COLORIMETRIC COMPARATIVE ANALYSIS OF MASTICATORY EFFEICIENCY IN COMPLETE DENTURE WEARERS WITH TWO DIFFERENT OCCLUSAL CONCEPTS | ||||
| Alexandria Dental Journal | ||||
| Article 1, Volume 41, Issue 2, August 2016, Page 117-121 PDF (540.93 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/adjalexu.2016.59258 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
| Abbas Faten S* ; Elgindy Nazik A* ; AbdElmonem Esraa M* | ||||
| Professor of Removable Prosthodontics, Faculty of Dentistry, Alexandria University, Alexandria, Egypt. | ||||
| Abstract | ||||
| INTRODUCTION: The appropriate masticatory function is of major importance in complete denture wearers, since it influences the digestion of food and quality of life. Thus, the bilateral balanced occlusal concept is used to achieve greater masticatory efficiency. However, a critical review of the literature reveals that there is not sufficient scientific evidence to support bilateral balanced occlusion as the most appropriate occlusal concept in complete dentures. OBJECTIVES: The aim of this study was to compare clinically between complete denture wearers with bilateral balanced occlusion and canine guidance concepts through the evaluation of masticatory efficiency and patient satisfaction. MATERIALS & METHODS: A controlled crossover clinical trial was conducted. The sample was composed by 20 edentulous patients who wore sets of complete dentures with both occlusal concepts periods of one month. Objective data were collected through the masticatory efficiency test performed by the colorimetric method with the beads, in which capsules of a synthetic material enclosing FDA approved dye-containing granules were used. Subjective data were recorded by general satisfaction patient questionnaire. RESULTS: No significant statistical difference was found for the masticatory efficiency and patient satisfaction between the two occlusal concepts studied. CONCLUSIONS: Both bilateral balanced occlusion and canine guidance improved the masticatory efficiency in complete denture wearers. | ||||
| Keywords | ||||
| Bilateral balanced occlusions; canine guidance occlusion; Complete dentures; masticatory efficiency; patient satisfaction | ||||
| References | ||||
|
1. Lucena SC, Gomes SG, Silva WJ, Cury AA. Patients’ satisfaction and functional assessment of existing complete dentures: correlation with objective masticatory function. J Oral Rehab 2011; 38: 440-6.
2. Neto AF, Junior WM, Adriana PC. Masticatory efficiency in denture wearers with bilateral balanced occlusion and canine guidance. J Braz Dent 2010; 21: 165-9.
3. Sipila K, Ensio K, Hanhela H. Occlusal characteristics in subjects with facial pain compared to a pain free control group. Cranio 2006; 24:245-51.
4. Zarb GA, Bolender CL, Eckert SE, Fenton AH, Jacob RF, Mericske-Stern R. Prosthodontic treatment for edentulous patients & complete dentures and implantsupported prostheses. St. Louis: Mosby; 2003, Chapter II.
5. Palla S. The interface of occlusion as a reflection of conflicts within prosthodontics. Int J Prostho 2005;18: 304-6.
6. Sutton AF, Glenny AM, McCord JF. Interventions for replacing missing teeth: denture chewing surface designs in edentulous people Cochrane Database. Syst Rev 2005; 25:49 -51.
7. Vergani CE, Giampaolo ET, Cucci AL. Composite occlusal surfaces for acrylic resin denture teeth. J Prosth Dent 1997;77:328-31.
8. Escudeiro Santos C, Freitas O, Spadaro ACC, Mestriner-Junior W. Development of a colorimetric system for evaluation of the masticatory efficiency. Braz Dent J 2006;17:95-9.
9. Sato Y, Hamada S ,Akagawa Y, Tsuga K. A method for quantifying overall satisfaction of complete denture patients. J Oral Rehabil 2000; 27:952-7.
10. Peroz I, Leuenberg V, Haustein I, Lange K. Comparison between balanced occlusion and canine guidance in complete denture wearers. Quintessence Int 2003; 34:607-12.
11. Heydecke G, Akkad AS, Wolkewitz M, Vogeler M . patient ratings of chewing ability from a randomized crossover trial: lingualized versus first premolar/canine-guided occlusion for complete dentures. Gerodontology 2007; 24:77-6.
12. Ahmed AR, Muneer MU, Hakeem S. Masticatory efficiency between balanced and lingualized occlusion in complete denture wearers. Pakistan Oral & Dental J 2013; 33:200-6.
13. Khafaga MM. Comparative study between balanced and unbalanced occlusion of complete dentures regarding masticatory performance and patient satisfaction. MSc Thesis, Department of Removable Prosthodontics, Faculty of Dentistry, Alexandria University, 1999.
14. Kayser AF, Van Der Hoeven JS. Colorimetric determination of the masticatory performance. J Oral Rehabil1977; 4:145-8.
15. Thornton LJ. Anterior guidance: Group function/canine guidance. A literature review. J Prosthet Dent 1990; 64:479-2.
16. Winkler-Ortman HR. Complete denture occlusion In: Winkler S editor. Essentials of complete denture prosthodontics.2nd edition. Littletwon (MA): PSG Publishing Company; 1988.p217-49.
17. Manns A, Chan C, Miralls R. Influence of group function and canine guidance on electromyographic activity of elevator muscles. J Prosthet Dent 1987; 57:494-1.
18. Ohguri T, Kawano F, Ichikawa T, Matsumoto N. Influence of occlusal scheme on the pressure distribution under a complete denture. Int J Prosthodont. 1999; 12:353-8.
19. Rehmann P, Balkenol M, Ferger P, Wostmann B. Influence of the occlusal concept of complete dentures on patient satisfaction in the initial phase after fitting: bilateral balanced occlusion vs. canine guidance. Int J Prosthodont. 2008; 21:60-1. | ||||
|
Statistics Article View: 184 PDF Download: 522 |
||||
