Clinical factors affecting the success of dentures and the oral health-related impact on the quality of life of elderly patients after using complete dentures at Nakornping Hospital
Keywords:
clinical factors, posterior occlusion, masticatory efficiency, quality of lifeAbstract
Tooth loss is a significant issue that affects the physical health of the elderly. Full dentures help restore oral conditions and improve the quality of life for patients. The purpose of this study was to investigate the clinical factors that influence the success of using more than 16 dentures and their impact on oral health-related quality of life.
Research Methodology: A retrospective cohort study was conducted in patients who had used more than 16 dentures for at least six months at Nakornping Hospital. The study period was from May 2023 to May 2024. Data were collected on denture use history, basic patient information, and quality of life assessments using the OHIP-14. Descriptive analysis was used for baseline data, and Spearman's correlation was employed to analyze relationships between variables.
Results: A total of 70 patients participated in the study, with 47.1% male and 52.9% female; 67.1% of the participants were over 70 years old. The average adaptation period for using more than 16 dentures was 2.3 ± 0.8 weeks. The mean period between denture placement and satisfaction assessment was 16.9 ± 12.02 months. Factors associated with difficulties in masticatory function included having fewer than five posterior occlusal contacts (Adj. RR 14.9 [95% CI 4.8-45.9]) and male gender (Adj. RR 5.4 [95% CI 1.6-18.8]). In terms of health-related quality of life, denture function limitations (r = 0.63), physical pain (r = 0.74), and physical disability (r = 0.88) were strongly associated with poor quality of life.
Conclusion: This study found that the success of placing over 16 dentures depends on the number of posterior occlusal contact points. A greater number of occlusal contact points enhances success and improves quality of life, which should be considered in planning the placement of more than 16 prosthetic teeth.
References
Dental Health Division, Bureau of dental health. The 9 th National Oral Health Survey 2023. Nonthaburi: Dental Health Division; 2023. [In Thai]
White BA, Maupomé G. Making clinical decisions for dental care: concepts to consider. Spec Care Dentist. 2003;23(5):168-72. doi: 10.1111/j.17544505.2003.tb00306.x
Koshino H, Hirai T, Ishijima T, Tsukagoshi H, Ishigami T, Tanaka Y. Quality of life and masticatory function in denture wearers. J Oral Rehabil. 2006;33(5):323-9. doi: 10.1111/j.1365-2842.2005.01152.x
Anastassiadou V, Robin Heath M. The effect of denture quality attributes on satisfaction and eating difficulties. Gerodontology. 2006;23(1):23-32. doi: 10.1111/j.1741-2358.2006.00094.x
Ministry of public health, Department of health, National health security office, Dental Health Division. Operation Manual of the Royal Denture Project for the campaign to promote and restore oral health for the elderly in honor of His Majesty the King on the auspicious occasion of his 80th birthday under the Universal Health Insurance Project 2005 "Returning Smiles to the Elderly". Nonthaburi: Dental Health Division; 2005. [In Thai]
Songpaisan Y. Satisfaction and oral health related impact to quality of life of edentulous seniors after wearing complete dentures at Bangyai Hospital Nonthaburi. Thai J Health Promotion and Environmental Health. 2007;32:31–45. [In Thai]
Sinavarat P, Ruchuwararak PA. follow-up study in complete denture wearers : 3-5 years after treatment. Mahidol Dental Journal. 1997;17:61–8. [In Thai]
Diehl RL, Foerster U, Sposetti VJ, Dolan TA. Factors associated with successful denture therapy. J Prosthodont. 1996;5(2):84-90. doi: 10.1111/j.1532849x.1996.tb00279.x.
van Waas MA. The influence of clinical variables on patients' satisfaction with complete dentures. J Prosthet Dent. 1990;63(3):307-10. doi: 10.1016/00223913(90)90202n.
Celebić A, Knezović-Zlatarić D, Papić M, Carek V, Baucić I, Stipetić J. Factors related to patient satisfaction with complete denture therapy. J Gerontol A Biol Sci Med Sci. 2003;58(10):M948-53. doi: 10.1093/gerona/58.10.m948.
Turker SB, Sener ID, Özkan YK. Satisfaction of the complete denture wearers related to various factors. Arch Gerontol Geriatr. 2009;49(2):e126-9. doi: 10.1016/j.archger.2008.11.003
Fenlon MR, Sherriff M. Investigation of new complete denture quality and patients' satisfaction with and use of dentures after two years. J Dent. 2004;32(4):327-33. doi: 10.1016/j.jdent.2004.01.007
Yavilach P. Criteria for abutment selection in perio prio-prosthodontic patient. Chiang Mai Dental Journal. 2001;22(1):7-16. [In Thai]
Reynolds JM. Abutment selection for fixed prosthodontics. J Prosthet Dent. 1968 ;19(5):483-8. doi: 10.1016/0022-3913(68)90064-4.
Addy M, Bates JF. The effect of partial dentures and chlorhexidine gluconate gel on plaque accumulation in the absence of oral hygiene. J Clin Periodontol. 1977;4(1):41-7. doi: 10.1111/j.1600-051x.1977.tb01881.x.
Setthaworaphan P, Thitasomakul S, Daosodsai P. Oral Health-Related Quality of Life among Elderly Complete Denture Wearers and Its Associations with Denture Quality and Masticatory Efficiency Assessed by the-Thai version of OHIP-EDENT. Journal of the Dental Association of Thailand. 2014;64(1):26-46. [In Thai]
Yamaga E, Sato Y, Minakuchi S. A structural equation model relating oral condition, denture quality, chewing ability, satisfaction, and oral health-related quality of life in complete denture wearers. J Dent. 2013;41(8):710-7. doi: 10.1016/j.jdent.2013.05.015
Limpuangthip N. The quality of complete denture, patient's satisfaction, oral health-related quality of life, and their association [dissertation]. Bangkok: Chulalongkorn University; 2017. [In Thai]
Alfadda SA, Al-Fallaj HA, Al-Banyan HA, Al-Kadhi RM. A clinical investigation of the relationship between the quality of conventional complete dentures and the patients' quality of life. Saudi Dent J. 2015;27(2):93-8. doi: 10.1016/j.sdentj.2014.10.003
Jacobson TE, Krol AJ. A contemporary review of the factors involved in complete denture retention, stability, and support. Part I: retention. J Prosthet Dent. 1983;49(1):5-15. doi: 10.1016/0022-3913(83)90228-7
Jacobson TE, Krol AJ. A contemporary review of the factors involved in complete dentures. Part II: stability. J Prosthet Dent. 1983;49(2):165-72. doi: 10.1016/00223913(83)90494-8
Waliszewski M. Restoring dentate appearance: a literature review for modern complete denture esthetics. J Prosthet Dent. 2005;93(4):386-94. doi: 10.1016/j.prosdent.2005.01.004
John MT, Szentpétery A, Steele JG. Association between factors related to the time of wearing complete dentures and oral health-related quality of life in patients who maintained a recall. Int J Prosthodont. 2007;20(1):31-6.
Soeda H, Sato Y, Yamaga E, Minakuchi S. A structural equation model to assess the influence of neuroticism on oral health-related quality of life in complete denture wearers. Gerodontology. 2017;34(4):446-54. doi: 10.1111/ger.12291
Marcello-Machado RM, Bielemann AM, Nascimento GG, Pinto LR, Del Bel Cury AA, Faot F. Masticatory function parameters in patients with varying degree of mandibular bone resorption. J Prosthodont Res. 2017;61(3):315-23. doi: 10.1016/j.jpor.2016.12.002
Drachev SN, Brenn T, Trovik TA. Oral Health-Related Quality of Life in Young Adults: A Survey of Russian Undergraduate Students. Int J Environ Res Public Health. 2018;15(4):719. doi: 10.3390/ijerph15040719
Hanasa J. Quality of life related oral health and its factors associated with wearing denture among elderly patients to service in dentistry department, rong kham hospital, kalasin province. Research and Development Health System Journal. 2024;17(1):142-54. [In Thai]
Maneelangga W, Poomsa-ad R. Factors relating to satisfaction in denture service of senior citizens at Sam Sung Hospital, SumSung District, KhonKaen Province. Thai Dental Nurse Journal. 2021;32(1):89-102. [In Thai]
Adulyanon S, Sheiham A. Oral impact on daily performance. In: Slade GD, editor. Measuring oral health and quality of life. Chapel Hill, North Carolina State, USA: University of North Carolina; 1997. p. 151–60.
Fenlon MR, Sherriff M. Investigation of new complete denture quality and patients' satisfaction with and use of dentures after two years. J Dent. 2004;32(4):327-33. doi: 10.1016/j.jdent.2004.01.007.
Sukphatthi M. Removable partial denture design. Chiang Mai: Chiang Mai Niyom Publishing House; 2022. [In Thai]
Chaiyaprasith J. Conventional complete denture and implant retained overdenture PRK integrated line OA for follow up: A case report. Journal of Nakornping Hospital. 2024;15(2):307-20. [In Thai]
Pornprapapan S. Factors affecting the deterioration of ball attachment system on dental implantsin patients with implant-retained mandibular overdentures “Khao Aroi,” Kamphaeng Phet hospital. Journal of Nakornping Hospital. 2022;13(2):75-89. [In Thai]
Pisitanuson A. Creation and treatment of patients with acrylic resin dentures. 2nd ed. Chiang Mai: Chiang Mai University; 2004. [In Thai]
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Nakornping Hospital
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
The articles that had been published in the journal is copyright of Journal of Nakornping hospital, Chiang Mai.
Contents and comments in the articles in Journal of Nakornping hospital are at owner’s responsibilities that editor team may not totally agree with.
