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Complication rates and patient satisfaction with removable dentures
Hakan Bilhan1, Ozge Erdogan, Selen Ergin
1Department of Prosthodontics, Faculty of Dentistry, Istanbul University, Istanbul, Turkey.
The Journal of Advanced Prosthodontics
|June 28, 2012
Summary
Prosthetic complications like poor fit and ulcers significantly decrease patient satisfaction with removable dentures. Correcting centric relations in dentures reduces the need for additional artificial teeth, improving overall oral health outcomes.
Area of Science:
- Dental Prosthetics
- Clinical Dentistry
- Patient-Reported Outcomes
Background:
- Removable dentures are common prosthetic solutions.
- Prosthetic complications can impact function and patient satisfaction.
- Understanding complication types and denture properties is crucial for improving outcomes.
Purpose of the Study:
- To assess the frequency and types of prosthetic complications in removable dentures.
- To correlate complications with denture characteristics (age, type, centric relation, vertical dimension).
- To evaluate the influence of complications and denture data on patient satisfaction.
Main Methods:
- A study involving 99 patients (44 males, 55 females) with removable dentures.
- Recording of patient complications and assessment of satisfaction using a Visual Analog Scale (VAS).
- Statistical analysis (Kruskal Wallis, Mann Whitney U, Chi square tests) with P<.05 significance level.
Main Results:
- Dentures with incorrect centric relations required significantly more artificial teeth additions (P<.01).
- Loss of retention, ulcerations, and high vertical dimension negatively impacted chewing ability scores (P<.05).
- Ulcerations also negatively affected phonation scores (P<.05).
Conclusions:
- Loss of retention, ulcerations, and high vertical dimension are key factors causing patient dissatisfaction.
- Incorrect centric relations in dentures lead to the need for additional artificial teeth.
- Addressing these specific complications can enhance patient satisfaction with removable dentures.