No consensus has been reached regarding the best occlusal scheme for making complete dentures. Thus, the purpose of this systematic review was to compare bilateral balanced occlusion (BBO) with other occlusal schemes (canine guidance, lingualised occlusion and zero degree) in complete dentures. The schemes were compared in terms of quality of life/satisfaction and masticatory performance. Two independent reviewers performed a comprehensive search of studies published in or before October 2017 using the PubMed/MEDLINE, Scopus and Cochrane Library databases. The search was performed in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. The focused question was: "In conventional complete denture, is BBO better than lingualised occlusion, canine guidance and zero degree in terms of quality of life, patient satisfaction and masticatory performance/muscle activity?" Seventeen studies were selected for analysis. In total, there were 492 patients with a mean age of 64.78 years and a mean follow-up duration of 2.96 months (range: 1-6 months). All studies compared BBO with the other occlusal schemes. Eleven studies evaluated the influence of the occlusal scheme designs on quality of life and satisfaction, and 8 studies evaluated masticatory performance and muscle activity between BBO and the other occlusion schemes. The present systematic review indicated that BBO does not confer better quality of life/satisfaction or masticatory performance and muscle activity. Thus, lingualised occlusion can be considered a predictable occlusal scheme for complete dentures in terms of quality of life/satisfaction and masticatory performance, while canine guidance can be used to reduce muscular activity.
Later that afternoon I came back to have 16 teeth extracted. I got to the office and waited about 30 minutes before I was seen. I got to the back and began injections. After this I went to a full blown panic attack and came close to passing out. The one positive is the dentist who was working on me took it in stride. I wasn't treated disrespectfully and after about 30 minutes the panic subsided and she was able to finish my injections and begin pulling teeth.
I hate my dentures!!! I paid over $2000 for the ultimate denture, at the wax try in everything was fine. I had no problem with the dentures and I was told the gum on the denture would be a little dark as the wax was a bright pink color. I picked my permanent denture up a week later and the gums on the denture are black! I don't know if they feel all black people have black gums however, my real gums are not dark to start with. I asked what the cost would be to get the gums on the denture lightened and I was told they would have to be re-made. I paid over $2000 and now it sounds like the only way to get the dentures done right I would have to purchase a new pair. THIS IS VERY DISAPPOINTING! I cannot believe I recommended this place to people. I feel like I flushed $2000 down the toilet! I am currently wearing my immediate dentures (cheap economy dentures) I received after surgery and they look better than my permanent dentures (expensive ultimate dentures). My advise to everyone is to not sign anything until you know for certain what the end result is. They only focus on how short or long you want the teeth, no one says anything about how the gums attached to the teeth are going to look. I feel if you pay that kind of money they should be done right!
Later that afternoon I came back to have 16 teeth extracted. I got to the office and waited about 30 minutes before I was seen. I got to the back and began injections. After this I went to a full blown panic attack and came close to passing out. The one positive is the dentist who was working on me took it in stride. I wasn't treated disrespectfully and after about 30 minutes the panic subsided and she was able to finish my injections and begin pulling teeth.
