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.
Medically, the consequences of not replacing missing teeth include unwanted and unhealthy nutritional changes. There are also potential risks of diabetes, obesity, heart disease, depression, and an increase in the likelihood of developing cancer. These are all prominent health risks that are avoidable by providing a dental structure with partial dentures or another quality tooth replacement option.
Denture cleanser tablets are dropped into warm water to create an effervescent solution. Dentures are removed from the mouth and placed in the solution. Soaking dentures in the cleaning solution helps kill germs that can cause odor. The amount of time dentures should be soaked—from a few minutes to overnight—depends on the manufacturer’s instructions.
According to Statista: The Statistics Portal and the U.S. Census Data and Simmons National Consumer Survey (NHCS), in 2017 0.66 million Americans are using dentures. A 2012 survey states that 40 % of Americans lack dental insurance which further hinders them from getting the dental care that they need as it is deemed unaffordable which would make the likelihood of poor oral health higher.
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For patients with multiple missing teeth – Having multiple missing teeth would mean that speech could be impaired and chewing would be much more difficult. Also, a patient could experience low-self confidence and consciousness over their appearance. Full and partial dentures can help ease those burdens and give the patients a new smile and a new outlook in life.
Overall, when considering full dentures for the lower jaw, an overdenture should be discussed with your dental professional as it can provide the most effective, satisfying, and longest-lasting alternative. Traditional full and partial denture options should be explored, weighing their benefits and pitfalls carefully to find the right dentures for your tooth loss.
Partial Dentures: Partial dentures can either be made with a plastic base or a metal framework that supports the number of teeth that need to be replaced. It is held in the mouth by using clasps and rests that are carefully adapted around the natural teeth. The partial denture that uses a metal framework is the traditional design, due to the rigidity and strength of the metal. Plastic partial dentures have normally been used as emergency or temporary replacements of missing teeth, allowing the gums and bone to heal before a definitive restorative solution is obtained. Recently, however, various materials such as Valplast have been developed to provide durable, flexible alternatives in certain situations.
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