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.
In some cases, oral surgery is performed to correct bony ridges that may interfere with the stability of the denture. In other cases, the remaining teeth may need to be extracted before placement. Once your dentist has decided that dentures are right for you, he will make an impression of the gums to identify every ridge and crevice to ensure the best fit possible.
The next week I came in early in the morning to have my impressions made. This was fairly quick and I was only in the office for about an hour total. The impression taking process was very unpleasant and I gagged the entire way through. I personally don't blame the dentist because I do have a very strong gag reflex. Other than that the whole process was very smooth. So far so good right?
Dr. Atari at affordable dentures made me feel so comfortable and I have a horrible fear of dentist… Dr. Atari at affordable dentures made me feel so comfortable and I have a horrible fear of dentist with him there was none I felt no embarrassment do to my terrible teeth he made a temporary plate for me until I get my new one I hadn't smiled in two years I even stopped going to church and now I can go back he gave my life back to me whether he knows it or not he did and I'm crying right now while I'm posting this you are one awesome man and I love you for giving my life back to me I thank God for you for giving you the talents that you have I know there's more work to be done and that you will do the best that you can because to me you are the best and anyone that's reading this and needs help should go to doctor Christopher Atari I thank him from the bottom of my heart I recommend affordable dentures to everyone sincerely Toni Barajas Read more
