Biomaterial Database

Complete denture problem solving: a survey. 1995

S K Lechner, and H Champion, and T K Tong

University of Sydney.

An investigation was carried out into the problems experienced by 114 referred patients with complete dentures who were considered to be difficult or to have difficult prosthodontic problems. The commonest problems were those of pain and lack of retention, due mainly to occlusal discrepancies and excessive VDO. Treatment was carried out on an individual basis with a large proportion of dentures being remade. However, a small number was satisfied by counselling alone without procedural treatment. A diagnostic denture technique was used for particularly difficult cases. This technique showed that, in two cases, technical prosthodontic inadequacies could definitively be excluded as the problem. The overall success rate for treatment was 80 per cent. Further studies on a larger patient sample are needed so that specific problems can be linked to cause and outcome in a meaningful manner.

UI	MeSH Term	Description	Entries
D008409	Mastication	The act and process of chewing and grinding food in the mouth.	Chewing
D010146	Pain	An unpleasant sensation induced by noxious stimuli which are detected by NERVE ENDINGS of NOCICEPTIVE NEURONS.	Suffering, Physical,Ache,Pain, Burning,Pain, Crushing,Pain, Migratory,Pain, Radiating,Pain, Splitting,Aches,Burning Pain,Burning Pains,Crushing Pain,Crushing Pains,Migratory Pain,Migratory Pains,Pains, Burning,Pains, Crushing,Pains, Migratory,Pains, Radiating,Pains, Splitting,Physical Suffering,Physical Sufferings,Radiating Pain,Radiating Pains,Splitting Pain,Splitting Pains,Sufferings, Physical
D011340	Problem Solving	A learning situation involving more than one alternative from which a selection is made in order to attain a specific goal.
D003376	Counseling	The giving of advice and assistance to individuals with educational or personal problems.
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
D003781	Denture Retention	The retention of a denture in place by design, device, or adhesion.	Denture Stability,Retention, Denture,Stability, Denture
D003823	Denture Rebasing	The process of refitting a denture by replacing the denture base material without changing the occlusal relations of the teeth. Rebasing may include adding to the denture base to compensate for resorptive changes to subjacent structures.	Denture Relining,Denture Rebasings,Denture Relinings,Rebasing, Denture,Rebasings, Denture,Relining, Denture,Relinings, 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
D003826	Denture, Complete, Lower	A complete denture replacing all the natural mandibular teeth and associated structures. It is completely supported by the oral tissue and underlying mandibular bone.