THE INFLUENCE OF DEMOGRAPHIC FACTORS AND MEDICAL CONDITIONS ON PATIENTS COMPLAINTS WITH COMPLETE DENTURES
Identifieur interne : 000446 ( Pmc/Corpus ); précédent : 000445; suivant : 000447THE INFLUENCE OF DEMOGRAPHIC FACTORS AND MEDICAL CONDITIONS ON PATIENTS COMPLAINTS WITH COMPLETE DENTURES
Auteurs : T. J. Ogunrinde ; O. O. DosumuSource :
- Annals of Ibadan Postgraduate Medicine [ 1597-1627 ] ; 2012.
Abstract
The purpose of this study was to determine the most frequent complete denture complaints and to investigate the influence of age, gender and systemic disease conditions on the complaints.
This was a retrospective study in which information on the demographic data, medical and dental history of complete denture patients were obtained from their case records. Also the type of complaints and adjustment made to the denture at review appointments were recorded. All data generated were entered into IBM-Compatible micro-computer and analysed using the statistical packages of social sciences (SPSS) version 15. Chi-square test was used to test for statistical significance.
Eighty-two case records of complete denture patients were reviewed. Fourty-six of the patients were male while 36 were female. The age ranged between 40 and 90 years with mean age of 69.10 (SD=10.6) years. Fifty-one (62.2%) patients had complaints with their dentures during a week review appointment. Pain was the most common complaint 23 (28%), followed by lack of retention, 12 (14.6%). Eighteen (21.9%) patients had systemic medical conditions.
There was no statistically significant relationship between patient age, gender, systemic health and denture complaints; but statistically significant relationship exist between types of denture, denture faults and complaints.
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">THE INFLUENCE OF DEMOGRAPHIC FACTORS AND MEDICAL CONDITIONS ON PATIENTS COMPLAINTS WITH COMPLETE DENTURES</title><author><name sortKey="Ogunrinde, T J" sort="Ogunrinde, T J" uniqKey="Ogunrinde T" first="T. J." last="Ogunrinde">T. J. Ogunrinde</name></author><author><name sortKey="Dosumu, O O" sort="Dosumu, O O" uniqKey="Dosumu O" first="O. O." last="Dosumu">O. O. Dosumu</name></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">25161408</idno><idno type="pmc">4111054</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4111054</idno><idno type="RBID">PMC:4111054</idno><date when="2012">2012</date><idno type="wicri:Area/Pmc/Corpus">000446</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000446</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">THE INFLUENCE OF DEMOGRAPHIC FACTORS AND MEDICAL CONDITIONS ON PATIENTS COMPLAINTS WITH COMPLETE DENTURES</title><author><name sortKey="Ogunrinde, T J" sort="Ogunrinde, T J" uniqKey="Ogunrinde T" first="T. J." last="Ogunrinde">T. J. Ogunrinde</name></author><author><name sortKey="Dosumu, O O" sort="Dosumu, O O" uniqKey="Dosumu O" first="O. O." last="Dosumu">O. O. Dosumu</name></author></analytic><series><title level="j">Annals of Ibadan Postgraduate Medicine</title><idno type="ISSN">1597-1627</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Objective:</title><p>The purpose of this study was to determine the
most frequent complete denture complaints and to investigate
the influence of age, gender and systemic disease conditions
on the complaints.</p></sec><sec><title>Methodology:</title><p>This was a retrospective study in which
information on the demographic data, medical and dental
history of complete denture patients were obtained from their
case records. Also the type of complaints and adjustment
made to the denture at review appointments were recorded.
All data generated were entered into IBM-Compatible micro-computer
and analysed using the statistical packages of social
sciences (SPSS) version 15. Chi-square test was used to test
for statistical significance.</p></sec><sec><title>Result:</title><p>Eighty-two case records of complete denture patients
were reviewed. Fourty-six of the patients were male while
36 were female. The age ranged between 40 and 90 years
with mean age of 69.10 (SD=10.6) years. Fifty-one (62.2%)
patients had complaints with their dentures during a week
review appointment. Pain was the most common complaint
23 (28%), followed by lack of retention, 12 (14.6%). Eighteen
(21.9%) patients had systemic medical conditions.</p></sec><sec><title>Conclusion:</title><p>There was no statistically significant relationship
between patient age, gender, systemic health and denture
complaints; but statistically significant relationship exist
between types of denture, denture faults and complaints.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Macgregor, Ar" uniqKey="Macgregor A">AR MacGregor</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Laurina, L" uniqKey="Laurina L">L Laurina</name></author><author><name sortKey="Sobolever, U" uniqKey="Sobolever U">U Sobolever</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Brunello, Dl" uniqKey="Brunello D">DL Brunello</name></author><author><name sortKey="Mandikos, Mn" uniqKey="Mandikos M">MN Mandikos</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Smith, Jp" uniqKey="Smith J">JP Smith</name></author><author><name sortKey="Hughes, D" uniqKey="Hughes D">D Hughes</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kotkin, H" uniqKey="Kotkin H">H Kotkin</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Dervis, E" uniqKey="Dervis E">E Dervis</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Heartwell, Cm" uniqKey="Heartwell C">CM Heartwell</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Fiske, J" uniqKey="Fiske J">J Fiske</name></author><author><name sortKey="Davis, Dm" uniqKey="Davis D">DM Davis</name></author><author><name sortKey="Horrocks, P" uniqKey="Horrocks P">P Horrocks</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Powter, G" uniqKey="Powter G">G Powter</name></author><author><name sortKey="Cleaton Jones, P" uniqKey="Cleaton Jones P">P Cleaton-Jones</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Car, L" uniqKey="Car L">L Car</name></author><author><name sortKey="Lucas, Vs" uniqKey="Lucas V">VS Lucas</name></author><author><name sortKey="Becher, Pj" uniqKey="Becher P">PJ Becher</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Chen, Ms" uniqKey="Chen M">MS Chen</name></author><author><name sortKey="Daly, Te" uniqKey="Daly T">TE Daly</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Screehng, Lm" uniqKey="Screehng L">LM Screehng</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Marcus, Pa" uniqKey="Marcus P">PA Marcus</name></author><author><name sortKey="Joshi, A" uniqKey="Joshi A">A Joshi</name></author><author><name sortKey="Jones, Ja" uniqKey="Jones J">JA Jones</name></author><author><name sortKey="Morgano, Sm" uniqKey="Morgano S">SM Morgano</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Dosumu, O O" uniqKey="Dosumu O">O.O Dosumu</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Esan, T A" uniqKey="Esan T">T A Esan</name></author><author><name sortKey="Olusile, A O" uniqKey="Olusile A">A O Olusile</name></author><author><name sortKey="Akeredolu, P A" uniqKey="Akeredolu P">P A Akeredolu</name></author><author><name sortKey="Esan, A O" uniqKey="Esan A">A O Esan</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kivovics, P" uniqKey="Kivovics P">P Kivovics</name></author><author><name sortKey="Jahn, M" uniqKey="Jahn M">M Jahn</name></author><author><name sortKey="Borbely, J Martonk" uniqKey="Borbely J">J, Martonk Borbely</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Depaola, Lg" uniqKey="Depaola L">LG Depaola</name></author><author><name sortKey="Meiller, Tf" uniqKey="Meiller T">TF Meiller</name></author><author><name sortKey="Leupod, Rj" uniqKey="Leupod R">RJ Leupod</name></author><author><name sortKey="Balciunas, Ba" uniqKey="Balciunas B">BA Balciunas</name></author><author><name sortKey="William, Gc" uniqKey="William G">GC William</name></author></analytic></biblStruct></listBibl></div1></back></TEI><pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Ann Ib Postgrad Med</journal-id><journal-id journal-id-type="iso-abbrev">Ann Ib Postgrad Med</journal-id><journal-id journal-id-type="publisher-id">AIPM</journal-id><journal-title-group><journal-title>Annals of Ibadan Postgraduate Medicine</journal-title></journal-title-group><issn pub-type="ppub">1597-1627</issn><publisher><publisher-name>Association of Resident Doctors (ARD), University College Hospital, Ibadan</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">25161408</article-id><article-id pub-id-type="pmc">4111054</article-id><article-id pub-id-type="publisher-id">AIPM-10-16</article-id><article-categories><subj-group subj-group-type="heading"><subject>Original Article</subject></subj-group></article-categories><title-group><article-title>THE INFLUENCE OF DEMOGRAPHIC FACTORS AND MEDICAL CONDITIONS ON PATIENTS COMPLAINTS WITH COMPLETE DENTURES</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Ogunrinde</surname><given-names>T.J.</given-names></name></contrib><contrib contrib-type="author"><name><surname>Dosumu</surname><given-names>O.O.</given-names></name></contrib></contrib-group><aff>Department of Restorative Dentistry, University of Ibadan/University College Hospital, Ibadan, Nigeria</aff><author-notes><corresp><italic>Correspondence:</italic><bold>Dr. T.J. Ogunrinde</bold> Dept. of Restorative Dentistry, University of Ibadan/University College Hospital, Ibadan E-mail: <email>tunde_ogunrinde2001@yahoo.com</email> Tel. No: 08033890679</corresp></author-notes><pub-date pub-type="ppub"><month>12</month><year>2012</year></pub-date><volume>10</volume><issue>2</issue><fpage>16</fpage><lpage>21</lpage><permissions><copyright-statement>© Association of Resident Doctors, UCH, Ibadan</copyright-statement><copyright-year>2012</copyright-year><license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/"><license-p>This is an open access article licensed under the terms of the Creative Commons Attribution Non-Commercial License (<uri xlink:type="simple" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/">http://creativecommons.org/licenses/by-nc/3.0</uri>) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.</license-p></license></permissions><abstract><sec><title>Objective:</title><p>The purpose of this study was to determine the
most frequent complete denture complaints and to investigate
the influence of age, gender and systemic disease conditions
on the complaints.</p></sec><sec><title>Methodology:</title><p>This was a retrospective study in which
information on the demographic data, medical and dental
history of complete denture patients were obtained from their
case records. Also the type of complaints and adjustment
made to the denture at review appointments were recorded.
All data generated were entered into IBM-Compatible micro-computer
and analysed using the statistical packages of social
sciences (SPSS) version 15. Chi-square test was used to test
for statistical significance.</p></sec><sec><title>Result:</title><p>Eighty-two case records of complete denture patients
were reviewed. Fourty-six of the patients were male while
36 were female. The age ranged between 40 and 90 years
with mean age of 69.10 (SD=10.6) years. Fifty-one (62.2%)
patients had complaints with their dentures during a week
review appointment. Pain was the most common complaint
23 (28%), followed by lack of retention, 12 (14.6%). Eighteen
(21.9%) patients had systemic medical conditions.</p></sec><sec><title>Conclusion:</title><p>There was no statistically significant relationship
between patient age, gender, systemic health and denture
complaints; but statistically significant relationship exist
between types of denture, denture faults and complaints.</p></sec></abstract><kwd-group><title>Keywords:</title><kwd>demographic factors</kwd><kwd>medical condition</kwd><kwd>complete dentures</kwd><kwd>complaints.</kwd></kwd-group></article-meta></front><body><sec sec-type="intro"><title>INTRODUCTION</title><p>The wearing of a new complete denture may be associated with some complaints especially shortly after the insertion of the denture. The complaints may be lack of retention and stability, pain or discomfort, accumulation of food under the denture, altered speech, difficulty in chewing, unsatisfactory appearance and wretching.1,2 Several studies<sup><xref rid="R2" ref-type="bibr">2</xref>,<xref rid="R3" ref-type="bibr">3</xref>,<xref rid="R4" ref-type="bibr">4</xref>,<xref rid="R5" ref-type="bibr">5</xref></sup> had been conducted on patients’ complaints after delivery of complete dentures; however, there was no agreement on the most common complaint. Pain or discomfort was reported by some researchers<sup><xref rid="R3" ref-type="bibr">3</xref>,<xref rid="R4" ref-type="bibr">4</xref></sup> as the most common complaint among new denture wearers while others stated that lack of retention and stability <sup><xref rid="R5" ref-type="bibr">5</xref>,<xref rid="R6" ref-type="bibr">6</xref></sup> were the most frequent complaints.</p><p>While some patients may accomodate dentures with obvious construction fault, others may come with complaints from dentures that appear satisfactory in the patients’ mouths. These conflicting observations suggest that there may exist some unidentified factors associated with patients complants.<sup><xref rid="R2" ref-type="bibr">2</xref>,<xref rid="R3" ref-type="bibr">3</xref></sup> The factors that have been found to determine the prognosis of rehabilitation with complete dentures include: age, gender, previous denture experience, attitude of the patient to treatment, systemic health of the patient, period of edentulousness, skills and experience of the dentists.</p><p>It has been reported that with advancing age both men and women experience difficulty in learning to adapt to and manage removable prosthesis.<sup><xref rid="R7" ref-type="bibr">7</xref></sup>. This, coupled with unrealisable high expectation of some older age group has been reported as a major cause of complaints following denture insertion in the elderly.<sup><xref rid="R8" ref-type="bibr">8</xref></sup></p><p>Fiske <italic>et al</italic>;<sup><xref rid="R8" ref-type="bibr">8</xref></sup> stated that there is a social dimension to denture complaints especially the persistent ones in the elderly, as a visit to the dentist for adjustment provides these elderly patients opportunity to go out. Women of menopausal age have been reported to experience more difficulty in adapting to denture than younger age group because of the physical and emotional changes they undergo during and after menopause.<sup><xref rid="R9" ref-type="bibr">9</xref></sup></p><p>Systemic medical conditions like diabetes mellitus and neuromuscular diseases may make successful wearing of complete dentures difficult.<sup><xref rid="R3" ref-type="bibr">3</xref>,<xref rid="R7" ref-type="bibr">7</xref></sup> Problems with complete dentures may result from direct effect of these conditions or effect of the medications use in the treatment of the diseases on oral mucosal. Xerostomia for example has been reported to cause difficulty in wearing complete denture by making the denture bearing mucosal to become sore and ulcerated.<sup><xref rid="R10" ref-type="bibr">10</xref></sup> In addition, denture retention may be affected by lack of saliva.<sup><xref rid="R11" ref-type="bibr">11</xref></sup> Xerostomia in diabetes mellitus is thought to be caused by the polyurea of the disease while drugs like diuretics used in treatment of hypertension are possible causes of xerostomia.<sup><xref rid="R12" ref-type="bibr">12</xref></sup></p><p>The purpose of this study was to determine the most frequent complaints following delivery of complete dentures and to investigate the influence of age, gender and systemic disease conditions on patients’ complaints during the early post delivery period among patients seen in a Nigerian teaching hospital.</p></sec><sec sec-type="materials|methods"><title>MATERIAL AND METHODS</title><p>The case records of complete denture patients who attended the prosthetic dental clinic of the University College Hospital,.Ibadan between January 2004 and December 2010 were reviewed. Information on the demographic data, medical and dental history, previous denture experience, period of edentulousness, oral findings at commencement of the denture fabrication, the edentulous ridge form, the type of complaints and adjustment made to the denture at review appointments and the oral findings at review appointments were obtained from their records. </p><p>The complete dentures were fabricated by resident doctors and undergraduate students under the supervision of consultant prosthodontist and qualified technologists using the same treatment protocol. The treatment protocol adopted in the hospital included: Taking a preliminary impression using impression compound; use of custom tray border moulded with type 2 modelling compound (green stick) to make secondary impression using zinc-oxide impression paste; bite registration; try-in of the trial dentures in the patients mouth (verification of occlusion and teeth arrangement were few of the observations made at this stage); and finallly insertion of the processed denture. The patients were given a 48 hours and a week follow-up appointment to start with.</p><sec><title>Statistical Analysis.</title><p>Data obtained were entered into IBM-Compatible micro-computer and analysed using the statistical packages of social sciences (SPSS) version 15. Percentages, means and standard deviation were employed in the analysis. Also chi-square test was used to detect statistical significance differences between the variables. P-value less than 0.05 were considered to be statistically significant.</p></sec></sec><sec sec-type="results"><title>RESULTS</title><p>Eighty-two out of ninety-eight case records of complete denture patients retrieved had complete information. Fourty-six of the patients were male while 36 were female. The age ranged between 40 and 90 years with mean age of 69.10 (SD=10.6) years (Table <xref ref-type="table" rid="T1">1</xref>)</p><sec><title>Age:</title><p>Majority (68.29%) of the patients were above 65 years and 16 out of 23 (69.57%) patients that complained of pain were above 65 years. No patient below the age of sixty complained of loose denture, altered taste or unsatisfactory appearance. Multiple complaints were seen in patients above sixty years of age (Table <xref ref-type="table" rid="T4">4</xref>).</p></sec><sec><title>Gender:</title><p>Twenty nine of the fourty-six (63%) male complete denture wearer patients had complaints, while twenty-two of the thirty-six (61%) female patients had complaints. Male patients presented more with multiple complains than females, while females presented more with pain than males (Table <xref ref-type="table" rid="T3">3</xref>).</p></sec><sec><title>Background medical condition:</title><p>Majority (78.1%) had no systemic disease condition. Sixteen (19.5%) patients that had no system condition complained of pain while seven (8.5%) with systemic condition complained of pain. Hypertension was the major 10 (12.2%) systemic disease condition presented by the patients (Table <xref ref-type="table" rid="T5">5</xref>).</p></sec><sec><title>Prevalence of complaints following delivery of dentures:</title><p>Fifty-one (62.2%) patients had complaints with their dentures during a week review appointment. Pain was the most common complaint 23 (28%), followed by lack of retention, 12 (14.6%). The frequeny of other complaints are as indicated in Table <xref ref-type="table" rid="T2">2</xref>. </p><p>Forty-three patients had full-full dentures while 25 patients had full lower and 14 patients had full upper dentures. Thirty four (41.5%) patients with complete upper and lower dentures presented with complaints, while thirteen (15.9%) with complete lower dentures and four (4.8%) with complete upper dentures had complaints (Table <xref ref-type="table" rid="T2">2</xref>)</p></sec><sec><title>Design faults:</title><p>Fig. <xref ref-type="fig" rid="F1">1</xref> shows the distribution of design fault associated with complaints. The main cause of complaints was over extension of the flange, 30 (36.7%), this was followed by lack of peripheral seal/ underextension, 11 (13.5%) while ridge irregularity was the least cause of complaints, 2 (2.4 %). No fault was noted in three patients that had complaints in addition to thirty-one patients that had no complaint. </p><p>Table <xref ref-type="table" rid="T6">6</xref> shows the relationship between patients’ age, sex, medical condition, type of complete dentures and patients complaints using chi-square test. There was no significant relationship between complete denture complaints and patient gender (P= 0.858), age (P=0.288), medical condition (0.915), but significant relationship with type of denture (P=0.001) and denture design faults (P=0.000)</p></sec></sec><sec sec-type="discussion"><title>DISCUSSION</title><p>The proportion of patients who were edentulous in one or both arches was higher in men than in women. This finding was in contrast to general reports5, 10,13 which showed that men to women ratio varied from 1:1.4 to 1:4, but supports previous studies14,15 in the same geographical location. This suggests that men loss their teeth more readily than their female counterpart in this environment possibly because women are more concerned about their health and appearance. The mean age of the patient (69.10 years) was consistent with the study of Brunello <italic>et al</italic><sup><xref rid="R3" ref-type="bibr">3</xref></sup> which reported a mean age of 68.7 years and higher than Carr <italic>et al;</italic><sup><xref rid="R10" ref-type="bibr">10</xref></sup> with mean age of 58.37 years. This suggests that few young patients are completely edentulous in our environment.</p><p>In this study 62.5% patients had complaints at one week review appointment. This gives a better success rate than previous studies3, 16 in which 100% and 87% of the dentures respectively required adjustment at one week appointment. The previous studies however were conducted on complete denture patients that were referred by general dental practioners because of persistent complaints. The most common complaints of the complete denture patients was pain (28%) followed by loose denture (14.6%). This result supports the finding of Smith and Hughes4, (77% pain and 55% loose denture) and Brunello <italic>et al</italic><sup><xref rid="R3" ref-type="bibr">3</xref></sup>, (pain 75% and loose denture 59%).</p><p>This is in contrast with previous reports<sup><xref rid="R7" ref-type="bibr">7</xref>, <xref rid="R10" ref-type="bibr">10</xref></sup> that older patients are more likely to experience difficulties with their dentures and complain more frequently. The possible explanation to this might be that the patients reviewed in this study had stable oral condition. Marcus <italic>et al</italic>;<sup><xref rid="R13" ref-type="bibr">13</xref></sup> reported that problems common in the aging population such as xerostomia, atrophic ridge and mucosal, and other conditions associated with aged edentulous patients affect the ability of the patients to adapt to new dentures when the condition is clinically apparent.</p><p>There was no significant relationship between gender and the number of complaints contrary to the report of Heartwell<sup><xref rid="R7" ref-type="bibr">7</xref></sup> and Powter and Cleaton-Jones.9 The result of our study however, supports the findings of Brunello <italic>et al;</italic><sup><xref rid="R3" ref-type="bibr">3</xref></sup> who observed no significant patient gender relationship with complete denture complaints. This suggests that sex does not have a significant influence on post denture delivery complaints in our environment.</p><p>The non-significant relationship between the background medical condition of the patients and the complaint of pain is in conflict with the report of Depaole <italic>et al;</italic><sup><xref rid="R17" ref-type="bibr">17</xref></sup> who reported a relationship between common medical conditions and denture complaints. The result of this study however, is in agreement with Brunello’s3 who reported no relationship between patient’s medical status and denture complaints. This is possibly because the patients in this study with systemic diseases condition had no oral affectation.</p><p>The significant relationship between the type of denture and patients complaints agreed with previous studies.<sup><xref rid="R10" ref-type="bibr">10</xref>,<xref rid="R11" ref-type="bibr"> 11</xref></sup> The wearing of complete upper and lower dentures was more associated with complaints than with only upper or lower complete dentures. The need to learn to adapt to two dentures at a time may be more demanding than learning to adapt to a single upper or lower complete denture. The fewer complaints observed with complete upper denture is in agreement with previous studies<sup><xref rid="R10" ref-type="bibr">10</xref>,<xref rid="R13" ref-type="bibr">13</xref></sup> and this is because upper edentulous arch has greater denture bearing area for retention and support for dentures than lower edentulous arch.<sup><xref rid="R1" ref-type="bibr">1</xref></sup></p><p>Finally, significant relationship between faults in denture construction and patient complaints recorded in our study supports previous reports.<sup><xref rid="R3" ref-type="bibr">3</xref>,<xref rid="R4" ref-type="bibr">4</xref>,<xref rid="R16" ref-type="bibr">16</xref></sup> Over extension was the major cause of complaints in this study. This might be due to inappropriate border moulding during secondary impression procedures which led to production of master casts with over-extended borders. And processing of over-extended dentures from such casts.</p><p>Previous studies<sup><xref rid="R3" ref-type="bibr">3</xref>, <xref rid="R4" ref-type="bibr">4</xref></sup> reported under extension of the denture base and problems with vertical and horizontal jaw relationship as major causes of complete denture complaints. The studies, however, were conducted on complete denture patients that were referred by general dental practioners because of persistent complaints.</p><sec><title>Limitation of the study:</title><p>Information on denture faults was obtained retrospectively from patients case records and the method of assessment was not stated. The gold standard of diagnosing over-extension of denture flange with pressure indicting paste may not have been employed</p></sec></sec><sec sec-type="conclusion"><title>CONCLUSION</title><p>Pain was the most frequent complaints among complete denture wearers in this study and the common cause of complaints was over extension of denture flanges. There was no correlation between age, gender and systemic conditions with complete denture complaints. However there were statistically significant relationship between types of dentures, construction faults and denture complaints. 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1:</label><caption><p>Distribution of design faults asssociated with denture complaints</p></caption><graphic xlink:href="AIPM-10-16_F1"></graphic></fig><table-wrap id="T1" orientation="portrait" position="float"><label>Table 1</label><caption><p>Gender and age distribution of the patients</p></caption><table frame="border" rules="none" width="100%"><thead><tr><th rowspan="2" align="left" colspan="1">Age group (years)</th><th colspan="3" rowspan="1">Gender of Patients</th></tr><tr><th align="left" rowspan="1" colspan="1">Male (n/%)</th><th align="left" rowspan="1" colspan="1">Female (n/%)</th><th align="left" rowspan="1" colspan="1">Total (N/%)</th></tr><tr><th colspan="4" rowspan="1"><hr></hr></th></tr></thead><tbody><tr><td rowspan="1" colspan="1">=50</td><td rowspan="1" colspan="1">3 ( 3.7)</td><td rowspan="1" colspan="1">2 ( 2.4)</td><td rowspan="1" colspan="1">5 (6.1)</td></tr><tr><td rowspan="1" colspan="1">51 - 55</td><td rowspan="1" colspan="1">2 (2.4)</td><td rowspan="1" colspan="1">1 ( 1.3)</td><td rowspan="1" colspan="1">3 (3.7)</td></tr><tr><td rowspan="1" colspan="1">56 - 60</td><td rowspan="1" colspan="1">7 (8.5)</td><td rowspan="1" colspan="1">4 ( 4.8)</td><td rowspan="1" colspan="1">11 (13.3)</td></tr><tr><td rowspan="1" colspan="1">61 - 65</td><td rowspan="1" colspan="1">5 ( 6.1)</td><td rowspan="1" colspan="1">2 (2.4)</td><td rowspan="1" colspan="1">7 (8.5%)</td></tr><tr><td rowspan="1" colspan="1">66 - 70</td><td rowspan="1" colspan="1">6 (7.3)</td><td rowspan="1" colspan="1">12 (14.6)</td><td rowspan="1" colspan="1">18 (22.0)</td></tr><tr><td rowspan="1" colspan="1">71 - 75</td><td rowspan="1" colspan="1">8 (9.8)</td><td rowspan="1" colspan="1">5 (6.1)</td><td rowspan="1" colspan="1">13 (15.9)</td></tr><tr><td rowspan="1" colspan="1">76 - 80</td><td rowspan="1" colspan="1">11 (13.4)</td><td rowspan="1" colspan="1">7 (8.5)</td><td rowspan="1" colspan="1">18 (22.0)</td></tr><tr><td rowspan="1" colspan="1">>80</td><td rowspan="1" colspan="1">4 (4.9 )</td><td rowspan="1" colspan="1">3 ( 3.7)</td><td rowspan="1" colspan="1">7 (8.5)</td></tr><tr><td colspan="4" rowspan="1"><hr></hr></td></tr><tr><td rowspan="1" colspan="1">Total</td><td rowspan="1" colspan="1">46 (56.2)</td><td rowspan="1" colspan="1">36 (43.8)</td><td rowspan="1" colspan="1">82 (100)</td></tr></tbody></table><table-wrap-foot><fn id="T1FN1"><p>Mean age is 69.10 (SD = 10.6 ) years</p></fn></table-wrap-foot></table-wrap><table-wrap id="T2" orientation="portrait" position="float"><label>Table 2</label><caption><p>Distribution of Patient’s complaints and types of denture</p></caption><table frame="border" rules="none" width="100%"><thead><tr><th rowspan="2" align="left" colspan="1">Complaints</th><th colspan="4" rowspan="1">Types of Denture</th></tr><tr><th align="left" rowspan="1" colspan="1">Full-full (n / %)</th><th align="left" rowspan="1" colspan="1">Full lower (n / %)</th><th align="left" rowspan="1" colspan="1">Full upper (n / %)</th><th align="left" rowspan="1" colspan="1">Total</th></tr><tr><th colspan="5" rowspan="1"><hr></hr></th></tr></thead><tbody><tr><td rowspan="1" colspan="1">Nil</td><td rowspan="1" colspan="1">9 (11.0)</td><td rowspan="1" colspan="1">12 (14.6)</td><td rowspan="1" colspan="1">10 (12.2)</td><td rowspan="1" colspan="1">31 (37.8)</td></tr><tr><td rowspan="1" colspan="1">Pain</td><td rowspan="1" colspan="1">14 (17.1)</td><td rowspan="1" colspan="1">7 (8.5)</td><td rowspan="1" colspan="1">2 (2.4 )</td><td rowspan="1" colspan="1">23 (28.0)</td></tr><tr><td rowspan="1" colspan="1">Loose denture</td><td rowspan="1" colspan="1">8 (9.7)</td><td rowspan="1" colspan="1">3 (3.7)</td><td rowspan="1" colspan="1">1 (1.2)</td><td rowspan="1" colspan="1">12 (14.6)</td></tr><tr><td rowspan="1" colspan="1">Inability to eat</td><td rowspan="1" colspan="1">1 (1.2)</td><td rowspan="1" colspan="1">1 (1.2)</td><td rowspan="1" colspan="1">0 (0)</td><td rowspan="1" colspan="1">2 (2.4)</td></tr><tr><td rowspan="1" colspan="1">Altered taste</td><td rowspan="1" colspan="1">1 (1.2)</td><td rowspan="1" colspan="1">0 (0)</td><td rowspan="1" colspan="1">0 (0)</td><td rowspan="1" colspan="1">2 ( 2.4)</td></tr><tr><td rowspan="1" colspan="1">Unsatisfactory appearance</td><td rowspan="1" colspan="1">0 ( 0)</td><td rowspan="1" colspan="1">0 ( 0)</td><td rowspan="1" colspan="1">1 (1.2)</td><td rowspan="1" colspan="1">1 (1.2)</td></tr><tr><td rowspan="1" colspan="1">> 1 complaints</td><td rowspan="1" colspan="1">10 (12.2)</td><td rowspan="1" colspan="1">2 (2.4)</td><td rowspan="1" colspan="1">0 (0)</td><td rowspan="1" colspan="1">12 ( 14.6)</td></tr><tr><td colspan="5" rowspan="1"><hr></hr></td></tr><tr><td rowspan="1" colspan="1">Total</td><td rowspan="1" colspan="1">43 (52.4)</td><td rowspan="1" colspan="1">25 (30.5)</td><td rowspan="1" colspan="1">14 (17.1)</td><td rowspan="1" colspan="1">82 (100)</td></tr></tbody></table></table-wrap><table-wrap id="T3" orientation="portrait" position="float"><label>Table 3</label><caption><p>Distribution of patients’ complaints and gender</p></caption><table frame="border" rules="none" width="100%"><thead><tr><th colspan="4" rowspan="1">Gender of the patients</th></tr><tr><th align="left" rowspan="1" colspan="1">Complaints</th><th align="left" rowspan="1" colspan="1">Male (n/%)</th><th align="left" rowspan="1" colspan="1">Female (n/% )</th><th align="left" rowspan="1" colspan="1">Total (N/% )</th></tr><tr><th colspan="4" rowspan="1"><hr></hr></th></tr></thead><tbody><tr><td rowspan="1" colspan="1">Nil</td><td align="center" rowspan="1" colspan="1">17(20.7)</td><td align="center" rowspan="1" colspan="1">14 (17.1)</td><td align="center" rowspan="1" colspan="1">31 (37.8)</td></tr><tr><td rowspan="1" colspan="1">Pain</td><td align="center" rowspan="1" colspan="1">10 (12.2)</td><td align="center" rowspan="1" colspan="1">13 (12.9)</td><td align="center" rowspan="1" colspan="1">23 (28.0)</td></tr><tr><td rowspan="1" colspan="1">Loose denture</td><td align="center" rowspan="1" colspan="1">7 (8.5)</td><td align="center" rowspan="1" colspan="1">5 (6.1)</td><td align="center" rowspan="1" colspan="1">12 (14.6)</td></tr><tr><td rowspan="1" colspan="1">Inability to eat</td><td align="center" rowspan="1" colspan="1">2 (2.4)</td><td align="center" rowspan="1" colspan="1">0 (0)</td><td align="center" rowspan="1" colspan="1">2 (2.4)</td></tr><tr><td rowspan="1" colspan="1">Altered taste</td><td align="center" rowspan="1" colspan="1">0 (0)</td><td align="center" rowspan="1" colspan="1">1 (1.2)</td><td align="center" rowspan="1" colspan="1">2 (2.4)</td></tr><tr><td rowspan="1" colspan="1">Unsatisfactory appearance</td><td align="center" rowspan="1" colspan="1">0 (0)</td><td align="center" rowspan="1" colspan="1">1 (1.2)</td><td align="center" rowspan="1" colspan="1">1 (1.2)</td></tr><tr><td rowspan="1" colspan="1">> 1 complaints</td><td align="center" rowspan="1" colspan="1">10 (12.2)</td><td align="center" rowspan="1" colspan="1">2 (2.4)</td><td align="center" rowspan="1" colspan="1">12 (14.6)</td></tr><tr><td colspan="4" rowspan="1"><hr></hr></td></tr><tr><td rowspan="1" colspan="1">Total</td><td align="center" rowspan="1" colspan="1">46 (56.1)</td><td align="center" rowspan="1" colspan="1">36 (43.9)</td><td align="center" rowspan="1" colspan="1">82 (100)</td></tr></tbody></table></table-wrap><table-wrap id="T4" orientation="portrait" position="float"><label>Table 4</label><caption><p>Distribution of patients’ complaints and age</p></caption><table frame="border" rules="none" width="100%"><thead><tr><th rowspan="2" align="left" colspan="1">Patients complaints</th><th colspan="9" rowspan="1">Age group (years)</th></tr><tr><th align="left" rowspan="1" colspan="1">= 50</th><th align="left" rowspan="1" colspan="1">51-55</th><th align="left" rowspan="1" colspan="1">56-60</th><th align="left" rowspan="1" colspan="1">61-65</th><th align="left" rowspan="1" colspan="1">66-70</th><th align="left" rowspan="1" colspan="1">71-75</th><th align="left" rowspan="1" colspan="1">76-80</th><th align="left" rowspan="1" colspan="1">> 80</th><th align="left" rowspan="1" colspan="1">Total</th></tr><tr><th colspan="10" rowspan="1"><hr></hr></th></tr></thead><tbody><tr><td rowspan="1" colspan="1">Nil</td><td rowspan="1" colspan="1">4</td><td rowspan="1" colspan="1">2</td><td rowspan="1" colspan="1">5</td><td rowspan="1" colspan="1">2</td><td rowspan="1" colspan="1">7</td><td rowspan="1" colspan="1">4</td><td rowspan="1" colspan="1">5</td><td rowspan="1" colspan="1">2</td><td rowspan="1" colspan="1">31</td></tr><tr><td rowspan="1" colspan="1">Pain</td><td rowspan="1" colspan="1">1</td><td rowspan="1" colspan="1">1</td><td rowspan="1" colspan="1">5</td><td rowspan="1" colspan="1">0</td><td rowspan="1" colspan="1">6</td><td rowspan="1" colspan="1">5</td><td rowspan="1" colspan="1">4</td><td rowspan="1" colspan="1">1</td><td rowspan="1" colspan="1">23</td></tr><tr><td rowspan="1" colspan="1">Loose denture</td><td rowspan="1" colspan="1">0</td><td rowspan="1" colspan="1">0</td><td rowspan="1" colspan="1">0</td><td rowspan="1" colspan="1">3</td><td rowspan="1" colspan="1">2</td><td rowspan="1" colspan="1">2</td><td rowspan="1" colspan="1">3</td><td rowspan="1" colspan="1">2</td><td rowspan="1" colspan="1">12</td></tr><tr><td rowspan="1" colspan="1">Inability to eat</td><td rowspan="1" colspan="1">0</td><td rowspan="1" colspan="1">0</td><td rowspan="1" colspan="1">1</td><td rowspan="1" colspan="1">0</td><td rowspan="1" colspan="1">0</td><td rowspan="1" colspan="1">1</td><td rowspan="1" colspan="1">0</td><td rowspan="1" colspan="1">0</td><td rowspan="1" colspan="1">2</td></tr><tr><td rowspan="1" colspan="1">Altered taste</td><td rowspan="1" colspan="1">0</td><td rowspan="1" colspan="1">0</td><td rowspan="1" colspan="1">0</td><td rowspan="1" colspan="1">0</td><td rowspan="1" colspan="1">0</td><td rowspan="1" colspan="1">0</td><td rowspan="1" colspan="1">0</td><td rowspan="1" colspan="1">1</td><td rowspan="1" colspan="1">1</td></tr><tr><td rowspan="1" colspan="1">Unsatisfactory appearance</td><td rowspan="1" colspan="1">0</td><td rowspan="1" colspan="1">0</td><td rowspan="1" colspan="1">0</td><td rowspan="1" colspan="1">0</td><td rowspan="1" colspan="1">1</td><td rowspan="1" colspan="1">0</td><td rowspan="1" colspan="1">0</td><td rowspan="1" colspan="1">0</td><td rowspan="1" colspan="1">1</td></tr><tr><td rowspan="1" colspan="1">> 1 complaints</td><td rowspan="1" colspan="1">0</td><td rowspan="1" colspan="1">0</td><td rowspan="1" colspan="1">0</td><td rowspan="1" colspan="1">2</td><td rowspan="1" colspan="1">2</td><td rowspan="1" colspan="1">1</td><td rowspan="1" colspan="1">6</td><td rowspan="1" colspan="1">1</td><td rowspan="1" colspan="1">1</td></tr><tr><td colspan="10" rowspan="1"><hr></hr></td></tr><tr><td rowspan="1" colspan="1">Total</td><td rowspan="1" colspan="1">5</td><td rowspan="1" colspan="1">3</td><td rowspan="1" colspan="1">11</td><td rowspan="1" colspan="1">7</td><td rowspan="1" colspan="1">18</td><td rowspan="1" colspan="1">13</td><td rowspan="1" colspan="1">18</td><td rowspan="1" colspan="1">7</td><td rowspan="1" colspan="1">82</td></tr></tbody></table></table-wrap><table-wrap id="T5" orientation="portrait" position="float"><label>Table 5</label><caption><p>Distribution of patients’ complaints and Systemic medical conditions</p></caption><table frame="border" rules="none" width="100%"><thead><tr><th colspan="4" rowspan="1">Systemic medical conditions</th></tr><tr><th align="left" valign="top" rowspan="1" colspan="1">Complaints</th><th align="left" rowspan="1" colspan="1">Absent (n/%)</th><th align="left" rowspan="1" colspan="1">Present (n/% )</th><th align="left" rowspan="1" colspan="1">Total (N/% )</th></tr><tr><th colspan="4" rowspan="1"><hr></hr></th></tr></thead><tbody><tr><td rowspan="1" colspan="1">Nil</td><td rowspan="1" colspan="1">24 (29.3)</td><td rowspan="1" colspan="1">7 (8.5)</td><td rowspan="1" colspan="1">31 (37.8)</td></tr><tr><td rowspan="1" colspan="1">Pain</td><td rowspan="1" colspan="1">16 (19.5)</td><td rowspan="1" colspan="1">7 (8.5)</td><td rowspan="1" colspan="1">23 (28.0)</td></tr><tr><td rowspan="1" colspan="1">Loose denture</td><td rowspan="1" colspan="1">11(13.4)</td><td rowspan="1" colspan="1">1 (1.2)</td><td rowspan="1" colspan="1">12 (14.6)</td></tr><tr><td rowspan="1" colspan="1">Altered taste</td><td rowspan="1" colspan="1">2 (2.4)</td><td rowspan="1" colspan="1">0 (0)</td><td rowspan="1" colspan="1">2 (2.4)</td></tr><tr><td rowspan="1" colspan="1">Inability to eat</td><td rowspan="1" colspan="1">1 (1.2)</td><td rowspan="1" colspan="1">0 (0)</td><td rowspan="1" colspan="1">1 (1.2)</td></tr><tr><td rowspan="1" colspan="1">Unsatisfactory appearance</td><td rowspan="1" colspan="1">1 (1.2)</td><td rowspan="1" colspan="1">0 (0)</td><td rowspan="1" colspan="1">1 (1.2)</td></tr><tr><td rowspan="1" colspan="1">> 1 complaints</td><td rowspan="1" colspan="1">9 (10.9)</td><td rowspan="1" colspan="1">3 (3.7)</td><td rowspan="1" colspan="1">12 (14.6)</td></tr><tr><td colspan="4" rowspan="1"><hr></hr></td></tr><tr><td rowspan="1" colspan="1">Total</td><td rowspan="1" colspan="1">64 (78.1)</td><td rowspan="1" colspan="1">18 (21.9)</td><td rowspan="1" colspan="1">82 (100)</td></tr></tbody></table><table-wrap-foot><fn id="T5FN1"><p>Medical diseases profile: Hypertension was present in 10 (12.2%) of
the patients, Hypertension and Diabetes 6 (7.3%), Diabetes 1(1.2%)
and depressive illness 1 (1.2%).</p></fn></table-wrap-foot></table-wrap><table-wrap id="T6" orientation="portrait" position="float"><label>Table 6</label><caption><p>Relationship between patients’ age, sex, medical status, types of denture and Complaint using chisquare
test.</p></caption><table frame="border" rules="none" width="100%"><thead><tr><th rowspan="2" colspan="2" align="left">Demograhic factors and medical conditions of patients</th><th colspan="3" align="left" rowspan="1">Patients’ Complaints</th></tr><tr><th align="left" rowspan="1" colspan="1">Nil complaint</th><th align="left" rowspan="1" colspan="1">complaints</th><th align="left" rowspan="1" colspan="1">P-value</th></tr><tr><th colspan="5" rowspan="1"><hr></hr></th></tr></thead><tbody><tr><td rowspan="2" valign="top" colspan="1">Sex</td><td rowspan="1" colspan="1">Male</td><td rowspan="1" colspan="1">17</td><td rowspan="1" colspan="1">29</td><td rowspan="1" colspan="1"></td></tr><tr><td rowspan="1" colspan="1">Female</td><td rowspan="1" colspan="1">14</td><td rowspan="1" colspan="1">22</td><td rowspan="1" colspan="1">0.858</td></tr><tr><td rowspan="2" valign="top" colspan="1">Age group</td><td rowspan="1" colspan="1">=65 years</td><td rowspan="1" colspan="1">13</td><td rowspan="1" colspan="1">13</td><td rowspan="1" colspan="1"></td></tr><tr><td rowspan="1" colspan="1">>65 years</td><td rowspan="1" colspan="1">18</td><td rowspan="1" colspan="1">38</td><td rowspan="1" colspan="1">0.288</td></tr><tr><td rowspan="1" colspan="1">Medical</td><td rowspan="1" colspan="1">Nil disease</td><td rowspan="1" colspan="1">24</td><td rowspan="1" colspan="1">40</td><td rowspan="1" colspan="1">0.915</td></tr><tr><td rowspan="1" colspan="1">Condition</td><td rowspan="1" colspan="1">Presence of disease</td><td rowspan="1" colspan="1">7</td><td rowspan="1" colspan="1">11</td><td rowspan="1" colspan="1"></td></tr><tr><td rowspan="1" colspan="1">Types of</td><td rowspan="1" colspan="1">Upper and lower</td><td rowspan="1" colspan="1">9</td><td rowspan="1" colspan="1">34</td><td rowspan="1" colspan="1"></td></tr><tr><td rowspan="1" colspan="1">Complete</td><td rowspan="1" colspan="1">Upper</td><td rowspan="1" colspan="1">12</td><td rowspan="1" colspan="1">13</td><td rowspan="1" colspan="1">0.001</td></tr><tr><td rowspan="1" colspan="1">Denture</td><td rowspan="1" colspan="1">Lower</td><td rowspan="1" colspan="1">10</td><td rowspan="1" colspan="1">4</td><td rowspan="1" colspan="1"></td></tr><tr><td rowspan="1" colspan="1">Denture</td><td rowspan="1" colspan="1">Nil fault</td><td rowspan="1" colspan="1">31</td><td rowspan="1" colspan="1">3</td><td rowspan="1" colspan="1"></td></tr><tr><td rowspan="1" colspan="1">Fault</td><td rowspan="1" colspan="1">Presence of faults</td><td rowspan="1" colspan="1">-</td><td rowspan="1" colspan="1">48</td><td rowspan="1" colspan="1">0.000</td></tr></tbody></table></table-wrap></floats-group></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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