Biomaterial Database

A randomized clinical trial comparing anatomic, lingualized, and zero-degree posterior occlusal forms for complete dentures. 2007

A F Sutton, and J F McCord

Department of Restorative Dentistry, University Dental Hospital of Manchester, Manchester, UK. finlaysutton@another.com

BACKGROUND There is a lack of evidence to recommend a particular type of posterior occlusal form for conventional complete dentures. OBJECTIVE The purpose of this study was to compare subject satisfaction with 3 types of posterior occlusal forms for complete dentures in a randomized cross-over controlled trial. METHODS For each participant (n=45), 3 sets of complete dentures were fabricated, each of which had a different posterior occlusal form (0-degree, anatomic, and lingualized). Each set was worn for 8 weeks in a randomized order. Subjective data were collected using the Oral Health Impact Profile 20-EDENT (OHIP-EDENT). The Wilcoxon statistical test was used to compare differences between the groups (alpha=.05). RESULTS Lingualized posterior occlusal forms were perceived to be significantly superior in terms of painful aching in the mouth (P=.01), sore spots (P<.001), eating ability (P=.02), and meal interruptions (P=.008), compared with 0-degree posterior occlusal forms. Subjects with anatomic posterior occlusal forms had significantly fewer problems eating (P=.05) compared with 0-degree posterior occlusal forms. There was no significant difference found between the lingualized and anatomic posterior occlusal forms. CONCLUSIONS Participants provided with complete dentures having lingualized or anatomic posterior occlusal forms exhibited significantly higher levels of self-perceived satisfaction compared to those with 0-degree posterior occlusal forms.

UI	MeSH Term	Description	Entries
D008409	Mastication	The act and process of chewing and grinding food in the mouth.	Chewing
D008963	Molar	The most posterior teeth on either side of the jaw, totaling eight in the deciduous dentition (2 on each side, upper and lower), and usually 12 in the permanent dentition (three on each side, upper and lower). They are grinding teeth, having large crowns and broad chewing surfaces. (Jablonski, Dictionary of Dentistry, 1992, p821)	Molars
D009066	Mouth, Edentulous	Total lack of teeth through disease or extraction.	Mouth, Toothless,Edentulous Mouth,Edentulous Mouths,Toothless Mouth
D003766	Dental Occlusion	The relationship of all the components of the masticatory system in normal function. It has special reference to the position and contact of the maxillary and mandibular teeth for the highest efficiency during the excursive movements of the jaw that are essential for mastication. (From Jablonski, Dictionary of Dentistry, 1992, p556, p472)	Canine Guidance,Occlusal Guidance,Occlusal Plane,Occlusion, Dental,Dental Occlusions,Guidance, Canine,Guidance, Occlusal,Occlusal Guidances,Occlusal Planes,Occlusions, Dental,Plane, Occlusal,Planes, Occlusal
D003779	Denture Design	The plan, delineation, and location of actual structural elements of dentures. The design can relate to retainers, stress-breakers, occlusal rests, flanges, framework, lingual or palatal bars, reciprocal arms, etc.	Denture Designs,Design, Denture,Designs, Denture
D003824	Denture, Complete	A denture replacing all natural teeth and associated structures in both the maxilla and mandible.	Complete Denture,Complete Dentures,Dentures, Complete
D006801	Humans	Members of the species Homo sapiens.	Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D017060	Patient Satisfaction	The degree to which the individual regards the health care service or product or the manner in which it is delivered by the provider as useful, effective, or beneficial.	Satisfaction, Patient
D018592	Cross-Over Studies	Studies comparing two or more treatments or interventions in which the subjects or patients, upon completion of the course of one treatment, are switched to another. In the case of two treatments, A and B, half the subjects are randomly allocated to receive these in the order A, B and half to receive them in the order B, A. A criticism of this design is that effects of the first treatment may carry over into the period when the second is given. (Last, A Dictionary of Epidemiology, 2d ed)	Cross-Over Design,Cross-Over Trials,Crossover Design,Crossover Studies,Crossover Trials,Cross Over Design,Cross Over Studies,Cross Over Trials,Cross-Over Designs,Cross-Over Study,Crossover Designs,Crossover Study,Design, Cross-Over,Design, Crossover,Designs, Cross-Over,Designs, Crossover,Studies, Cross-Over,Studies, Crossover,Study, Cross-Over,Study, Crossover,Trial, Cross-Over,Trial, Crossover,Trials, Cross-Over,Trials, Crossover
D019558	Occlusal Adjustment	Selective grinding of occlusal surfaces of the teeth in an effort to eliminate premature contacts and occlusal interferences; to establish optimal masticatory effectiveness, stable occlusal relationships, direction of main occlusal forces, and efficient multidirectional patterns, to improve functional relations and to induce physiologic stimulation of the masticatory system; to eliminate occlusal trauma; to eliminate abnormal muscle tension; to aid in the stabilization of orthodontic results; to treat periodontal and temporomandibular joint problems; and in restorative procedures. (From Jablonski, Dictionary of Dentistry, 1992)	Occlusal Equilibration,Adjustment, Occlusal,Adjustments, Occlusal,Equilibrations, Occlusal,Occlusal Adjustments