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This Dr Baumgarden smelled like alchohol and was very rude to me as a patient and the way he talked to the assistants was uncalled for. I have spent over 30 years in the customer service business and if I treated customers as he does I would not have a job. I do realize that everyone has a bad day but this is my second time here and he was like this both times!
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.
Patients should combine the brushing of their dentures with soaking them in an immersion cleaner from time to time as this combined cleaning strategy has been shown to control denture plaque.[33] Due to microbial invasion, the lack of use of immersion cleaners and inadequate denture plaque control will cause rapid deterioration of the soft linings of the denture.[34]
An overdenture is a removable dental prosthesis that covers and rests on one or more remaining tooth roots. A removable partial denture is a dental prosthesis that replaces some teeth and is built around existing natural teeth. Both the overdenture and the removable partial denture may be connected to the remaining tooth roots or remaining natural teeth with anchors made of metal or plastic. These connections improve stability and the retention of both prostheses.
