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Patient's ability to localize adjustment sites on the mandibular denture
1Department of Advanced Prosthodontics, University of Southern California, School of Dentistry, Los Angeles, Calif., USA.
The Journal of Prosthetic Dentistry
|June 1, 1995
Summary
Patient feedback on new complete denture adjustments often mismatches the actual need. Clinical findings, not patient perceptions, guide accurate denture adjustments to ensure proper fit and function.
Area of Science:
- Dentistry
- Prosthodontics
- Biomaterials
Background:
- Complete denture adjustment is a common clinical procedure.
- Patients frequently report discomfort or pressure points to guide adjustments.
- Accurate identification of adjustment areas is crucial for successful denture adaptation.
Purpose of the Study:
- To evaluate the concordance between patient-perceived denture sore spots and clinically determined adjustment areas.
- To assess the reliability of patient self-reporting in guiding complete denture adjustments.
Main Methods:
- A dye-transfer indicating method was employed to precisely locate areas requiring adjustment on new complete dentures.
- Patient-reported locations of discomfort were recorded and compared with the dye-marked areas.
Main Results:
- Patient-perceived locations of denture discomfort rarely coincided with the actual areas requiring adjustment.
- The dye-transfer method identified discrepancies between patient perception and clinical necessity for adjustment.
Conclusions:
- Accurate and minimal denture adjustments should be based on objective clinical findings, not subjective patient perceptions.
- Relying solely on patient feedback may lead to unnecessary adjustments, potentially compromising denture adaptation and extension.