Abstract
Objective
The aim of this study was to observe the adaptation strategy of the stomatognathic system during the adaptation of complete dentures, comprising masticatory parameters and subjective measures. Our hypothesis was that with new dentures, masticatory performance would increase while the effort of the system is kept constant.
Material and methods
Thirty-two patients received standardized new complete dentures. Masticatory performance tests were conducted with old dentures (T1), immediately after incorporation of new dentures (T2) and after an adaptation period of 3 months (T3). Patients habitually chewed the silicone-based artificial test food Optocal. The comminuted test food was analyzed and mean particle sizes (x50) were calculated. Simultaneously, surface EMGs of the anterior temporalis and masseter muscles were recorded. Specific (SMW) and total muscle work (TMW) were determined. Patients filled in the OHIP-49 questionnaire. Test conditions were compared using repeated-measures ANOVA with SPSS 22 (SPSS Inc.)
Results
Masticatory performance increased (P = 0.016) between old (x50 = 4.99 ± 0.28) and adapted new dentures (x50 = 4.80 ± 0.33). TMW deteriorated (P = 0.004) at T2 (from TMW1 = 119.77 ± 56.49 to TMW2 = 92.12 46.27), and increased again (P = 0.028) at T3 (TMW3 = 107.66 ± 44.65). OHIP scores decreased significantly in all subscales (P < 0.001…P = 0.046); the total score was reduced (P < 0.001) from 56.24 ± 29.05 (T1) to 34.66 ± 24.74 (T3).
Conclusion
In complete denture wearers, masticatory performance improves over an adaptation period. Muscle work initially decreased before reaching its original level again after adaptation. Subjective parameters overestimated the functional improvements.
Clinical significance
The subjective evaluation does not adequately reflect functional improvements. The assessment of function requires an adaptation period.
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References
Feine JS, Carlsson GE, Awad MA, Chehade A, Duncan WJ, Gizani S, Head T, Lund JP, MacEntee M, Mericske-Stern R, Mojon P, Morais J, Naert I, Payne AG, Penrod J, Stoker GT, Tawse-Smith A, Taylor TD, Thomason JM, Thomson WM, Wismeijer D (2002) The McGill consensus statement on overdentures. Mandibular two-implant overdentures as first choice standard of care for edentulous patients. Montreal, Quebec, May 24-25, 2002. Int J Oral Maxillofac Implants 17(4):601–602
Allen PF, McMillan AS (2003) A longitudinal study of quality of life outcomes in older adults requesting implant prostheses and complete removable dentures. Clin Oral Implants Res 14(2):173–179. https://doi.org/10.1034/j.1600-0501.2003.140206.x
Garrett NR, Perez P, Elbert C, Kapur KK (1996) Effects of improvements of poorly fitting dentures and new dentures on masticatory performance. J Prosthet Dent 75(3):269–275. https://doi.org/10.1016/S0022-3913(96)90483-7
Heydecke G, Klemetti E, Awad MA, Lund JP, Feine JS (2003) Relationship between prosthodontic evaluation and patient ratings of mandibular conventional and implant prostheses. Int J Prosthodont 16(3):307–312
Carlsson GE (2009) Critical review of some dogmas in prosthodontics. J Prosthodont Res 53(1):3–10. https://doi.org/10.1016/j.jpor.2008.08.003
Berg E (1993) Acceptance of full dentures. Int Dent J 43(3 Suppl 1):299–306
Johansson A, Unell L, Johansson AK, Carlsson GE (2007) A 10-year longitudinal study of self-assessed chewing ability and dental status in 50-year-old subjects. Int J Prosthodont 20(6):643–645
Bellini D, Dos Santos MB, De Paula Prisco Da Cunha V, Marchini L (2009) Patients’ expectations and satisfaction of complete denture therapy and correlation with locus of control. J Oral Rehabil 36(9):682–686. https://doi.org/10.1111/j.1365-2842.2009.01967.x
Fontijn-Tekamp FA, Slagter AP, Van Der Bilt A, Van THMA, Witter DJ, Kalk W et al (2000) Biting and chewing in overdentures, full dentures, and natural dentitions. J Dent Res 79(7):1519–1524. https://doi.org/10.1177/00220345000790071501
Lindquist LW, Carlsson GE, Hedegard B, Lundquist LW (1986) Changes in bite force and chewing efficiency after denture treatment in edentulous patients with denture adaptation difficulties. J Oral Rehabil 13(1):21–29. https://doi.org/10.1111/j.1365-2842.1986.tb01552.x
Michael CG, Javid NS, Colaizzi FA, Gibbs CH (1990) Biting strength and chewing forces in complete denture wearers. J Prosthet Dent 63(5):549–553. https://doi.org/10.1016/0022-3913(90)90074-M
Tallgren A, Holden S, Lang BR, Ash MM Jr (1980) Jaw muscle activity in complete denture wearers—a longitudinal electromyographic study. J Prosthet Dent 44(2):123–132. https://doi.org/10.1016/0022-3913(80)90122-5
Slagter AP, Olthoff LW, Steen WH, Bosman F (1992) Comminution of food by complete-denture wearers. J Dent Res 71(2):380–386. https://doi.org/10.1177/00220345920710020601
Heath MR (1982) The effect of maximum biting force and bone loss upon masticatory function and dietary selection of the elderly. Int Dent J 32(4):345–356
Slagter AP, Olthoff LW, Bosman F, Steen WH (1992) Masticatory ability, denture quality, and oral conditions in edentulous subjects. J Prosthet Dent 68(2):299–307. https://doi.org/10.1016/0022-3913(92)90334-7
Gunne HS, Bergman B, Enbom L, Hogstrom J (1982) Masticatory efficiency of complete denture patients. A clinical examination of potential changes at the transition from old to new denture. Acta Odontol Scand 40(5):289–297. https://doi.org/10.3109/00016358209024072
Gunne HS, Wall AK (1985) The effect of new complete dentures on mastication and dietary intake. Acta Odontol Scand 43(5):257–268. https://doi.org/10.3109/00016358509046506
Goiato MC, Ribeiro Pdo P, Garcia AR, dos Santos DM (2008) Complete denture masticatory efficiency: a literature review. J Calif Dent Assoc 36(9):683–686
Yurkstas AA (1963) The influence of geometric occlusal carvings on the masticatory effectiveness of complete dentures. J Prosthet Dent 13(3):452–461. https://doi.org/10.1016/0022-3913(63)90100-8
Vinton P, Manly RS (1955) Masticatory efficiency during the period of adjustment to dentures. J Prosthet Dent 5(4):477–480. https://doi.org/10.1016/0022-3913(55)90175-X
Lund JP, Kolta A (2006) Generation of the central masticatory pattern and its modification by sensory feedback. Dysphagia 21(3):167–174. https://doi.org/10.1007/s00455-006-9027-6
Dahlberg B (1946) The masticatory habits; an analysis of the number of chews when consuming food. J Dent Res 25(2):67–72. https://doi.org/10.1177/00220345460250020201
Yurkstas AA (1965) The masticatory act. A review. J Prosthet Dent 15(2):248–262. https://doi.org/10.1016/0022-3913(65)90094-6
Bates JF, Stafford GD, Harrison A (1976) Masticatory function—a review of the literature. III. Masticatory performance and efficiency. J Oral Rehabil 3(1):57–67. https://doi.org/10.1111/j.1365-2842.1976.tb00929.x
Woda A, Foster K, Mishellany A, Peyron MA (2006) Adaptation of healthy mastication to factors pertaining to the individual or to the food. Physiol Behav 89(1):28–35. https://doi.org/10.1016/j.physbeh.2006.02.013
Garrett NR, Kaurich M, Perez P, Kapur KK (1995) Masseter muscle activity in denture wearers with superior and poor masticatory performance. J Prosthet Dent 74(6):628–636. https://doi.org/10.1016/S0022-3913(05)80316-6
Hutton B, Feine J, Morais J (2002) Is there an association between edentulism and nutritional state? J Can Dent Assoc 68(3):182–187
Sheiham A, Steele J (2001) Does the condition of the mouth and teeth affect the ability to eat certain foods, nutrient and dietary intake and nutritional status amongst older people? Public Health Nutr 4(3):797–803. https://doi.org/10.1079/PHN2000116
Eberhard L, Braun S, Wirth A, Schindler HJ, Hellmann D, Giannakopoulos NN (2014) The effect of experimental balancing interferences on masticatory performance. J Oral Rehabil 41(5):346–352. https://doi.org/10.1111/joor.12150
Giannakopoulos NN, Wirth A, Braun S, Eberhard L, Schindler HJ, Hellmann D (2014) Effect of the occlusal profile on the masticatory performance of healthy dentate subjects. Int J Prosthodont 27(4):383–389. https://doi.org/10.11607/ijp.3793
Kappel S, Eberhard L, Giannakopoulos NN, Rammelsberg P, Eiffler C (2013) Immediate loading of two dental implants, in edentulous mandibles, with Locator(R) attachments or Dolder(R) bars: first results from a prospective randomized clinical study. Clin Implant Dent Relat Res
Eberhard L, Schindler HJ, Hellmann D, Schmitter M, Rammelsberg P, Giannakopoulos NN (2012) Comparison of particle-size distributions determined by optical scanning and by sieving in the assessment of masticatory performance. J Oral Rehabil 39(5):338–348. https://doi.org/10.1111/j.1365-2842.2011.02275.x
Pocztaruk Rde L, Frasca LC, Rivaldo EG, Fernandes Ede L, Gaviao MB (2008) Protocol for production of a chewable material for masticatory function tests (Optocal-Brazilian version). Braz Oral Res 22(4):305–310. https://doi.org/10.1590/S1806-83242008000400004
Giannakopoulos NN, Hellmann D, Schmitter M, Kruger B, Hauser T, Schindler HJ (2013) Neuromuscular interaction of jaw and neck muscles during jaw clenching. J Orofac Pain 27(1):61–71. https://doi.org/10.11607/jop.915
Speksnijder CM, Abbink JH, van der Glas HW, Janssen NG, van der Bilt A (2009) Mixing ability test compared with a comminution test in persons with normal and compromised masticatory performance. Eur J Oral Sci 117(5):580–586. https://doi.org/10.1111/j.1600-0722.2009.00675.x
Slagter AP, Bosman F, Van der Bilt A (1993) Comminution of two artificial test foods by dentate and edentulous subjects. J Oral Rehabil 20(2):159–176. https://doi.org/10.1111/j.1365-2842.1993.tb01599.x
Schubert D, Proschel P, Schwarz C, Wichmann M, Morneburg T Neuromuscular control of balancing side contacts in unilateral biting and chewing. Clin Oral Investig 16(2):421–428
Perez P, Kapur KK, Garrett NR (1985) Studies of biologic parameters for denture design. Part III: effects of occlusal adjustment, base retention, and fit on masseter muscle activity and masticatory performance. J Prosthet Dent 53(1):69–73. https://doi.org/10.1016/0022-3913(85)90069-1
Yan C, Ye L, Zhen J, Ke L, Gang L (2008) Neuroplasticity of edentulous patients with implant-supported full dentures. Eur J Oral Sci 116(5):387–393. https://doi.org/10.1111/j.1600-0722.2008.00557.x
Michman J, Langer A (1968) Clinical and electromyographic observations during adjustment to complete dentures. J Prosthet Dent 19(3):252–262. https://doi.org/10.1016/0022-3913(68)90086-3
Kimoto K, Ogawa T, Garrett NR, Toyoda M (2004) Assessment of masticatory performance. Prosthodont Res Pract 3(1):33–45
Kapur KK, Soman SD (2004) Masticatory performance and efficiency in denture wearers. 1964. J Prosthet Dent 92(2):107–111. https://doi.org/10.1016/j.prosdent.2004.03.026
Lassauzay C, Peyron MA, Albuisson E, Dransfield E, Woda A (2000) Variability of the masticatory process during chewing of elastic model foods. Eur J Oral Sci 108(6):484–492. https://doi.org/10.1034/j.1600-0722.2000.00866.x
Sutton AF, Worthington HV, McCord JF (2007) RCT comparing posterior occlusal forms for complete dentures. J Dent Res 86(7):651–655. https://doi.org/10.1177/154405910708600713
Hayakawa I, Hirano S, Takahashi Y, Keh ES (2000) Changes in the masticatory function of complete denture wearers after relining the mandibular denture with a soft denture liner. Int J Prosthodont 13(3):227–231
Geertman ME, Slagter AP, van Waas MA, Kalk W (1994) Comminution of food with mandibular implant-retained overdentures. J Dent Res 73(12):1858–1864. https://doi.org/10.1177/00220345940730121101
Foster KD, Woda A, Peyron MA (2006) Effect of texture of plastic and elastic model foods on the parameters of mastication. J Neurophysiol 95(6):3469–3479. https://doi.org/10.1152/jn.01003.2005
Piancino MG, Farina D, Talpone F, Castroflorio T, Gassino G, Margarino V et al (2005) Surface EMG of jaw-elevator muscles and chewing pattern in complete denture wearers. J Oral Rehabil 32(12):863–870. https://doi.org/10.1111/j.1365-2842.2005.01524.x
Muller F, Heath MR, Ott R (2001) Maximum bite force after the replacement of complete dentures. Gerodontology 18(1):58–62. https://doi.org/10.1111/j.1741-2358.2001.00058.x
Proeschel PA, Morneburg T (2002) Task-dependence of activity/bite-force relations and its impact on estimation of chewing force from EMG. J Dent Res 81(7):464–468. https://doi.org/10.1177/154405910208100706
Ellis JS, Pelekis ND, Thomason JM (2007) Conventional rehabilitation of edentulous patients: the impact on oral health-related quality of life and patient satisfaction. J Prosthodont 16(1):37–42. https://doi.org/10.1111/j.1532-849X.2006.00152.x
Goiato MC, Bannwart LC, Moreno A, Dos Santos DM, Martini AP, Pereira LV (2012) Quality of life and stimulus perception in patients’ rehabilitated with complete denture. J Oral Rehabil 39(6):438–445. https://doi.org/10.1111/j.1365-2842.2011.02285.x
Viola AP, Takamiya AS, Monteiro DR, Barbosa DB (2013) Oral health-related quality of life and satisfaction before and after treatment with complete dentures in a Dental School in Brazil. J Prosthodont Res 57(1):36–41. https://doi.org/10.1016/j.jpor.2012.08.003
John MT, Slade GD, Szentpetery A, Setz JM (2004) Oral health-related quality of life in patients treated with fixed, removable, and complete dentures 1 month and 6 to 12 months after treatment. Int J Prosthodont 17(5):503–511
Sivakumar I, Sajjan S, Ramaraju AV, Rao B (2015) Changes in oral health-related quality of life in elderly edentulous patients after complete denture therapy and possible role of their initial expectation: a follow-up study. J Prosthodont 24(6):452–456. https://doi.org/10.1111/jopr.12238
Forgie AH, Scott BJ, Davis DM (2005) A study to compare the oral health impact profile and satisfaction before and after having replacement complete dentures in England and Scotland. Gerodontology 22(3):137–142. https://doi.org/10.1111/j.1741-2358.2005.00066.x
Heydecke G, Locker D, Awad MA, Lund JP, Feine JS (2003) Oral and general health-related quality of life with conventional and implant dentures. Community Dent Oral Epidemiol 31(3):161–168. https://doi.org/10.1034/j.1600-0528.2003.00029.x
Allen PF, McMillan AS (1999) The impact of tooth loss in a denture wearing population: an assessment using the Oral Health Impact Profile. Community Dent Health 16(3):176–180
Hassel AJ, Koke U, Schmitter M, Rammelsberg P (2006) Factors associated with oral health-related quality of life in institutionalized elderly. Acta Odontol Scand 64(1):9–15. https://doi.org/10.1080/00016350500326211
al Quran F, Clifford T, Cooper C, Lamey PJ (2001) Influence of psychological factors on the acceptance of complete dentures. Gerodontology 18(1):35–40. https://doi.org/10.1111/j.1741-2358.2001.00035.x
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The work was supported by the company BEGO Implant Systems GmbH & Co. KG, Bremen, Germany.
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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. The study was approved by the ethics committee of the Medical Faculty of the University of Heidelberg (S-208/2010).
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Eberhard, L., Oh, K., Eiffler, C. et al. Adaptation to new complete dentures—is the neuromuscular system outcome-oriented or effort-oriented?. Clin Oral Invest 22, 2309–2317 (2018). https://doi.org/10.1007/s00784-017-2331-8
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DOI: https://doi.org/10.1007/s00784-017-2331-8