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Published in: Clinical Oral Investigations 5/2017

01-06-2017 | Original Article

Prognoses of new complete dentures from the patient’s denture assessment of existing dentures

Authors: Yuriko Komagamine, Manabu Kanazawa, Yoshiyuki Sasaki, Yusuke Sato, Shunsuke Minakuchi

Published in: Clinical Oral Investigations | Issue 5/2017

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Abstract

Objectives

The aim was to determine prognostic factors affecting frequent post-delivery adjustments of new complete dentures using patients’ assessments of existing complete dentures.

Materials and methods

A total of 125 edentulous participants (56 men, 69 women; mean age, 76.4 years) who required new complete dentures evaluated existing dentures using the patient’s denture assessment (PDA), a questionnaire regarding the self-assessment of dentures composed of 22 question items and containing six subscales: “function,” “lower denture,” “upper denture,” “expectation,” “esthetics and speech,” and “importance.” Moreover, the numbers of post-delivery adjustments of new dentures were recorded. A multiple logistic regression analysis was performed to identify significant factors for frequent adjustments of new dentures with five subscales of the PDA (excluding “importance”), level of mandibular ridge resorption, and age as independent variables.

Results

The analysis showed that “function,” “esthetics and speech,” and level of mandibular ridge resorption were significant variables for a frequent number of post-delivery adjustments of new complete dentures.

Conclusions

The results suggested that patients’ assessments of existing dentures using the PDA might allow a prediction of prognosis for complete denture treatments. Additionally, low “function” scores and high “esthetics and speech” scores for existing dentures and high levels of mandibular ridge resorption were significant prognostic factors affecting frequent post-delivery adjustments of new complete dentures.

Clinical relevance

It may be difficult for edentulous persons to adapt to new complete dentures, especially those who have complaints about mastication and swallowing with existing dentures and poor mandibular ridges, but are satisfied with esthetics and speech.
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Metadata
Title
Prognoses of new complete dentures from the patient’s denture assessment of existing dentures
Authors
Yuriko Komagamine
Manabu Kanazawa
Yoshiyuki Sasaki
Yusuke Sato
Shunsuke Minakuchi
Publication date
01-06-2017
Publisher
Springer Berlin Heidelberg
Published in
Clinical Oral Investigations / Issue 5/2017
Print ISSN: 1432-6981
Electronic ISSN: 1436-3771
DOI
https://doi.org/10.1007/s00784-016-1910-4

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