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Residual ridge resorption, lower denture stability and subjective complaints among edentulous individuals

Identifieur interne : 003769 ( Main/Exploration ); précédent : 003768; suivant : 003770

Residual ridge resorption, lower denture stability and subjective complaints among edentulous individuals

Auteurs : S. Huumonen [Finlande] ; B. Haikola ; K. Oikarinen ; A-L. Söderholm ; T. Remes-Lyly ; K. Sipil [Finlande]

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RBID : ISTEX:77EC2726F10CACE3EB6E1C4949612B79C0A79714

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English descriptors

Abstract

Summary  Residual ridge resorption in the mandible after tooth loss may lead to worsening of complete denture stability and to various subjective complaints. The aim was to evaluate the association between radiologically assessed residual ridge resorption in the mandible, clinically assessed stability of lower complete denture and subjective complaints among elderly denture wearers. The study population consisted of 326 (115 men and 211 women) edentulous subjects aged 60–78 years, all of whom were wearing complete dentures in the mandible. Data on subjective complaints were obtained from questionnaires and interviews. Denture stability was assessed clinically. Residual ridge resorption was analysed from panoramic radiographs. The results showed that women were significantly more often satisfied with their lower dentures and reported fewer problems with eating than men. They also had significantly more often residual ridge resorption than men. Among women, residual ridge resorption was significantly associated with poor chewing ability, low satisfaction with dentures and poor denture stability. Among men, residual ridge resorption did not associate with subjective complaints or denture stability. Poor satisfaction with dentures associated significantly with poor denture stability in both genders. In conclusion, these results highlight the importance of denture maintenance treatment. As the extent of residual ridge resorption in the mandible was the most important factor that increased dissatisfaction with lower complete dentures, it is also important to inhibit the progression of resorption by preventing tooth loss or by using implant‐retained dentures.

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DOI: 10.1111/j.1365-2842.2011.02284.x


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Le document en format XML

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<term>Acta odontol scand</term>
<term>Aged</term>
<term>Alveolar Bone Loss (complications)</term>
<term>Alveolar Bone Loss (diagnostic imaging)</term>
<term>Blackwell publishing</term>
<term>Community dent</term>
<term>Complete denture</term>
<term>Complete denture wearers</term>
<term>Complete dentures</term>
<term>Dent</term>
<term>Dent assoc</term>
<term>Dentate subjects</term>
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<term>Denture Retention (adverse effects)</term>
<term>Denture Retention (psychology)</term>
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<term>Denture, Complete, Lower (psychology)</term>
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<term>Edentulous individuals</term>
<term>Edentulousness</term>
<term>Elderly population</term>
<term>Female</term>
<term>Humans</term>
<term>Jaw, Edentulous (rehabilitation)</term>
<term>Lower denture</term>
<term>Lower denture stability</term>
<term>Male</term>
<term>Mandible</term>
<term>Mandibular</term>
<term>Mandibular Diseases (complications)</term>
<term>Mandibular Diseases (diagnostic imaging)</term>
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<term>Oral rehabil</term>
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<term>Poor satisfaction</term>
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<term>Prosthet dent</term>
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<term>Maladies mandibulaires ()</term>
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<term>Mâchoire édentée (rééducation et réadaptation)</term>
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<term>Prothèse dentaire complète inférieure (effets indésirables)</term>
<term>Prothèse dentaire complète inférieure (psychologie)</term>
<term>Radiographie</term>
<term>Résorption alvéolaire ()</term>
<term>Résorption alvéolaire (imagerie diagnostique)</term>
<term>Résultat thérapeutique</term>
<term>Rétention d'appareil de prothèse dentaire (effets indésirables)</term>
<term>Rétention d'appareil de prothèse dentaire (psychologie)</term>
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<term>Sujet âgé</term>
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<term>Denture Retention</term>
<term>Denture, Complete, Lower</term>
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<term>Alveolar Bone Loss</term>
<term>Mandibular Diseases</term>
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<term>Mandibular Diseases</term>
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<term>Rétention d'appareil de prothèse dentaire</term>
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<term>Résorption alvéolaire</term>
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<term>Prothèse dentaire complète inférieure</term>
<term>Rétention d'appareil de prothèse dentaire</term>
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<term>Denture, Complete, Lower</term>
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<term>Complete denture</term>
<term>Complete denture wearers</term>
<term>Complete dentures</term>
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<term>Dent assoc</term>
<term>Dentate subjects</term>
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<term>Denture stability</term>
<term>Dentures ulceration</term>
<term>Edentulous</term>
<term>Edentulous individuals</term>
<term>Edentulousness</term>
<term>Elderly population</term>
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<term>Humans</term>
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<term>Oral health</term>
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<term>Painful areas</term>
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<term>Poor satisfaction</term>
<term>Present study</term>
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<term>Maladies mandibulaires</term>
<term>Mâle</term>
<term>Radiographie</term>
<term>Résorption alvéolaire</term>
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<front>
<div type="abstract">Summary  Residual ridge resorption in the mandible after tooth loss may lead to worsening of complete denture stability and to various subjective complaints. The aim was to evaluate the association between radiologically assessed residual ridge resorption in the mandible, clinically assessed stability of lower complete denture and subjective complaints among elderly denture wearers. The study population consisted of 326 (115 men and 211 women) edentulous subjects aged 60–78 years, all of whom were wearing complete dentures in the mandible. Data on subjective complaints were obtained from questionnaires and interviews. Denture stability was assessed clinically. Residual ridge resorption was analysed from panoramic radiographs. The results showed that women were significantly more often satisfied with their lower dentures and reported fewer problems with eating than men. They also had significantly more often residual ridge resorption than men. Among women, residual ridge resorption was significantly associated with poor chewing ability, low satisfaction with dentures and poor denture stability. Among men, residual ridge resorption did not associate with subjective complaints or denture stability. Poor satisfaction with dentures associated significantly with poor denture stability in both genders. In conclusion, these results highlight the importance of denture maintenance treatment. As the extent of residual ridge resorption in the mandible was the most important factor that increased dissatisfaction with lower complete dentures, it is also important to inhibit the progression of resorption by preventing tooth loss or by using implant‐retained dentures.</div>
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