Serveur d'exploration sur le patient édenté

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Maximum bite force after the replacement of complete dentures

Identifieur interne : 008456 ( Main/Exploration ); précédent : 008455; suivant : 008457

Maximum bite force after the replacement of complete dentures

Auteurs : F. Müller ; M. R. Heath ; R. Ott [Allemagne]

Source :

RBID : ISTEX:0E44BDFFF5A7017ED0435F1D9963D0EB061AC1DE

Descripteurs français

English descriptors

Abstract

In complete denture wearers the maximum bite force (MBF) is known to be considerably lower than in dentate people. Low MBF might therefore be an indication of poor denture fit but there is limited evidence on this. Therefore, the aim of the present study was to investigate whether MBF can be improved by the replacement of complete dentures for elderly people. Nine edentulous volunteers, average age 74·2 ± 5·5 years and average denture experience 19·4 ± 19·5 years (1–50 years), had replacement dentures made. Functional impressions were taken after border moulding using zinc oxide eugenol paste. After a rehearsal session, MBF was recorded with the old dentures, and with the new dentures immediately at insertion, at 3, 8 days, 2–3 weeks, 1, 2, 3 and 6–10 months post‐insertion (p.i.). The MBF was recorded with the central bearing point method using a full‐bridge strain gauge with a confirmed linearity from 1 to 1000 N and an accuracy of ±1 N. Data were analysed off‐line using the mean of two peak readings per patient per session. The results indicate that MBF tended to be impaired when replacement dentures were first fitted (n.s.). However, this trend reversed during the first month p.i. for patients with a ‘moderate’ lower ridge resorption of Atwood (1963) grade 3 or 4 (n=5). Patients with more severe lower ridge resorption (Atwood grade 5 or 6; n=4) showed a significantly lower MBF over the entire observation period (P=0·05) and took longer to regain bite strength. Only patients with moderate bone resorption exceeded their pre‐insertion level of MBF within the observation period of 6–10 months p.i. In contrast to one report of immediate improvement of MBF at insertion of a new or relined denture (Leyka et al., 2000), the present study suggests that, at least for elderly patients with severe bone resorption, delayed improvement of MBF should be expected.

Url:
DOI: 10.1046/j.1365-2842.2002.01026_43.x


Affiliations:


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Le document en format XML

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<term>Academic centre</term>
<term>Anterior temporalis</term>
<term>Anticipatory activity</term>
<term>Apnoea</term>
<term>Appliance</term>
<term>Arbitrary moulding</term>
<term>Arthrogenous origin</term>
<term>Auscultation</term>
<term>Bennett movement</term>
<term>Bennett side shift</term>
<term>Bilateral</term>
<term>Bilateral clenching</term>
<term>Bilateral measurement</term>
<term>Blackwell</term>
<term>Blackwell science</term>
<term>Bosman department</term>
<term>Botulinum toxin</term>
<term>Bres</term>
<term>Bruxers</term>
<term>Bruxism</term>
<term>Bruxism time index</term>
<term>Central incisor</term>
<term>Centre</term>
<term>Cervical</term>
<term>Cervical spine</term>
<term>Clenching</term>
<term>Clinical assessment</term>
<term>Clinical signs</term>
<term>Complete dentures</term>
<term>Contraction episodes</term>
<term>Contraction time</term>
<term>Contralateral side</term>
<term>Control appliance</term>
<term>Control group</term>
<term>Corresponding amas</term>
<term>Craniomandibular</term>
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<term>Crown height</term>
<term>Daily stress</term>
<term>Deformation displacement</term>
<term>Dental research</term>
<term>Dentine exposure</term>
<term>Dentistry</term>
<term>Dentistry amsterdam</term>
<term>Denture</term>
<term>Diagnostic criteria</term>
<term>Different design</term>
<term>Different foods</term>
<term>Digastric</term>
<term>Disorder</term>
<term>Edentate people</term>
<term>Edentulous</term>
<term>Edentulous patients</term>
<term>Experimental muscle pain</term>
<term>Experimental occlusal interference</term>
<term>Facial pain</term>
<term>Flemish adolescent girls</term>
<term>Food resistance</term>
<term>Force transducer</term>
<term>Full dentures</term>
<term>Functional impression trays</term>
<term>Functional impressions</term>
<term>Glenoid fossa</term>
<term>Haemodynamic changes</term>
<term>Healthy subjects</term>
<term>Horizontal forces</term>
<term>Hospital anxiety</term>
<term>Hydrodynamic stimulation</term>
<term>Implant</term>
<term>Incisor</term>
<term>Interference period</term>
<term>Interobserver reliability</term>
<term>Interrater reliability</term>
<term>Item scores</term>
<term>Laryngeal</term>
<term>Laryngeal elevation</term>
<term>Laryngeal vibration</term>
<term>Lateral</term>
<term>Lateral pterygoid muscles</term>
<term>Life quality</term>
<term>Little modulation</term>
<term>Local anaesthesia</term>
<term>Local application</term>
<term>Local craniomandibular pain</term>
<term>Lower ridge region</term>
<term>Lower ridge resorption</term>
<term>Magnetic resonance imaging</term>
<term>Main complaint</term>
<term>Mandible</term>
<term>Mandibular</term>
<term>Mandibular contact movements</term>
<term>Mandibular movement</term>
<term>Mandibular movements</term>
<term>Mandibular posture</term>
<term>Masseter</term>
<term>Masseter muscle activity</term>
<term>Masseter muscles</term>
<term>Masticatory</term>
<term>Masticatory muscle palpation</term>
<term>Masticatory muscles</term>
<term>Masticatory performance</term>
<term>Masticatory system</term>
<term>Mcgill pain questionnaire</term>
<term>Molar</term>
<term>Mouth opening</term>
<term>Multiple regression analysis</term>
<term>Muscle activity</term>
<term>Myofascial pain</term>
<term>Myogenous</term>
<term>Myogenous pain</term>
<term>Naeije department</term>
<term>Narrow occlusal surface</term>
<term>Natural environment</term>
<term>Nerve responses</term>
<term>Netherlands</term>
<term>Occlusal</term>
<term>Occlusal anatomy</term>
<term>Occlusal appliance therapy</term>
<term>Occlusal surface</term>
<term>Occlusal tooth</term>
<term>Odds ratio</term>
<term>Okayama university</term>
<term>Oral function</term>
<term>Oral habits</term>
<term>Oral physiology</term>
<term>Oral rehabilitation</term>
<term>Other techniques</term>
<term>Other variables</term>
<term>Outcome variables</term>
<term>Pain intensity</term>
<term>Painful body areas</term>
<term>Palatal</term>
<term>Palatal appliances</term>
<term>Palpation</term>
<term>Patient group</term>
<term>Periodontal receptors</term>
<term>Personality characteristics</term>
<term>Physiology</term>
<term>Physiotherapeutic treatment modalities</term>
<term>Physiotherapy</term>
<term>Physiotherapy group</term>
<term>Positive effect</term>
<term>Posterior digastric</term>
<term>Posterior digastric muscle palpation</term>
<term>Posterior part</term>
<term>Posterior temporalis</term>
<term>Predictor variables</term>
<term>Premature contact</term>
<term>Present study</term>
<term>Pressure onset</term>
<term>Previous study</term>
<term>Prosthetic dentistry</term>
<term>Prosthodontics</term>
<term>Psychological characteristics</term>
<term>Psychological distress</term>
<term>Psychological factors</term>
<term>Psychosomatic disorders</term>
<term>Pulpal blood circulation</term>
<term>Randomized</term>
<term>Recent studies</term>
<term>Recurrent headache</term>
<term>Reliability</term>
<term>Removable prosthodontics</term>
<term>Replacement dentures</term>
<term>Ridge incisal edge</term>
<term>Right masseter muscle</term>
<term>Ring rates</term>
<term>Risk factors</term>
<term>Sagittal distance</term>
<term>Several types</term>
<term>Side mandible</term>
<term>Spearman correlation</term>
<term>Splint therapy</term>
<term>Stabilization appliance</term>
<term>Statistical analysis</term>
<term>Sternocleidomastoid muscles</term>
<term>Stimulation cavity</term>
<term>Stomatognathic physiology</term>
<term>Such treatment</term>
<term>Superior laryngeal nerve</term>
<term>Supramedullary region</term>
<term>Symptom</term>
<term>Temporal muscles</term>
<term>Temporalis</term>
<term>Temporalis muscle</term>
<term>Temporomandibular</term>
<term>Temporomandibular disorders</term>
<term>Temporomandibular joints</term>
<term>Tongue motion</term>
<term>Tooth plastic rims</term>
<term>Treatment contrast</term>
<term>Treatment demand</term>
<term>Treatment effect</term>
<term>Treatment group</term>
<term>Treatment need</term>
<term>Treatment outcome</term>
<term>Twitch force</term>
<term>Unilateral</term>
<term>Unilateral clenching</term>
<term>Vallon department</term>
<term>Vertical distance</term>
<term>Visual analogue scale</term>
<term>Visual analogue scales</term>
<term>Visual feedback</term>
<term>Younger persons</term>
</keywords>
<keywords scheme="Teeft" xml:lang="en">
<term>Academic centre</term>
<term>Anterior temporalis</term>
<term>Anticipatory activity</term>
<term>Apnoea</term>
<term>Appliance</term>
<term>Arbitrary moulding</term>
<term>Arthrogenous origin</term>
<term>Auscultation</term>
<term>Bennett movement</term>
<term>Bennett side shift</term>
<term>Bilateral</term>
<term>Bilateral clenching</term>
<term>Bilateral measurement</term>
<term>Blackwell</term>
<term>Blackwell science</term>
<term>Bosman department</term>
<term>Botulinum toxin</term>
<term>Bres</term>
<term>Bruxers</term>
<term>Bruxism</term>
<term>Bruxism time index</term>
<term>Central incisor</term>
<term>Centre</term>
<term>Cervical</term>
<term>Cervical spine</term>
<term>Clenching</term>
<term>Clinical assessment</term>
<term>Clinical signs</term>
<term>Complete dentures</term>
<term>Contraction episodes</term>
<term>Contraction time</term>
<term>Contralateral side</term>
<term>Control appliance</term>
<term>Control group</term>
<term>Corresponding amas</term>
<term>Craniomandibular</term>
<term>Craniomandibular disorders</term>
<term>Crown height</term>
<term>Daily stress</term>
<term>Deformation displacement</term>
<term>Dental research</term>
<term>Dentine exposure</term>
<term>Dentistry</term>
<term>Dentistry amsterdam</term>
<term>Denture</term>
<term>Diagnostic criteria</term>
<term>Different design</term>
<term>Different foods</term>
<term>Digastric</term>
<term>Disorder</term>
<term>Edentate people</term>
<term>Edentulous</term>
<term>Edentulous patients</term>
<term>Experimental muscle pain</term>
<term>Experimental occlusal interference</term>
<term>Facial pain</term>
<term>Flemish adolescent girls</term>
<term>Food resistance</term>
<term>Force transducer</term>
<term>Full dentures</term>
<term>Functional impression trays</term>
<term>Functional impressions</term>
<term>Glenoid fossa</term>
<term>Haemodynamic changes</term>
<term>Healthy subjects</term>
<term>Horizontal forces</term>
<term>Hospital anxiety</term>
<term>Hydrodynamic stimulation</term>
<term>Implant</term>
<term>Incisor</term>
<term>Interference period</term>
<term>Interobserver reliability</term>
<term>Interrater reliability</term>
<term>Item scores</term>
<term>Laryngeal</term>
<term>Laryngeal elevation</term>
<term>Laryngeal vibration</term>
<term>Lateral</term>
<term>Lateral pterygoid muscles</term>
<term>Life quality</term>
<term>Little modulation</term>
<term>Local anaesthesia</term>
<term>Local application</term>
<term>Local craniomandibular pain</term>
<term>Lower ridge region</term>
<term>Lower ridge resorption</term>
<term>Magnetic resonance imaging</term>
<term>Main complaint</term>
<term>Mandible</term>
<term>Mandibular</term>
<term>Mandibular contact movements</term>
<term>Mandibular movement</term>
<term>Mandibular movements</term>
<term>Mandibular posture</term>
<term>Masseter</term>
<term>Masseter muscle activity</term>
<term>Masseter muscles</term>
<term>Masticatory</term>
<term>Masticatory muscle palpation</term>
<term>Masticatory muscles</term>
<term>Masticatory performance</term>
<term>Masticatory system</term>
<term>Mcgill pain questionnaire</term>
<term>Molar</term>
<term>Mouth opening</term>
<term>Multiple regression analysis</term>
<term>Muscle activity</term>
<term>Myofascial pain</term>
<term>Myogenous</term>
<term>Myogenous pain</term>
<term>Naeije department</term>
<term>Narrow occlusal surface</term>
<term>Natural environment</term>
<term>Nerve responses</term>
<term>Netherlands</term>
<term>Occlusal</term>
<term>Occlusal anatomy</term>
<term>Occlusal appliance therapy</term>
<term>Occlusal surface</term>
<term>Occlusal tooth</term>
<term>Odds ratio</term>
<term>Okayama university</term>
<term>Oral function</term>
<term>Oral habits</term>
<term>Oral physiology</term>
<term>Oral rehabilitation</term>
<term>Other techniques</term>
<term>Other variables</term>
<term>Outcome variables</term>
<term>Pain intensity</term>
<term>Painful body areas</term>
<term>Palatal</term>
<term>Palatal appliances</term>
<term>Palpation</term>
<term>Patient group</term>
<term>Periodontal receptors</term>
<term>Personality characteristics</term>
<term>Physiology</term>
<term>Physiotherapeutic treatment modalities</term>
<term>Physiotherapy</term>
<term>Physiotherapy group</term>
<term>Positive effect</term>
<term>Posterior digastric</term>
<term>Posterior digastric muscle palpation</term>
<term>Posterior part</term>
<term>Posterior temporalis</term>
<term>Predictor variables</term>
<term>Premature contact</term>
<term>Present study</term>
<term>Pressure onset</term>
<term>Previous study</term>
<term>Prosthetic dentistry</term>
<term>Prosthodontics</term>
<term>Psychological characteristics</term>
<term>Psychological distress</term>
<term>Psychological factors</term>
<term>Psychosomatic disorders</term>
<term>Pulpal blood circulation</term>
<term>Randomized</term>
<term>Recent studies</term>
<term>Recurrent headache</term>
<term>Reliability</term>
<term>Removable prosthodontics</term>
<term>Replacement dentures</term>
<term>Ridge incisal edge</term>
<term>Right masseter muscle</term>
<term>Ring rates</term>
<term>Risk factors</term>
<term>Sagittal distance</term>
<term>Several types</term>
<term>Side mandible</term>
<term>Spearman correlation</term>
<term>Splint therapy</term>
<term>Stabilization appliance</term>
<term>Statistical analysis</term>
<term>Sternocleidomastoid muscles</term>
<term>Stimulation cavity</term>
<term>Stomatognathic physiology</term>
<term>Such treatment</term>
<term>Superior laryngeal nerve</term>
<term>Supramedullary region</term>
<term>Symptom</term>
<term>Temporal muscles</term>
<term>Temporalis</term>
<term>Temporalis muscle</term>
<term>Temporomandibular</term>
<term>Temporomandibular disorders</term>
<term>Temporomandibular joints</term>
<term>Tongue motion</term>
<term>Tooth plastic rims</term>
<term>Treatment contrast</term>
<term>Treatment demand</term>
<term>Treatment effect</term>
<term>Treatment group</term>
<term>Treatment need</term>
<term>Treatment outcome</term>
<term>Twitch force</term>
<term>Unilateral</term>
<term>Unilateral clenching</term>
<term>Vallon department</term>
<term>Vertical distance</term>
<term>Visual analogue scale</term>
<term>Visual analogue scales</term>
<term>Visual feedback</term>
<term>Younger persons</term>
</keywords>
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<front>
<div type="abstract" xml:lang="en">In complete denture wearers the maximum bite force (MBF) is known to be considerably lower than in dentate people. Low MBF might therefore be an indication of poor denture fit but there is limited evidence on this. Therefore, the aim of the present study was to investigate whether MBF can be improved by the replacement of complete dentures for elderly people. Nine edentulous volunteers, average age 74·2 ± 5·5 years and average denture experience 19·4 ± 19·5 years (1–50 years), had replacement dentures made. Functional impressions were taken after border moulding using zinc oxide eugenol paste. After a rehearsal session, MBF was recorded with the old dentures, and with the new dentures immediately at insertion, at 3, 8 days, 2–3 weeks, 1, 2, 3 and 6–10 months post‐insertion (p.i.). The MBF was recorded with the central bearing point method using a full‐bridge strain gauge with a confirmed linearity from 1 to 1000 N and an accuracy of ±1 N. Data were analysed off‐line using the mean of two peak readings per patient per session. The results indicate that MBF tended to be impaired when replacement dentures were first fitted (n.s.). However, this trend reversed during the first month p.i. for patients with a ‘moderate’ lower ridge resorption of Atwood (1963) grade 3 or 4 (n=5). Patients with more severe lower ridge resorption (Atwood grade 5 or 6; n=4) showed a significantly lower MBF over the entire observation period (P=0·05) and took longer to regain bite strength. Only patients with moderate bone resorption exceeded their pre‐insertion level of MBF within the observation period of 6–10 months p.i. In contrast to one report of immediate improvement of MBF at insertion of a new or relined denture (Leyka et al., 2000), the present study suggests that, at least for elderly patients with severe bone resorption, delayed improvement of MBF should be expected.</div>
</front>
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<li>Allemagne</li>
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