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Improved denture retention in patients with retracted tongues.

Identifieur interne : 001C59 ( PubMed/Corpus ); précédent : 001C58; suivant : 001C60

Improved denture retention in patients with retracted tongues.

Auteurs : Ji-Hua Lee ; Jen-Hao Chen ; Huey-Er Lee ; Hong-Po Chang ; Hong-Sen Chen ; Yi-Hsin Yang ; Tsau-Mau Chou

Source :

RBID : pubmed:19654250

English descriptors

Abstract

Patients who wear mandibular dentures and hold their tongues in retracted positions alter the dimensions of the sublingual space and disrupt the peripheral seal that is needed for optimal denture retention. The authors studied whether retention could be improved if patients moved their tongues from a retracted resting position to an ideal resting position.

PubMed: 19654250

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pubmed:19654250

Le document en format XML

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<title xml:lang="en">Improved denture retention in patients with retracted tongues.</title>
<author>
<name sortKey="Lee, Ji Hua" sort="Lee, Ji Hua" uniqKey="Lee J" first="Ji-Hua" last="Lee">Ji-Hua Lee</name>
<affiliation>
<nlm:affiliation>Prosthodontics, Graduate Institute of Dental Sciences, Kaohsiung Medical University, Kaohsiung, Taiwan</nlm:affiliation>
</affiliation>
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<author>
<name sortKey="Chen, Jen Hao" sort="Chen, Jen Hao" uniqKey="Chen J" first="Jen-Hao" last="Chen">Jen-Hao Chen</name>
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<author>
<name sortKey="Lee, Huey Er" sort="Lee, Huey Er" uniqKey="Lee H" first="Huey-Er" last="Lee">Huey-Er Lee</name>
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<name sortKey="Chang, Hong Po" sort="Chang, Hong Po" uniqKey="Chang H" first="Hong-Po" last="Chang">Hong-Po Chang</name>
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<name sortKey="Chen, Hong Sen" sort="Chen, Hong Sen" uniqKey="Chen H" first="Hong-Sen" last="Chen">Hong-Sen Chen</name>
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<name sortKey="Yang, Yi Hsin" sort="Yang, Yi Hsin" uniqKey="Yang Y" first="Yi-Hsin" last="Yang">Yi-Hsin Yang</name>
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<name sortKey="Chou, Tsau Mau" sort="Chou, Tsau Mau" uniqKey="Chou T" first="Tsau-Mau" last="Chou">Tsau-Mau Chou</name>
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<name sortKey="Chen, Jen Hao" sort="Chen, Jen Hao" uniqKey="Chen J" first="Jen-Hao" last="Chen">Jen-Hao Chen</name>
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<name sortKey="Lee, Huey Er" sort="Lee, Huey Er" uniqKey="Lee H" first="Huey-Er" last="Lee">Huey-Er Lee</name>
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<name sortKey="Chang, Hong Po" sort="Chang, Hong Po" uniqKey="Chang H" first="Hong-Po" last="Chang">Hong-Po Chang</name>
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<name sortKey="Chen, Hong Sen" sort="Chen, Hong Sen" uniqKey="Chen H" first="Hong-Sen" last="Chen">Hong-Sen Chen</name>
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<name sortKey="Yang, Yi Hsin" sort="Yang, Yi Hsin" uniqKey="Yang Y" first="Yi-Hsin" last="Yang">Yi-Hsin Yang</name>
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<title level="j">Journal of the American Dental Association (1939)</title>
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<term>Aged</term>
<term>Bone Resorption (classification)</term>
<term>Bone Resorption (pathology)</term>
<term>Denture Retention</term>
<term>Denture, Complete, Lower</term>
<term>Female</term>
<term>Humans</term>
<term>Jaw, Edentulous (classification)</term>
<term>Jaw, Edentulous (pathology)</term>
<term>Male</term>
<term>Mandible (pathology)</term>
<term>Myofunctional Therapy</term>
<term>Neuromuscular Junction (physiology)</term>
<term>Tongue (anatomy & histology)</term>
<term>Tongue Habits (therapy)</term>
</keywords>
<keywords scheme="MESH" qualifier="anatomy & histology" xml:lang="en">
<term>Tongue</term>
</keywords>
<keywords scheme="MESH" qualifier="classification" xml:lang="en">
<term>Bone Resorption</term>
<term>Jaw, Edentulous</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en">
<term>Bone Resorption</term>
<term>Jaw, Edentulous</term>
<term>Mandible</term>
</keywords>
<keywords scheme="MESH" qualifier="physiology" xml:lang="en">
<term>Neuromuscular Junction</term>
</keywords>
<keywords scheme="MESH" qualifier="therapy" xml:lang="en">
<term>Tongue Habits</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Aged</term>
<term>Denture Retention</term>
<term>Denture, Complete, Lower</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Myofunctional Therapy</term>
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<front>
<div type="abstract" xml:lang="en">Patients who wear mandibular dentures and hold their tongues in retracted positions alter the dimensions of the sublingual space and disrupt the peripheral seal that is needed for optimal denture retention. The authors studied whether retention could be improved if patients moved their tongues from a retracted resting position to an ideal resting position.</div>
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<Month>11</Month>
<Day>02</Day>
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<Year>2009</Year>
<Month>08</Month>
<Day>05</Day>
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<Volume>140</Volume>
<Issue>8</Issue>
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<Year>2009</Year>
<Month>Aug</Month>
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<Title>Journal of the American Dental Association (1939)</Title>
<ISOAbbreviation>J Am Dent Assoc</ISOAbbreviation>
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<ArticleTitle>Improved denture retention in patients with retracted tongues.</ArticleTitle>
<Pagination>
<MedlinePgn>987-91</MedlinePgn>
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<Abstract>
<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Patients who wear mandibular dentures and hold their tongues in retracted positions alter the dimensions of the sublingual space and disrupt the peripheral seal that is needed for optimal denture retention. The authors studied whether retention could be improved if patients moved their tongues from a retracted resting position to an ideal resting position.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">The authors observed and classified the mandibular residual ridge morphologies of 85 participants who wore complete dentures. The authors recorded and compared the retention of the mandibular denture before and after repositioning the tongue to the ideal resting position.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">When the participants' tongues were in a retracted resting position, the average retention of the mandibular denture was 75.38 gram weight (+/- 81.83 standard deviation [SD]). After participants repositioned their tongues to the ideal resting position, the average retention of the mandibular denture was 118.89 gw (+/- 93.00 SD), an increase of 57.73 percent.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">In all morphological classes, when participants held their tongues in the ideal resting position, the average mandibular denture retention increased by 57.73 percent, a statistically significant improvement compared with when participants held their tongues in a retracted resting position.</AbstractText>
<AbstractText Label="CLINICAL IMPLICATIONS" NlmCategory="CONCLUSIONS">Clinicians are encouraged to evaluate carefully the tongue resting position in all patients who wear dentures, help create reasonable therapeutic expectations by informing patients about the significant effect that tongue position will have on future denture retention and provide helpful neuromuscular training for patients with retracted-tongue habits.</AbstractText>
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