024;131:50-5. J Prosthet Dent 2024:S0022-3913(24)00307-X. [PMID: 38797575 DOI: 10.1016/j.prosdent.2024.02.037] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/29/2024] [Revised: 02/02/2024] [Accepted: 02/02/2024] [Indexed: 05/29/2024]
Affiliation(s)
- Steven J Sadowsky
- Professor, Preventive and Restorative Department, University of the Pacific Arthur A. Dugoni School of Dentistry, San Francisco, Calif.
| | - Howard M Landesman
- Professor Emeritus and Former Dean, Herman Ostrow School of Dentistry of University of Southern California, Los Angeles, Calif.; and Former Dean, University of Colorado School of Dental Medicine, Aurora, Colo
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Ereifej NS, Oweis YG, El Manaseer W, Al Omoush S, Abu Awwad M, Sartawi S. Simplified versus conventional complete dentures: A randomized crossover clinical trial. J Prosthet Dent 2024; 131:50-55. [PMID: 35256183 DOI: 10.1016/j.prosdent.2022.02.002] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2021] [Revised: 02/01/2022] [Accepted: 02/02/2022] [Indexed: 11/22/2022]
Abstract
STATEMENT OF PROBLEM A simplified approach to complete denture treatment, omitting the border molding and definitive impression appointment, was suggested as an alternative to the conventional approach. However, comparison clinical trials are lacking. PURPOSE The purpose of this randomized crossover clinical trial was to assess the satisfaction of edentulous patients and their oral health impact profile when provided with complete dentures fabricated through the simplified or the conventional approach. MATERIAL AND METHODS Forty completely edentulous patients seeking complete dentures were randomly divided into 2 groups (n=20). Each group received 2 sets of dentures. The first group received conventionally fabricated complete dentures, and the second group received complete dentures fabricated through the simplified approach. After 2 months, participants rated their overall satisfaction and their satisfaction regarding comfort, retention, stability, and efficiency of mastication and speech on a 100-mm visual analog scale (VAS). Participants also filled out the oral health impact profile for edentulous patients (OHIP-EDENT) questionnaire. Each group was then given the alternate set of dentures and reviewed again after 2 months. The results were analyzed by using the Mann-Whitney U and Wilcoxon-signed rank tests (α=.05). RESULTS The simplified complete dentures had significantly higher VAS scores for general satisfaction with maxillary dentures (P=.036), satisfaction with retention of maxillary dentures (P=.002), satisfaction with stability of maxillary dentures (P=.003), and satisfaction with speaking (P=.002). No statistically significant differences were found between the 2 groups regarding the other VAS items or OHIP-EDENT scores (P>.05). CONCLUSIONS The simplified denture fabrication approach required fewer appointments and resulted in higher patient satisfaction and similar OHIP-EDENT scores compared with the conventional approach. The simplified approach can be recommended over the conventional approach.
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Affiliation(s)
- Nadia S Ereifej
- Associate Professor, Department of Prosthetic Dentistry, Faculty of Dentistry, The University of Jordan, Amman, Jordan.
| | - Yara G Oweis
- Lecturer, Department of Conservative Dentistry, Faculty of Dentistry, The University of Jordan, Amman, Jordan
| | - Wijdan El Manaseer
- Assistant Professor, Department of Prosthetic Dentistry, Faculty of Dentistry, The University of Jordan, Amman, Jordan
| | - Salah Al Omoush
- Associate Professor, Department of Prosthetic Dentistry, Faculty of Dentistry, The University of Jordan, Amman, Jordan
| | - Motasum Abu Awwad
- Associate Professor, Department of Prosthetic Dentistry, Faculty of Dentistry, The University of Jordan, Amman, Jordan
| | - Samiha Sartawi
- Assistant Professor, Department of Prosthetic Dentistry, Faculty of Dentistry, The University of Jordan, Amman, Jordan
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Zhang N, Mao B, Yu P, Chen S, Chen X, Yu H. Digital Workflow for a Scleroderma Patient with Microstomia: A Clinical Report. J Prosthodont 2021; 30:376-383. [PMID: 33639025 DOI: 10.1111/jopr.13351] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/11/2021] [Indexed: 02/05/2023] Open
Abstract
Making impressions in patients with microstomia is often rather problematic due to their restricted mouth opening. Herein, this report describes a novel digital workflow for making impressions with computer-aided design and computer-aided manufacturing (CAD/CAM) custom sectional trays for a 58-year-old female patient with scleroderma and microstomia. CAD/CAM custom sectional trays were made based on digital dentition models from another case with similar arch scale. After the sectional impressions were obtained, the sectional casts were scanned and digitally aligned to form the final dentition models. The removable partial dentures were designed on the final digital models and printed using a 3D printer. This procedure was executed with a successful prosthetic outcome that included good fit and acceptable esthetics. The patient also reported a high level of satisfaction.
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Affiliation(s)
- Na Zhang
- State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & West China Hospital of Stomatology, Sichuan University, Chengdu, China
| | - Bochun Mao
- State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & West China Hospital of Stomatology, Sichuan University, Chengdu, China.,Department of Orthodontics, Peking University School and Hospital of Stomatology, National Engineering Laboratory for Digital and Material Technology of Stomatology, Beijing Key Laboratory of Digital Stomatology, China
| | - Ping Yu
- State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & West China Hospital of Stomatology, Sichuan University, Chengdu, China
| | - Shengkai Chen
- State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & West China Hospital of Stomatology, Sichuan University, Chengdu, China
| | - Xin Chen
- State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & West China Hospital of Stomatology, Sichuan University, Chengdu, China
| | - Haiyang Yu
- State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & West China Hospital of Stomatology, Sichuan University, Chengdu, China
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In silico evaluation of the peripheral and inner seals in complete denture master impressions using a custom-developed 3D software. Clin Oral Investig 2020; 25:125-132. [PMID: 32488486 DOI: 10.1007/s00784-020-03343-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/08/2020] [Accepted: 05/14/2020] [Indexed: 10/24/2022]
Abstract
OBJECTIVES Despite the complexity of the edentulous anatomy, little evidence exists as to what impression techniques and materials should be employed for an optimal result. The aim of this in silico study was to evaluate the trueness of peripheral and inner seals of different edentulous jaw impressions. MATERIALS AND METHODS Twelve maxillary edentulous participants (male = 8, female = 4; age 68.5 ± 11.7 years) participated in this study. Four different impression materials and techniques, irreversible hydrocolloid (Alginate; Blueprint X-Crème, Dentsply Sirona, PA, USA), polyvinyl siloxane impression (PVS; Aquasil Ultra+ Medium, Dentsply Sirona, PA, USA), and subsequently modified with ZnOE (PVSM) and an optical impression (Optical; 3Shape A/S, Copenhagen, Denmark), were tested against a control impression: low-fusing impression compound border molding (Kerr Corp., CA, USA) followed by a ZnOE impression (ZnOE; SS White impression paste, S.S. White Group, Gloucester, England). All impressions were scanned and analyzed using a custom-built 3D comparison software analyzing the vertical and horizontal trueness. RESULTS The vertical discrepancy (peripheral seal) of the impression surface was significantly more true for PVSM than Alginate (p = 0.001), PVS (p = 0.019), and Optical groups (p < 0.001). Where the horizontal discrepancy (inner seal) was compared, the impression surface was more true for PVSM than Alginate (p < 0.001) and Optical (p < 0.001). PVS group was also significantly more true than Optical (p = 0.015). CONCLUSION Impression techniques and materials may significantly influence the peripheral and inner seal of an edentulous jaw impression. CLINICAL RELEVANCE When using a polyvinylsiloxane impression material for master edentulous impressions, a selective inner seal reline with a conventional zinc oxide eugenol impression paste can improve the inner seal.
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Albuquerque IS, Freitas-Pontes KM, de Souza RF, Negreiros WA, Ramos MB, Peixoto RF, Regis RR. Is a two-step impression mandatory for complete denture fabrication on the severely resorbed mandible? A randomized trial on mastication, patient satisfaction and adjustments. J Dent 2020; 99:103357. [PMID: 32437857 DOI: 10.1016/j.jdent.2020.103357] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2020] [Revised: 04/23/2020] [Accepted: 04/30/2020] [Indexed: 10/24/2022] Open
Abstract
OBJECTIVES To compare one- vs two-step impression procedures for the provision of conventional complete dentures (CCDs) for edentulous individuals with severe mandibular resorption, in terms of (1) masticatory performance and ability; (2) satisfaction with mandibular CCDs; and (3) post-delivery adjustments. METHODS Fifty-two patients requiring maxillary + mandibular CCDs were randomly divided into two parallel arms according to the impression method of the mandibular ridge: (SI) single impression with stock trays (irreversible hydrocolloid); (TI) two-step impression in custom trays, with border molding (impression compound) followed by the impression itself (polyether). Mastication performance was evaluated by a colorimetric test, whereas patients answered questions on masticatory ability and satisfaction with mandibular CCDs (100-mm visual analogue scale). The number of post-delivery sessions for adjustments were also quantified. Outcomes were assessed at 3 and 6 months after delivery. RESULTS The masticatory performance was similar for both groups, regardless of time (3 months, P = 0.62; 6 months, P = 0.61). No significant difference was found for patient-reported (P > 0.05), i.e. masticatory ability (general ease of chewing and quality of grinding food; ability to chew specific foods), general satisfaction with the mandibular CCD (general satisfaction, comfort, aesthetics, ability to speak and to perform correct cleaning, retention and stability). Both methods resulted in a similar number of post-delivery adjustment sessions [SI: 3.8 (1.7); TI: 3.2 (1.4); P = 0.09]. CONCLUSIONS Compared to a traditional approach, CCDs obtained from a single impression achieve similar masticatory performance/ability and patient satisfaction, even in patients with severely reabsorbed mandibular ridge. Both methods demand the same amount of post-delivery adjustment. CLINICAL SIGNIFICANCE A simplified impression technique which eliminates the secondary impression can provide CCDs of good clinical quality, which influences the OHRQoL, and satisfaction in the same extent they would by a two-step procedure, even for patients with severely reabsorbed mandibular ridges (ClinicalTrials.gov: NCT02339194).
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Affiliation(s)
- Ivo S Albuquerque
- Department of Restorative Dentistry, Faculty of Pharmacy, Dentistry and Nursing, Federal University of Ceará (FFOE-UFC), Fortaleza, Brazil
| | - Karina M Freitas-Pontes
- Department of Restorative Dentistry, Faculty of Pharmacy, Dentistry and Nursing, Federal University of Ceará (FFOE-UFC), Fortaleza, Brazil.
| | - Raphael F de Souza
- Oral Health and Society, Faculty of Dentistry, McGill University, 2001 McGill College Ave, Suite 500, Montreal, Quebec, Canada
| | - Wagner A Negreiros
- Department of Restorative Dentistry, Faculty of Pharmacy, Dentistry and Nursing, Federal University of Ceará (FFOE-UFC), Fortaleza, Brazil
| | - Marcelo B Ramos
- Department of Restorative Dentistry, Faculty of Pharmacy, Dentistry and Nursing, Federal University of Ceará (FFOE-UFC), Fortaleza, Brazil
| | - Raniel F Peixoto
- Department of Restorative Dentistry, Faculty of Pharmacy, Dentistry and Nursing, Federal University of Ceará (FFOE-UFC), Fortaleza, Brazil
| | - Rômulo R Regis
- Department of Restorative Dentistry, Faculty of Pharmacy, Dentistry and Nursing, Federal University of Ceará (FFOE-UFC), Fortaleza, Brazil
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Albuquerque IS, Regis RR, de Souza RF, Gurgel KF, Silva PG, Pinto-Fiamengui LMS, Freitas-Pontes KM. Is a two-step impression mandatory for complete denture fabrication on the severely resorbed mandible? A randomized trial on patient perception and denture quality. J Dent 2020; 98:103356. [PMID: 32380132 DOI: 10.1016/j.jdent.2020.103356] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2020] [Revised: 04/23/2020] [Accepted: 04/29/2020] [Indexed: 10/24/2022] Open
Abstract
OBJECTIVES To evaluate the effectiveness of CCDs produced by two impression procedures for the mandibular ridge, in patients with severe mandibular atrophy. METHODS Fifty-two completely edentulous patients with severely resorbed mandibles were randomly allocated into two groups according to the impression procedure of the mandibular ridge: SI - single impression (stock tray and irreversible hydrocolloid); TI - two-step impression (custom tray, border molding with compound, and polyether). Assessments of oral health related quality of life (OHRQoL, primary outcome) and denture satisfaction were performed by using validated questionnaires. Denture quality was evaluated by means of functional tests. RESULTS Regardless of the technique, participants reported better OHRQoL (P < 0.001) in both follow-up periods (3 and 6 months after denture delivery), and groups resulted in similar OHIP-EDENT scores in its different domains (P > 0.05). Between-group differences were insignificant for general satisfaction (3 months, P = 0.699, 6 months, P = 0.392), as well as for aspects such as esthetics, comfort, mastication, speech, and prosthesis retention (P > 0.05). Overall clinical quality of the CCDs (P = 0.383) was similar between-group, as well as in specific aspects - interocclusal distance, occlusion, articulation, retention of the maxillary denture, and stability of both maxillary and mandibular dentures (P > 0.05). CONCLUSIONS Mandibular CCDs based on a single impression technique showed quality levels comparable to those generated by a two-step impression, both from the patient and clinician perspective. CLINICAL SIGNIFICANCE A simplified impression technique which eliminates the secondary impression can provide CCDs of good clinical quality, which influences the OHRQoL, and satisfaction in the same extent they would by a two-step procedure, even for patients with severely reabsorbed mandibular ridges. (ClinicalTrials.gov: NCT02339194).
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Affiliation(s)
- Ivo S Albuquerque
- Department of Restorative Dentistry, Faculty of Pharmacy, Dentistry and Nursing, Federal University of Ceará, Alexandre Baraúna St. 949, Rodolfo Teófilo, Fortaleza, Ceará, Brazil
| | - Rômulo R Regis
- Department of Restorative Dentistry, Faculty of Pharmacy, Dentistry and Nursing, Federal University of Ceará, Alexandre Baraúna St. 949, Rodolfo Teófilo, Fortaleza, Ceará, Brazil.
| | - Raphael F de Souza
- Oral Health and Society, Faculty of Dentistry, McGill University, 2001 McGill College Ave, Suite 500, Montreal, Quebec. Canada
| | - Kelvin F Gurgel
- Department of Restorative Dentistry, Faculty of Pharmacy, Dentistry and Nursing, Federal University of Ceará, Alexandre Baraúna St. 949, Rodolfo Teófilo, Fortaleza, Ceará, Brazil
| | - Paulo Gb Silva
- Department of Dental Clinic, Division of Oral Pathology, Faculty of Pharmacy, Dentistry and Nursing, Federal University of Ceará (FFOE-UFC), Fortaleza, Brazil
| | - Livia M S Pinto-Fiamengui
- Department of Restorative Dentistry, Faculty of Pharmacy, Dentistry and Nursing, Federal University of Ceará, Alexandre Baraúna St. 949, Rodolfo Teófilo, Fortaleza, Ceará, Brazil
| | - Karina M Freitas-Pontes
- Department of Restorative Dentistry, Faculty of Pharmacy, Dentistry and Nursing, Federal University of Ceará, Alexandre Baraúna St. 949, Rodolfo Teófilo, Fortaleza, Ceará, Brazil
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Mai H, Lee D. A Digital Technique to Replicate Edentulous Arches with Functional Borders and Accurate Maxillomandibular Relationship for Digital Complete Denture. J Prosthodont 2020; 29:356-359. [DOI: 10.1111/jopr.13154] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/13/2020] [Indexed: 12/01/2022] Open
Affiliation(s)
- Hang‐Nga Mai
- Institute for Translational Research in DentistryKyungpook National University Daegu Republic of Korea
| | - Du‐Hyeong Lee
- Institute for Translational Research in DentistryKyungpook National University Daegu Republic of Korea
- Department of ProsthodonticsSchool of Dentistry, Institute for Translational Research in Dentistry, Kyungpook National University Daegu Republic of Korea
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Accuracy of Three Impression Materials on the Totally Edentulous Maxilla: In Vitro/In Silico Comparative Analysis. MATERIALS 2020; 13:ma13030515. [PMID: 31978974 PMCID: PMC7040790 DOI: 10.3390/ma13030515] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/30/2019] [Revised: 01/16/2020] [Accepted: 01/19/2020] [Indexed: 12/21/2022]
Abstract
BACKGROUND This study was aimed at comparing the accuracy of impressions of a reference typodont (RT) reproducing a totally edentulous maxilla made with three impression materials: polysulfide, polyether, and polyvinyl-siloxane. METHODS The RT was scanned using a desktop scanner, obtaining a reference scan. Ten impressions for each of the three tested materials were made using a mechanical device with a standardized and consistent modality. A laboratory scanner performed the digitization of each impression. We produced digital models by processing "in reverse" the scans of the physical impressions using a dedicated software, obtaining three groups (n = 10), respectively. The groups were titled: "polysulfide," "polyvinyl-siloxane," and "polyether." The scans in .stl format were imported into Geomagic Control X and then compared to RT to evaluate the accuracy of each scan by calculating trueness and precision in µm. Recorded data were subjected to descriptive statistics. RESULTS Trueness (arithmetic proximity) values (95%CI) were: polysulfide = 249.9 (121.3-378.5), polyvinyl-siloxane = 216.8 (123.1-310.6), polyether = 291.1 (219.9-362.3). Precision values (95% CI) were: polysulfide = 261.9 (108.8-415), polyvinyl-siloxane = 209.4 (111.9-306.8), polyether = 283 (227.9-338.1). Statistically significant differences were not detected between the means of the experimental groups, both for trueness and precision. CONCLUSIONS The accuracy of the scans obtained from polyvinyl-siloxane, polysulfide, and polyether impressions can be considered comparable in a fully edentulous maxilla.
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de Resende GP, Nogueira TE, Leles CR. Effectiveness of a simplified method for final impression in complete denture treatment: A pragmatic clinical trial. Gerodontology 2019; 36:365-373. [PMID: 31276220 DOI: 10.1111/ger.12411] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/29/2019] [Revised: 03/26/2019] [Accepted: 04/13/2019] [Indexed: 11/29/2022]
Abstract
PURPOSE This study aimed to compare two methods for final impression during the fabrication of complete dentures: a traditional method using custom trays (T-group) and a simplified method using the trial denture baseplate (S-group). METHODS A pragmatic clinical trial was conducted among edentulous individuals referred for conventional denture treatment. A consecutive sample of edentulous patients was assigned to two groups by cluster randomisation according to the final impression strategy, 30 in the T-group and 38 in the S-group. In the T-group, an auto-polymerising acrylic resin custom tray was used for impression; in the S-group, the final impression was performed using the try-in dentures. For both groups, zinc oxide eugenol paste was used as the impression material. The quality of the dentures was assessed using two rating scales (Functional Assessment of the Dentures and Kapur method). Moreover, clinical time for denture fabrication, number of post-insertion appointments for adjustments, patient satisfaction and post-treatment oral health-related quality of life impacts were also assessed. RESULTS There were no significant differences between groups regarding prosthodontic and patient-reported outcomes. The S-group demanded less clinical time (P = 0.002), with a 23.3% mean reduction in clinical time (P = 0.002) and lower number of appointments until the delivery of the dentures (S-group = 4.18 vs T-group = 5.0; P = 0.001). CONCLUSIONS This study showed that the alternative method for final impression is less time-consuming and has similar clinical outcomes when compared to the traditional final impression method. Findings suggest that this alternative may be considered when efficiency is a critical issue in healthcare services.
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Affiliation(s)
- Gabriela P de Resende
- Department of Oral Rehabilitation, School of Dentistry, Federal University of Goias, Goiania, Brazil
| | - Túlio E Nogueira
- Department of Oral Rehabilitation, School of Dentistry, Federal University of Goias, Goiania, Brazil
| | - Cláudio R Leles
- Department of Oral Rehabilitation, School of Dentistry, Federal University of Goias, Goiania, Brazil
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Chebib N, Kalberer N, Srinivasan M, Maniewicz S, Perneger T, Müller F. Edentulous jaw impression techniques: An in vivo comparison of trueness. J Prosthet Dent 2018; 121:623-630. [PMID: 30580982 DOI: 10.1016/j.prosdent.2018.08.016] [Citation(s) in RCA: 40] [Impact Index Per Article: 6.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2018] [Revised: 08/28/2018] [Accepted: 08/28/2018] [Indexed: 10/27/2022]
Abstract
STATEMENT OF PROBLEM Simplified edentulous jaw impression techniques have gained popularity, while their validity has not yet been evaluated. PURPOSE The purpose of this clinical study was to compare the trueness of maxillary edentulous jaw impressions made with irreversible hydrocolloid (ALG), polyvinyl siloxane (PVS), PVS modified with zinc oxide eugenol (ZOE) (PVSM), and an intraoral scanner (TRI) with a conventionally border-molded ZOE impression (control). MATERIAL AND METHODS Twelve edentulous maxillary impressions were made with the impression techniques. The analog impressions were scanned using a laboratory scanner, imported into 3-dimensional comparison software, and superimposed against the corresponding control. Trueness was evaluated by calculating the effective deviation known as root mean square (RMS) for the entire surface (ES) and for specific regions of interest such as peripheral border, inner seal, midpalatal suture, ridge, and posterior palatal seal. The secondary outcomes for this study were the patients' perception of the impression techniques. Statistical analyses with the Wilcoxon tests were carried out (α=.05). RESULTS For ES, significant differences were found when comparing ALG (1.21 ±0.35 mm) with PVS (0.75 ±0.17 mm; P=.008), PVSM (0.75 ±0.19 mm; P=.012), and TRI (0.70 ±0.18 mm; P=.006) but not among the other groups. Significant differences were found for peripheral border when comparing ALG (2.03 ±0.55 mm) with PVS (1.12 ±0.32 mm; P=.006), PVSM (1.05 ±0.29 mm; P=.003), and TRI (1.38 ±0.25 mm; P=.008), as well as TRI and PVSM (P=.028). Significant differences were also found for inner seal when comparing ALG (0.74 ±0.36 mm) with PVSM (0.52 ±0.13 mm; P=.041), as well as TRI (0.8 ±0.25 mm) versus PVS (0.56 ±0.14 mm; P=.005) and PVSM (P=.005). The difference at the ridge was significant when comparing PVS (0.18 ±0.07 mm) with PVSM (0.28 ±0.19 mm; P=.015) but not among the other groups. A significant difference was also found for posterior palatal seal when comparing PVS (0.55 ±0.41 mm) with PVSM (0.60 ±0.43 mm; P=.034). Patient perceptions showed significantly better satisfaction scores for ALG (1.83 ±2.03) and PVS (3.17 ±2.40) than for TRI (4.08 ±2.71), PVSM (4.58 ±2.35), and ZOE (6.83 ±1.75). CONCLUSIONS Edentulous impressions made with PVS, PVSM, and TRI had similar deviations and may yield clinically acceptable results. Irreversible hydrocolloids are contraindicated for definitive impression making in completely edentulous jaws.
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Affiliation(s)
- Najla Chebib
- Research and Teaching fellow, Division of Gerodontology and Removable Prosthodontics, University Clinics of Dental Medicine, University of Geneva, Geneva, Switzerland.
| | - Nicole Kalberer
- Research and Teaching Assistant, Division of Gerodontology and Removable Prosthodontics, University Clinics of Dental Medicine, University of Geneva, Geneva, Switzerland
| | - Murali Srinivasan
- Research and Teaching fellow, Division of Gerodontology and Removable Prosthodontics, University Clinics of Dental Medicine, University of Geneva, Geneva, Switzerland
| | - Sabrina Maniewicz
- Research and Teaching Assistant, Division of Gerodontology and Removable Prosthodontics, University Clinics of Dental Medicine, University of Geneva, Geneva, Switzerland
| | - Thomas Perneger
- Professor, Division of Clinical Epidemiology, Hôpitaux Universitaires Genève, Geneva, Switzerland
| | - Frauke Müller
- Professor, Division of Gerodontology and Removable Prosthodontics, University Clinics of Dental Medicine, University of Geneva, Geneva, Switzerland
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12
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Verhaeghe TV, Linke BA, Cable CE, Mostafa N. Clinical remounting of complete dentures: A systematic review. J Prosthet Dent 2018; 121:604-610. [PMID: 30503147 DOI: 10.1016/j.prosdent.2018.06.017] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2018] [Revised: 06/26/2018] [Accepted: 06/27/2018] [Indexed: 12/27/2022]
Abstract
STATEMENT OF PROBLEM A recent trend has been to reduce the procedural complexity of complete denture fabrication. Whether the clinical remount step is necessary is unclear. PURPOSE The purpose of this systematic review was to assess the relevance of the clinical remount procedure on complete denture outcomes. MATERIAL AND METHODS Five electronic databases were searched through to May 2018. The terms "denture*", "dental prosthes*", "equilibrat*", and "remount*" were chosen. The titles and abstracts were screened, and those which met the inclusion criteria were selected for full-text assessment. Studies that only performed the laboratory remount or were not randomized controlled studies were excluded. RESULTS After duplicate removal, the database search strategy resulted in a total of 226 potential studies. After the titles and abstracts had been screened and the inclusion and exclusion criteria applied, 10 studies were retrieved for full-text assessment. Four randomized controlled clinical studies were included in the systematic review. A meta-analysis could not be performed because of variation in outcome measures after the clinical remount. CONCLUSIONS A clinical remount for complete dentures is recommended on delivery to reduce clinically observed areas of discomfort and reduce the number of recall appointments. The development of a reliable and valid patient satisfaction questionnaire is necessary to determine conclusively whether the clinical remount also improves patient-perceived satisfaction and mastication.
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Affiliation(s)
- Tyler V Verhaeghe
- Graduate student, Prosthodontics, Faculty of Dentistry, University of British Columbia, Vancouver, Canada.
| | - Bernie A Linke
- Clinical Professor and Division Head of Restorative Dentistry, School of Dentistry, University of Alberta, Edmonton, Canada
| | - Cheryl E Cable
- Associate Professor, School of Dentistry, University of Alberta, Edmonton, Canada
| | - Nesrine Mostafa
- Assistant Professor, Faculty of Dentistry, University of British Columbia, Vancouver, Canada
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Okubo M, Sato Y, Hirajima Y, Minakuchi S. Learning effects of different training models for border molding from the perspective of dental students. BMC Oral Health 2017; 17:152. [PMID: 29246214 PMCID: PMC5732429 DOI: 10.1186/s12903-017-0443-9] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2016] [Accepted: 12/07/2017] [Indexed: 11/25/2022] Open
Abstract
BACKGROUND The aim of this study was to investigate the effects of different practical training models on the comprehension and evaluation of practical training among dental students. METHODS The study subjects were all sixth-year dental students at our institute, and the study took place over three consecutive years (n = 58, 63, and 65, respectively). In practical training, all students learned border molding, and practical models were modified each year from plaster models to silicone models and then to silicone models mounted in mannequins. Immediately after completing clinical training, all students were asked to complete questionnaires consisting of 21 items regarding their overall practical training and their clinical comprehension of border molding. All items were rated on a five-point Likert scale, and in order to reduce the large number of interrelated questions, exploratory factor analysis was carried out using maximum likelihood estimation with promax rotation (κ = 4) and Kaiser normalization. The number of factors was chosen using the Kaiser-Guttman rule, which states that the eigenvalue should be larger than 1, and the scree plot criteria. Items that scored less than 0.25 in communality and exhibited factor loading greater than 0.35 for more than one item were excluded. The defined factors were analyzed for the plaster models, the silicone models alone, and the silicone models with mannequins using the Kruskal-Wallis test and follow-up tests using Bonferroni-corrected Mann-Whitney U tests. The significance level was set at p < 0.05. RESULTS Exploratory factor analysis identified the following three factors: "knowledge of border molding"; "contents of practical training"; and "personal learning attitude". The students who used silicone models and mannequins gave significantly better evaluations on the "knowledge of border molding" (p < 0.001, both) and "contents of practical training" (p = 0.046, p < 0.001, respectively) subscales than those who used plaster models. No significant differences were observed between those who used silicone models and those who used mannequins. Moreover, no significant differences were found on the "personal learning attitude" subscale among students for any model. CONCLUSIONS The change in practical training models from plaster to silicone improved student evaluations of border molding training.
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Affiliation(s)
- Mai Okubo
- Department of Gerontology and Gerodontology, Graduate School, Gerodontology and Oral Rehabilitation, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8549 Japan
| | - Yusuke Sato
- Department of Gerontology and Gerodontology, Graduate School, Gerodontology and Oral Rehabilitation, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8549 Japan
| | - Yuki Hirajima
- Department of Gerontology and Gerodontology, Graduate School, Gerodontology and Oral Rehabilitation, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8549 Japan
| | - Shunsuke Minakuchi
- Department of Gerontology and Gerodontology, Graduate School, Gerodontology and Oral Rehabilitation, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8549 Japan
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14
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Moradpoor H, Arabzade Hoseini M, Savabi O, Shirani M. Patient satisfaction with occlusal scheme of conventional complete dentures: A randomised clinical trial (part I). J Oral Rehabil 2017; 45:41-49. [PMID: 28965369 DOI: 10.1111/joor.12579] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/26/2017] [Indexed: 11/27/2022]
Abstract
BACKGROUND Occlusal scheme can affect denture retention, stability, occlusal force distribution, aesthetics, masticatory function, patient comfort and general patient satisfaction with dentures. OBJECTIVES This study aimed to compare the patient satisfaction with 3 types of complete denture occlusion including fully bilateral balanced occlusion (FBBO), newly presented buccalised occlusion (BO) and lingualised occlusion (LO). METHODS In this parallel randomised clinical trial, new conventional complete dentures were fabricated for 86 volunteers. Participants were randomly allocated to 3 groups with 3 different occlusal schemes. All patients were recalled at 1 and 3 months after delivery for data collection. The 19-item version of Oral Health Impact Profile for Edentulous Patients questionnaire was used in this study. The visual analogue scale (VAS) was used for assessment of the prosthodontist's attitude towards denture quality, patient's attitude towards different occlusal schemes and evaluation of patient satisfaction. Data were analysed using the Wilcoxon signed rank test, the Kruskal-Wallis test and the post hoc Dunn test via SPSS version 18.0 (P ≤ .05). RESULTS Eighty-six patients completed the study, and their data were analysed (mean age ± standard deviation = 57.78 ± 9.98 years). The only significant difference when comparing the 3 groups was physical pain, which was significantly higher in FBBO group. No significant differences were found for the VAS scores of patient and prosthodontist satisfaction or the domain scores among the 3 occlusal schemes either at 1 or at 3 months post-delivery. The VAS score of patient satisfaction and prosthodontist satisfaction increased at third compared to first month after delivery. CONCLUSION The results of this randomised clinical trial provided evidence that BO is as effective as LO for the fabrication of complete dentures.
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Affiliation(s)
- H Moradpoor
- Department of Prosthodontics, School of Dentistry, Kermanshah University of Medical Sciences, Kermanshah, Iran
| | - M Arabzade Hoseini
- Dental Students' Research Committee, School of Dentistry, Kermanshah University of Medical Sciences, Kermanshah, Iran
| | - O Savabi
- Dental Research Center, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran
| | - M Shirani
- Student Research Committee, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran
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15
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Annual review of selected scientific literature: Report of the committee on scientific investigation of the American Academy of Restorative Dentistry. J Prosthet Dent 2017; 118:281-346. [DOI: 10.1016/j.prosdent.2017.04.027] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2017] [Revised: 04/27/2017] [Accepted: 04/27/2017] [Indexed: 01/19/2023]
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