Influence of the height of the mandibular ridge on the masticatory function during the functional adaptation with new complete dentures

Abstract The period of functional adaptation to a new conventional complete denture embraces many transitory issues, and this period is directly related to the rehabilitation success. Objective This clinical trial evaluated the influence of the height of mandibular ridge on the masticatory function...

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Main Authors: Vivian Barnabé POLICASTRO, Ana Flávia Balestrero CASSIANO, Marcela Dantas Dias da SILVA, Hamile Emanuella do Carmo VIOTTO, Andressa Rosa Perin LEITE, Danny Omar Mendoza MARIN, Ana Carolina PERO
Format: Article
Language:English
Published: University of São Paulo 2020-10-01
Series:Journal of Applied Oral Science
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1678-77572020000100477&tlng=en
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author Vivian Barnabé POLICASTRO
Ana Flávia Balestrero CASSIANO
Marcela Dantas Dias da SILVA
Hamile Emanuella do Carmo VIOTTO
Andressa Rosa Perin LEITE
Danny Omar Mendoza MARIN
Ana Carolina PERO
author_facet Vivian Barnabé POLICASTRO
Ana Flávia Balestrero CASSIANO
Marcela Dantas Dias da SILVA
Hamile Emanuella do Carmo VIOTTO
Andressa Rosa Perin LEITE
Danny Omar Mendoza MARIN
Ana Carolina PERO
author_sort Vivian Barnabé POLICASTRO
collection DOAJ
description Abstract The period of functional adaptation to a new conventional complete denture embraces many transitory issues, and this period is directly related to the rehabilitation success. Objective This clinical trial evaluated the influence of the height of mandibular ridge on the masticatory function of complete denture (CD) wearers during the adaptation period. Methodology A total of 28 individuals wearing new CDs (NR, n=14, normal mandibular ridges, 64±12.5 years, 9 female; RR, n=14, resorbed mandibular ridges, 69±6.8 years, 9 female) were assessed at 24 hours, 30 days, three months and six months after the insertion of the CDs for masticatory performance (MP, sieves method), satisfaction with CDs (questionnaire) and maximum occlusal bite force (MOBF) (gnatodynamometer). The classification of the mandibular ridges followed the Kapur index. Data of MP and MOBF were analyzed by two-way ANOVA and satisfaction with CDs was analyzed by Generalized Estimating Equations (GEE), α=.05. Results Participants with NR presented better masticatory performance (p=.000 - NR 30.25±9.93%, RR 12.41±7.17%), general satisfaction (p=.047), retention of mandibular denture (p=.001), chewing ability (p=.037), and comfort of wearing a mandibular denture (p=.000). Regardless of the mandibular ridge, MP (p=.000) was higher at three (21.26±12.07%) and six months (24.25±12.26%) in comparison to 24 hours (18.09±10.89%), the MOBF (p=.000) was higher at three months (78.50±6.49 N) compared to 24 hours (57.34±5.55 N) and 30 days (62.72±5.97 N), and the comfort of wearing a mandibular denture (p=.002) at three months (1.61 ± 0.07) was greater than 24 hours (1.29±0.10) and 30 days (1.36±10). Conclusions The study suggests that the participants with NR have higher MP and satisfaction with their CD, regardless of the follow-up period after the insertion of the new CD. After subjects received the CD, a period of 3 months was necessary for achieving better achievement MOBF, MP, and self-perceived comfort with the mandibular denture, regardless of the height of the mandibular ridge.
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spelling doaj.art-bdf743fc872e471ba59478612cadafa32022-12-21T21:23:31ZengUniversity of São PauloJournal of Applied Oral Science1678-77652020-10-012810.1590/1678-7757-2020-0092Influence of the height of the mandibular ridge on the masticatory function during the functional adaptation with new complete denturesVivian Barnabé POLICASTROhttps://orcid.org/0000-0002-2109-251XAna Flávia Balestrero CASSIANOMarcela Dantas Dias da SILVAHamile Emanuella do Carmo VIOTTOAndressa Rosa Perin LEITEDanny Omar Mendoza MARINAna Carolina PEROAbstract The period of functional adaptation to a new conventional complete denture embraces many transitory issues, and this period is directly related to the rehabilitation success. Objective This clinical trial evaluated the influence of the height of mandibular ridge on the masticatory function of complete denture (CD) wearers during the adaptation period. Methodology A total of 28 individuals wearing new CDs (NR, n=14, normal mandibular ridges, 64±12.5 years, 9 female; RR, n=14, resorbed mandibular ridges, 69±6.8 years, 9 female) were assessed at 24 hours, 30 days, three months and six months after the insertion of the CDs for masticatory performance (MP, sieves method), satisfaction with CDs (questionnaire) and maximum occlusal bite force (MOBF) (gnatodynamometer). The classification of the mandibular ridges followed the Kapur index. Data of MP and MOBF were analyzed by two-way ANOVA and satisfaction with CDs was analyzed by Generalized Estimating Equations (GEE), α=.05. Results Participants with NR presented better masticatory performance (p=.000 - NR 30.25±9.93%, RR 12.41±7.17%), general satisfaction (p=.047), retention of mandibular denture (p=.001), chewing ability (p=.037), and comfort of wearing a mandibular denture (p=.000). Regardless of the mandibular ridge, MP (p=.000) was higher at three (21.26±12.07%) and six months (24.25±12.26%) in comparison to 24 hours (18.09±10.89%), the MOBF (p=.000) was higher at three months (78.50±6.49 N) compared to 24 hours (57.34±5.55 N) and 30 days (62.72±5.97 N), and the comfort of wearing a mandibular denture (p=.002) at three months (1.61 ± 0.07) was greater than 24 hours (1.29±0.10) and 30 days (1.36±10). Conclusions The study suggests that the participants with NR have higher MP and satisfaction with their CD, regardless of the follow-up period after the insertion of the new CD. After subjects received the CD, a period of 3 months was necessary for achieving better achievement MOBF, MP, and self-perceived comfort with the mandibular denture, regardless of the height of the mandibular ridge.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1678-77572020000100477&tlng=enComplete dentureMasticationBite forcePatient satisfaction
spellingShingle Vivian Barnabé POLICASTRO
Ana Flávia Balestrero CASSIANO
Marcela Dantas Dias da SILVA
Hamile Emanuella do Carmo VIOTTO
Andressa Rosa Perin LEITE
Danny Omar Mendoza MARIN
Ana Carolina PERO
Influence of the height of the mandibular ridge on the masticatory function during the functional adaptation with new complete dentures
Journal of Applied Oral Science
Complete denture
Mastication
Bite force
Patient satisfaction
title Influence of the height of the mandibular ridge on the masticatory function during the functional adaptation with new complete dentures
title_full Influence of the height of the mandibular ridge on the masticatory function during the functional adaptation with new complete dentures
title_fullStr Influence of the height of the mandibular ridge on the masticatory function during the functional adaptation with new complete dentures
title_full_unstemmed Influence of the height of the mandibular ridge on the masticatory function during the functional adaptation with new complete dentures
title_short Influence of the height of the mandibular ridge on the masticatory function during the functional adaptation with new complete dentures
title_sort influence of the height of the mandibular ridge on the masticatory function during the functional adaptation with new complete dentures
topic Complete denture
Mastication
Bite force
Patient satisfaction
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1678-77572020000100477&tlng=en
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