DOI QR코드

DOI QR Code

Complication rates and patient satisfaction with removable dentures

  • Bilhan, Hakan (Department of Prosthodontics, Faculty of Dentistry, Istanbul University) ;
  • Erdogan, Ozge (Department of Prosthodontics, Faculty of Dentistry, Istanbul University) ;
  • Ergin, Selen (Department of Prosthodontics, Faculty of Dentistry, Istanbul University) ;
  • Celik, Melahat (Department of Prosthodontics, Faculty of Dentistry, Istanbul University) ;
  • Ates, Gokcen (Department of Prosthodontics, Faculty of Dentistry, Istanbul University) ;
  • Geckili, Onur (Department of Prosthodontics, Faculty of Dentistry, Istanbul University)
  • Received : 2012.02.28
  • Accepted : 2012.05.09
  • Published : 2012.05.31

Abstract

PURPOSE. The purpose of this clinical study was to evaluate the frequency and type of prosthetic complications in relation to type and properties of removable dentures and to investigate the influence of these complications and several data about the existing dentures on patient satisfaction. MATERIALS AND METHODS. Ninety nine patients (44 males and 55 females) wearing removable dentures have been included in the study. The complications of the patients were recorded; patient satisfaction was determined with a Visual Analog Scale (VAS) and the relationship of complications and patient satisfaction with several data about the dentures such as denture age, type of denture, centric relation and vertical dimension was investigated. Kruskal Wallis, Mann Whitney U and Chi square tests were used for statistical analyses. The results were evaluated statistically at a significance level of $P$ <.05. RESULTS. Need for addition of artificial teeth for dentures with correct centric relations was found to be significantly lower than dentures with wrong centric relations ($P$ <.01). Loss of retention, ulcerations and high vertical dimension affected the VAS chewing ability scores negatively and ulcerations affected the VAS phonation scores negatively ($P$ <.05). CONCLUSION. Considering the results of this study, it can be concluded that loss of retention, ulcerations and high vertical dimension caused patient dissatisfaction. Additionally, dentures with wrong centric relations caused need for addition of artificial teeth.

Keywords

References

  1. Petersen PE, Yamamoto T. Improving the oral health of older people: the approach of the WHO Global Oral Health Programme. Community Dent Oral Epidemiol 2005;33:81-92. https://doi.org/10.1111/j.1600-0528.2004.00219.x
  2. Felton DA. Edentulism and comorbid factors. J Prosthodont 2009;18:88-96. https://doi.org/10.1111/j.1532-849X.2009.00437.x
  3. Turkyilmaz I, Company AM, McGlumphy EA. Should edentulous patients be constrained to removable complete dentures? The use of dental implants to improve the quality of life for edentulous patients. Gerodontology 2010;27:3-10. https://doi.org/10.1111/j.1741-2358.2009.00294.x
  4. Grant AA, Heath JR, McCord JF. Complete prosthodontics: problems, diagnosis and management. 1st ed. Manchester; Mosby Inc.; 1994. p. 33-115.
  5. Basker RM, Davenport JC. Prosthetic treatment of the edentulous patient. 4th ed. Berlin; Wiley-Blackwell; 2002. p. 71-80.
  6. Zarb GA, Bolender CL, Eckert SE, Fenton AH, Jacob RF, Mericske-Stern R. Prosthodontic treatment for Edentulous Patients: Complete Dentures and Implant-supported Prosthesis. 12th ed. St. Louis; Mosby; 2004. p. 268-329.
  7. Devlin H. Complete dentures: A clinical manual for the general dental practitioner. Berlin; Springer; 2002. p. 33-59.
  8. Dorner S, Zeman F, Koller M, Lang R, Handel G, Behr M. Clinical performance of complete dentures: a retrospective study. Int J Prosthodont 2010;23:410-7.
  9. Langer A, Michman J, Seifert I. Factors influencing satisfaction with complete dentures in geriatric patients. J Prosthet Dent 1961;11:1019-31. https://doi.org/10.1016/0022-3913(61)90038-5
  10. Smith M. Measurement of personality traits and their relation to patient satisfaction with complete dentures. J Prosthet Dent 1976;35:492-503. https://doi.org/10.1016/0022-3913(76)90043-3
  11. Manne S, Mehra R. Accuracy of perceived treatment needs among geriatric denture wearers. Gerodontology 1983;2:67-71. https://doi.org/10.1111/j.1741-2358.1983.tb00240.x
  12. Magnusson T. Clinical judgement and patients' evaluation of complete dentures five years after treatment. A follow-up study. Swed Dent J 1986;10:29-35.
  13. Salonen MA. Assessment of states of dentures and interest in implant- retained prosthetic treatment in 55-year-old edentulous Finns. Community Dent Oral Epidemiol 1994;22:130-5. https://doi.org/10.1111/j.1600-0528.1994.tb01588.x
  14. Bergman B, Carlsson GE. Review of 54 complete denture wearers. Patients' opinions 1 year after treatment. Acta Odontol Scand 1972;30:399-414. https://doi.org/10.3109/00016357209002493
  15. Heyink J, Heezen J, Schaub R. Dentist and patient appraisal of complete dentures in a Dutch elderly population. Community Dent Oral Epidemiol 1986;14:323-6. https://doi.org/10.1111/j.1600-0528.1986.tb01083.x
  16. van Waas MA. The influence of clinical variables on patients' satisfaction with complete dentures. J Prosthet Dent 1990;63:307- 10. https://doi.org/10.1016/0022-3913(90)90202-N
  17. van Waas MA. Determinants of dissatisfaction with dentures: a multiple regression analysis. J Prosthet Dent 1990;64:569-72. https://doi.org/10.1016/0022-3913(90)90130-5
  18. Kalk W, de Baat C, Kaandorp A. Comparison of patients' views and dentists' evaluations 5 years after complete denture treatment. Community Dent Oral Epidemiol 1991;19:213-6. https://doi.org/10.1111/j.1600-0528.1991.tb00148.x
  19. Firtell DN, Finzen FC, Holmes JB. The effect of clinical remount procedures on the comfort and success of complete dentures. J Prosthet Dent 1987;57:53-7. https://doi.org/10.1016/0022-3913(87)90116-8
  20. Jennings DE. Treatment of the mandibular compromised ridge: a literature review. J Prosthet Dent 1989;61:575-9. https://doi.org/10.1016/0022-3913(89)90279-5
  21. Jooste CH, Thomas CJ. The influence of the retromylohyoid extension on mandibular complete denture stability. Int J Prosthodont 1992;5:34-8.
  22. Kalk W, van Waas MA, Engels SE. A comparison of different treatment strategies in patients with atrophic mandibles: a clinical evaluation after 6.5 years. Int J Prosthodont 1992;5:277-83.
  23. Harper GW. Posterior base repair to maximize complete denture retention. Compendium 1993;14:454, 456, 458.
  24. Sykora O, Sutow EJ. Posterior palatal seal adaptation: influence of processing technique, palate shape and immersion. J Oral Rehabil 1993;20:19-31. https://doi.org/10.1111/j.1365-2842.1993.tb01511.x
  25. Garrett NR, Kapur KK, Perez P. Effects of improvements of poorly fitting dentures and new dentures on patient satisfaction. J Prosthet Dent 1996;76:403-13. https://doi.org/10.1016/S0022-3913(96)90546-6
  26. Hummel SK, Wilson MA, Marker VA, Nunn ME. Quality of removable partial dentures worn by the adult U.S. population. J Prosthet Dent 2002;88:37-43. https://doi.org/10.1067/mpr.2002.126845
  27. Douglass CW, Watson AJ. Future needs for fixed and removable partial dentures in the United States. J Prosthet Dent 2002;87:9-14. https://doi.org/10.1067/mpr.2002.121204
  28. Inoue M, John MT, Tsukasaki H, Furuyama C, Baba K. Denture quality has a minimal effect on health-related quality of life in patients with removable dentures. J Oral Rehabil 2011;38:818- 26. https://doi.org/10.1111/j.1365-2842.2011.02222.x
  29. de Grandmont P, Feine JS, Tache′R, Boudrias P, Donohue WB, Tanguay R, Lund JP. Within-subject comparisons of implant- supported mandibular prostheses: psychometric evaluation. J Dent Res 1994;73:1096-104. https://doi.org/10.1177/00220345940730051201
  30. Battistuzzi P, Ka¨yser A, Kanters N. Partial edentulism, prosthetic treatment and oral function in a Dutch population. J Oral Rehabil 1987;14:549-55. https://doi.org/10.1111/j.1365-2842.1987.tb00751.x
  31. Witter DJ, van Elteren P, Ka¨yser AF. Signs and symptoms of mandibular dysfunction in shortened dental arches. J Oral Rehabil 1988;15:413-20. https://doi.org/10.1111/j.1365-2842.1988.tb00177.x
  32. Wetherell JD, Smales RJ. Partial denture failures: a long-term clinical survey. J Dent 1980;8:333-40. https://doi.org/10.1016/0300-5712(80)90049-4
  33. Bergman B, Hugoson A, Olsson CO. Caries, periodontal and prosthetic findings in patients with removable partial dentures: a ten-year longitudinal study. J Prosthet Dent 1982;48:506-14. https://doi.org/10.1016/0022-3913(82)90352-3
  34. Rissin L, Feldman RS, Kapur KK, Chauncey HH. Six-year report of the periodontal health of fixed and removable partial denture abutment teeth. J Prosthet Dent 1985;54:461-7. https://doi.org/10.1016/0022-3913(85)90413-5
  35. Drake CW, Beck JD. The oral status of elderly removable partial denture wearers. J Oral Rehabil 1993;20:53-60. https://doi.org/10.1111/j.1365-2842.1993.tb01514.x
  36. Saito M, Notani K, Miura Y, Kawasaki T. Complications and failures in removable partial dentures: a clinical evaluation. J Oral Rehabil 2002;29:627-33. https://doi.org/10.1046/j.1365-2842.2002.00898.x
  37. Vermeulen AH, Keltjens HM, van't Hof MA, Kayser AF. Tenyear evaluation of removable partial dentures: survival rates based on retreatment, not wearing and replacement. J Prosthet Dent 1996;76:267-72. https://doi.org/10.1016/S0022-3913(96)90170-5
  38. Wagner B, Kern M. Clinical evaluation of removable partial dentures 10 years after insertion: success rates, hygienic problems, and technical failures. Clin Oral Investig 2000;4:74-80. https://doi.org/10.1007/s007840050119
  39. Geckili O, Bilhan H, Bilgin T. Impact of mandibular two-implant retained overdentures on life quality in a group of elderly Turkish edentulous patients. Arch Gerontol Geriatr 2011;53: 233-6. https://doi.org/10.1016/j.archger.2010.11.027
  40. van Waas MA. The influence of psychologic factors on patient satisfaction with complete dentures. J Prosthet Dent 1990;63: 545-8. https://doi.org/10.1016/0022-3913(90)90073-L
  41. Hobkirk JA, Abdel-Latif HH, Howlett J, Welfare R, Moles DR. Prosthetic treatment time and satisfaction of edentulous patients treated with conventional or implant-supported complete mandibular dentures: a case-control study (part 1). Int J Prosthodont 2008;21:489-95.
  42. Hobkirk JA, Abdel-Latif HH, Howlett J, Welfare R, Moles DR. Prosthetic treatment time and satisfaction of edentulous patients treated with conventional or implant-stabilized complete mandibular dentures: a case-control study (part 2). Int J Prosthodont 2009;22:13-9.
  43. Sheppard IM, Schwartz LR, Sheppard SM. Oral status of edentulous and complete denture-wearing patients. J Am Dent Assoc 1971;83:614-20. https://doi.org/10.14219/jada.archive.1971.0376
  44. Carlsson GE, Persson G. Morphologic changes of the mandible after extraction and wearing of dentures. A longitudinal, clinical, and x-ray cephalometric study covering 5 years. Odontol Revy 1967;18:27-54.
  45. Dawson PE. Evaluation, diagnosis and treatment of occlusal problems. 2nd ed. St. Louis; Mosby; 1989. p. 41-6.
  46. The glossary of prosthodontic terms. J Prosthet Dent 2005;94: 10-92. https://doi.org/10.1016/j.prosdent.2005.03.013
  47. Hobkirk JA. Loss of the vertical dimension of occlusion and its management implications. Int J Prosthodont 2009;22:520-1.
  48. Jeganathan S, Payne JA. Common faults in complete dentures: a review. Quintessence Int 1993;24:483-7.
  49. Yemm R. Analysis of patients referred over a period of five years to a teaching hospital consultant service in dental prosthetics. Br Dent J 1985;159:304-6. https://doi.org/10.1038/sj.bdj.4805715

Cited by

  1. Implant-supported overdenture with prefabricated bar attachment system in mandibular edentulous patient vol.4, pp.4, 2012, https://doi.org/10.4047/jap.2012.4.4.254
  2. Implant counseling and information: questions, predictors, and decision-making of patients before implant therapy vol.26, pp.4, 2014, https://doi.org/10.1111/clr.12329
  3. Predictors of Satisfaction with Dentures in a Cohort of Individuals Wearing Old Dentures: Functional Quality or Patient-Reported Measures? vol.26, pp.3, 2015, https://doi.org/10.1111/jopr.12383
  4. A Retrospective 2-Year Clinical Study of Immediate Prosthetic Rehabilitation of Edentulous Jaws with Four Implants and Prefabricated Bars vol.26, pp.5, 2017, https://doi.org/10.1111/jopr.12406
  5. Overdenture retaining bar stress distribution: A finite-element analysis vol.73, pp.4, 2015, https://doi.org/10.3109/00016357.2014.923111
  6. Clinical evaluation of the removable partial dentures with implant fixed prostheses vol.54, pp.3, 2016, https://doi.org/10.4047/jkap.2016.54.3.239
  7. Comparison of immediate-load mini dental implants and conventional-size dental implants to retain mandibular Kennedy class I removable partial dentures: A randomized clinical trial vol.20, pp.5, 2018, https://doi.org/10.1111/cid.12646
  8. Oral Health-Related Outcomes in Edentulous Patients Treated With Mandibular Implant-Retained Dentures Versus Complete Dentures: Systematic Review With Meta-Analyses vol.44, pp.4, 2018, https://doi.org/10.1563/aaid-joi-D-17-00210
  9. Dental Mesenchymal Stem Cell-Based Translational Regenerative Dentistry: From Artificial to Biological Replacement vol.6, pp.2296-4185, 2018, https://doi.org/10.3389/fbioe.2018.00049
  10. Evaluation of satisfaction and complications in patients with existing complete dentures vol.55, pp.1, 2013, https://doi.org/10.2334/josnusd.55.29
  11. A Survey of Complete Denture Patients Experiencing Difficulties with their Prostheses vol.14, pp.3, 2012, https://doi.org/10.5005/jp-journals-10024-1355
  12. Patient’s Satisfaction with Removable Partial Dentures: A Retrospective Case Series vol.10, pp.None, 2012, https://doi.org/10.2174/1874210601610010656
  13. The effectiveness of adhesives on the retention of mandibular free end saddle partial dentures: An in vitro study vol.62, pp.None, 2012, https://doi.org/10.1016/j.jdent.2017.05.008
  14. Evaluation of the Treatment Complexity with Single Complete Removable Denture: A Cross-sectional Study in Tunisia vol.20, pp.8, 2019, https://doi.org/10.5005/jp-journals-10024-2621
  15. Five years follow‐up of mandibular 2‐implant overdentures on locator or ball abutments: Implant results, patient‐related outcome, and prosthetic aftercare vol.21, pp.5, 2012, https://doi.org/10.1111/cid.12840
  16. Impact on the Quality of Life of Older Adults Who Use Inadequate Dental Prostheses: A Cross-Sectional Study vol.20, pp.None, 2012, https://doi.org/10.1590/pboci.2020.074
  17. Single tooth implant versus resin-bonded bridge: A study of patient’s satisfaction vol.9, pp.2, 2012, https://doi.org/10.4103/ejgd.ejgd_63_20
  18. Effects of Positions and Angulations of Titanium Dental Implants in Biomechanical Performances in the All-on-Four Treatment: 3D Numerical and Strain Gauge Methods vol.10, pp.2, 2012, https://doi.org/10.3390/met10020280
  19. Evaluation of the design-driven prediction of removable partial denture retention vol.124, pp.3, 2012, https://doi.org/10.1016/j.prosdent.2019.10.005
  20. Shear bond strength between CAD/CAM denture base resin and denture artificial teeth when bonded with resin cement vol.12, pp.5, 2012, https://doi.org/10.4047/jap.2020.12.5.251
  21. Utilization of denture adhesives and the factors associated with its use: a cross-sectional survey vol.20, pp.1, 2020, https://doi.org/10.1186/s12903-020-01177-5
  22. Multivariate analysis reveals oral health-related quality of life of complete denture wearers with denture adhesives: a multicenter randomized controlled trial vol.65, pp.3, 2021, https://doi.org/10.2186/jpr.jpr_d_20_00132
  23. Assessment of CAD-CAM polymers for digitally fabricated complete dentures vol.125, pp.1, 2021, https://doi.org/10.1016/j.prosdent.2019.12.008
  24. In Vitro Assessment of the Effect of Implant Position on Biomechanical Behaviors of Implant-Supported Removable Partial Dentures in Kennedy Class II Condition vol.14, pp.9, 2012, https://doi.org/10.3390/ma14092145
  25. Analytical model of I-bar clasps for removable partial dentures vol.37, pp.6, 2012, https://doi.org/10.1016/j.dental.2021.03.018
  26. A 10-Year Review of the Complications Caused by Ingested and Aspirated Dentures vol.100, pp.8, 2012, https://doi.org/10.1177/0145561320917529
  27. Treatment outcomes of implant-assisted removable partial denture with distal extension based on the Kennedy classification and attachment type: a systematic review vol.7, pp.1, 2012, https://doi.org/10.1186/s40729-021-00394-z