[Use of the maximal physiologic load test in the evaluation of functional values of newly made complete dentures and...

There is a constant dilemma of dental practitioners in contact with patients in whom complete dentures have lost congruent relation toward supporting mucoosseous tegmen if new dentures should be made or rebased by change of denture base. The investigators who have studied those problems have been mostly concerned with problem of material and rebasing procedures of complete dentures. The aim of the study was to determine the functional value of unrebased, rebased by Rehm and new complete dentures and compare the time of initial functional adaptation of patients to rebased and new complete dentures. The study included 72 examinees. The functional value of complete dentures was estimated by test of masticatory muscles, bioelectrical activity by test of masticatory efficacy and by test of maximal physiological load. On the basis of the study it was concluded that complete dentures rebased by Rehm were in function worthier than unrebased, and the period of initial functional adaptation was missing. In the examinees with pair of newly made complete dentures, functional tests revealed the reduction of initial values after the new dentures were delivered. During the examination interval, progressive dynamics with tendency of establishing the optimal functional value and initial functional adaptation was revealed after 21 days.