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Clinical long-term study of complete denture wearers
The Journal of Prosthetic Dentistry
|January 1, 1985
Summary
Long-term complete denture wearers reported good function but had suboptimal denture quality and tissue health after 21 years. Many patients required denture replacement or adjustments, and significant bone resorption varied widely.
Area of Science:
- Dentistry
- Prosthodontics
- Oral Health
Background:
- Complete dentures are a common treatment for edentulism.
- Long-term outcomes of complete dentures require further investigation.
Purpose of the Study:
- To evaluate the long-term (21-year) functional status, denture quality, and oral health of patients with complete dentures.
- To assess patient satisfaction and identify needs for denture maintenance or replacement.
Main Methods:
- Longitudinal study of 32 patients with complete dentures (maxilla or mandible).
- Evaluations included patient questionnaires, clinical examinations, and radiographic assessments (cephalometric analysis).
Main Results:
- Patients generally reported good denture function and chewing ability.
- However, clinical assessments revealed suboptimal denture quality and tissue health in many participants.
- 14 patients needed new dentures, and 6 required relining, adjustment, or repair.
- Cephalometric radiographs indicated significant variations in mandibular bone resorption.
Conclusions:
- While patients perceive good function, long-term complete dentures often require maintenance or replacement due to deteriorating quality and tissue changes.
- Significant patient-to-patient variability exists in bone resorption under complete dentures.