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Pei Jia Loh1, Colin Levey1

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Bilateral balanced occlusion (BBO) in complete dentures does not improve patient quality of life or chewing ability. Lingualised occlusion offers predictable outcomes, while canine guidance may reduce muscle activity.

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Area of Science:

  • Dentistry
  • Prosthodontics
  • Biomedical Engineering

Background:

  • Complete dentures require optimal occlusal schemes for patient satisfaction and function.
  • Various occlusal schemes, including bilateral balanced occlusion (BBO), lingualised occlusion (LO), canine guidance (CG), and zero-degree (ZD), are used.

Purpose of the Study:

  • To systematically review and compare the effectiveness of bilateral balanced occlusion (BBO) against other occlusal schemes in complete dentures.
  • To evaluate the impact of different occlusal schemes on patient quality of life, satisfaction, masticatory performance, and muscle activity.

Main Methods:

  • A systematic review of randomized controlled trials (RCTs) and prospective studies.
  • Searches conducted in Medline, Scopus, and Cochrane Library, supplemented by specific dental journals.
  • Risk of bias assessed using the Cochrane risk of bias tool and Newcastle-Ottawa scale.

Main Results:

  • Seventeen studies (11 RCTs, 6 prospective) with 492 participants were included.
  • BBO did not demonstrate superior outcomes in quality of life, patient satisfaction, or masticatory performance compared to other schemes.
  • Lingualised occlusion showed predictable results for quality of life and satisfaction; canine guidance was associated with reduced muscle activity.

Conclusions:

  • Bilateral balanced occlusion is not superior to other occlusal schemes for complete dentures regarding patient-reported outcomes and function.
  • Lingualised occlusion presents a predictable option for complete denture patients.
  • Canine guidance may be beneficial for reducing muscle activity in complete denture wearers.