A dramatic increase in the number of people living in their seventies, eighties and nineties is associated with a loss of teeth and the use of mobile dentures. The aim of this paper was to highlight the consequences of poor denture hygiene on oral and general health in vulnerable elderly people, in long-term hospitalized elderly patients and in long-term institutionalized elderly in nursing homes. DENTURE DEPOSITS AND CONSEQUENCES OF POOR DENTURE HYGIENE: The number of bacteria living in the mouth is getting larger after putting denture on. Namely, a small "space" develops between jaw and denture, creating perfect conditions for bacterial growth. Denture becomes a "reservoir" of micro-organisms. Denture deposits such as bacterial plaque, fungi, tartar and remnants could be responsible for stomatitis prothetica, cheilitis angularis, inflammatory fibrous hyperplasia, halitosis (bad breath), dental caries in mobile denture carriers, mucositis and periimplantitis in mobile implant over-dentures carriers, accelerated destruction of denture materials for underlying, such as denture base soft liners, respiratory airways diseases, bacterial endocarditis and gastrointestinal infections. REMOVAL OF DENTURE DEPOSITS: It is recommendable to combine mechanical and chemical denture cleaning. Denture submersion into a commercial cleansing solution for less than one hour is an effective cleaning method. Commercial cleanser: specifically intended for dentures with metal parts should be used for those dentures. Commercial cleansers with a new component of silicon polymer, whose thin layer surrounds all denture surfaces and disables oral bacteria to agglomerate, are effective and useful. Preventive hygienic treatments are very important in hospitals and homes for the aged, bearing in mind that old and ill persons reside here. Those institutions are recommended to get equipped with ultrasound denture cleaners. IMPORTANCE OF WRITTEN BROCHURE ON PROPER DENTURE HYGIENE: Patients should be verbally instructed and showed about cleaning techniques, but also written instructions inform of brochure should be distributed in order to achieve better effects.
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http://dx.doi.org/10.2298/mpns1110497s | DOI Listing |
J Prosthet Dent
January 2025
Professor, Department of Dentistry, Federal University of Santa Catarina (UFSC), Florianópolis, SC, Brazil. Electronic address:
Statement Of Problem: Staining at the gingival margin could impact denture longevity, but the behavior of gingival colored composite resins (GCCs) in this area remains unclear.
Purpose: This in vitro study evaluated surface staining, microleakage, and push-out bond strength at the gingival margin of artificial teeth, comparing two consistencies of GCCs with two resin base materials.
Material And Methods: Specimens included artificial teeth (Ivostar; Ivoclar AG) and two acrylic resin base materials: conventional (Ondacryl; Clássico) and high-impact (Diamond D; Keystone Industries) (n=300).
Cureus
December 2024
Dentistry, Kurdistan Higher Council of Medical Specialties, Erbil, IRQ.
Introduction The utilization of Computer-Aided Design and Computer-Aided Manufacturing (CAD/CAM) technology in the production of polyetheretherketone (PEEK) and acetal frameworks enhances the precision and stability of partial denture frameworks. This study evaluates the retentive forces of CAD/CAM-fabricated PEEK, acetal, and cobalt-chromium (Co-Cr) frameworks in removable partial dentures (RPDs). Methods Forty-five frameworks were fabricated (15 each of PEEK, acetal, and Co-Cr) and tested for retentive forces using a universal testing machine at a crosshead speed of 5 mm/min.
View Article and Find Full Text PDFCureus
December 2024
Department of Prosthodontics, Graduate School of Dentistry, Showa University, Tokyo, JPN.
Background Previous studies have suggested that providing dietary guidance along with denture treatment may improve dietary diversity in edentulous patients; however, none have examined the effects on nutritional blood biomarkers. This study investigated the effects of individualized dietary guidance combined with complete denture treatment on nutritional blood biomarker levels, dietary intake, and masticatory function. Materials and methods This was a prospective, randomized, open-label, controlled trial.
View Article and Find Full Text PDFBMC Med Educ
January 2025
Department of Prosthodontics, Faculty of Dentistry, Chiang Mai University, Chiang Mai, Thailand.
Background: Computer-assisted learning (CAL) has the potential to enhance learning outcomes and satisfaction. However, there are limited reports in the literature that describe or evaluate the implementation of this method to promote competency-based learning in removable partial denture (RPD) design. Therefore, this study aimed to: (1) compare the effectiveness of different learning methods using a 3D software-aided RPD design program, (2) evaluate the learning outcomes associated with these different methods following active learning, and (3) assess students' satisfaction.
View Article and Find Full Text PDFArch Oral Biol
January 2025
Department of Prosthodontics and Periodontology, Piracicaba Dental School, University of Campinas (UNICAMP), Piracicaba, SP, Brazil.
Objective: This longitudinal clinical study monitored annually the maxillary and mandibular bone remodeling and masticatory function in complete denture (CD) wearers rehabilitated with implant-retained mandibular overdentures (MO) over three years and combined radiographic and masticatory function data to assess the correlation between bone remodeling and masticatory function.
Design: Thirty-nine MO wearers were monitored annually to assess changes in: i) residual ridge in the anterior and posterior maxillary region; ii) posterior height and posterior area index (PAI) in the mandible; and iii) masticatory function. Bone remodeling was measured through linear and angular measurements using panoramic radiographs.
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