What is the longevity of removable prosthodontics?

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This rapid technology review of the longevity of removable dental prostheses focused on complete dentures and partial plastic or metal dentures. It included a small number of systematic reviews, which were of limited quality and based on a small number of small studies. While good 5 year survival rates were found, the quality of the evidence means that the findings should be interpreted cautiously.

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Compete dentures: no difference between simplified and traditional approaches to fabrication

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Today we look at a review that compares simplified approaches with traditional methods for constructing complete dentures. 3 small trials reported in 6 papers suggest some advantages of the simplified approach over the traditional. However studies are small and of short duration.

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Silicone impressions for complete dentures improve patients’ quality of life but increase costs

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Yesterday (Dental Elf 10th July 2014) we looked at a trial that compared dentures made with silicone and alginate impression materials. In a study undertaken alongside that trial the authors aimed to assess the cost effectiveness of silicone and alginate impressions for complete dentures. The cost effectiveness analysis (CEA) took the perspective of the UK [read the full story…]

Trial found that patients preferred dentures made using silicone impressions

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While oral health has improved in many countries there is still a continuing demand for non-implant prosthodontic treatment.   The aim of this trial was to whether there is a patient preference for dentures produced from alginate or silicone impressions Edentulous adults aged 18 or over who required new complete dentures were invited to participate. Those [read the full story…]

Trial shows that implant overdentures did not result in better dietary intake than conventional dentures at 12 months

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Studies have shown that edentate patients have poorer nutrition than those with no teeth The main aim of this study was to assess whether mandibular two-implant overdentures (IODs) improved the nutritional status of older people compared with those wearing a conventional denture (CD). Patients over the age of 65 who had been edentate for a [read the full story…]

Some weak evidence is available to guide choice of occlusal schemes for complete dentures.

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It is widely accepted that the occlusal schemes of complete dentures have a direct influence on their success. A Cochrane review by Sutton et al in 2004 only identified one trial that fully met their inclusion criteria; so recommended further well conducted randomised controlled trials (RCTs). The aim of this review was to assess the [read the full story…]

Review suggests that face-bow transfer not essential for good outcomes in denture construction

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The use of the face-bow record during complete denture construction is recommended in most prosthodontic text books and taught in many UK and US dental schools.  The aim of this review was to compare the outcomes of the construction of dental prostheses and occlusal splints with and without the use of face-bow transfer. Searches were [read the full story…]

Simplified technique for complete denture fabrication had no adverse effect on Patient satisfaction or quality of life

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Back in February of this year we reported on the rests of a trial that compared he masticatory performance and ability of a simplified technique for complete denture fabrication with a conventional technique.(Dental Elf 25th Feb 2013). This paper presents the oral health-related quality of life (OHRQoL) including patient satisfaction and denture quality. 42 patents [read the full story…]

Trial suggests that simplified technique for complete denture fabrication results in similar masticatory performance as traditional approaches

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While oral health has improved complete edentulism is remains an important problem. While it is increasingly common for treatment approaches to use implant-retained prosthesis conventional complete dentures are still in widespread use.   Traditional denture construction protocols involve several clinical and laboratory stages and simplified approaches have been suggested.  The aim of this trial was to [read the full story…]

Limited available evidence suggests that a one-step impression technique is sufficient for the majority of edentulous patients

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Obtaining an accurate impression of the potential denture supporting area is a key stage in the construction of complete dentures.  Traditionally a two-stage procedure has been recommended.  The aim of this review was to assess the effectiveness of different impression materials and techniques used in complete denture construction. Medline/PubMed and the Cochrane Library were searched together [read the full story…]