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Effects of improvements of poorly fitting dentures and new dentures on masticatory performance

Identifieur interne : 005B41 ( Istex/Corpus ); précédent : 005B40; suivant : 005B42

Effects of improvements of poorly fitting dentures and new dentures on masticatory performance

Auteurs : Neal R. Garrett ; Paul Perez ; Charles Elbert ; Krishan. K Kapur

Source :

RBID : ISTEX:B770CE0D72E09162844A543F83A9A3E1EF9953CD

English descriptors

Abstract

Abstract: The effect of four modifications to improve the fit and maxillomandibular relationships of poorly fitting dentures and the insertion of new dentures on masticatory performance was assessed in 21 denture wearers. A 2-week adaptation period was allowed for each of the four modifications and 3 weeks and 12 weeks of adaptation for new dentures. The preferred side masticatory performances were not appreciably affected by either the modifications to improve the fit of the original dentures or the new dentures. In most instances there was a slight decline in performance. Three denture modifications caused significant declines in the carrot-swallowing threshold performances and the new dentures in the peanut-swallowing threshold performance. In other words, the denture wearers had a greater percentage of coarse particles in their bolus ready for ingestion when they chewed with altered or new dentures compared with original dentures. However, they chewed faster and applied fewer chewing strokes with their modified and new dentures. A steady but gradual improvement in the mean performance score with carrots was noted with time after the insertion of new dentures. Dentists and patients need to understand that adaptation to new or modified old dentures may be a long, drawn-out process for some patients.

Url:
DOI: 10.1016/S0022-3913(96)90483-7

Links to Exploration step

ISTEX:B770CE0D72E09162844A543F83A9A3E1EF9953CD

Le document en format XML

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<ce:label></ce:label>
<ce:note-para>Supported by Department of Veterans Affairs Medical Research and National Institute of Dental Research grant No. R01De06638.</ce:note-para>
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<ce:dochead>
<ce:textfn>Clinical science</ce:textfn>
</ce:dochead>
<ce:title>Effects of improvements of poorly fitting dentures and new dentures on masticatory performance</ce:title>
<ce:author-group>
<ce:author>
<ce:given-name>Neal R</ce:given-name>
<ce:surname>Garrett</ce:surname>
<ce:degrees>PhD</ce:degrees>
<ce:roles>Director, Oral Biology Research Laboratory, Adjunct Assistant Professor of Removable Prosthodontics</ce:roles>
<ce:cross-ref refid="COR1">
<ce:sup></ce:sup>
</ce:cross-ref>
<ce:cross-ref refid="AFF1">
<ce:sup>a</ce:sup>
</ce:cross-ref>
<ce:cross-ref refid="AFF2">
<ce:sup>e</ce:sup>
</ce:cross-ref>
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<ce:author>
<ce:given-name>Paul</ce:given-name>
<ce:surname>Perez</ce:surname>
<ce:degrees>DMD</ce:degrees>
<ce:roles>Staff Dentist, Adjunct Assistant Professor of Hospital Dentistry</ce:roles>
<ce:cross-ref refid="AFF3">
<ce:sup>b</ce:sup>
</ce:cross-ref>
<ce:cross-ref refid="AFF4">
<ce:sup>f</ce:sup>
</ce:cross-ref>
</ce:author>
<ce:author>
<ce:given-name>Charles</ce:given-name>
<ce:surname>Elbert</ce:surname>
<ce:degrees>DDS</ce:degrees>
<ce:roles>Retired Staff Prosthodontist, Retired Lecturer of Prosthodontics</ce:roles>
<ce:cross-ref refid="AFF5">
<ce:sup>c</ce:sup>
</ce:cross-ref>
<ce:cross-ref refid="AFF6">
<ce:sup>h</ce:sup>
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<ce:author>
<ce:given-name>Krishan.K</ce:given-name>
<ce:surname>Kapur</ce:surname>
<ce:degrees>DMD, MS</ce:degrees>
<ce:roles>Professor of Removable Prosthodontics, Consultant</ce:roles>
<ce:cross-ref refid="AFF7">
<ce:sup>d</ce:sup>
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<ce:sup>g</ce:sup>
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<ce:affiliation id="AFF1">
<ce:label>a</ce:label>
<ce:textfn>Department of Veterans Affairs Medical Center, West Los Angeles, USA.</ce:textfn>
</ce:affiliation>
<ce:affiliation id="AFF2">
<ce:label>b</ce:label>
<ce:textfn>School of Dentistry, University of California, Los Angeles, USA.</ce:textfn>
</ce:affiliation>
<ce:affiliation id="AFF3">
<ce:label>c</ce:label>
<ce:textfn>Department of Veterans Affairs Medical Center, West Los Angeles, USA.</ce:textfn>
</ce:affiliation>
<ce:affiliation id="AFF4">
<ce:label>d</ce:label>
<ce:textfn>School of Dentistry, University of California, Los Angeles, USA.</ce:textfn>
</ce:affiliation>
<ce:affiliation id="AFF5">
<ce:label>e</ce:label>
<ce:textfn>Department of Veterans Affairs Medical Center, Sepulveda, USA.</ce:textfn>
</ce:affiliation>
<ce:affiliation id="AFF6">
<ce:label>f</ce:label>
<ce:textfn>School of Dentistry, University of California, Los Angeles, USA.</ce:textfn>
</ce:affiliation>
<ce:affiliation id="AFF7">
<ce:label>g</ce:label>
<ce:textfn>School of Dentistry, University of California, Los Angeles, USA.</ce:textfn>
</ce:affiliation>
<ce:affiliation id="AFF8">
<ce:label>h</ce:label>
<ce:textfn>Department of Veterans Affairs Medical Center, West Los Angeles, USA.</ce:textfn>
</ce:affiliation>
<ce:correspondence id="COR1">
<ce:label></ce:label>
<ce:text>Reprint requests to: Dr. Neal R. Garrett Oral Biology Research Building 220, Room 122 West Los Angeles Veterans Administration Medical Center 11301 Wilshire Blvd. Los Angeles, CA 90073</ce:text>
</ce:correspondence>
</ce:author-group>
<ce:abstract>
<ce:section-title>Abstract</ce:section-title>
<ce:abstract-sec>
<ce:simple-para>The effect of four modifications to improve the fit and maxillomandibular relationships of poorly fitting dentures and the insertion of new dentures on masticatory performance was assessed in 21 denture wearers. A 2-week adaptation period was allowed for each of the four modifications and 3 weeks and 12 weeks of adaptation for new dentures. The preferred side masticatory performances were not appreciably affected by either the modifications to improve the fit of the original dentures or the new dentures. In most instances there was a slight decline in performance. Three denture modifications caused significant declines in the carrot-swallowing threshold performances and the new dentures in the peanut-swallowing threshold performance. In other words, the denture wearers had a greater percentage of coarse particles in their bolus ready for ingestion when they chewed with altered or new dentures compared with original dentures. However, they chewed faster and applied fewer chewing strokes with their modified and new dentures. A steady but gradual improvement in the mean performance score with carrots was noted with time after the insertion of new dentures. Dentists and patients need to understand that adaptation to new or modified old dentures may be a long, drawn-out process for some patients.</ce:simple-para>
</ce:abstract-sec>
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<abstract lang="en">Abstract: The effect of four modifications to improve the fit and maxillomandibular relationships of poorly fitting dentures and the insertion of new dentures on masticatory performance was assessed in 21 denture wearers. A 2-week adaptation period was allowed for each of the four modifications and 3 weeks and 12 weeks of adaptation for new dentures. The preferred side masticatory performances were not appreciably affected by either the modifications to improve the fit of the original dentures or the new dentures. In most instances there was a slight decline in performance. Three denture modifications caused significant declines in the carrot-swallowing threshold performances and the new dentures in the peanut-swallowing threshold performance. In other words, the denture wearers had a greater percentage of coarse particles in their bolus ready for ingestion when they chewed with altered or new dentures compared with original dentures. However, they chewed faster and applied fewer chewing strokes with their modified and new dentures. A steady but gradual improvement in the mean performance score with carrots was noted with time after the insertion of new dentures. Dentists and patients need to understand that adaptation to new or modified old dentures may be a long, drawn-out process for some patients.</abstract>
<note>Supported by Department of Veterans Affairs Medical Research and National Institute of Dental Research grant No. R01De06638.</note>
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