The Journal of Korean Academy of Prosthodontics (대한치과보철학회지)

The Korean Academy of Prosthodonitics (대한치과보철학회)
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Factors influencing the frequency of denture adjustments after delivery of complete denture: a retrospective study

총의치 장착 후 의치 조정 횟수에 영향을 미치는 요인에 관한 후향적 연구

  • Lee, Seungwon (Department of Prosthodontics, National Health Insurance Serivce Ilsan Hospital) ;
  • Yoon, Joon-Ho (Department of Prosthodontics, National Health Insurance Serivce Ilsan Hospital) ;
  • Yoo, Jin-Joo (Department of Prosthodontics, National Health Insurance Serivce Ilsan Hospital)
  • 이승원 (국민건강보험 일산병원 치과보철과) ;
  • 윤준호 (국민건강보험 일산병원 치과보철과) ;
  • 유진주 (국민건강보험 일산병원 치과보철과)
  • Received : 2022.07.04
  • Accepted : 2022.07.21
  • Published : 2022.07.29
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Abstract

Purpose. The purpose of this study was to analyze the frequency and duration of adjustments after delivery of complete denture according to age, sex, arch with complete denture, insurance coverage of a denture, type of antagonist, the experience of wearing denture, the period of edentulism, and the type of denture base. Materials and methods. For 5 years, medical records of patients aged 65 or older who had treated full dentures were assessed for the frequency and duration of follow-up visits after complete denture delivery. Statistical analysis was performed at the 5% level of significance to analyze the correlation between the frequency and duration of follow-up according to sex, insurance coverage, arch with the complete denture, type of denture base, type of antagonist, experience of wearing a denture, age, and healing period. Results. 247 complete dentures were included in this study. The median frequency of follow-up visits was 3, and the median duration of follow-up was 36 days. Lower dentures had significantly higher frequency of follow-up visits than upper dentures (P = .036). According to the type of antagonist, dentures opposing a complete denture had a significantly higher frequency of follow-up visits than dentures opposing a removable partial denture (P = .016). There was no statistically significant difference in the frequency and duration of adjustments after delivery of complete denture by age, sex, insurance coverage, healing period, the experience of wearing a denture, and type of denture base. Conclusion. Within the limitations of the present study, lower complete dentures or dentures opposing a complete denture had an increased frequency of follow-up visits.

목적: 총의치를 장착한 환자에서 연령, 성별, 총의치를 장착한 악궁, 틀니 보험 적용 여부, 대합치의 종류, 의치 사용 경험, 무치악 기간, 의치상 종류 등에 따라 의치 장착 후 의치를 조정하는 횟수 및 기간에 차이가 있는지를 분석하고자 한다. 대상 및 방법: 5년 간 국민건강보험 일산병원 치과보철과에서 총의치 장착을 시행한 만 65세 이상 환자의 의무기록을 대상으로, 총의치 장착 후 사후 점검의 횟수 및 기간을 평가하였다. 성별, 보험 적용 여부, 총의치를 장착한 악궁, 의치상 종류, 대합치의 종류, 의치 사용 경험, 연령 및 발치 후 의치를 장착하기 전 치유기간에 따른 총의치의 사후 점검 횟수 및 기간의 상관 관계를 분석하기 위해서 5%의 유의수준에서 통계 분석을 시행하였다. 결과: 총 247개의 의치가 포함되었다. 평균 사후 점검 횟수의 중위수는 3회였으며, 사후 점검 기간의 중위수는 36일이었다. 의치를 하악에 장착한 경우가 상악에 장착한 경우보다 사후 점검 횟수가 통계적으로 유의하게 많은 것으로 나타났으며(P = .036) 대합치가 총의치인 경우가 국소의치인 경우에 비해 사후 점검 횟수가 많은 것으로 나타났다(P = .016). 연령, 성별, 보험 적용 여부, 의치 사용 경험, 무치악 기간, 의치상 종류에 따른 사후 점검 횟수는 유의미한 차이가 없었다. 결론: 이번 연구의 한계 내에서, 의치의 조정 횟수는 의치를 장착한 악궁이 하악일 때 및 대합치가 총의치인 경우에서 증가하였다.

Keywords

Acknowledgement

This study was supported by the research fund of the National Health Insurace Service Ilsan Hospital (NHIMC2019CR048).

References

  1. Lang BR. A review of traditional therapies in complete dentures. J Prosthet Dent 1994;72:538-42. https://doi.org/10.1016/0022-3913(94)90128-7
  2. Sadr K, Mahboob F, Rikhtegar E. Frequency of traumatic ulcerations and post-insertion adjustment recall visits in complete denture patients in an Iranian faculty of dentistry. J Dent Res Dent Clin Dent Prospects 2011;5:46-50.
  3. Zarb GA, Hobkirk J, Eckert S, Jacob R. Prosthodontic treatment for edentulous patients: complete dentures and implant-supported prostheses. Elsevier; 2013. p. 275-80.
  4. McCord J, Grant A. Identification of complete denture problems: a summary. Br Dent J 2000;189;128-34. https://doi.org/10.1038/sj.bdj.4800703a
  5. Kivovics P, Jahn M, Borbely J, Marton K. Frequency and location of traumatic ulcerations following placement of complete dentures. Int J Prosthodont 2007;20:397-401.
  6. Diehl RL, Foerster U, Sposetti VJ, Dolan TA. Factors associated with successful denture therapy. J Prosthodont 1996;5:84-90. https://doi.org/10.1111/j.1532-849x.1996.tb00279.x
  7. Porter JA Jr, Petropoulos VC, Brunski JB. Comparison of load distribution for implant overdenture attachments. Int J Oral Maxillofac Implants 2002;17:651-62.
  8. Langer Y, Langer A. Root-retained overdentures: Part I--Biomechanical and clinical aspects. J Prosthet Dent 1991;66:784-9. https://doi.org/10.1016/0022-3913(91)90416-T
  9. Trombelli L, Farina R, Marzola A, Bozzi L, Liljenberg B, Lindhe J. Modeling and remodeling of human extraction sockets. J Clin Periodontol 2008;35:630-9. https://doi.org/10.1111/j.1600-051X.2008.01246.x
  10. Watt DM, Likeman PR. Morphological changes in the denture bearing area following the extraction of maxillary teeth. Br Dent J 1974;136:225-35. https://doi.org/10.1038/sj.bdj.4803165
  11. Ellinger CW, Rayson JH, Henderson D. Single complete dentures. J Prosthet Dent 1971;26:4-10. https://doi.org/10.1016/0022-3913(71)90023-0
  12. Alfadda SA. The relationship between various parameters of complete denture quality and patients' satisfaction. J Am Dent Assoc 2014;145:941-8. https://doi.org/10.14219/jada.2013.48