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Simplified versus conventional complete dentures: A randomized crossover clinical trial.

Nadia S Ereifej1, Yara G Oweis2, Wijdan El Manaseer3

  • 1Associate Professor, Department of Prosthetic Dentistry, Faculty of Dentistry, The University of Jordan, Amman, Jordan.

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A simplified complete denture technique offers higher patient satisfaction and fewer appointments than the conventional method. This approach, omitting specific steps, proves effective for edentulous patients seeking improved oral prosthetics.

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Area of Science:

  • Dentistry
  • Prosthodontics
  • Clinical Trials

Background:

  • A simplified complete denture fabrication approach, excluding border molding and definitive impression, has been proposed.
  • Clinical trials comparing this simplified method to the conventional approach are limited.

Purpose of the Study:

  • To evaluate patient satisfaction and oral health impact using complete dentures made with a simplified versus a conventional fabrication method.
  • To compare outcomes in completely edentulous patients through a randomized crossover clinical trial.

Main Methods:

  • Forty edentulous patients were randomized into two groups, receiving both simplified and conventional dentures sequentially.
  • Patient satisfaction was measured using Visual Analog Scales (VAS) for various parameters (comfort, retention, stability, speech, mastication).
  • The Oral Health Impact Profile for edentulous patients (OHIP-EDENT) questionnaire assessed oral health quality of life.

Main Results:

  • Simplified complete dentures showed significantly higher VAS scores for overall maxillary denture satisfaction, retention, stability, and speaking.
  • No significant differences were observed between the two methods regarding other VAS measures or OHIP-EDENT scores.
  • The simplified approach required fewer clinical appointments.

Conclusions:

  • The simplified complete denture fabrication method leads to enhanced patient satisfaction and comparable oral health impact scores to the conventional method.
  • Fewer appointments are needed with the simplified approach, making it a recommended alternative.
  • This simplified technique offers a viable and effective option for complete denture treatment.